Download Alcohol and Tobacco: Medical and Sociological Aspects of by Otto-Michael Lesch, Henriette Walter, Christian Wetschka, PDF

By Otto-Michael Lesch, Henriette Walter, Christian Wetschka, Michie Hesselbrock, Victor Hesselbrock

ISBN-10: 370910145X

ISBN-13: 9783709101452

Alcohol and nicotine dependancy normally take place jointly. during the last ten years healing features and motivational thoughts were significantly more desirable. for that reason, teams and subgroups were outlined and will be taken care of with particular medicine and tailored psychotherapies, best within the long-term to significantly larger and more desirable effects than the as soon as commonly utilized, rigorous abstinence -based cures. even though, alcohol and nicotine dependancy nonetheless characterize significant scientific and social difficulties. during this publication, new healing techniques are comprehensively defined, outlining different interactions among character, atmosphere and the consequences of the substance. as well as prevention-based remedies and analysis, crucial mental and sociological options, in addition to medication-based treatments, also are awarded intimately. All of those cures have practical goals and are of world validity. moreover, the booklet presents a wide review of the yankee and ecu epidemiology of alcohol and nicotine addictions. The booklet is written for all those that deal with and provide expert treatment for alcohol and nicotine-addicted sufferers.

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Additional info for Alcohol and Tobacco: Medical and Sociological Aspects of Use, Abuse and Addiction

Sample text

G. strong and hostile affect states (De Vito RA 1970). At the same time, inhibitions are removed and the venting of these emotions becomes possible. Alcohol protects and stabilises the weak ego by regulating affect and constraints and here alcohol functions like the defence mechanisms of a healthy individual (Feuerlein W. 1981, 1989). Today we would like to discuss the weakness to control impulses in type I according to Lesch and the problem of subject-object-relationship in Lesch’s type III, as well as ego weakness in type II.

1981, 1989). Today we would like to discuss the weakness to control impulses in type I according to Lesch and the problem of subject-object-relationship in Lesch’s type III, as well as ego weakness in type II. The link between weakness of impulse and compulsion, as measured by Anton RF’s obsessive-compulsive scale, is the cause for the drinking behaviour in type IV patients, but further research is still needed in this area (Anton RF et al. 1995). 5 The psychological model of object relations Melanie Klein points out the important function of the mother for development, where the nurturing, protecting and good mother is compared with the frustrated, harmful and bad mother (Klein M 1972).

Ethanol affects and activates acetylcholine nicotine receptors. This activation of the nicotine receptors on dopamine neurons could help explain the interaction of tobacco and alcohol addiction (Cardoso RA et al. 1999; Mann K 2004; Soederpalm B et al. 2000). Damage to the cholinergic neurons in the basal cortex has been found and this damage could lead to a degradation of cholinergic functions. Further, neuroimaging studies have shown that activity in the hippocampus is reduced and thus these deficits in the cholinergic system could be responsible for the cognitive dysfunction frequently seen in alcohol dependent individuals.

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