Summary
Special problems in the treatment of alcoholism are discussed. Risk groups, for instance children of alcoholics, should be identified as early as possible so that special attention can be paid to them. Treatment motivation plays a very central role, and motivating a patient for long-term treatment often is the most difficult part of the work. For alcohol dependent alcoholics, total abstinence should be the goal of treatment. To achieve this, psychotherapy consisting of supportive, behavioral and dynamic elements is recommended. To achieve effective therapy it should be carried out for a considerable length of time.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
American College of Physicians (1989) Disulfiram Treatment of Alcoholism. Annals of Internal Medicine 111: 943–945.
Babor, T.F. (1990) Brief intervention strategies for harmful drinkers: new directions for medical education. Canad. Med. Assoc. J. 143: 1070–1076.
Bradley, K.A. (1992) Management of Alcoholism in the Primary Care Setting. West. J. Med. 156: 273–277.
Bruun, K., Edwards, G., Lumio, M., Mäkelä, K., Pan, L., Popham, R.E., Room, R., Schmidt, W., Skog, O.-J., Sulkunen, P. and Osterberg, E. (1975) Alcohol Control Policies in public health perspective. The Finnish Foundation for Alcohol Studies, vol. 25. Forssa: Aurasen Kirjapaino.
Cox, W.M. (1986) Research on the personality correlates of alcohol use. Drugs Society 1: 61–83.
Hayashida, M., Alterman, A.I., McLellan A.T., O’Brien, C.P., Purtill, J.J., Volpicelli, J.R., Raphaelson, A.H. and Hall, C.P. (1989) Comparative effectiveness and costs of inpatient and outpatient detoxification of patients with mild to moderate alcohol withdrawal syndrome. N. Engl. J. Med. 320: 35 8–365.
Holt, S. (1989) Identification and intervention for alcohol abuse. J. S. C. Med. Assoc. 85: 554–340
Kaufman, E. (1990–91) Critical aspects of the psychodynamics of substance abuse and the evaluation of their application to a psychotherapeutic approach. Int. J. Addict. 25: 97–116.
Knop, J., Goodwin, D.W., Jensen, P., Penick, E., Pollock, V., Gabrielli, W., Teasdale, T.W. and Mednick, S.A. (1993) A 30-year follow-up study of the sons of alcoholic men. Acta Psychiatr. Scand. Supp 1370: 48–53.
Kristenson, H., Öhlin, H., Hultén-Nosslin, M.-B., Trell, E. and Hood, B. (1983) Identification and intervention of heavy drinking in middle-aged men: Results and follow-up of 24–60 months of long-term study with randomized controls. Alcoholism: Clin. Exp. Res. 7: 203–209.
Larsson, G. (1983) Prevention of fetal alcohol effects. An antenatal program for early detection of pregnancies at risk. Acta. Obstet. Gynecol. Scand. 62: 171–178.
Lint, J. and Schmidt, W. (1971) Consumption averages and alcoholism prevalence. A brief review of epidemiological investigations. Br. J. Addict. 66: 97–107.
Linnoila, M.I. (1989) Anxiety and alcoholism. J. Clin. Psychiatry 50: 26–29.
Mattson, M.E. and Allen, J.P. (1991) Research on matching alcoholic patients to treatments: findings, issues, and implications. J. Addict. Dis. 11: 33–49.
Meert, T.F., Awouters, F., Niemegeers, C.J., Schellekens, K.H. and Janssen, P.A. (1991) Ritanserin reduces abuse of alcohol, cocaine, and fentanyl in rats. Pharmacopsychiatry 24: 159–163.
Miller, W.R. (1985) Motivation for treatment: a review with special emphasis on alcoholism. Psychol. Bull. 98: 84–107.
Nathan, P.E. (1990) Integration of biological and psychosocial research on alcoholism. Alcohol Clin. Exp. Res. 14: 368–374.
Nielsen, J. (1965) Delirium tremens in Copenhagen. Acta Psychiatr. Scand. 41: 187. Nilsson, L. and Frey, T. S: son (1958) Iakttagelser angâende vissa alkoholpsykoser. Läkartidn. 55: 2997.
Nylander, I. and Rydelius, P. (1982) A comparison between children of alcoholic fathers from excellent versus poor social conditions. Acta Paediatr. Scand. 71: 809–813.
Okpatu, S.O. (1986) Psychoanalytically oriented psychotherapy of substance abuse. Adv. Alcohol Subst. Abuse 6: 17–33.
Vaillant, G.E., Clark, W., Cyrus, C., Milofsky, E.S., Kopp, J., Wells Wulsin, V. and Mogielnicki, N.P. (1983) Prospective study of alcoholism treatment: Eight-year follow-up. Am. J. Med. 75: 455–463.
Wallace, J. (1989) Treatments for alcoholism. Occup. Med. 4: 275–287.
Velleman, R. (1992) Intergenerational effects - a review of environmentally oriented studies concerning the relationship between parental alcohol problems and family disharmony in the genesis of alcohol and other problems. I: The intergenerational effects of alcohol problems. Int. J. Addict. 27: 253–280.
Velleman, R. and Orford, J. (1990) Young adult offspring of parents with drinking problems: Recollections of parents’ drinking and its immediate effects. Br. J. Clin. Psychol. 29: 297–317.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1994 Birkhäuser Verlag Basel/Switzerland
About this chapter
Cite this chapter
Jansson, B. (1994). Treatment of alcoholism. In: Jansson, B., Jörnvall, H., Rydberg, U., Terenius, L., Vallee, B.L. (eds) Toward a Molecular Basis of Alcohol Use and Abuse. Experientia, vol 71. Birkhäuser Basel. https://doi.org/10.1007/978-3-0348-7330-7_33
Download citation
DOI: https://doi.org/10.1007/978-3-0348-7330-7_33
Publisher Name: Birkhäuser Basel
Print ISBN: 978-3-0348-7332-1
Online ISBN: 978-3-0348-7330-7
eBook Packages: Springer Book Archive