Book contents
- Frontmatter
- Contents
- List of contributors
- Preface
- Part I Introduction
- Part II Summary of treatment modalities in psychiatric disorders
- Part III Specific treatments
- 9 Delirium
- 10 Management of behavioural and psychological symptoms of dementia and acquired brain injury
- 11 Dementia: pharmacological and non-pharmacological treatments and guideline review
- 12 Pharmacological treatment of psychosis and depression in neurological disease in older adults
- 13 Psychological treatments of alcohol use disorders
- 14 Pharmacotherapy of alcohol misuse, dependence and withdrawal
- 15 Educational interventions for alcohol use disorders
- 16 Complex interventions for alcohol use disorders
- 17 Complementary and alternative medicine for alcohol misuse
- 18 Empirically validated psychological therapies for drug dependence
- 19 Treatment of stimulant dependence
- 20 Treatment of opioid dependence
- 21 Treatment of sedative-hypnotic dependence
- 22 Treatment of cannabis dependence
- 23 Treatment of nicotine dependence
- 24 Treatment of co-occurring psychiatric and substance use disorders
- 25 Pharmacological treatments for schizophrenia
- 26 Psychosocial and pharmacological treatments for schizophrenia
- 27 Psychopharmacology of mood disorders
- 28 Efficacy of brain stimulation and neurosurgical procedures for treatment of mood disorders
- 29 Psychotherapy for depression: current empirical status and future directions
- 30 Alternative therapies for mood disorders
- 31 Treatment of generalised anxiety and somatoform disorders
- 32 Panic disorder
- 33 Specific phobias and agoraphobia
- 34 Social phobia
- 35 Obsessive-compulsive disorder
- 36 Post-traumatic stress disorders and adjustment disorders
- 37 Psychopharmacology of eating disorders
- 38 Other somatic physical treatments and complex interventions for eating disorders
- 39 Psychological treatments for eating disorders
- 40 Educational interventions for eating disorders
- 41 Alternative treatments for eating disorders
- 42 Complex treatments for eating disorders
- 43 Personality disorder
- 44 Other treatments for persistent disturbances of behaviour
- 45 Effectiveness of treatments of sexual disorders
- 46 Disorders of gender identity
- 47 Psychological treatments for children and adolescents
- 48 Drugs and other physical treatments
- 49 Educational interventions and alternative treatments
- 50 Attachment insecurity and attachment disorder
- 51 Feeding and sleeping disorders in infancy and early childhood
- 52 Evaluating interventions for children with autism and intellectual disabilities
- 53 ADHD and hyperkinetic disorder
- 54 Oppositional defiant disorder and conduct disorder
- 55 Treatment of depressive disorders in children and adolescents
- 56 Treatment of psychoses in children and adolescents
- 57 Anxiety disorders
- 58 Treatment of eating disorders in children and adolescents
- Appendix I Summary of specific drugs having evidence of effectiveness in mental disorders
- Appendix II Key to effectiveness tables
- Index
- References
16 - Complex interventions for alcohol use disorders
from Part III - Specific treatments
Published online by Cambridge University Press: 12 May 2010
- Frontmatter
- Contents
- List of contributors
- Preface
- Part I Introduction
- Part II Summary of treatment modalities in psychiatric disorders
- Part III Specific treatments
- 9 Delirium
- 10 Management of behavioural and psychological symptoms of dementia and acquired brain injury
- 11 Dementia: pharmacological and non-pharmacological treatments and guideline review
- 12 Pharmacological treatment of psychosis and depression in neurological disease in older adults
- 13 Psychological treatments of alcohol use disorders
- 14 Pharmacotherapy of alcohol misuse, dependence and withdrawal
- 15 Educational interventions for alcohol use disorders
- 16 Complex interventions for alcohol use disorders
- 17 Complementary and alternative medicine for alcohol misuse
- 18 Empirically validated psychological therapies for drug dependence
- 19 Treatment of stimulant dependence
- 20 Treatment of opioid dependence
- 21 Treatment of sedative-hypnotic dependence
- 22 Treatment of cannabis dependence
- 23 Treatment of nicotine dependence
- 24 Treatment of co-occurring psychiatric and substance use disorders
- 25 Pharmacological treatments for schizophrenia
- 26 Psychosocial and pharmacological treatments for schizophrenia
- 27 Psychopharmacology of mood disorders
- 28 Efficacy of brain stimulation and neurosurgical procedures for treatment of mood disorders
- 29 Psychotherapy for depression: current empirical status and future directions
- 30 Alternative therapies for mood disorders
- 31 Treatment of generalised anxiety and somatoform disorders
- 32 Panic disorder
- 33 Specific phobias and agoraphobia
- 34 Social phobia
- 35 Obsessive-compulsive disorder
- 36 Post-traumatic stress disorders and adjustment disorders
- 37 Psychopharmacology of eating disorders
- 38 Other somatic physical treatments and complex interventions for eating disorders
- 39 Psychological treatments for eating disorders
- 40 Educational interventions for eating disorders
- 41 Alternative treatments for eating disorders
- 42 Complex treatments for eating disorders
- 43 Personality disorder
- 44 Other treatments for persistent disturbances of behaviour
- 45 Effectiveness of treatments of sexual disorders
- 46 Disorders of gender identity
- 47 Psychological treatments for children and adolescents
- 48 Drugs and other physical treatments
- 49 Educational interventions and alternative treatments
- 50 Attachment insecurity and attachment disorder
- 51 Feeding and sleeping disorders in infancy and early childhood
- 52 Evaluating interventions for children with autism and intellectual disabilities
- 53 ADHD and hyperkinetic disorder
- 54 Oppositional defiant disorder and conduct disorder
- 55 Treatment of depressive disorders in children and adolescents
- 56 Treatment of psychoses in children and adolescents
- 57 Anxiety disorders
- 58 Treatment of eating disorders in children and adolescents
- Appendix I Summary of specific drugs having evidence of effectiveness in mental disorders
- Appendix II Key to effectiveness tables
- Index
- References
Summary
Editor's note
Alcohol misuse is a complex problem and complex interventions are the norm in its management. This is illustrated well in this chapter in which all the effective treatments are not just complex, but often multi-complex, and it is not always certain what constitutes the most important elements. It is also important to note that the result of an intervention may differ at different levels of dependence. ICD-10 defines a category of ‘harmful use’ that is short of full dependence, and many of the simpler interventions may be more helpful in this group than when full dependence has developed.
Introduction
A complex intervention for alcohol use disorders may be defined as one that utilizes multiple therapeutic components and strategies, based on a common underlying philosophy of treatment and targeted at various facets of the disorder in a complementary and frequently simultaneous fashion. Most treatment for moderately to severely alcohol-dependent patients is complex by this definition and for good reasons. First, alcohol use disorders are heterogeneous and influenced by multiple factors in terms of their etiology, development, and course. Second, no single treatment strategy or technique is effective across all alcohol-dependent patients. Third, the active ingredients of most, if not all, psychosocial therapies for alcohol dependence are unknown.
This chapter will cover four complex interventions for which there is a base of evidence to evaluate them. They are Alcoholics Anonymous (A.A.), the Minnesota Model of treatment, Therapeutic Communities (TCs), and combined pharmacotherapy and psychotherapy.
- Type
- Chapter
- Information
- Cambridge Textbook of Effective Treatments in Psychiatry , pp. 320 - 339Publisher: Cambridge University PressPrint publication year: 2008