成瘾记忆的概念基础、异稳态和双重过程,以及成瘾的经典治疗。

IF 0.7 Q4 PSYCHIATRY
Postepy Psychiatrii i Neurologii Pub Date : 2023-09-01 Epub Date: 2023-06-28 DOI:10.5114/ppn.2023.129065
Jan Chodkiewicz
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引用次数: 0

摘要

目的:近年来,关于长期剧烈饮酒对中枢神经系统永久性变化的影响,研究已经获得了新的信息。本研究探讨了成瘾记忆、致敏和异稳态存在的相关机制。我们还建立了一个双过程模型,分析了有意识机制和自动机制在成瘾者功能中的作用。本文的目的是介绍这些机制,并考虑其存在对治疗过程的影响。观点:分析的机制为治疗期间和治疗后出现的一些负面现象提供了新的视角,例如治疗后频繁戒酒,转换成瘾,以及长期戒酒后重新饮酒。这些机制的存在也应该改变成瘾治疗的特点,到目前为止,成瘾治疗主要集中在意识方面,而忽视了自动方面的存在。人们已经尝试在成瘾治疗中实施双过程模型。结论:更好地理解双过程模型产生的机制可以显著影响对成瘾功能和治疗过程的看法。这些过程值得进一步研究,基于它们的可能的治疗干预也值得进一步研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The conceptual basis of addiction memory, allostasis and dual processes, and the classical therapy of addiction.

Purpose: In recent years, research has yielded new information regarding the impact of intense, long-term alcohol consumption on the development of permanent changes in the central nervous system. The present study examines the mechanisms related to the existence of addiction memory, sensitization and allostasis. A dual-process model was also created, which analyses the role of conscious and automatic mechanisms in the functioning of addicts. The aim of the article is to present these mechanisms and to consider the implications of their existence for the course of therapy.

Views: The mechanisms analysed shed new light on some of the negative phenomena occurring during and after therapy, such as frequent abstinence after treatment, switching addictions, and returning to drinking after a long period of abstinence. The existence of these mechanisms should also change the character of addiction therapy, which has so far focused mainly on conscious aspects and ignored the existence of automatic ones. Attempts are already being made to implement the dual-process model in addiction therapy.

Conclusions: A better understanding of the mechanisms resulting from the dual-process model can significantly influence perspectives regarding functioning in addiction and the course of therapy. These processes merit further research, as do possible therapeutic interventions based on them.

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来源期刊
Postepy Psychiatrii i Neurologii
Postepy Psychiatrii i Neurologii Psychology-Clinical Psychology
CiteScore
0.90
自引率
0.00%
发文量
13
期刊介绍: The quarterly Advances in Psychiatry and Neurology is aimed at psychiatrists, neurologists as well as scientists working in related areas of basic and clinical research, psychology, social sciences and humanities. The journal publishes original papers, review articles, case reports, and - at the initiative of the Editorial Board – reflections or experiences on currently vivid theoretical and practical questions or controversies. Articles submitted to the journal are evaluated first by the Section Editors, specialists in the fields of psychiatry, clinical psychology, science of the brain and mind and neurology, and reviewed by acknowledged authorities in the respective field. Authors and reviewers remain anonymous to each other.
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