Download Alcoholism and Clinical Psychiatry by Benjamin Kissin MD, Meredith Hanson MSW (auth.), Joel PDF

By Benjamin Kissin MD, Meredith Hanson MSW (auth.), Joel Solomon MD (eds.)

ISBN-10: 1468440306

ISBN-13: 9781468440300

It is widely known that alcoholism remains to be certainly one of this country's significant public illnesses. This factor is punctiliously documented through Dr. Gerald Klerman, leader of ADAMHA, within the moment bankruptcy ofthis quantity. even with the most important position that alcohol performs within the wellbeing and fitness care problems with inner medication, neurology, and psychiatry, the topic keeps to fall among the cracks of some of the disciplines. accordingly, it has turn into virtually a self-discipline of its personal; but there aren't any educational departments of alcoholism simply because educational departments are unidisciplinary and alcoholism is obviously a multidisciplinary box inside of medication. inspite of the various disciplines enthusiastic about the examine and therapy of alcoholism, psychiatry maintains to have a different, albeit frequently overlooked, dating to alcoholism, and it's the articulation ofthat courting which brought on the dep. of Psychiatry on the Downstate clinical middle to prepare the convention upon which many chapters during this quantity are established. specific emphasis in identifying the subjects to be lined used to be put on the interface among alcoholism and scientific psychiatry, together with affective issues, schizophrenia, suicide, formative years, the targeted difficulties of ladies, and psychotherapy, to say just some of them.

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Sample text

My own experience with approximately 100 American Indian patients over the last dozen years parallels these early observations among the first and second generation American Irish. Of approximately 90 Indian patients with non psychotic disorders, only one woman did not have alcohol dependence as part of her problem (she had a severe phobic neurosis). All ofthe remainder had alcoholrelated problems, usually admixed with various personality, neurotic, and organic components. Epidemiologic studies also point towards an inverse correlation between alcoholism and neurosis.

Some indications of success with tertiary prevention programs are the decrease in the number of chronic inebriates in jail and in public mental hospitals and the reduction of chronic disability among alcoholics. We have also expanded efforts at preventing violent behavior among alcoholic drinkers, particularly relating to incidents of alcohol-related child abuse. On the secondary level, most people have been alerted by public education campaigns to the warning signs of alcoholism in an individual.

Primary prevention is more difficult. However, one of the best ways to prevent new cases is by identifying the population of heavy drinkers who are not yet suffering from the consequences of alcoholism or to reach high-risk groups such as youth and pregnant women and persuade them to reduce their levels of consumption. Conclusions Alcoholism is not just a problem of the individual. The social and economic determinants of consumption discussed above must be considered in an integrated manner in order to ensure the success of prevention programs.

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