Fritzsche S
Poliklinik Christburger Strasse, Humboldt-Universität zu Berlin.
Psychiatr Neurol Med Psychol (Leipz). 1988 Dec;40(12):731-8.
The author considers dependency on hypnotics/sedatives and tranquilizers as a complex phenomenon in which the main emphasis is placed on the potential for becoming dependent on medicines (self-inducing drugs), that is, their contribution to causing the development of the illness. Personality structure and social factors can play a favourable role here. From this the danger of iatrogenia (the practice of over-subscribing) can arise. The phenomena of cross tolerance and rebound are considered. With respect to therapy the leading role of psychotherapeutic practices, above all, group therapy is emphasized.
作者认为对催眠药/镇静剂和安定药的依赖是一种复杂现象,其中主要强调的是对药物(自我诱导药物)产生依赖的可能性,即它们对导致疾病发展的作用。人格结构和社会因素在此可能起到有利作用。由此可能产生医源性(过度开药)的危险。文中考虑了交叉耐受性和反跳现象。关于治疗,强调心理治疗方法的主导作用,尤其是团体治疗。