Adés J, Lejoyeux M
Service de psychiatrie, Hôpital Louis-Mourier, Colombes.
Rev Prat. 1997 Nov 1;47(17):1917-21.
Intermittent alcohol disorders are defined by the paroxystic aspect of alcohol consumption followed by periods of time without alcohol ingestion. The most typical form of intermittent alcoholism is dispomania. During the acute episode of dipsomania, the patient presents an extreme craving for alcohol and a complete loss of control. The alcohol consumption usually leads to severe overdoses and coma. The cases of pure dipsomania are relatively rare in daily practice. Most often, intermittent forms of alcohol abuse or dependence are observed in patients who present, between the acute ingestions of alcohol, a chronic consumption. Intermittent ingestions of alcohol can also be present among subjects presenting a pathological personality (antisocial personality) and a past or present dependence syndrome to heroine. These patients use alcohol like a drug in order to get a modification of the conscience, a high, a sedation or a trip.
间歇性酒精障碍的定义是饮酒呈发作性,之后会有一段时间不饮酒。间歇性酒精中毒最典型的形式是间发性酒狂。在间发性酒狂的急性发作期间,患者表现出对酒精的极度渴望且完全失去控制。饮酒通常会导致严重过量饮酒和昏迷。在日常实践中,纯粹的间发性酒狂病例相对较少。最常见的情况是,在急性饮酒期间存在慢性饮酒行为的患者中观察到间歇性酒精滥用或依赖形式。在具有病态人格(反社会人格)以及过去或现在对海洛因存在依赖综合征的人群中,也可能出现间歇性饮酒情况。这些患者将酒精当作药物来使用,以改变意识、获得快感、镇静或体验幻觉之旅。