Identification and Treatment of Alcohol Dependency

417 Pages·2008·2.44 MB·English

by  Colin Martin

Every day, health professionals are faced with patients and clients A I
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who are aff ected in some way by alcohol misuse or abuse. This truly l e
comprehensive text on alcohol dependency will enable all interested c n
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professionals to update their knowledge and better understand each o i
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other’s roles, so that through shared working they can help patients h c
and clients achieve a common goal of better health. This book is not a
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just for primary carers, but also for teachers, police, family members i
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and anyone who lives daily with the eff ects of alcohol abuse.
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Covering topics as diverse as liver disease, cognitive development, a
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criminal justice and spirituality, it addresses six major themes:
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Identifi cation and screening n r
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Medical interventions
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Psychological interventions t
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Contemporary issues
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Clients with complex needs
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Reproductive and developmental concerns t
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Also available from M&K Update
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ISBN 978-1-905539-16-1
Foreword by
Professor Dame Betty Kershaw
For the full range of M&K Update
publications, courses and conferences
visit: www.mkupdate.co.uk
Identifi cation and Treatment
of Alcohol Dependency
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ISBN: 978-1-905539-15-4 • 2008
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Inter-Professional Approaches to Young Fathers
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Routine Blood Results Explained (2/e)
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The Management of COPD in Primary and Secondary Care
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Living with Dying: Perspectives on Death, Dying and Living with Loss
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Identifi cation and Treatment
of Alcohol Dependency
Edited by
Colin R. Martin
RN BSc PhD YCAP CPsychol CSci AFBPsS
Chair in Mental Health, University of the West of Scotland, Ayr, Scotland
Identifi cation and Treatment of Alcohol Dependency
Edited by Colin R. Martin
ISBN: 978-1-905539-16-1
First published 2008
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civil claims for damages.
British Library Catalogue in Publication Data
A catalogue record for this book is available from the British Library
Notice
Clinical practice and medical knowledge constantly evolve. Standard safety precautions must be followed, but,
as knowledge is broadened by research, changes in practice, treatment and drug therapy may become necessary
or appropriate. Readers must check the most current product information provided by the manufacturer of each
drug to be administered and verify the dosages and correct administration, as well as contraindications. It is the
responsibility of the practitioner, utilising the experience and knowledge of the patient, to determine dosages and
the best treatment for each individual patient. Any brands mentioned in this book are as examples only and are
not endorsed by the Publisher. Neither the Publisher nor the author(s) assume any liability for any injury and/or
damage to persons or property arising from this publication.
The Publisher
To contact M&K Publishing write to:
M&K Update Ltd · The Old Bakery · St. John’s Street
Keswick · Cumbria CA12 5AS
Tel: [phone] · Fax: [phone]
[email protected]
www.mkupdate.co.uk
Designed and typeset in 11/13 Candara by S. Maria Hampshire.
Cover and graphics by Luke Kelsey.
Printed in England by Reed’s Printers Ltd.
Dedication
This book is dedicated to
my wife Dr Caroline Hollins Martin,
my daughter Miss Caragh Brien,
and my mother and father.

Contents
Contents
Foreword by Professor Dame Betty Kershaw xi
Acknowledgements xii
About the Editor xiii
About the Contributors xiv
Introduction by Colin R. Martin xvii
Part One: Identifi cation
1 Alcohol dependency—The extent of the problem 1
Kirsten Hain and Adrian B. Bonner
2 Assessing alcohol use and misuse in primary care 15
Steve Trenoweth and Clive Tobutt
3 Alcohol problems in the emergency department 27
Colin A. Graham
4 Dual diagnosis 41
Anne Lingford-Hughes and Ben Watson
5 Biomarkers of alcohol abuse 55
Rajaventhan SriRajaskanthan and Victor R. Preedy
6 Diagnosis and management of alcoholic liver disease 67
Rajaventhan SriRajaskanthan and Victor R. Preedy
Part Two: Medical interventions
7 Detoxifi cation 83
Colin R. Martin
8 Delirium tremens 93
Chris Daly and Catherine Muyeba
9 Pharmacological treatment approaches 109
Zarrar A. Chowdary and Thomas Carnwath
10 Wernicke–Korsakoff syndrome 123
Colin R. Martin and Colin A. Graham
11 Morbid jealousy 133
Colin R. Martin
vii
Contents
Part Three: Psychological interventions
12 Psychological perspectives on alcohol dependency 143
Colin R. Martin
13 Motivational interviewing 157
Mick P. Fleming and Colin R. Martin
14 Cognitive–behavioural therapy 175
Leila Maria Soravia and Jürgen Barth
15 Can problematic alcohol use be trained away? 185
New behavioural treatments aimed at changing and
moderating implicit cognitive processes in alcohol abuse
Reinout Wiers, Tim Schoenmakers, Katrijn Houben, Carolien Thush,
Javad S. Fadardi and W. Miles Cox
Part Four: Contemporary issues in identifi cation and treatment
16 The role and value of Alcoholics Anonymous 209
Colin R. Martin
17 Controlled drinking in chronic alcohol dependency 215
A therapeutic option?
Colin R. Martin
18 Understanding and assessing the impact of alcoholism on quality of life 221
Matthew Reaney and Jane Speight
19 Sleep, quality of life and alcohol misuse 241
John H. Foster
20 Nutrition in chronic alcoholism 259
Pathophysiological and clinical aspects
Rajkumar Rajendram and Victor R. Preedy
21 A psychobiological model of alcohol dependency 279
Colin R. Martin
22 Spirituality and alcohol dependence 289
Christopher C.H. Cook
viii
Contents
Part Five: Clients with complex needs
23 Alcohol and social exclusion 305
Adrian B. Bonner
24 Clients involved with the criminal justice system 319
Jeanette Garwood and Terry Thomas
25 Eating disorders and substance misuse 331
Helen Fawkner
Part Six: Reproductive and developmental concerns
26 Alcohol and fertility 349
Olga B.A. van den Akker
27 Clinical presentation and prevention of fetal alcohol syndrome 365
Colin R. Martin
28 Children’s cognitive development between the ages of 8 and 12 379
and alcohol consumption
Susan Atkinson
Concluding comments by Colin R. Martin 387
Useful websites 388
Index 389
ix