By David Brizer MD, Ricardo Castaneda MD
Scientific dependancy Psychiatry is an anthology of essays that characterize the most up-tp-date and authoritative info now to be had on habit concept, perform and study, protecting dozens of provocative, interesting and crucial subdomains of the sphere. every one bankruptcy is authored through a famous authority within the box and unique awareness is paid to atmosphere, genetics, tradition and spirituality in addition to remedy and pharmacology. heritage, highway tradition, and clinical technological know-how are introduced jointly in masterful discussions that surround the entire spectrum of addictive problems, emphasizing evaluation and medical administration. This targeted source gathers advanced scientific and medical facts in a fashion that's available to either overall healthiness care pros and readers with out clinical or psychology backgrounds. crucial examining for dependancy counselors and different psychological healthiness pros, this e-book may also be of curiosity to sufferers and their households, and citizens and physicians in all fields of drugs.
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Additional info for Clinical Addiction Psychiatry
Cultural factors It is an inescapable fact that we live in a culture that promotes substance abuse. There are reminders of substance use, particularly drinking, shouting at us from billboards, magazines, television, and all other forms of media. Our culture, deliberately and not so deliberately, cultivates the image of substance use as something tolerable, acceptable, even glamorous or exciting. Although there have been some attempts to change this cultural message in recent years, this has made small inroads against the advertising budgets of the alcohol and tobacco industries.
Flashbacks are fairly rare and tend to decrease over time in frequency, duration, and intensity, as long as no additional hallucinogen is taken (Strassman, 1984). Flashbacks are unlikely to occur more than 1 year after the original hallucinogen experience. Treatment of flashbacks consists of supportive care, including reassurance that the episode will be brief. Benzodiazepines help reduce anxiety, but haloperidol can worsen flashbacks (Moskowitz, 1971). 32 Inhalants Inhalants are volatile substances which produce chemical vapors that can be inhaled for psychoactive effects.
However, the combination of this factor and the underlying biological factors constitute the necessary and sufficient conditions for the development of addictive disease. Other psychological factors come into play at this level as well. Actual psychopathology, including distortions in the perception of reality based on thought or mood disorders, may act to render the person more vulnerable to indulging in their substance of choice. Depression may play a role both in lowering the energy level necessary to “fight” the urges to use, as well as increase the desire to escape.