Drugs and Addictive Behaviour: A Guide to Treatment by Hamid Ghodse PDF

Addiction Recovery

By Hamid Ghodse

This booklet offers with all facets of substance abuse and drug dependence. within the booklet, present drug difficulties are set opposed to historic and epidemiological views and theoretical issues also are integrated. The e-book goals to supply transparent useful counsel at the evaluation and administration of all drug similar difficulties according to a contemporary, multi-disciplinary process. matters of present challenge akin to pregnant addicts, the results of AIDS on drug abuse guidelines and nationwide and overseas regulations for prevention also are integrated. the quantity is meant as a consultant and reference resource for all these execs who're keen on assisting drug abusers equivalent to scholars in-training, normal practitioners, psychiatrists, psychologists and social staff.

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Example text

It occurs in every culture and any theory of drug dependence should be suYciently general to encompass the vast range of dependent behaviour that exists today; for example, the young drug abuser, taking a wide range of drugs, the housewife dependent on benzodiazepines, the adolescent sniYng glue, the Middle Eastern opium smoker, a Jamaican cannabis smoker, the American free-basing cocaine, the Yemeni khat chewer, the mystic seeking truth with LSD, the doctor injecting himself with pethidine, to describe just a few.

It has been found, for example, that stimulating particular sites in the brain via electrodes is positively reinforcing, particularly at the lateral hypothalamic level of the medial mid-brain bundle and in the ventral tegmentum. Several lines of evidence suggest that dopaminergic neural pathways within the brain are implicated within this ventral tegmental reward system, with the main site of action being the nucleus accumbens. Dependence-producing drugs, it is suggested, activate this reward system, ‘switching on’ the circuits at diVerent points.

G. methylphenidate, phenmetrazine), have been introduced, often with conWdent claims that they lack the dependence-producing properties of their predecessors. The passage of time all too often revealed their abuse potential with reports of escalating dose, drug-seeking behaviour and characteristic withdrawal syndromes. These drugs have been widely prescribed as a medicopharmacological response to a variety of problems. Often this response involves more than one drug – one psychoactive drug for insomnia, another for symptoms of anxiety, and perhaps another for depressive symptoms, to give an extreme example.

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