毒品和酒精成瘾:新的挑战

J. Luty
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引用次数: 3

摘要

在过去的十年里,成瘾精神病学有了许多发展。其中一些是政治性的,例如偏爱以康复/戒断为基础的方案。禁酒令正变得越来越不现实,尤其是考虑到乌拉圭和美国两个州娱乐性大麻的有效合法化。合法的兴奋剂和处方药(如美沙酮、加巴喷丁类药物、哌醋甲酯和苯二氮卓类药物)的转移现在是一个主要问题。此外,用于治疗疼痛的阿片类药物的转移正在达到流行病的程度,导致转介到成瘾服务机构的患者的性质发生重大变化。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Drug and alcohol addiction: new challenges
SUMMARY There have been many developments in addiction psychiatry over the past decade. Some of these are political, such as preference for recovery-/abstinence-based programmes. Prohibition is becoming increasingly unrealistic, especially considering the effective legalisation of recreational cannabis in Uruguay and two US states. Legal highs and diversion of prescribed drugs (such as methadone, gabapentinoids, methylphenidate and benzodiazepines) are now a major problem. Furthermore, diversion of opioid drugs that are prescribed for pain is reaching epidemic proportions, causing a significant change in the nature of patients being referred to addiction services.
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