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Alcohol and the Adult Brain

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Alcohol and the Adult Brain Downloaded by [New York University] at 06:37 14 August 2016 ALCOHOL AND THE ADULT BRAIN The research literature on the impact of alcohol on the brain has seen a rapid expansion in recent years. Alcohol and the Adult Brain presents an up-to-date over- view of some of the issues relevant to understanding and working with people with cognitive impairment as a result of chronic alcohol use. One issue causing barriers to effective treatment and care is the stigma associated with alcohol dependence, resulting in the belief that difficulties associated with alcohol-related brain damage (ARBD) are ‘self-inflicted’. Cognitive changes resulting from alcohol excess and poor nutrition can directly affect an individual’s ability to motivate themselves, make decisions and make the informed choices that underlie behavior change. Attitudes held by professionals, reinforced by societal norms, that a person is ‘choosing to drink’ and ‘not motivated to engage with treatment’, in com- bination with the often subtle cognitive deficits associated with ARBD, can result in a lack of timely intervention, with enormous personal, social and economic cost. The chapters in this book set ARBD in a social and cultural context, provide discussion of the difficulties in definition and diagnosis, and outline the structural brain changes and neuropsychological deficits associated with chronic alcohol use. The book provides an overview of recent research on ARBD, including impairments associated with Wernicke-Korsakoff Syndrome, and discusses up-to-date recom- mendations for managing and working with this complex and varied disorder. Alcohol and the Adult Brain will be essential for students and researchers working with ARBD and for practitioners in a range of health, social care and voluntary settings. Jenny Svanberg is the Consultant Clinical Psychologist at Forth Valley Substance Misuse Service, Scotland, UK, and was previously Principal Clinical Psychologist at the ARBD Service, Glasgow, UK. Downloaded by [New York University] at 06:37 14 August 2016 Adrienne Withall is a Senior Lecturer and Senior Research Fellow at the School of Public Health and Community Medicine within the University of New South Wales and a clinician within Aged Care Psychiatry at the Prince of Wales Hospital, Sydney, Australia. Brian Draper is a Professor (Conjoint) at the School of Psychiatry, University of New South Wales, Sydney, and the Director of the Academic Department for Old Age Psychiatry at the Prince of Wales Hospital, Randwick, Australia. Stephen Bowden is a Professor in the School of Psychological Sciences, University of Melbourne, and Consultant Neuropsychologist at St Vincent’s Hospital, Melbourne, Australia. Current Issues in Neuropsychology Series Editor: Jon Evans Gartnavel Royal Hospital, Glasgow, UK Current Issues in Neuropsychology is a series of edited books that reflect the state-of- the-art areas of current and emerging interest in the psychological study of brain damage, behavior and cognition. Each volume is tightly focused on a particular topic, with chapters contributed by international experts. The editors of individual volumes are leading figures in their areas and provide an introductory overview of the field. Each book will reflect an issue, area of uncertainty or controversy, with contri- butors providing a range of views on the central topic. Examples include the question of whether technology can enhance, support or replace impaired cognition, and how best to understand, assess and manage alcohol related brain damage. Published titles in the series Assistive Technology for Cognition Edited by Brian O’Neill and Alex Gillespie Alcohol and the Adult Brain Downloaded by [New York University] at 06:37 14 August 2016 Jenny Svanberg, Adrienne Withall, Brian Draper and Stephen Bowden ALCOHOL AND THE ADULT BRAIN Edited by Jenny Svanberg, Adrienne Withall, Brian Draper and Stephen Bowden Downloaded by [New York University] at 06:37 14 August 2016 First published 2015 by Psychology Press 27 Church Road, Hove, East Sussex BN3 2FA and by Psychology Press 711 Third Avenue, New York, NY 10017 Psychology Press is an imprint of the Taylor & Francis Group, an informa business © 2015 Jenny Svanberg, Adrienne Withall, Brian Draper and Stephen Bowden The right of the editors to be identified as the authors of the editorial material, and of the authors for their individual chapters, has been asserted in accordance with sections 77 and 78 of the Copyright, Designs and Patents Act 1988. All rights reserved. No part of this book may be reprinted or reproduced or utilised in any form or by any electronic, mechanical, or other means, now known or hereafter invented, including photocopying and recording, or