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Showing papers on "Addiction medicine published in 1992"


Journal ArticleDOI
26 Aug 1992-JAMA
TL;DR: Alcoholism is defined as a primary, chronic disease with genetic, psychosocial, and environmental factors influencing its development and manifestations and is characterized by impaired control over drinking, preoccupation with the drug alcohol, use of alcohol despite adverse consequences, and distortions in thinking.
Abstract: To establish a more precise use of the term alcoholism , a 23-member multidisciplinary committee of the National Council on Alcoholism and Drug Dependence and the American Society of Addiction Medicine conducted a 2-year study of the definition of alcoholism in the light of current concepts The goals of the committee were to create by consensus a revised definition that is (1) scientifically valid, (2) clinically useful, and (3) understandable by the general public Therefore, the committee agreed to define alcoholism as a primary, chronic disease with genetic, psychosocial, and environmental factors influencing its development and manifestations The disease is often progressive and fatal It is characterized by impaired control over drinking, preoccupation with the drug alcohol, use of alcohol despite adverse consequences, and distortions in thinking, most notably denial Each of these symptoms may be continuous or periodic ( JAMA 1992;268:1012-1014)

190 citations


Journal ArticleDOI
26 Aug 1992-JAMA
TL;DR: Alcoholism is defined as a primary, chronic disease with genetic, psychosocial, and environmental factors influencing its development and manifestations and is characterized by impaired control over drinking, preoccupation with the drug alcohol, use of alcohol despite adverse consequences, and distortions in thinking.
Abstract: To establish a more precise use of the term alcoholism, a 23-member multidisciplinary committee of the National Council on Alcoholism and Drug Dependence and the American Society of Addiction Medicine conducted a 2-year study of the definition of alcoholism in the light of current concepts. The goals of the committee were to create by consensus a revised definition that is (1) scientifically valid, (2) clinically useful, and (3) understandable by the general public. Therefore, the committee agreed to define alcoholism as a primary, chronic disease with genetic, psychosocial, and environmental factors influencing its development and manifestations. The disease is often progressive and fatal. It is characterized by impaired control over drinking, preoccupation with the drug alcohol, use of alcohol despite adverse consequences, and distortions in thinking, most notably denial. Each of these symptoms may be continuous or periodic.

122 citations


Book
10 Jan 1992
TL;DR: A completely revised and updated second edition of "The Recovery Book," the bible of addiction recovery, written for the 23 million Americans struggling with alcohol and drugs, is announced.
Abstract: Announcing a completely revised and updated second edition of "The Recovery Book," the bible of addiction recovery. Written for the 23 million Americans struggling with alcohol and drugs, it is a clear, accurate, and comprehensive resource for patients, their families, and helping professionals (Anthony B. Radcliffe, M.D., former president, American Society of Addiction Medicine). Dr. Al Mooney, who lectures internationally on recovery, writing with medical and health journalists Howard Eisenberg and Catherine Dold, covers all the latest in addiction science and recovery techniques. Extensive research in neuroplasticity, for example, sheds new light on how alcohol and drugs actually alter pathways in the brain but also how this same process, when trained in recovery, can remold the brain, making sobriety a routine way of life. A new understanding of gender and addiction leads to revised insights, techniques, and new hope for treating women in recovery. The book also covers the latest problems and treatments for prescription drugs (now more pernicious than illegal drugs); up-to-date models for intervention; and more. But what really sets the book apart is its question-and-answer format My wife wants me to go to AA, and I think that s ridiculous. How can I settle this argument? I take a few oxycodone pills each week. They re prescription, so they must be safe, right? I ve been in this treatment center for nearly a week. I feel great. I m cured. Why can t I leave now? That simple, direct approach makes the daunting journey to sobriety doable."

20 citations


Journal ArticleDOI
TL;DR: The authors describe the development, implementation, and consequences of the five-day intensive course that was taught to 165 participants at ten sites in 1990 and concludes that the course represents a model of faculty development in addiction medicine that is applicable to other specialties and health professions.
Abstract: Increasing the number of faculty with expertise in addiction medicine is one of the challenges facing the medical community in the 1990s. To meet this challenge, the Society of Teachers of Family Medicine created a faculty development course to increase the expertise of family practice faculty involved in teaching residents. The authors describe the development, implementation, and consequences of the five-day intensive course that was taught to 165 participants at ten sites in 1990. The participants' self-reporting before and three months after the course showed significant increases in the numbers of participants who taught addiction medicine in eight of 11 clinical situations. The authors conclude that the course represents a model of faculty development in addiction medicine that is applicable to other specialties and health professions.

19 citations



Journal Article
TL;DR: The remedicalization of the authors' response to addiction is bringing physicians into the field of addiction medicine and is strengthening the place of science and clinical observation in the foundations of their public policy.
Abstract: Public health and public policy for our society's response to substance use and abuse and addiction should be the logical extension of our knowledge and information about the drugs and our clinical experience with addicted people. The drugs should be seen along a continuum of addicting potential and physical damage and harm to individuals and to society. There should be no distinction between legal and illegal substances when viewing the impact of drug use. Public policy should reflect the fact that nicotine and alcohol should be viewed as dependence-producing drugs. Addictions are all interrelated; people are addicted. Addiction is a public health problem and should be subjected to the same study and treatment as any other. The remedicalization of our response to addiction is bringing physicians into the field of addiction medicine and is strengthening the place of science and clinical observation in the foundations of our public policy.

3 citations