Table of contents
1 Information on the origination of the book
1.1 Aims of this book
1.2 Personal reasons for the first author writing this book
2 Addiction- a short overview over a widespread disease
2.1 Introduction
2.2 Prevention
2.3 Diagnosis of addiction
2.4 Aetiology of addiction
2.5 Secondary disorders and addiction
2.6 Secondary diseases and brain functions
2.7 Subgroups of addicts
2.8 Motivation of addicts
2.9 The path from motivation to therapy
2.10 Addiction and relapse
2.11 Specific groups of addicts
2.12 Addiction and the homeless
2.13 Polytoxicomania
2.14 Non-substance dependence
3 Aetiology of Addiction
3.1 The psycho-socio-biological model
3.2 Psychological theories
3.3 Socialexplanation approaches
3.4 Biological theories about the aetiology of tobacco and alcohol addiction
3.5 Aetiological aspects of tobacco and alcohol addiction from an epidemiological perspective
3.6 Aetiology of addiction from a psychiatric perspective
4 Prevention strategies
4.1 Attitude towards addictive drugs
4.2 Primary prevention of tobacco and alcohol addiction
4.3 Secondary prevention: early diagnosis and early intervention
4.4 Tertiary prevention
5 Diagnosis of abuse and addiction
5.1 Problems concerning psychiatric diagnoses
5.2 Development of the term “addiction”
5.3 Substance related diagnoses in the ICD-10
5.4 Substance related diagnosis in DSM-IV (American Psychiatric Association. 1994)
5.5 Commonalities and differences of ICD-10 and DSM-IV
5.6 Implication of these classification systems for therapy and research
6 Types, dimensions and aetiology
6.1 Alcohol addiction
6.2 Tobacco addiction
6.3 Alcohol addiction: Lesch’s typology
6.4 The relationship between alcohol dependent patients according to Lesch`s typology and the
severity of tobacco addiction
7 Motives for alcohol and/or tobacco addicted patients to seek medical help
7.1 Tobacco addiction
7.2 Alcohol addiction
7.3 Sequelae that bring patients into therapy
8 Detection of alcohol and tobacco addiction
8.1 Recommendations for the first contact
8.2 Assessment of drinking behaviour using biological markers
8.3 The clinical dialogue in tobacco addiction
9 Therapeutic strategies for alcohol and tobacco dependence
9.1 Motivation for therapy in different settings
9.2 Pharmacotherapy of alcohol and tobacco dependence
9.3 Pharmacotherapy of alcohol withdrawal
9.4 Alternatives to withdrawal
9.5 Pharmacotherapy of the tobacco withdrawal syndrome
9.6 Medical strategies for relapse prophylaxis
10 Sociotherapy of alcohol and tobacco dependents with regards to Lesch’s typology
10.1 Alcohol and tobacco
10.2 The sociotherapeuticmission
10.3 Classification Psychotherapy-Sociotherapy
10.4 Sociogenesis and sociotherapeutic chances
10.5 Sociotherapy in the context of therapeutic phases
10.6 State of the art: overlapping perspectives for sociotherapeutic housing and support
10.7 Motivation- a challenge for whom?
10.8 Sociotherapy as a means of promoting networking
10.9 Sociotherapy with alcohol dependents in the context of Lesch’s typology
Appendix 1 Lesch Alcoholism Typology – Questionnaire
Appendix 2 Lesch European Smoker Classification
Index
About the Authors
