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At least 19 recordsLinked to original sources
PubMedDate not supplied

[Prevention beginning at school of tobacco use and other addictive substances].

We review the literature on school programs of prevention of consumption of tobacco and other addictive substances among adolescents. We describe the keys of these programs. The programs enforcing the abilities to resist the social pressure to the consumption of addictive substances report better results and they achieve significant reduction in the initiation of tobacco consumption. They also report promising results for alcohol and other addictive substances, but they are not so clearly supported. Average duration of the programs is between 8 and 12 ours a year, generally in 6th and 8th course. Other purposes of similar duration based on: self-esteem, the development of activities other than drug consumption, or the simple information on drugs, have not shown significant positive results for these ages.

Adolescent↗
PubMed1989

The ethics of statutory coercion in the treatment of chemical substance abuse/dependence (addiction).

Many countries, including the Republic of South Africa, have introduced legislation providing for statutory treatment in cases of chemical substance dependence (addiction). Many more countries, including Canada and the United States of America, have made various attempts at the introduction of similar legislation in the face of an escalating drug abuse problem, only to have such legislation successfully challenged by various civil rights groups protesting about the "infringement of individual rights." This paper will examine some of the practical implications of coercive treatment of chemical addiction against the background of the principles of the rights of the individual. It will examine the feasibility of legal protection for such individual rights with simultaneous insistence on constructive treatment intervention. It will also raise many topics for discussion in terms of the role of the "helping professions", the well-worn tenet of "Am I my brother's keeper?" and the sociological poser of "the benefit of the community."

Behavior Control↗
PubMed1991

[Pulmonary tuberculosis in patients with mental disorders, drug addiction and substance abuse].

The clinical manifestations, course and outcomes of pulmonary tuberculosis were studied in 215 patients with concurrent severe mental diseases (112 had schizophrenia and 103 other organic diseases of the central nervous system). The patients had mainly disseminated pulmonary tuberculosis with copious bacilli excretion and destruction. Their clinical manifestations and the course of a specific process were mainly progressive. Fatal outcomes were most common in tuberculosis patients with concurrent drug addiction and toxicomania. It is recommended that patients with mental diseases, narcomania and toxicomania should undergo a prophylactic fluorographic screening twice a year. Treatment of patients with tuberculosis and concurrent mental diseases should be combined and carried out by a psychiatrist (narcologist) jointly with a phthisiatrist.

Adult↗
PubMed1991

[A study of high school students with alcoholic parents].

This is the first study in Japan which estimates the frequency of children with alcoholic parents in the general population and investigates the addictive substances abused by these children. In order to determine which children have alcoholic parents, a 10-item set of questions concerning the alcohol problems of parents known as CAST-J (Children of Alcoholics Screening Test-Japan) was prepared using CAST (Children of Alcoholics Screening Test) as a reference. In a preliminary survey, CAST-J and CAST were performed on 20 cases diagnosed as children of parents with alcohol-related problems by psychiatrists and 112 students of medically-related school. From these results, it was decided that those who had answered affirmatively to at least three of the 10 questions in CAST-J were children of alcoholic parents (parents with alcohol-related problems). The present survey was performed on 1,754 high school students who underwent the CAST-J and AAIS (Adolescent Alcohol Involvement Scale). The information on the experience of smoking and thinner inhalation was also obtained. Among these high school students, 11.6% of the total (8.4% of males and 15.2% of females) had alcoholic parents. Among the high school students with alcoholic parents, 21.7% were found to be alcohol misusers or alcoholic-like drinkers in the AAIS, which was significantly more than the 10.6% of students without alcoholic parents. This significant difference was seen for both males and females. It was also found that significantly more high school students with alcoholic parents had experienced smoking and thinner inhalation than those without such parents. In conclusion, it appeared that more than 10% of Japanese high school students have alcoholic parents, and they also often misuse addictive substances such as alcohol, tobacco and thinner.

Adolescent↗
PubMedDate not supplied

Environments and addiction: a proposed taxonomy.

