Al-Anon/Alateen Service Manual 2018-2021
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Mechanisms of Ethanol-Induced Cerebellar Ataxia: Underpinnings of Neuronal Death in the Cerebellum
International Journal of Environmental Research and Public Health Review Mechanisms of Ethanol-Induced Cerebellar Ataxia: Underpinnings of Neuronal Death in the Cerebellum Hiroshi Mitoma 1,* , Mario Manto 2,3 and Aasef G. Shaikh 4 1 Medical Education Promotion Center, Tokyo Medical University, Tokyo 160-0023, Japan 2 Unité des Ataxies Cérébelleuses, Service de Neurologie, CHU-Charleroi, 6000 Charleroi, Belgium; [email protected] 3 Service des Neurosciences, University of Mons, 7000 Mons, Belgium 4 Louis Stokes Cleveland VA Medical Center, University Hospitals Cleveland Medical Center, Cleveland, OH 44022, USA; [email protected] * Correspondence: [email protected] Abstract: Ethanol consumption remains a major concern at a world scale in terms of transient or irreversible neurological consequences, with motor, cognitive, or social consequences. Cerebellum is particularly vulnerable to ethanol, both during development and at the adult stage. In adults, chronic alcoholism elicits, in particular, cerebellar vermis atrophy, the anterior lobe of the cerebellum being highly vulnerable. Alcohol-dependent patients develop gait ataxia and lower limb postural tremor. Prenatal exposure to ethanol causes fetal alcohol spectrum disorder (FASD), characterized by permanent congenital disabilities in both motor and cognitive domains, including deficits in general intelligence, attention, executive function, language, memory, visual perception, and commu- nication/social skills. Children with FASD show volume deficits in the anterior lobules related to sensorimotor functions (Lobules I, II, IV, V, and VI), and lobules related to cognitive functions (Crus II and Lobule VIIB). Various mechanisms underlie ethanol-induced cell death, with oxidative stress and Citation: Mitoma, H.; Manto, M.; Shaikh, A.G. Mechanisms of endoplasmic reticulum (ER) stress being the main pro-apoptotic mechanisms in alcohol abuse and Ethanol-Induced Cerebellar Ataxia: FASD. -
AN OPEN RANDOMIZED STUDY COMPARING DISULFIRAM and ACAMPROSATE in the TREATMENT of ALCOHOL DEPENDENCE AVINASH DE SOUSA* and ALAN DE SOUSA
Alcohol & Alcoholism Vol. 40, No. 6, pp. 545–548, 2005 doi:10.1093/alcalc/agh187 Advance Access publication 25 July 2005 AN OPEN RANDOMIZED STUDY COMPARING DISULFIRAM AND ACAMPROSATE IN THE TREATMENT OF ALCOHOL DEPENDENCE AVINASH DE SOUSA* and ALAN DE SOUSA Get Well Clinic And Nursing Home, 33rd Road, Off Linking Road, Bandra, Mumbai 400050, Maharashtra State, India (Received 11 March 2005; first review notified 6 June 2005; in final revised form 21 June 2005; accepted 2 July 2005; advance access publication 25 July 2005) Abstract — Aims: To compare the efficacy of acamprosate (ACP) and disulfiram (DSF) for preventing alcoholic relapse in routine clinical practice. Methods: One hundred alcoholic men with family members who would encourage medication compliance and accom- pany them for follow-up were randomly allocated to 8 months of treatment with DSF or ACP. Weekly group psychotherapy was also available. The psychiatrist, patient, and family member were aware of the treatment prescribed. Alcohol consumption, craving, and adverse events were recorded weekly for 3 months and then fortnightly. Serum gamma glutamyl transferase was measured at the start Downloaded from https://academic.oup.com/alcalc/article/40/6/545/125907 by guest on 27 September 2021 and the end of the study. Results: At the end of the trial, 93 patients were still in contact. Relapse (the consumption of >5 drinks/40 g of alcohol) occurred at a mean of 123 days with DSF compared to 71 days with ACP (P = 0.0001). Eighty-eight per cent of patients on DSF remained abstinent compared to 46% with ACP (P = 0.0002). -
Alcohol Effects on People; 00 Social Responsibility for the Control of the Use of Beverage; and (5) the Social Responsibility for the Treatment of Individuals
