By Oriana Josseau Kalant (auth.), Oriana Josseau Kalant (eds.)
Over the decade the realm has skilled a turning out to be curiosity in difficulties linked to the nonmedical use of gear. This curiosity has corresponded to a true progress within the volume, range, and social impression of using alcohol and medicine in lots of societies. for that reason, the volume of analysis and writing almost about drug difficulties has drastically elevated, and it has develop into very tough for one person to maintain with the entire correct literature. there's therefore an acute want within the box for severe reports that verify present advancements, and the current sequence is meant to fill this want. The sequence isn't to be an "annual assessment" within the traditional feel. the purpose isn't to hide the entire paintings mentioned in the course of the previous yr when it comes to a set choice of subject matters. relatively, it really is to offer every year evaluative papers on subject matters during which adequate fresh development has been made to change the overall scope in a selected sector. because of the multidisciplinary nature of difficulties of drug use and dependence, the papers released in every one quantity may be drawn from numerous disciplines. even if, a few volumes could be dedicated to one partic ular challenge, with person reports and papers reading a number of features of it. The composition of the editorial board and the foreign advisory board displays those goals. The editors are individuals of the senior clinical employees of the habit examine beginning of Ontario.
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Extra resources for Alcohol and Drug Problems in Women
In Chapter 10, Schmidt and Popham present an analysis by sex of the causes of mortality in alcoholics. Their sample, based on deaths recorded among alcoholic patients of both sexes admitted to the clinics of the Addiction Research Foundation over a period of 20 years, is larger than the combined total of all previous samples ever reported in the literature. The conclusions reached by Wilkinson on the one hand and by Schmidt and Popham on the other coincide in a number of respects but differ in others.
It is possible, therefore, that if, as Annis and Liban point out, studies were carried out to determine which treatment modalities are most suitable for which patients, the success rates might be much higher than they are at present. This is an exciting concept well worth further investigation. It would apply not only to possible differential therapeutic approaches for men and women but also to subgroups of men and women. It could well be that the suitability of various treatment approaches may have more to do with the individual's history of drug use, personality, family history, and other individual factors than with gender.
Investigators have only recently begun to explore this field. In Chapter 7, Mello discusses the possible interactions of endocrine, physiological, behavioral, and affective factors in the development and maintenance of problem drinking in women. The various stages of the menstrual cycle have long been known to produce changes in affect. More recently, they have also been shown to cause variation in the blood alcohol levels following intake of the same amount of alcohol. It is possible, as Mello argues, that these two factors may combine to affect drinking patterns and their reinforcement.