When reviewing the broad area that relates environments to addiction one is faced with an enormous volume of research with differing environmental and psychosocial factors, contrasting populations, a variety of addictive substances, and a range of addiction processes. For all these factors, there are important outcome variables. To survey this disparate literature, it is helpful to use a multiaxial model as a framework or taxonomy. In this way it is possible to see the effects that environments, broadly conceived, exert on addictive behaviors. A variety of environments is considered: interpersonal, organizational, cultural and physical, as one axis or dimension. The influence of this dimension on a second dimension relating to type of addiction is also examined. Finally, a dimension pertaining to the "life history" of addictions, from acquisition through maintenance, cessation, and relapse is considered in relation to the first two dimensions. While a variety of environmental factors affect addictive behaviors, current research indicates the need to take individual differences, cognitive mediation, and the interaction of the person with the environment into account. Significant areas that need further exploration are the failure of addictions to occur in some environments, and the development of secondary prevention approaches. Implications for intervention and directions for future research are suggested.

Cross-Cultural Comparison↗
PubMed1990

Behavioural addictions: common features and treatment implications.

Marks' editorial is welcome in that is suggests common treatment approaches for chemical and behavioural addictions, namely, exposure and relapse prevention. There are other common features of addictive substances or activities which may explain their addictive potential: they act as operant reinforcers and as Pavlovian unconditioned stimuli, tolerance develops, an initial positive mood is followed by dysphoria and addictions are stimulated by common states (arousal, stress, pain). Most of Marks' features are not unique to addictions but apply to primary drive states (normal eating, sleeping, elimination, sex) and many apply to normal goal-orientated behaviour. Normal repetitive behaviour is more flexible than addictive behaviour, in allowing satisfactory substitution of alternatives. The restrictive range of activities which are satisfactory for the addict suggest that building up the behavioural repertoire may help in prevention and rehabilitation. Tics and Tourette's syndrome should not be regarded as addictions, since they involve simple, involuntary and non-goal-directed behavioural sequences. Considering addictions as goal-directed is important: addicts are often ambivalent about whether they want to give up or continue. This often underlies dropout and relapse. Treatment must address this issue.

Drive↗
PubMed1990

Involvement of tobacco in alcoholism and illicit drug use.

Survey data from the United States indicate that tobacco use is associated with the initiation of use of other addicting substances, and that increasing levels of tobacco use are associated with increasing levels of use of other psychoactive substances. Furthermore, factors affecting initiation, abstinence, and relapse to the use of tobacco, alcohol, and opioids are similar in nature. In addition, there are similarities in the addictive process underlying the use of these substances. Taken together, these data suggest that tobacco use is involved, possibly more than by simple association, in the use of other substances containing psychoactive chemicals. In the present paper we discuss the involvement of tobacco in the use of alcohol, opioids, cocaine, and other substances, as well as some of the implications of these observations for researchers and clinicians. One such implication is that it may be possible to use tobacco and nicotine as models for phenomena of interest to other substance use researchers. For example, drug abuse treatment and prevention strategies could be explored using tobacco use as a target behavior, and biological phenomena such as the development of tolerance and physical dependence may be more readily studied with nicotine than with many other drugs. Certain pharmacologic differences across substances are also discussed in light of their implications for development of treatment and drug control policies.

Adolescent↗
PubMed1988

Tobacco addiction as a psychiatric disease.

Tobacco is the most widely used addictive substance in the world. Since the Surgeon General's 1964 report, medicine has sought out the genesis of tobacco addiction (TA) and has evolved methods of treatment and prevention. Psychiatry was slower than other medical specialties to acknowledge TA as a legitimate area for psychiatric intervention, probably because the many psychiatrists who were smokers identified with their smoking patients. Since 1980, the American Psychiatric Association has recognized nicotine dependence and nicotine withdrawal as diagnostic entities. The complications of TA are in the province of other medical specialists, but psychiatrists have unique tools for treating addictive disorders. This paper describes some of the addictive qualities of tobacco, and presents illustrative cases of successful treatment of TA using hypnosis. It describes an effective cooperative community program under medical aegis, focusing on education, therapy, and prevention, which has resulted in the virtual disappearance of tobacco consumption in hospitals and schools in the community. By sharing their expertise in the treatment of individual patients, and the design of effective community programs that include education, prevention, and treatment, psychiatrists will be active leaders in the medical community's program to reduce tobacco addiction.

Adult↗