War Psychiatry, Chapter 5, Alcohold and Drug Abuse and Dependence
Alcohol and Drug Abuse and Dependence Chapter 5 ALCOHOL AND DRUG ABUSE AND DEPENDENCE HENRY K. WATANABE, M.D.,* PAUL T. HARIG, PH.D.,† NICHOLAS L. ROCK, M.D.,‡ AND RONALD J. KOSHES, M.D.§ INTRODUCTION HISTORY DIAGNOSIS AND DEFINITIONS DETERMINANTS OF SUBSTANCE ABUSE CURRENT THEORIES IDENTIFICATION TREATMENT MANAGEMENT OF CLINICAL CONDITIONS TREATMENT MODALITIES PREVENTION AND CONTROL OPERATIONAL CONSIDERATIONS SUMMARY AND CONCLUSION *Colonel, Medical Corps, U.S. Army; Medical Member Physical Evaluation Board, Walter Reed Army Medical Center; Guest Scientist, Department of Military Psychiatry, Walter Reed Army Institute of Research, Washington, D.C. 20307–5100 †Lieutenant Colonel, Medical Service Corps, U.S. Army; Director, Army Fitness Research Institute, Army War College, Carlisle Barracks, Pennsylvania 17013–5050 ‡Colonel (ret), Medical Corps, U.S. Army; Medical Director, The Rock Creek Foundation, Silver Spring, Maryland 20910–4457 §Medical Director, Adult Services Administration, Commission on Mental Health Services, Department of Human Services, District of Columbia, Washington; Guest Scientist, Department of Military Psychiatry, Walter Reed Army Institute of Research, Washington, D.C.; Assistant Clinical Professor of Psychiatry, Uniformed Services University of the Health Sciences, Bethesda, Maryland; President, Society of American Military Psychiatrists 61 Military Psychiatry: Preparing in Peace for War INTRODUCTION Among the numerous studies1,2,3 that have at- reported to have doubled every year from 1967 to tempted to explain why some occupational groups 1969.5 The return from Vietnam of thousands of claim a higher level of excessive alcohol consump- soldiers who had reportedly used heroin raised tion, the common threads of stress and boredom are public anxiety over the possibility of a drug epi- found.
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