Подростковая наркология, Личко А.Е., 1991 г. - медицинская литература, книга по медицине, учебник

Книга «Подростковая наркология» (Личко А.Е., издание 1991 года) посвящена базовым принципам диагностики, терапии и предупреждения раннего злоупотребления алкоголем, токсикомании и наркомании у подростков.

Содержание книги «Подростковая наркология» на английском

Содержание книги "Подростковая наркология" на русском языке

Introduction

PART I GENERAL ADOLESCENT NARCOLOGY

Chapter 1. Principal definitions and diagnostic criteria for alcoholism and drug addiction in adolescents

• Principal definitions in adolescent narcology
• Addictive behaviour
• Transition from addictive behaviour to addictive disease (dependence) The first stage of disease (alcoholism, drug addiction) - mild dependence
• The second stage of disease - severe dependence
• Classifications of psychoactive substances

Chapter 2. Physiological and psychosocial peculiarities of adolescence as factors in development of alcoholism and drug dependence

• The importance of pubertal physiological peculiarities
• The role of psychosocial factors — adolescent behaviour reactions
• The reaction of peer group formation as a leading psychosocial agent Troubles of relationship in parent family as a predisposing factor
• Motivation and reasons
• The other psychosocial factors contributing to addictive behaviour

Chapter 3. Accentuations of character and personality disorders as factors in addictive behaviour and drug dependence

• The influence of premorbide types
• The instable type of character accentuation and personality disorder as a factor of high risk
• Addictive behaviour in various types of character accentuations and personality disorders

Chapter 4. Psychotic disorders in practice of adolescent narcology

• Acute psychoses during intoxication
• Acute withdrawal psychoses
• Acute provoked endogenous psychoses
• Acute provoked encephalopathic psychoses
• Psychoses in chronic intoxication

Chapter 5. Medical examination of adolescents misusing alcohol and other psycheactive substances

• Peculiarities of interview
• Questioning of parents and other family members
• Information from other origins
• Distorted settings
• Examination of adolescent
• Observation on behaviour
• Psychological diagnostics in adolescent narcology
• The use of laboratory tests in diagnostics

Chapter 6. The main principles and methods of treatment

• The purposes of treatment at various stages of disease
• Indications to institutionalization and preference of different hospitals
• Intensive desintoxication in acute poisoning
• Treatment during withdrawal syndromes
• Desintoxicatin in chronic poisoning H
• Treatment of complications during harmful drug use
• Suppressing of addiction and removal of dependence
• Prevention of relapses

Chapter 7. Prevention of alcoholism and drug dependence in adolescents

• Three main types of prevention in adolescent narcology
• Primary prevention
• Systeme of prohibitions and punishments
• Informational and educational measures
• Discovery of the high risk groups

Chapter 8. Legislative and administrative measures against alcoholism and drug dependence in adolescents

• The age limits of responsibilities
• The involving adolescents in drinkenness and the use of psychoactive substances
• Illegal manufacturing, aquisition, keening, transportation and mating of drugs
• The responsibility in condition of intoxication
• Deprivation of parental rights
• Obligatory and compulsory treatment and examination in drug using adolescents

PART II. SPECIAL ADOLESCENT NARCOLOGY

Chapter 9. Misuse of alcohol and adolescent alcoholism

• Principal definitions
• Peculiarities of acute alcohol intoxication in adolescents
• Tolerance to alcohol
• Clinical picture
• Idiosyncratic intoxication
• Clinical pictures of alcohol intoxication in various types of character accentuations and personality disorders
• Reactions to the small doses of alcohol
• Misuse of alcohol without dependence («prenosological alcoholism» in adolescents)
• Adolescent attitude to alcohol use
• Motivation
• The age of the first drinking
• The importance of familial and hereditary factors
• The influence of peer groups (reaction of peer group formation)
• The markers of high risk
• Phenomenon of group dependence and other signes of prenosological alcoholism
• Initial symptoms of alcoholism in adolescence (the first stage of disease)
• Individual dependence
• Increasing tolerance to alcohol
• Impaired capacity to self-control of using doses and situation of use
• Disappearence of womiting reflex
• The other initial symptoms of alcoholism
• The second stage of alcoholism in adolescence
• Withdrawal syndrome
• Compulsion to alcohol
• Personality changes
• Alcohol psychoses in adolescents
• Alcohol delirium
• Acute delusional psychoses
• Development of alcoholic dependence in adolescence
• Problem of malignity
• Epileptoid type of development
• Unstable type of development
• Alcoholism in the other types of character accentuations and personality disorders
• Diagnostics of alcoholism ih adolescence
• Peculiarities of treatment
• Treatment in the state of acute intoxication
• Desintoxication
• Treatment in withdrawal syndrome
• Suppressing of addiction
• Psychotherapy
• Effectiveness of treatment according to data of follow-up studies
• System of management
• Prevention
• Medical information and educational mesures
• Discovery of the high risk groups

