Hostname: page-component-8448b6f56d-cfpbc Total loading time: 0 Render date: 2024-04-20T10:16:12.245Z Has data issue: false hasContentIssue false

Management of alcohol misuse within the context of general psychiatry

Published online by Cambridge University Press:  02 January 2018

Rights & Permissions [Opens in a new window]

Extract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

The general psychiatrist and the addiction specialist have a shared agenda of concerns and interests about the misuse of alcohol. The task of this paper is to highlight and develop thoughts on items for inclusion on the shared agenda, rather than to define, or limit in any other way, how the generalist role might unfold in a particular place at a particular time. It is certain that the general psychiatrist will see a role that is more than just signposting their own specialist colleagues, local counselling services, or self-help groups such as Alcoholics Anonymous, but opinion on just how broad that role could or should be will vary considerably. One point of difference may be a mismatch of views as to where patients with alcohol misuse problems are best treated: the general psychiatrist seeing alcohol misuse, or even dependence, as having little to do with general psychiatry and belonging within a specialist service, the specialist seeing alcohol misuse as very much part of the every day work of the general psychiatrist. Happily both positions can be correct, but not totally and not without dialogue.

Type
Research Article
Copyright
Copyright © The Royal College of Psychiatrists 1996 

References

Allan, C. A. (1995) Alcohol problems and anxiety disorders – a critical review. Alcohol and Alcoholism, 30, 145151.Google Scholar
Ashton, C. H. & Kamali, F. (1995) Personality, lifestyles, alcohol and drug consumption in a sample of British medical students. Medical Education, 29, 187192.CrossRefGoogle Scholar
Azrin, N. H., Sissons, R. W., Mayer, S. R. et al (1982) Alcoholism treatment by disulfiram and community reinforcement therapy. Journal of Behaviour Therapy and Experimental Psychiatry, 13, 105112.Google Scholar
Brooke, D. (1995) The addicted doctor. Caring professionals? British Journal of Psychiatry, 166, 149153.Google Scholar
Chappel, J. N. (1993) Training of residents and medical students in the diagnosis and treatment of dual diagnosis patients. Journal of Psychoactive Drugs, 25, 293300.Google Scholar
Chick, J., Gough, W., Falkowski, W. et al (1992) Disulfiram treatment of alcoholism. British Journal of Psychiatry, 161, 8489.Google Scholar
Davidson, K. M. & Ritson, E. B. (1993) The relationship between alcohol dependence and depression. Alcohol and Alcoholism, 28, 147155.Google Scholar
Edwards, G. (1994) Alcohol Policy and the Public Good. Oxford: Oxford University Press.Google Scholar
Edwards, G. & Gross, M. M. (1976) Alcohol dependence: provisional description of a clinical syndrome. British Medical Journal, 1, 10581061.Google Scholar
Heather, N. (1995) Interpreting the evidence on brief interventions for excessive drinkers: the need for caution. Alcohol and Alcoholism, 30, 287296.Google Scholar
Kopelman, M. D. (1995) The Korsakoff syndrome. British Journal of Psychiatry, 166, 154173.Google Scholar
Kosten, T. R., Rounsaville, J., Babor, T. F. et al (1987) Substance use disorder in DSM–III–R: Evidence for the dependence syndrome across different psychoactive substances. British Journal of Psychiatry, 151, 834843.CrossRefGoogle ScholarPubMed
Murphy, G. E. (1992) Suicide in Alcoholism. New York: Oxford University Press.Google ScholarPubMed
Orford, J. (1985) Excessive Appetites. Chicester: Wiley.Google Scholar
Penick, E. C., Powell, B. J., Liskow, B. I. et al (1988) The stability of coexisting psychiatric syndromes in alcoholic men after one year. Journal of Studies on Alcohol, 49, 395405.Google Scholar
Prochaska, J. O. & DiClemente, C. C. (1984) The Transtheoretical Approach: Crossing Traditional Boundaries of Therapy. Illinois: Dow Jones-Irwin.Google Scholar
Raistrick, D. S., Bradshaw, J., Tober, G. et al (1994) Development of the Leeds Dependence Questionnaire. Addiction, 89, 563572.Google Scholar
Ritson, E. B. (1990) Teaching medical students about alcohol. British Medical Journal, 30, 134135.CrossRefGoogle Scholar
Robertson, I. (1986) A modest statistical phenomenon of little theoretical coherence. British Journal of Addiction, 81, 190193.Google Scholar
Room, R. (1989) Drugs, consciousness and self control: popular and medical conceptions. International Review of Psychiatry, 1, 6370.Google Scholar
Rounsaville, B. J., Dolinsky, Z. S., Babor, T. E. et al (1987) Psychopathology as a predictor of treatment outcome in alcoholics. Archives of General Psychiatry, 44, 505513.CrossRefGoogle ScholarPubMed
Schuckit, M. A. & Monteiro, M. D. (1968) Alcoholism, anxiety and depression. British Journal of Addiction, 83, 13731380.Google Scholar
Thomas, M., Goddard, E., Hickman, M. et al (1994) 1992 General Household Survey. London: HMSO.Google Scholar
Tober, G. (1991) Motivational interviewing with young people. In Motivational Interviewing: Preparing People to Change (eds Miller, W. & Rollnick, S.) pp. 248259. New York: Guilford.Google Scholar
Tober, G. (1992) What is dependence and why is it important? Clinical Psychology Forum, 41, 1416.CrossRefGoogle Scholar
Volpicelli, J. R., Watson, N. T., King, A. C. et al (1995) Effect of naltrexone on alcohol “high” in alcoholics. American Journal of Psychiatry, 153, 613615.Google Scholar
Walker, R. (1992) Substance abuse and b-cluster disorders. I. Understanding the dual diagnosis patient. Journal of Psychoactive Drugs, 24, 223232.Google Scholar
Young, R. M., Oei, T. P. S. & Knight, R. G. (1990) The tension reduction hypothesis revisited: an alcohol expectancy perspective. British Journal of Addiction, 85, 3140.CrossRefGoogle ScholarPubMed
Submit a response

eLetters

No eLetters have been published for this article.