摘要:

This article addresses some of the issues that arise when chemically dependent patients with coexisting psychiatric disorders require medication. A history of chemical dependence may alter prescribing practices, as certain medications may have a higher abuse potential or may enhance the danger of relapse to the primary drug of abuse. Recovering patients have complex attitudes and feelings toward medications that need to be explored, particularly as they affect compliance with prescribed regimens. Issues arising in the treatment of anxiety disorders, depression, and attention deficit disorders are discussed. Guidelines are provided for therapists working with prescribing physicians, and for handling problems that may arise in conjunction with 12-Step program participation.

ISSN:0279-1072    

DOI:10.1080/02791072.1989.10472162

出版商:Taylor&Francis Group    

年代:1989

数据来源: Taylor

摘要:

This article addresses the link between domestic violence and chemical dependency. Both are extremely prevalent and pose serious threats to individuals, families, communities, and society at large. The commonly observed association between substance abuse and violent interactions has traditionally been explained as a cause-effect sequence. It is assumed that intoxication causes violence, and this viewpoint has traditionally dominated research on the subject as well as treatment methodology. This interpretation may lead treatment providers to assume that once abstinence from alcohol and other drugs is achieved, violence will also disappear. Researchers in the field of domestic violence argue that violence occurs both when substance abuse is present and absent. This article addresses the need to assess and treat both problem areas concurrently. In addition to providing assessment and treatment guidelines, the article describes the scope of the problem, etiological issues, and factors that may serve as barriers to treatment providers in identifying violence as a problem in chemically dependent relationship systems.

ISSN:0279-1072    

DOI:10.1080/02791072.1989.10472163

出版商:Taylor&Francis Group    

年代:1989

数据来源: Taylor

摘要:

Recent studies indicate that it is not uncommon for individuals to have psychoactive substance dependence and an eating disorder simultaneously. Recovery for such individuals may be problematic unless both problems are addressed during treatment. This article provides an overview of the issues involved in treating these patients, and describes how an addiction model is effective in many of the cases with which the authors have worked. In addition, the results of a recently completed follow-up study of patients with both eating disorders and psychoactive substance dependence are presented.

ISSN:0279-1072    

DOI:10.1080/02791072.1989.10472164

出版商:Taylor&Francis Group    

年代:1989

数据来源: Taylor

摘要:

Substance abusing patients with significant psychiatric disorders can present unique legal vulnerabilities for treatment professionals. The tendency within the chemical dependency community to treat patients uniformly can militate against the individualized treatment planning that satisfies legal obligations to act in the best interest of the patient. The failure to adequately consider both the psychiatric disorder and substance abuse problem may create legal vulnerabilities that issue from the failure to refer a patient in need of medication or the failure to prevent the suicide of a patient in a situation where suicide is preventable. Patients suffering harm from acts of commission or omission of a chemical dependency treatment specialist have recourse through laws regarding negligence. Variations in the backgrounds and training of care providers create problems for the harmed patient in establishing a standard of care for the treatment of chemical dependence. However, the psychological symptoms of the dual diagnosis patient make it easier to establish a standard of care that may be legally cognizable. The chemical dependency specialist—of whatever discipline—has a duty to patients that requires sound assessment and disposition.

ISSN:0279-1072    

DOI:10.1080/02791072.1989.10472165

出版商:Taylor&Francis Group    

年代:1989

数据来源: Taylor

摘要:

In an article in the October-December 1988 issue of theJournal of Psychoactive Drugs, Stanton Peele expressed a number of opinions against alcoholism treatment and in favor of controlled drinking as a treatment goal for alcoholics. These opinions are examined critically and found to be contradicted by recent studies, empirical observations, and reinterpretations of earlier studies. It is concluded that marginal scholarship, partial and/or inaccurate representations of research, and inappropriate generalizations do not constitute the basis for drawing reliable and valid conclusions about alcoholism treatment or about controlled drinking as a feasible treatment goal for alcoholics.

ISSN:0279-1072    

DOI:10.1080/02791072.1989.10472166

出版商:Taylor&Francis Group    

年代:1989

数据来源: Taylor

ISSN:0279-1072    

DOI:10.1080/02791072.1989.10472167

出版商:Taylor&Francis Group    

年代:1989

数据来源: Taylor