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Addictions - Diagnosis and Treatment [Working Title]最新文献

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An Evaluation of Diverse Therapeutic Interventions for Substance Use Disorders: Serotonergic Hallucinogens, Immunotherapy, and Transcranial Magnetic Stimulation 物质使用障碍的多种治疗干预措施的评估:血清素能致幻剂、免疫疗法和经颅磁刺激
Pub Date : 2021-06-17 DOI: 10.5772/INTECHOPEN.98514
W. Meil, W. Farrell, Reem Satti
Substance Use Disorders are a substantial public health concern whose treatment remains challenging. High rates of relapse are in fact a hallmark of drug addiction despite the wide variety of psychotherapeutic and pharmacotherapeutic approaches. This chapter discusses three innovative and controversial therapeutic approaches for Substance Use Disorders that have received considerable attention: the use of classic serotonergic hallucinogenic drugs (LSD and psilocybin), addiction immunotherapy and anti-addiction vaccines, and the use of transcranial magnetic stimulation. These treatments are not necessarily new but are discussed because they represent a diverse set of approaches that address varied aspects of drug addiction. Furthermore, they have an accumulated body of research from which to assess their future viability. For each of these therapeutic approaches this chapter considers the theoretical basis for use, history, status of the literature supporting their use, limitations, and potential applications. While these three interventions represent highly varied approaches to the treatment of Substance Use Disorders, this diversity may be necessary given the complex nature of addictive disorders.
物质使用障碍是一个重大的公共卫生问题,其治疗仍然具有挑战性。高复发率实际上是药物成瘾的一个标志,尽管有各种各样的心理治疗和药物治疗方法。本章讨论了物质使用障碍的三种创新和有争议的治疗方法,这些方法受到了相当大的关注:使用经典的5 -羟色胺能致幻药物(LSD和裸盖菇素),成瘾免疫疗法和抗成瘾疫苗,以及使用经颅磁刺激。这些治疗方法不一定是新的,但被讨论是因为它们代表了一套不同的方法,可以解决吸毒成瘾的各个方面。此外,他们有一个积累的研究机构,从中评估他们未来的可行性。对于每一种治疗方法,本章考虑了其使用的理论基础、历史、支持其使用的文献现状、局限性和潜在应用。虽然这三种干预措施代表了治疗物质使用障碍的多种方法,但鉴于成瘾障碍的复杂性,这种多样性可能是必要的。
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引用次数: 0
Supervision of Substance Abuse Therapeutics Emphasizing the Discrimination Model of Supervision and Motivational Interview Practices 药物滥用治疗的监督:强调监督的歧视模式和动机访谈实践
Pub Date : 2021-04-27 DOI: 10.5772/INTECHOPEN.97626
J. A. Mills, Maren Krizner
There is considerable pressure from varied sources to provide effective supervision to professionals who deliver therapeutic services to persons being treated for substance use disorders. The literature of supervision continues to evolve as the utility of supervision models and their applicability with substance abuse therapeutics are explored. Among the many models of supervision, Bernard’s Discrimination Model of supervision is experiencing on-going development in the context of a variety of clinical services. The current chapter will describe how Bernard’s model can be used effectively to enhance the supervision of substance abuse professionals as well as how further development of the model would enhance the approach. The Discrimination Model will be combined with existing literature of Motivational Interviewing approaches to describe key elements of effective clinical supervision with professionals delivering services in a complex and challenging industry.
对向正在接受药物使用障碍治疗的人提供治疗服务的专业人员进行有效监督,来自各种来源的压力相当大。随着监督模型的效用及其对药物滥用治疗的适用性的探索,监督文献继续发展。在众多的监管模式中,伯纳德的歧视监管模式在各种临床服务的背景下正在不断发展。本章将描述如何有效地使用伯纳德的模型来加强对药物滥用专业人员的监督,以及该模型的进一步发展将如何加强该方法。歧视模型将与动机访谈方法的现有文献相结合,以描述在复杂和具有挑战性的行业中提供服务的专业人员进行有效临床监督的关键要素。
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引用次数: 0
Revisiting 12-Step Approaches: An Evidence-Based Perspective 重新审视12步方法:基于证据的视角
Pub Date : 2021-02-08 DOI: 10.5772/INTECHOPEN.95985
Dorothy S. Greene
Alcoholics Anonymous (AA) is the longest-running mutual aid group for people with alcohol use disorders, and AA turned 85 years old in 2020. Though there has been much criticism regarding AA and other 12-step programs, there has been an equal amount of evidence to support their efficacy. This chapter explores the history of AA and other 12-step approaches, the foundational philosophy of the 12-steps, the key elements that support recovery, cultural considerations for special populations, and a review of the criticisms as well as strengths of 12-step approaches. The chapter concludes with recommendations for the integration of the approach into clinical practice.
匿名戒酒会(AA)是为酒精使用障碍患者服务的历史最悠久的互助组织,到2020年,AA已经年满85岁。尽管对嗜酒者互诫协会和其他12步戒酒计划有很多批评,但也有同样多的证据支持它们的有效性。本章探讨了嗜酒者互助协会和其他12步疗法的历史、12步疗法的基本理念、支持康复的关键要素、对特殊人群的文化考虑,以及对12步疗法的批评和优势的回顾。本章最后提出了将该方法整合到临床实践中的建议。
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引用次数: 3
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Addictions - Diagnosis and Treatment [Working Title]
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