DOC- NT RESUME ED 140 180 CG 011 461 TITLE Alcohol Education: Curriculum Guide for Grades 7-12. INSTITUTION New York State Education Dept., Albany. Bureau of Drug Education. PUB DATE 76 NOTE 144p.; For relat d document, see CG 011 462 EERS PRICE MF-$0.83 BC-$7.35 Plus Postage. DESCRIPTORS *Alcohol Education; *Alcoholic Beverages; Class Activities; Curriculum Guides; *Drinking; Drug Education; Health Education; *Learning Activities; Recreational Activities; *Secondary Education; Socially Deviant Behavior; Teaching Guides AB TRACT This curriculum guide is designed as an interdisciplinary resource on alcohol education for teachers of Grades 7-12. tevelopmental traits are discussed, and objectives and learning experiences are presented. The following topics are covered: ro the nature of alcohci;(2) factors influencing the use of alcoholic beverages; (3) alcohol effects on people; 00 social responsibility for the control of the use of beverage; and (5) the social responsibility for the treatment of individuals. A division is made between Grades 7-9 and 10-12, with each set of three grades considered separately. (Author/OLL)' Documents acquired by ERIC include many informal unpublished materials not available from other sources. ERIC makes every effort * * to obtain the best copy available. Nevertheless, items of marginal * * reproducibility are often encountered and this affects the quality * * of the microfiche and hardcopy reproductions ERIC makes available * via the ERIC Document Reproduction Service (EDRS). EDRS is not * responsible for -
Staying Connected Is Important: Virtual Recovery Resources
STAYING CONNECTED IS IMPORTANT: VIRTUAL RECOVERY RESOURCES • Refuge Recovery: Provides online and virtual INTRODUCTION support In an infectious disease outbreak, when social https://www.refugerecovery.org/home distancing and self-quarantine are needed to • Self-Management and Recovery Training limit and control the spread of the disease, (SMART) Recovery: Offers global community continued social connectedness to maintain of mutual-support groups, forums including a recovery is critically important. Virtual chat room and message board resources can and should be used during this https://www.smartrecovery.org/community/ time. Even after a pandemic, virtual support may still exist and still be necessary. • SoberCity: Offers an online support and recovery community This tip sheet describes resources that can be https://www.soberocity.com/ used to virtually support recovery from mental/ substance use disorders as well as other • Sobergrid: Offers an online platform to help resources. anyone get sober and stay sober https://www.sobergrid.com/ • Soberistas: Provides a women-only VIRTUAL RECOVERY PROGRAMS international online recovery community https://soberistas.com/ • Alcoholics Anonymous: Offers online support • Sober Recovery: Provides an online forum for https://aa-intergroup.org/ those in recovery and their friends and family https://www.soberrecovery.com/forums/ • Cocaine Anonymous: Offers online support and services • We Connect Recovery: Provides daily online https://www.ca-online.org/ recovery groups for those with substance use and -
Alcohol Dependence, Withdrawal, and Relapse
Alcohol Dependence, Withdrawal, and Relapse Howard C. Becker, Ph.D. Continued excessive alcohol consumption can lead to the development of dependence that is associated with a withdrawal syndrome when alcohol consumption is ceased or substantially reduced. This syndrome comprises physical signs as well as psychological symptoms that contribute to distress and psychological discomfort. For some people the fear of withdrawal symptoms may help perpetuate alcohol abuse; moreover, the presence of withdrawal symptoms may contribute to relapse after periods of abstinence. Withdrawal and relapse have been studied in both humans and animal models of alcoholism. Clinical studies demonstrated that alcoholdependent people are more sensitive to relapse provoking cues and stimuli than nondependent people, and similar observations have been made in animal models of alcohol dependence, withdrawal, and relapse. One factor contributing to relapse is withdrawalrelated anxiety, which likely reflects adaptive changes in the brain in response to continued alcohol exposure. These changes affect, for example, the body’s stress response system. The relationship between withdrawal, stress, and relapse also has implications for the treatment of alcoholic patients. Interestingly, animals with a history of alcohol dependence are more sensitive to certain medications that impact relapselike behavior than animals without such a history, suggesting that it may be possible to develop medications that specifically target excessive, uncontrollable alcohol consumption. KEY WORDS: Alcoholism; alcohol dependence; alcohol and other drug (AOD) effects and consequences; neuroadaptation; AOD withdrawal syndrome; AOD dependence relapse; pharmacotherapy; human studies; animal studies he development of alcohol expectations about the consequences of drinking (Koob and Le Moal 2008). dependence is a complex and alcohol use. -
