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Addiction medicine
About: Addiction medicine is a research topic. Over the lifetime, 1070 publications have been published within this topic receiving 23685 citations.
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TL;DR: Training about addictions must begin early in the medical student's career, and continue in a vertically integrated way throughout medical school, and the notion of addiction as a disease process must be introduced and integrated into course materials in the preclinical years.
Abstract: Addiction to alcohol and other drugs is a serious public health problem that is one of the most common disorders seen in medical practice. Although it is an extremely common disorder, it is poorly diagnosed and treated by physicians. In order to begin to develop an integrated approach to education and addiction, one must define the many roles of the physician working with addicted patients. Training about addictions must begin early in the medical student's career, and continue in a vertically integrated way throughout medical school. The notion of addiction as a disease process must be introduced and integrated into course materials in the preclinical years. Careful attention must be paid to the development of positive views toward working with addicted patients. and students must be indoctrinated early with the idea that physicians have a responsibility to diagnose and manage addicted patients. Students should be given multiple opportunities to learn and use screening interviews for addiction i...
19 citations
19 citations
TL;DR: It is argued that clinical psychology training must bolster its focus on addiction research and practice to address the proliferation of addiction-related problems.
Abstract: Addiction has emerged as a serious public health crisis. Clinical psychology as a hub science has a long-standing interest in addiction and is particularly well suited to offer multifaceted treatment to those struggling with substance use disorders. To examine how well clinical psychology training is addressing this proliferation of addiction-related problems, we surveyed the directors of clinical training at all APA-accredited U.S. clinical psychology doctoral programs on 7 occasions between 1999 and 2013. The number of clinical programs rose from 181 to 237 programs across the years, with at least 95% response at each wave of data collection. Results indicated that less than 40% of programs had even 1 faculty member studying addiction, and less than 1 third offered any specialty clinical training in addiction. Results also revealed that both the percentage of programs reporting any faculty studying addiction and the percentage of programs offering specialty clinics in addiction have not increased over the 14-year period. We argue that clinical psychology training must bolster its focus on addiction research and practice. (PsycINFO Database Record
18 citations
TL;DR: Assessment of physicians' attitudes and practices regarding prescribing syringes to injection drug users (IDUs) in Rhode Island concludes that physician syringe prescription to IDUs may be an acceptable supplement to existing HIV prevention strategies.
Abstract: This article describes the assessment of physicians' attitudes and practices regarding prescribing syringes to injection drug users (IDUs). A brief, anonymous, self-administered questionnaire was sent to all Infectious Disease and Addiction Medicine specialists in Rhode Island. Of 49 eligible physicians, 39 responded (response rate 80%). Most (95%) indicated that there is a legitimate medical reason for IDUs to obtain sterile syringes. Many (71%) agreed that they would prescribe syringes to prevent disease in IDUs if it were clearly legal to do so. We can conclude that physician syringe prescription to IDUs may be an acceptable supplement to existing HIV prevention strategies.
18 citations
TL;DR: The relationship between public discourse on biological aspects of addiction and issues such as stigma and perceptions of diminished self-control are unclear, largely due to the complexity of these phenomena as discussed by the authors.
Abstract: International media have reported cases of pregnant women who have had their children apprehended by social services, or who were incarcerated or forced into treatment programs based on a history of substance use or lack of adherence to addiction treatment programs. Public discourse on the biology of addiction has been criticized for generating stigma and a diminished perception of self-control in individuals with an addiction, potentially contributing to coercive approaches and criminalization of women who misuse substances during pregnancy. We explored whether this is the case based on literature from social psychology, ethics, addiction research, science communication, and philosophy. The literature shows that the relationship between public discourse on biological aspects of addiction and issues such as stigma and perceptions of diminished self-control are unclear, largely due to the complexity of these phenomena. However, concerns about the biological approach are nevertheless legitimate given the broader social and policy context of women’s health.
18 citations