in any information storage or retrieval system, without permission in writing from the publishers. Trademark notice: Product or corporate names may be trademarks or registered trademarks, and are used only for identification and explanation without intent to infringe. British Library Cataloguing in Publication Data A catalogue record for this book is available from the British Library Library of Congress Cataloging-in-Publication Data Alcohol and the adult brain / edited by Jenny Svanberg, Adrienne Withall, Brian Draper and Stephen Bowden. p. ; cm. Includes bibliographical references and index. I. Svanberg, Jenny, editor. II. Withall, Adrienne, editor. III. Draper, Brian, editor. IV. Bowden, Stephen, 1955- , editor. [DNLM: 1. Alcohol-Induced Disorders, Nervous System–chemically induced. 2. Cognition Disorders–epidemiology. 3. Alcohol Drinking–adverse effects. WM 274] RC565 616.86’1–dc23 2014027256 ISBN: 978-1-84872-307-8 (hbk) ISBN: 978-1-84872-308-5 (pbk) ISBN: 978-1-315-74292-2 (ebk) Typeset in Bembo by Deer Park Productions Downloaded by [New York University] at 06:37 14 August 2016 CONTENTS Contributors vii Acknowledgements ix 1 Introduction 1 Jenny Svanberg 2 Wernicke-Korsakoff Syndrome 5 Simon Scalzo, Stephen Bowden and Matti Hillbom 3 Alcohol-related dementia and brain damage: a focus on epidemiology 31 Nicole Ridley and Brian Draper 4 Cultural considerations in alcohol use and misuse 49 Carly Johnco and Brian Draper Downloaded by [New York University] at 06:37 14 August 2016 5 Comorbidity and complexity in chronic alcohol misuse 65 Apo Demirkol and Nicholas Lintzeris 6 Alcohol and cognitive impairment: considerations with the older client 83 Adrienne Withall and Samaneh Shafi ee 7 Alcohol-related brain damage and neuropathology 108 Lisa Savage vi Contents 8 The relation of alcohol-induced brain changes to cognitive function 126 Hélène Beaunieux, Francis Eustache and Anne-Lise Pitel 9 Alcohol, ageing and cognitive function: a nutritional perspective 146 Adrian Bonner 10 Neuropsychological assessment of alcohol-related cognitive impairment 165 Jenny Svanberg, Fraser Morrison and Breda Cullen 11 Ethical issues associated with alcohol-related cognitive impairment 182 Chris Perkins and John Hopkins 12 The clinical rehabilitation of people with alcohol-related brain damage 196 Ken Wilson Index 213 Downloaded by [New York University] at 06:37 14 August 2016 CONTRIBUTORS Hélène Beaunieux, Université de Caen Neuropsychologie cognitive et neuro- anatomie fonctionnelle de la mémoire humaine, Université de Caen Basse- Normandie, Unité de recherché, France Adrian Bonner, The Salvation Army, London, UK; and School of Applied Social Science, University of Stirling, UK Stephen Bowden, Melbourne School of Psychological Sciences, University of Melbourne, Australia Breda Cullen, Institute of Health and Wellbeing, University of Glasgow, UK Apo Demirkol, Drug and Alcohol Services, South Eastern Sydney Local Health District, Australia, and School of Public Health and Community Medicine, UNSW, Australia Brian Draper, School of Psychiatry, UNSW Australia, Australia; and Academic Department for Old Age Psychiatry, Euroa Centre, Prince of Wales Hospital, Downloaded by [New York University] at 06:37 14 August 2016 Australia Francis Eustache, Université de Caen Neuropsychologie cognitive et neuroanat- omie fonctionnelle de la mémoire humaine, Université de Caen Basse- Normandie, France Matti Hillbom, Department of Neurology, University of Oulu, Finland John Hopkins, Koropiko Mental Health Services for Older People, Counties Manukau District Health Board, Middlemore Hospital, New Zealand Carly Johnco, Centre for Emotional Health, Department of Psychology, Macquarie University, Australia viii Contributors Nicholas Lintzeris, Drug and Alcohol Services, South East Sydney Local Health District, Australia, and Discipline of Addiction Medicine, University of Sydney, Australia Fraser Morrison, Addictions Psychology Service, UK Chris Perkins, Selwyn Centre for Ageing and Spirituality, The Selwyn Foundation, New Zealand Anne-Lise Pitel, Université de Caen Neuropsychologie cognitive et neuroanato- mie fonctionnelle de la mémoire humaine, Université de Caen Basse-Normandie, France Nicole Ridley, Dementia Collaborative Research Centre, School of Psychiatry Faculty of Medicine, Australia Lisa Savage, Developmental Exposure Alcohol Research Center, Binghamton University, State University of New York, USA Simon Scalzo , Melbourne School of Psychological Sciences, University of Melbourne, Australia Samaneh Shafi ee , School of Public Health and Community Medicine, Faculty of Medicine, Samuels Building, Australia Jenny Svanberg , Forth Valley Substance Misuse Service, NHS Forth Valley and Forth Valley Alcohol and Drug Partnership, Stirling Community Hospital, UK Ken Wilson, Institute of Psychology, Health
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