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英国关于酒精的公共政策:迈向为酒精依赖者提供的安全保障。

Public policy on alcohol in the United Kingdom: towards a safety net for the alcohol-dependent.

作者信息

Williamson Laura

机构信息

Institute of Health and Wellbeing, Glasgow Caledonian University, Buchanan House, Cowcaddens Road, Glasgow G4 OBA, Scotland.

出版信息

J Law Med. 2009 Dec;17(3):386-99.

PMID:20169799
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2875108/
Abstract

Public policy on alcohol in the United Kingdom fails to support, and may even undermine, the wellbeing of those with the worst alcohol misuse problems, the alcohol-dependent. This is partly because it evades the thorny issue of impaired control that characterises dependence. In addition, until recently, all United Kingdom alcohol policy focused on improving individualised treatment for the dependent, rather than attending to the wider social and environmental factors that influence the condition. The efforts of policy to normalise "sensible" drinking, while stigmatising drunkenness, also risk exacerbating the social vulnerability of the alcohol-dependent. The article examines these issues and concludes by pointing to a number of developments that are required to help ensure that the dependent do not continue to fall through policy that claims to be inclusive.

摘要

英国关于酒精的公共政策未能支持,甚至可能损害那些酒精滥用问题最严重的人,即酒精依赖者的福祉。部分原因在于它回避了以依赖为特征的控制受损这一棘手问题。此外,直到最近,英国所有的酒精政策都侧重于改善对依赖者的个性化治疗,而不是关注影响该状况的更广泛的社会和环境因素。政策将“适度”饮酒正常化,同时贬低醉酒行为,这也有可能加剧酒精依赖者的社会脆弱性。本文探讨了这些问题,并指出需要一些发展来确保依赖者不会继续因声称具有包容性的政策而被忽视,以此作为结论。

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本文引用的文献

1
Alcohol dependence in public policy: towards its (re)inclusion.公共政策中的酒精依赖:迈向其(重新)纳入。
Clin Ethics. 2009 Jun 1;4(2):74-78. doi: 10.1258/ce.2008.008043.
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Altered impulse control in alcohol dependence: neural measures of stop signal performance.酒精依赖中冲动控制的改变:停止信号表现的神经测量
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BMJ. 2008 Mar 1;336(7642):455. doi: 10.1136/bmj.39496.556435.80. Epub 2008 Feb 22.
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Experiences of alcohol dependence: a qualitative study.酒精依赖的经历:一项定性研究。
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6
Dependence: fear not.依赖:无需担忧。
Alcohol Clin Exp Res. 2008 Jan;32(1):4. doi: 10.1111/j.1530-0277.2007.00559.x. Epub 2007 Dec 12.
7
WHO Expert Committee on Problems Related to Alcohol Consumption. Second report.世界卫生组织酒精消费相关问题专家委员会。第二次报告。
World Health Organ Tech Rep Ser. 2007(944):1-53, 55-7, back cover.
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In defense of "dependence".为“依赖”辩护。
Alcohol Clin Exp Res. 2008 Jan;32(1):1-3. doi: 10.1111/j.1530-0277.2007.00521.x. Epub 2007 Oct 19.
9
A safe, sensible and social AHRSE: New Labour and alcohol policy.一项安全、合理且社会化的酒精危害减少战略与评估:新工党与酒精政策
Addiction. 2007 Oct;102(10):1515-21. doi: 10.1111/j.1360-0443.2007.02000.x.
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