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13 - Addictions: Nonalcoholic Substance-Related Disorders

from PART III - PSYCHIATRIC DISORDERS

Published online by Cambridge University Press:  18 January 2010

William Weiqi Wang
Affiliation:
St Louis University, Missouri
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Summary

Under the commonality of habit forming, each addictive substance has its own unique mechanism and pattern of abuse. Substance use usually provides apparent reward in short term but has extended risk through chronic use.

Some of the now notorious addictive substances were once legitimate medicinal agents. Amphetamine and its derivative methamphetamine were supplied to the soldiers to combat fatigue in the World War II. The use of cocaine and nicotine through chewing the leaves of coca and tobacco were a practice for many centuries among South Americans. The tax from coca leaf trade was once a source of support for some churches. After the isolation of cocaine alkaloid, it was widely used medicinally as an analgesic agent. The use of caffeine and opiate were found as early as the Stone Age. Even today, opioids still serve as the standard against which pain killing agents are measured. Marijuana's medicinal use has been a long time debation given its prominent effects on appetite stimulation and mood relaxation, under the shadow of its addictive nature. Phencyclidine was once patented and marketed as an anesthesic. Hallucinogen and inhalant are more heterogeneous groups with little known medical usage. The years of 1960s and 1970s witnessed increasingly systemic legal regulation on the use of addictive substances. The pathological substance use, though, continues to be debilitating and costly conditions.

DSM-IV-TR categorized 10 groups of substances other than alcohol

  1. ▶ Amphetamine

  2. ▶ Caffeine

  3. ▶ Cannabis

  4. ▶ Cocaine

  5. ▶ Hallucinogen

  6. ▶ Inhalant

  7. ▶ Nicotine

  8. ▶ Opioid

  9. ▶ Phencyclidine (PCP)

  10. ▶ Sedative, hypnotic, or anxiolytic

Amphetamine and cocaine intoxication and withdrawal: signs and symptoms

  1. ▶ Both intoxication and withdrawal

  2. […]

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Publisher: Cambridge University Press
Print publication year: 2009

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