Identification and Treatment of Alcohol Depenedency

Description

Editor Colin Martin and his contributors provide an excellent guide on how to offer balanced support and advice for people with alcohol dependency. All aspects are covered, from the physical implications of alcohol misuse to the complex care needs of clients with other social and medical issues such as substance misuse. The book's major strength is that it offers many solutions but never appears to judge the subjects. All aspects are dealt with in an open and fair manner. This book will enable healthcare professionals to make more informed decisions about the complex subject of alcohol dependency.

Sujets

• Sociologie, société et politique

Informations

• Publié par: M&K Publishing
• Date de parution: 30 novembre 2008
• Nombre de lectures: 0
• EAN13: 9781907830167
• Langue: English

Extrait

Identification and Treatment of Alcohol Dependency
Edited by
Colin R. Martin RN BSc PhD YCAP CPsychol CSci AFBPsS
Chair in Mental Health, University of the West of Scotland, Ayr, Scotland
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Identification and Treatment of Alcohol Dependency
Edited by Colin R. Martin
ISBN: 978-1-905539-16-1
First published 2008
All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, without either the prior permission of the publishers or a licence permitting restricted copying in the United Kingdom issued by the Copyright Licensing Agency, 90 Tottenham Court Road, London, W1T 4LP. Permissions may be sought directly from M&K Publishing, phone: [phone], fax: [phone] or email: [e-mail]
Any person who does any unauthorised act in relation to this publication may be liable to criminal prosecution and civil claims for damages.
British Library Catalogue in Publication Data
A catalogue record for this book is available from the British Library
Notice
Clinical practice and medical knowledge constantly evolve. Standard safety precautions must be followed, but, as knowledge is broadened by research, changes in practice, treatment and drug therapy may become necessary or appropriate. Readers must check the most current product information provided by the manufacturer of each drug to be administered and verify the dosages and correct administration, as well as contraindications. It is the responsibility of the practitioner, utilising the experience and knowledge of the patient, to determine dosages and the best treatment for each individual patient. Any brands mentioned in this book are as examples only and are not endorsed by the Publisher. Neither the Publisher nor the author(s) assume any liability for any injury and/or damage to persons or property arising from this publication.
The Publisher
To contact M&K Publishing write to:
M&K Update Ltd · The Old Bakery · St. John's Street
Keswick · Cumbria CA12 5AS
Tel: [phone] · Fax: [phone]
[e-mail]
www.mkupdate.co.uk
Designed and typeset in 11/13 Candara by S. Maria Hampshire.
Cover and graphics by Luke Kelsey.
Printed in England by Reed's Printers Ltd.
Dedication
This book is dedicated to my wife Dr Caroline Hollins Martin, my daughter Miss Caragh Brien, and my mother and father.
Contents
Foreword by Professor Dame Betty Kershaw
Acknowledgements
About the Editor
About the Contributors
Introduction by Colin R. Martin
Part One: Identification
1         Alcohol dependency—The extent of the problem Kirsten Hain and Adrian B. Bonner
2         Assessing alcohol use and misuse in primary care Steve Trenoweth and Clive Tobutt
3         Alcohol problems in the emergency department Colin A. Graham
4         Dual diagnosis Anne Lingford-Hughes and Ben Watson
5         Biomarkers of alcohol abuse Rajaventhan SriRajaskanthan and Victor R. Preedy
6         Diagnosis and management of alcoholic liver disease Rajaventhan SriRajaskanthan and Victor R. Preedy
Part Two: Medical interventions
7         Detoxification Colin R. Martin
8         Delirium tremens Chris Daly and Catherine Muyeba
9         Pharmacological treatment approaches Zarrar A. Chowdary and Thomas Carnwath
10       Wernicke–Korsakoff syndrome Colin R. Martin and Colin A. Graham
11       Morbid jealousy Colin R. Martin
Part Three: Psychological interventions
12       Psychological perspectives on alcohol dependency Colin R. Martin
13       Motivational interviewing Mick P. Fleming and Colin R. Martin
14       cognitive–behavioural therapy Leila Maria Soravia and Jürgen Barth
15       Can problematic alcohol use be trained away? New behavioural treatments aimed at changing and moderating implicit cognitive processes in alcohol abuse Reinout Wiers, Tim Schoenmakers, Katrijn Houben, Carolien Thush, Javad S. Fadardi and W. Miles Cox
Part Four: Contemporary issues in identification and treatment
16       The role and value of Alcoholics Anonymous Colin R. Martin
17       Controlled drinking in chronic alcohol dependency A therapeutic option? Colin R. Martin
18       Understanding and assessing the impact of alcoholism on quality of life Matthew Reaney and Jane Speight