Chapter 10. Inhalants (misuse and dependence)

• Definitions and history of prevalence
• Clinical picture of intoxication
• Active substances
• Gasoline
• Spot-remover
• Acetone
• Toluene and paint solvents
• Glue
• Atypical intoxication
• Delusional picture
• Encephalopathic picture
• Misuse and dependence
• Peculiarities of misuse
• Diagnostics of dependence
• About stages of dependence
• Consequences of chronic intoxication: psychoorganic syndrome and
• encephalopathy
• Treatment

Chapter 11. Hallucinogens (Asthmatol, Pulvis antiasthmaticus; Cyclodol, Artane, Trihexyphenyl hydrochloridum; Dimedrol, Diphenhydramin hydrochlorid)

• Definitions
• History of prevalence
• Clinical picture of intoxication
• Asthmatol delirium
• Cyclodol delirium
• Dimedrol delirium
• Atypical reactions
• «Flashbacks» (Posthallucinogen perception disorder)
• Delusional psychoses
• Depressions
• Dependence
• Differential diagnosis
• Treatment and prevention

Chapter 12. Stimulants (Ephedrone, Pervitine, Amphetamine, Caffeine)

• Definition
• History of prevalence
• Clinical picture of intoxication
• Ephedrone
• Pervitine (poisoning with «shirks»)
• Amphetamine
• Caffeine
• Atypical reaction to stimulants
• Delusional psychoses
• Amphetamine confusional states
• Misuse and dependence
• Ephedrone
• Pervitine
• Amphetamine
• Caffeine
• Treatment and prevention

Chapter 13. Cocaine

• Actuality of probleme and prevalence
• Clinical picture of intoxication
• Psychoses caused by cocaine
• Cocaine withdraval syndrome
• Misuse and dependence
• Treatment and prevention

Chapter 14. Cannabinoids (Hasheesh and marihuanna)

• General information
• Prevalence among young and adolescent population in USA and other occidental countries
• Prevalence among adolescents in USSR
• Clinical picture of acute intoxication
• Reaction to the first smoking
• The mild subpsychotic intoxication
• The severe psychotic intoxication
• Withdrawal syndrome
• Indistinct withdrawal syndrome
• Obvious withdrawal syndrome
• Psychoses in withdrawal period
• Misuse and dependence
• Chronic psychoses during hasheeshism
• Treatment and prevention

Chapter 15. Opioids

• Prevalence among adolescents in USA and other occidental countries
• Prevalence among adolescents in USSR
• Clinical picture of opioid intoxication in adolescents
• Atypical clinical pictures
• Withdrawal syndrome in adolescents
• Indistinct withdrawal syndrome at the first stage of disease
• Obvious withdrawal syndrome at the second stage of disease
• Pseudowithdrawal syndrome
• Misuse and dependence
• Misuse withhout dependence
• The first stage of dependence
• The second stage of dependence
• Complications in adolescents
• Psychological studies
• Treatment
• Urgent mesures in overdosage
• Treatment in withdrowal syndrome
• Suppression of addiction
• System of management
• Effectiveness of treatment
• Prevention

Chapter 16. The other drugs misused by adolescents

• Tranquillizers
• Barbiturates
• Noxyron (Glutethimidum)
• Ergotamine (Ergometrine)
• Anabolic steroids as dopings
• Other substances

Chapter 17. The use of multiple substances and polydrug dependence in adolescents

• Definitions
• Diagnostical criteria
• Polysubstance misuse without dependence
• Polysubstance misuse with dependence on one drug
• Peculiarities of treatment

Appendix. Underground dictionary of Russian adolescents with addictive behaviour

• References
• Misuse of alcohol and adolescent alcoholism
• Psychoactive substance misuse and dependence