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第六届托马斯·詹姆斯·奥基纪念讲座。越南退伍军人从海洛因成瘾中迅速康复:是侥幸还是正常预期?

The sixth Thomas James Okey Memorial Lecture. Vietnam veterans' rapid recovery from heroin addiction: a fluke or normal expectation?

作者信息

Robins L N

机构信息

Department of Psychiatry, Washington University School of Medicine, St. Louis, Missouri.

出版信息

Addiction. 1993 Aug;88(8):1041-54. doi: 10.1111/j.1360-0443.1993.tb02123.x.

DOI:10.1111/j.1360-0443.1993.tb02123.x
PMID:8401158
Abstract

Between 1972 and 1974, the outcomes of army enlisted men who had served in Vietnam during 1970-71 were evaluated and compared with that of a matched group. This paper reports the major findings of that study with respect to frequency of narcotic addiction in and after Vietnam, and the major risk factors for Vietnam addiction and later relapse. Extraordinary access to records facilitated drawing the sample, locating it, and verifying interview responses. The surprisingly low levels of readdiction and the rarity of addiction to narcotics alone as compared with poly-substance dependence are findings still not entirely incorporated into public and scientific views of heroin addiction. Some defenses against that incorporation are examined.

摘要

1972年至1974年间,对1970 - 1971年在越南服役的陆军士兵的结局进行了评估,并与一组匹配的人群进行了比较。本文报告了该研究关于越南服役期间及之后麻醉品成瘾频率,以及越南成瘾和后期复发的主要风险因素的主要发现。通过特殊途径获取记录有助于抽取样本、找到样本并核实访谈回复。与多物质依赖相比,复吸率出奇的低以及单独对麻醉品成瘾的罕见情况,这些发现仍未完全纳入公众和科学界对海洛因成瘾的看法。本文研究了一些对此纳入的抵制因素。

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