[Ebooks] Dual Disorder Heroin Addicts: Clinical and Therapeutical Aspects

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Dual Disorder Heroin Addicts: Clinical and Therapeutical Aspects

Description:

This book provides a comprehensive overview of dual disorders from a clinical and therapeutic point of view, especially for patients with heroin use disorder.

The volume opens with a first part dedicated to the guiding principles for treating dual disorder patients in which terminology, treatment models, use of opioid medications in heroin addiction and future perspectives are reviewed.

A second part is devoted to mood disorders. Anxiety disorders that might affect these patients are discussed in the third part, whereas the fourth part of the book focuses on chronic psychotic patients with heroin use disorder. The conclusive part explores violent heroin-dependent patients with alcohol use disorder and polydrug use.

The book will be a valuable tool for psychiatrists who wish to broaden their knowledge about addictions and a key resource for other clinicians who have practical knowledge of the addictive phenomena but are not familiar with their description in neurobiological or psychopathological terms.

Foreword

Although substance use disorders are defined as mental disorders in international classifications (DSM-5 TR and ICD-11), their consideration as such is not common in the field. The persistent difficulty in conceptualizing the relationship between addictive and other mental disorders stands out among the many challenges faced by the field of Psychiatry.

Icro Maremanni is one of the European and international opinion leaders who quickly understood that substance addictions are inseparable from the presence of other mental disorders, a clinical condition known as Dual Disorders (DDs) [1].

This book contains a comprehensive review of the evidence and draws from Prof. Maremanni’s extensive experience in the field of heroin dual disorders.

Multiple epidemiological studies have established that DDs are an expectation rather than an exception: a substantial fraction of patients suffering from a mental disorder, at some point in their lives, will also experience an addictive disorder, and vice versa. In fact, more than 75% of severe psychiatric disorders occur with other mental disorders, such as substance use disorders and other addictions [2].

From a neuroscience perspective, addiction involves a set of brain interconnected processes, rather than being a disorder defined principally by a single behavior (such as uncontrollable excessive drug use) [3].

For these epidemiological and neuroscientific reasons, people with addictions always present other mental symptoms, pathological personality traits or disorders, that is, Dual Disorders, which are explored in this guide.

An important point to consider when discussing DDs is that only a small proportion of individuals exposed to licit and illicit drugs will ultimately develop addictions. Genetic factors have been strongly implicated in the development of substance use disorders, but the role of this pre-existing vulnerability is still poorly understood and is an area that requires more research [4].

Finally, diagnostics remains a challenge in the field of DDs. Due to the lack of sensitivity and reliability of current diagnostic criteria of psychiatric disorders, clinical scientists seek to identify transdiagnostic processes that may help explain symptom expressions in mental disorders [5]. Dual Disorders, the main topic of this book, is a good example of this approach. Adopting a transdiagnostic perspective to define specific phenotypes can allow the identification of vulnerability or resilience factors to developing different addictions and other mental disorders.

Based on Prof. Maremanni’s research background, this book allows one to consider, in particular, the role of the opioid system in mental disorders. Recent studies have investigated certain mental states/personality traits that are linked to addiction and the opioid system of healthy subjects [6]. As a result of genetic or acquired factors, the opioid system may be disrupted and then produce specific functional deficits or excesses in perception, cognition, emotion, and behavior with overlapping phenotypic expressions across psychiatric domains, including addictions and other mental disorders.

This academic and clinical book is an important step towards integrating mental health care, which, until now, has been separated into different treatment concepts, one for addictions and another for other mental disorders. We are advancing towards a future of personalized and precision psychiatry in the field of Dual Disorders, an important aspiration of clinical neuroscience.

• Title: Dual Disorder Heroin Addicts: Clinical and Therapeutical Aspects
  
• Authors: Icro Maremmani, Matteo Pacini, Angelo G. I. Maremmani
  
• Publisher: Springer
  
• Year: 2023
  
• Edition: – Edition
  
• Language: English
  
• Pages: 252
  
• Ebook: PDF
  
• File size: 6 MB
  
• ISBN Number:3031300920, 9783031300929
  
• CBID: CBM394
  

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