Cocaine Addiction

Klappentext
It inspired written testimonials from William McKinley, Thomas Edison, and Sarah Bernhardt; merited a medal from Pope Leo XIII; produced "exhilaration and lasting euphoria" in Sigmund Freud. Once the stimulant of choice of the enlightened and the elite, cocaine has become, a century later, a plague, ravaging the lives of millions. This book is the first to draw together all the facts about this pervasive drug - from its natural occurrence in a tea-like native South American plant to its devastating appearance as crack in the inner cities of the United States. Drawing on the latest work in medicine, psychiatry, neuroscience, pharmacology, epidemiology, social work, and sociology, the volume is a highly accessible reference on the history and use of cocaine, its physical and psychological effects, and the etiology and epidemiology of cocaine addiction. It also provides a critical evaluation of the pharmaceutical agents and psychosocial interventions that have been used to treat this addiction. Author Jerome J. Platt answers such basic questions as: What is cocaine? What forms does it come in? How is it administered? What does it do? What are the medical complications of cocaine addiction? What are the treatments, and how successful are they? Uniquely comprehensive, Cocaine Addiction makes all the latest information on this urgent subject readily available to medical professionals and practitioners, social workers and scholars, and anyone who cares to know more about this perennially troubling drug.

Zusammenfassung
Drawing on medicine, psychiatry, neuroscience, pharmacology, epidemiology, social work, and sociology, this book is an accessible reference on the history and use of cocaine, its physical and psychological effects, the etiology and epidemiology of this addiction, and the pharmaceutical agents and psychosocial interventions used to treat it.

Inhalt
Part 1 History, use and pharmacology: the problem of cocaine abuse and addiction - a brief history of "erythroxylon coca", cocaine use and users in the United States - an overview, the cost of cocaine abuse, entering treatment, conclusions; administration, action and pharmacology of cocaine - what is cocaine?, forms of cocaine, administration and actions, purity of illicit cocaine, latency and duration of action, the neurobiology of cocaine, use of cocaine with other drugs, conclusions. Part 2 Behavioural aspects: the subjective experience, course and parameters of cocaine abuse - subjective and related effects, is cocaine addicting?, the course of addiction, tolerance, symptoms of abstinence, theoretical explanations of cocaine abuse, conclusions; characteristics and behavioural patterns of cocaine abusers - personal characteristics, variables contributing to the development of cocaine abuse, cocaine abuse and crime, usefulness of self-reports of cocaine abuse, conclusions. Part 3 Psychopathological and medical aspects: cocaine abuse, psychopathology and personality disorders - psychopathology, clinical (AXIS I) disorders, personality (AXIS II) disorders, psychopathology in cocaine abusers versus abusers of other drugs, cocaine and other substance abuse in psychiatric patients, direct psychiatric complications of cocaine abuse, effects of cocaine abuse on memory and cognition, conclusions; medical and related consequences of cocaine abuse - presentation of cocaine-related medical problems, specific systematic complications, respiratory system, gastrointestinal system, genitourinary system, obstetrical and neonatal complications, immune system, acute complications, complications of injection use of drugs, chronic complications, cocaine-related mortality, conclusions; cocaine abuse and sexual behaviour - sexual functioning, compulsive sexuality and the treatment process, cocaine and the spread of sexually transmitted diseases, conclusions. Part 4 Treatment: major nonpharmaceutical treatment modalities - the goals of treatment, the treatment process, treatment setting and modalities, psychotherapy, behavioural intervention, cognitive-behavioural interventions, other interventions, problematic behaviours during treatment, treatment problems of special populations, conclusions; pharmacological interventions in cocaine abuse treatment - strategies underlying pharmacological treatment, agents addressing dopamine depletion, agents addressing attention deficit disorders, agents addressing cocaine withdrawal and craving, cocaine antagonists (agents blocking euphoria), agents producing aversive reactions when taken with cocaine, other pharmacological agents, antiseizure medications, other agents, management of conditions associated with cocaine abuse. (Part Contents)

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