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

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

Alcohol and nicotine habit ordinarily ensue jointly. during the last ten years healing features and motivational recommendations were significantly superior. for that reason, teams and subgroups were outlined and will be taken care of with particular medicine and tailored psychotherapies, top within the long-term to significantly higher and more beneficial effects than the as soon as commonly utilized, rigorous abstinence -based cures. despite the fact that, alcohol and nicotine dependancy nonetheless characterize significant scientific and social difficulties. during this publication, new healing techniques are comprehensively defined, outlining the several interactions among character, setting and the results of the substance. as well as prevention-based remedies and prognosis, crucial mental and sociological recommendations, in addition to medication-based cures, also are awarded intimately. All of those cures have real looking goals and are of worldwide validity. furthermore, the ebook offers a wide evaluation of the yank and ecu epidemiology of alcohol and nicotine addictions. The publication is written for all those that deal with and provide specialist treatment for alcohol and nicotine-addicted sufferers.

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

Example text

The differentiation of self and object representations has failed and thus there is no stable balance between these two object relationships. These persons need external objects, often social attachment figures, who should be available at any time to satisfy needs. If these external objects fail in these functions, the primitive defence col- lapses. The “grandiose self” that has been maintained by external support, collapses into an insecure ego and addictive drugs are then used to regulate this loss of self-worth (type II according to Lesch; Heigl-Evers A et al.

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). If the internalisation of the good mother doesn’t work out, a primitive and immature object relationship is developed (Balint M 1970).

7 Explanation models according to family psychotherapy From a systemic perspective, addictions are not only related to the individual, but also are a result of the dysfunction of an entire ecological system in which the individual lives. A human being lives in balance between the individual, behaviour and the environment. Changes in this system and dysfunctions of this balance demand an adaptation of the perception and behaviour of the individual. If the individual is not able to stabilise this balance, addictive drugs are used to influence these disordered cycles.

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