Synopsis
Dependence is easier to recognise than it is to define. Images of young men in squats injecting heroin, of the well-heeled snorting cocaine or of the inebriate under the railway arches may be reinforced by television, by press reports or by walking down the streets of any large town or city. Similarly, patients with drug- and alcohol-related problems form much of the day-to-day workload in casualties, general practice surgeries and hospitals. Despite the enormous diversity of these patients and their problems, they have one thing in common. The solvent inhaler, the heroin user and the heavy drinker all misuse various substances and show signs of dependence upon them. This chapter is concerned with current views of the nature of that dependence, how it arises and its significance for the individual and for society.
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References
Berridge V. and Edwards G. (1987) Opium and the People: Opiate Use in Nineteenth-Century England, 2nd edn (New Haven, CT: Yale University Press).
Bozarth M.A. (1988) Opioid reinforcement processes. In Endorphins, Opiates and Behavioural Processes, eds Rodgers R.J. and Cooper S.J. (Chichester: John Wiley), pp. 53–74.
Cloninger C.R. (1987) Neurogenetic adaptive mechanisms in alcoholism. Science, 236, 410–415.
Cook C. (1988) The Minnesota Model in the management of drug and alcohol dependency: miracle, method or myth? Part 1. The philosophy and the programme. Br. J. Addiction, 83, 625–634.
Edwards, G. (1986) The alcohol dependence syndrome: a concept as a stimulus to enquiry. Br. J. Addiction, 81, 171–183.
Edwards G. and Gross M. (1976) Alcohol dependence: provisional description of a clinical syndrome. Br. Med. J., 1, 1058–1061.
Edwards G., Arif A. and Hodgeson R. (1981) Nomenclature and classification of drug- and alcohol-related problems: a WHO Memorandum. Bull. World Health Organization, 59, 225–242.
File S.E. (1988) The benzodiazepine receptor and its role in anxiety. Br. J. Psychiat., 152, 599–600.
Goodwin D.W. (1984) Studies of familial alcoholism: a review. J. Clin. Psychiat., 45, 14–17.
Grant D.A.W. (1988) Genetic polymorphism in the alcohol metabolising enzymes as a basis for alcoholic liver disease. Br. J. Addiction, 83, 1255–1259.
Heather N. and Robertson I. (1985) Problem Drinking: The New Approach (Harmondsworth: Penguin).
Heather N., Robertson I. and Davies P. (eds) (1985) The Misuse of Alcohol: Crucial Issues in Dependence, Treatment and Prevention (London: Croom Helm).
Hendrie C.A. (1985) Opiate dependence and withdrawal—a new synthesis? Pharmacol., Biochem. Behav., 23, 863–870.
Marlatt G.A. and George W.H. (1984) Relapse prevention: introduction and overview of the model. Br. J. Addiction, 79, 261–273.
Mott J. (1972) The psychological basis of drug dependence: the intellectual and personality characteristics of opiate users. Br. J. Addiction, 67, 89–99.
Parker H., Newcombe R. and Bakx K. (1987) The new heroin users: prevalence and characteristics in Wirrai, Merseyside. Br. J. Addiction, 82, 147–157.
Phillips G. T., Gossop M. and Bradley B. (1986) The influence of psychological factors on the opiate withdrawal syndrome. Br. J. Psychiat., 149, 235–238.
Room, R. (1985). Dependence and Society. Br. J. Addiction, 80, 133–139.
Rounsaville, B.J., Weissman M.M., Wilber C.H. and Kleber H. (1982) Pathways to opiate addiction: an evaluation of differing antecedents. Br. J. Psychiat., 141, 437–446.
Royal College of Psychiatrists (1987) Drug Scenes: A Report on Drugs and Drug Dependence by the Royal College of Psychiatrists (London: Gaskell).
Saunders B. and Allsop S. (1987) Relapse: a psychological perspective. Br. J. Addiction, 82, 417–429.
Schuckit M.A. (1984) Subjective responses of alcohol in sons of alcoholics and control subjects. Arch. Gen. Psychiat., 41, 879–884.
WHO (1964) Thirteenth Report of WHO Expert Committee on Addiction-producing Drugs. Tech. Rep. Ser. No. 273. (Geneva: World Health Organization).
Bibliography
Edwards G. and Busch C. (eds) (1981) Drug Problems in Britain: A Review of Ten Years (London: Academic Press).
Meyer R. E. (ed.) (1986) Psychopathology and Addictive Disorders (New York: Guilford Press).
Royal College of Psychiatrists (1987) Drug Scenes: A Report on Drugs and Drug Dependence by the Royal College of Psychiatrists (London: Gaskell).
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© 1990 Macmillan Publishers Limited
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Johns, A. (1990). What is Dependence?. In: Ghodse, H., Maxwell, D. (eds) Substance Abuse and Dependence. Palgrave, London. https://doi.org/10.1007/978-1-349-20859-3_2
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DOI: https://doi.org/10.1007/978-1-349-20859-3_2
Publisher Name: Palgrave, London
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