Alcohol Abuse and Acute Lung Injury and Acute Respiratory Distress
Journal of Anesthesia & Critical Care: Open Access Review Article Open Access Alcohol abuse and acute lung injury and acute respiratory distress syndrome Introduction Volume 10 Issue 6 - 2018 Alcohol is one of the most commonly used and abused beverage Fadhil Kadhum Zwer Aliqa worldwide. Alcohol is known to have numerous systemic health Private clinic practice, Iraq effects, including on the liver and central nervous system. From a respiratory standpoint, alcohol abuse has long been associated with Correspondence: Fadhil Kadhum Zwer Aliqaby, Private clinic practice, Iraq, Email an increased risk of pneumonia. More recently, alcohol abuse has been strongly linked in epidemiologic studies to development of Received: December 11, 2017 | Published: November 28, ARDS in at-risk patients. The first demonstration of an association 2018 between chronic alcohol abuse and ARDS was made by Moss et al, who retrospectively examined 351 patients at risk for ARDS.1 In this subsequent decreased phagocytosis and bacterial killing. Chronic cohort, 43% of patients who chronically abused alcohol developed alcohol use is similarly associated with altered neutrophil function and ARDS compared to only 22% of those who did not abuse alcohol, decreased superoxide production. Interestingly, chronic alcohol use with the effect most pronounced in patients with sepsis. This study decreases levels of granulocyte/macrophage colony stimulating factor was limited by its retrospective design, particularly since this design (GM-CSF) receptor and signaling in lung epithelium, which has been required that alcohol use history be obtained by chart review and shown to result in defective alveolar macrophage maturation. The documented history; furthermore, this study did not adjust for net effect of these abnormalities is an increased pulmonary bacterial concomitant cigarette smoking. -
ALCOHOLICS ANONYMOUS 1 Renewed Relevance of Alcoholics Anonymous and Adlerian Psychology
Running head: ALCOHOLICS ANONYMOUS 1 Renewed Relevance of Alcoholics Anonymous and Adlerian Psychology ____________________ Presented to The Faculty of the Adler Graduate School ____________________ In Partial Fulfillment of the Requirement for the Degree of Master of Arts in Adlerian Counseling and Psychotherapy ____________________ By Megan Teale ____________________ Chair: Rashida Fisher MS, LPCC, LADC Reader: Jamie Hedin MA, LPC, LADC ____________________ July 2017 ALCOHOLICS ANONYMOUS 2 Abstract The incorporation of psychological approaches to the Alcoholics Anonymous (AA) is established as a sound way of improving the treatment of alcoholism. Despite mounting evidence of the clinical effectiveness of AA, and its enduring legacy as the prominent approach for healing alcoholism; there remains skepticism regarding its use as a clinical intervention. The literature on the Adlerian orientation has noted the similarity between the two methods, little investigation of the congruence between the two and the implications for an integrated treatment approach has occurred. The purpose of this literature review is to examine how Adlerian theory and positive psychology complement the philosophies and practices of AA. The results support the integration of Adlerian Psychology and AA as ideal for working with clients struggling with alcohol dependence. Furthermore, this literature review suggests that the integration of Adlerian Psychology will enhance and complement the therapeutic dynamics inherent in the AA program, improving the competence of clinicians to treat individuals living the alcoholism and participating in the 12- step programs. Keywords: Adlerian Psychology, Alcoholics Anonymous, Alcoholism, Spirituality ALCOHOLICS ANONYMOUS 3 Dedication To my husband, Eric Teale, for allowing me to turn my dreams into a reality. Thank you for supporting me through my graduate school experience. -