19       Sleep, quality of life and alcohol misuse John H. Foster
20       Nutrition in chronic alcoholism Pathophysiological and clinical aspects Rajkumar Rajendram and Victor R. Preedy
21       A psychobiological model of alcohol dependency Colin R. Martin
22       Spirituality and alcohol dependence Christopher C.H. Cook
Part Five: Clients with complex needs
23       Alcohol and social exclusion Adrian B. Bonner
24       Clients involved with the criminal justice system Jeanette Garwood and Terry Thomas
25       Eating disorders and substance misuse Helen Fawkner
Part Six: Reproductive and developmental concerns
26       Alcohol and fertility Olga B.A. van den Akker
27       Clinical presentation and prevention of fetal alcohol syndrome Colin R. Martin
28       Children's cognitive development between the ages of 8 and 12 and alcohol consumption Susan Atkinson
Concluding comments by Colin R. Martin
Useful websites
Index
Foreword
For many years the identification and treatment of alcohol dependency have been seen by healthcare professionals as being firmly lodged within the agenda of mental health nurses, psychiatrists and the voluntary sector. As any GP, practice nurse, member of the emergency services or midwife will tell you, this is no longer true.
The misuse of alcohol is causing significant problems for modern society. Alcohol misuse is seen as a primary cause of childhood poverty and child abuse, of teenage antisocial behaviour, unplanned pregnancies, underweight and brain-damaged babies, chronic ill health, premature death, malnutrition, long-term mental health problems and aggressive behaviour. It is linked to obesity, family breakdown and unemployment and it can lead to drug abuse and criminal behaviour patterns. Its misuse affects not only the individual and his or her family but also wider society. And the cost of misuse to the police and NHS social services bill is staggering.
Every day, professionals are faced with patients and clients who are affected in one way or another by alcohol misuse and abuse.
One problem we all face is a lack of information. In order to provide the best support possible we all need to understand every aspect of the complex picture that surrounds those who seek help and support. Many of these people have complex histories, sometimes complicated by misrepresentation. They often forget to take prescribed medication, have abnormal nutritional patterns and are constantly aggressive, even to their best friends. They are damaged physically, psychologically and socially. They may have an underlying pathological condition such as diabetes, asthma or AIDS that is made worse by alcohol, and they may be homeless or poorly housed. Very often, textbooks offer a mere chapter or two on this complex and wide-ranging problem, and fail to address the ‘bigger picture’.
Colin Martin has brought together an excellent set of contributors to produce a truly comprehensive text that will ensure all interested professionals can not only update their knowledge but also better understand each other's roles and how best to help patients and clients through shared working to achieve a common goal of better health. This book is not just for people who see themselves as having a primary role in the field, but also for those – teachers, the police and family members – who live daily with its effects.
Professor Dame Betty Kershaw University of Sheffield, UK
Acknowledgements
I would like to thank all those clinicians and academics who have generously contributed chapters to this book. The insights of these esteemed professionals in the field highlight the myriad of complex interacting factors that contribute to the significant issues surrounding and defining alcohol dependency. I would also like especially to thank two long-term research partners in the alcohol field – Professor Victor Preedy at King's College London and Dr Adrian Bonner at the University of Kent at Canterbury – for their friendship and collaboration over the past decade; our work together has always been a source of great pleasure to me.
I am also very grateful to Professor Dame Betty Kershaw at the University of Sheffield and Professor Cynthia McDougall O.B.E. at the University of York for their support and confidence in my academic work over the years, this book being one of the end-points.
My best friends – Phil Hutchins, Dr Mark Newberry, Dr Suzy Newberry, Julie Robbins and Peter Robbins – have also indirectly contributed to the production of this book by their enduring enthusiasm, interest and support of my work.
Thanks are also due to Mike Roberts at M&K Update for his support for the book and to Maria Hampshire for guiding it smoothly through the publication process.
Finally, I would like to acknowledge and thank the many clients and patients I have had the privilege of working with clinically over the past 20 years in the addictions field.
Colin Martin Octo