Problems Other Than Alcohol
ALCOHOLICS ANONYMOU S® is a fellowship of men and women who share their experience, strength and hope with each other that they may solve their common problem and help others to recover from alcoholism. • The only requirement for membership is a desire to stop drinking. There are no dues or fees for A.A. membership; we are self-supporting through our own contributions. • A.A. is not allied with any sect, denomination, politics, organization or institution; does not wish to engage in any controversy; neither endorses nor opposes any causes. • Our primary purpose is to stay sober and help other alcoholics to achieve sobriety. Copyright © by A.A. Grapevine, Inc.; reprinted with permission Copyright © The A.A. Grapevine, Inc., February 1958 Reprinted with permission by A.A. World Services, Inc. Available from: A.A. General Service Office Box 459, Grand Central Station New York, NY 10163 www.aa.org 100M 03/15 (Ripon) Problems other than alcohol By Bill W. (co-founder, Alcoholics Anonymous) Perhaps there is no suffering more horrible than drug addiction, especially that kind which is pro - duced by morphine, heroin, and other narcotics. Such drugs twist the mind, and the awful pro- cess of withdrawal racks the sufferer’s body. Compared with the addict and his woes, we alcoholics are pikers. Barbiturates, carried to extremes, can be almost as bad. In A.A. we have members who have made great recoveries from both the bottle and the needle. We also have a great many others who were — or still are — victimized by “goofballs” and even by the new tranquilizers. -
Al‑Anon/Alateen
Al-Anon/Alateen Service Manual 2018-2021 Al-Anon and Alateen Digest of Al-Anon and Groups at Work Alateen Policies “Al-Anon and Alateen Groups at Work” The “Digest of Al-Anon and Alateen provides a framework within which each Policies” reflects policy group can develop and grow. statements that grew It offers basic information to out of questions all group members concerning and experiences the group structure and how from the Al-Anon it relates to other groups and fellowship worldwide. Al-Anon as a whole. They are interpretations of our basic guides, the Twelve Traditions and the Twelve Concepts of Service. Al-Anon's Twelve World Concepts of Service Service “Al-Anon’s Twelve Concepts of Service” Handbook deals with the “why” of our service The “World Service Handbook” structure in such explains how Al-Anon is held a way that the together worldwide, how it valuable experience is structured, and how our of the past and the trusted servants can best function lessons drawn from within our structure. that experience can never be forgotten or lost. version two (2) Suggested Meeting Readings This format is printed for your convenience. While not every group chooses to plan its meeting in this way, many find a general outline helpful. See also the pamphlet This Is Al-Anon (P‑32). Alateen Groups at Work Al-Anon and Meeting Opening Most groups open with a moment of silence followed by the Se‑ renity Prayer. The Serenity Prayer Chairperson: Will you join me in a moment of silence, followed by the Serenity Prayer? God grant me the serenity To accept the things I cannot change, Courage to change the things I can, And wisdom to know the difference. -
Who Want Sobriety More Than Anything Else in Life
This booklet is published in the interest of alcoholics who want sobriety more than anything else in life... who have been unable to find release from alcoholism. THE UNHAPPIEST person in the world is the chronic alcoholic who has an insistent yearning to enjoy life as he once knew it, but cannot picture life without alcohol. He has a heart-breaking obsession that by some miracle of control he will be able to do so. AA General Service Office, P.O. Box 1, 10 Toft Green, York YOl 7NJ heart disease cancer alcoholism Yes It does belong on this list Alcoholism is a fatal illness for which there is no known medical cure, and many of its victims are forced to wage a losing battle, not only against the ravages of the illness, but also against the ignorance of a society which largely refuses to regard the alcoholic as a sick person. To many people, the word ‘alcoholic’ means someone who is perverse and weakwilled. “Why on earth doesn’t he control his drinking?” they ask. Those of us who are alcoholics, and who have tried to control our drinking know just how impossible a task that is. This is because alcoholism is an illness. While we stay away from drink, we function much like other people. But if we take any alcohol whatsoever into our systems, something happens both physically and mentally which makes it difficult or impossible for us to stop. We have lost control of our drinking, but... What is this elusive illness called ALCOHOLISM ? The action of alcohol on the alcoholic is similar to the manifestation of an allergy. -
Alcoholism Treatment by Disulfiram and Community Reinforcement Therapy
1. Lkhav. 7%~. &Exp. Psjrhiot. Vol. 13. No. 2. pp. 105-112, 1982. 0005~7916/82/020105-08 103.00/o Printed in Great Britain. 0 1982 Permmon Press Ltd. ALCOHOLISM TREATMENT BY DISULFIRAM AND COMMUNITY REINFORCEMENT THERAPY N. H. AZRIN, R. W. SISSON, R. MEYERS and M. GODLEY Anna Mental Health and Developmental Center and Nova University Summary-Traditional disulfiram treatment has often been ineffective because of a failure to maintain usage. The present study with 43 alcoholics compared: (1) a traditional disulfiram treatment, (2) a socially motivated Disulfiram Assurance program and (3) a Disulfiram Assurance program combined with reinforcement therapy. About five sessions were given for each program. At the 6-month follow-up, the traditional treatment clients were drinking on most days and no longer taking the medication. The Disulfiram Assurance treatment resulted in almost total sobriety for married or (cohabitating) clients but had little benefit for the single ones. The combined program produced near-total sobriety for the single and married clients. These results indicate a promising integration of chemical, psychological and social treatment of alcoholism. Because of the adverse physical reaction which indicates that when disulfiram adherence has results from drinking alcohol while under been assured, drinking has been effectively disulfiram (Antabuse (R))medication, that drug reduced. Bourne, Alford and Bowcock (1966) has been widely used as a pharmacological and Haynes (1973) found favorable results adjunct for the treatment of alcoholism (Fox, when alcoholics were encouraged by the court 1967). In clinical studies, however, disulfiram to take disulfiram regularly under supervision of has generally not been found to be as effective a relative or probation officer as an alternative as might be expected (Lundwall and Baekeland, to a jail sentence; Liebson and Bigelow (1972) 1971). -
How Alcoholism & Alcohol Abuse Affects Low-Income Populations In
How Alcoholism & Alcohol Abuse Affects Low-Income Populations In Ohio www.WomanInRecovery.com Alexis Chapman • Addiction Recovery Advocate • Certified Professional Recovery Coach • Certified & Accredited Leadership Coach 8 years actively writing, publishing and contributing to the recovery industry • Collaborated and developed curriculum and resources for Sherry Gaba, LCSW, Psychotherapist, Life Coach and Certified Recovery Coach. Sherry was the go-to expert for Dr. Drew Pinsky’s Celebrity Rehab show on VH1. • Currently collaborating with Dr. Jean LaCour, Ph.D, CPP, CPC. Dr. LaCour is founder and CEO of Net Institute Center for Addiction and Recovery Education. www.WomanInRecovery.com Look Familiar? www.WomanInRecovery.com Today We Will Cover • Overview of alcohol abuse and alcoholism. • How to recognize the signs of addiction • The impact of alcohol abuse on the brain • Review effective tools to handle those addicted and family members impacted by their addiction • State and county statistics regrading alcoholism and alcohol abuse in lower income populations • 5-point strategy for case managers and program staff working with clients who abuse alcohol or are alcoholics and family members impacted by their addiction • List of Ohio resources will be provided www.WomanInRecovery.com What’s The Difference? Binge Alcohol Drinking Abuse AUD Heavy Alcoholism Drinking http://www.hazeldenbettyford.org www.WomanInRecovery.com What’s The Difference? AUD: a medical Heavy Drinking: Binge disorder with drinking on 5 or more mild, moderate days in the