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Alcohol Withdrawal States and the Need for Treatment

Published online by Cambridge University Press:  29 January 2018

Robert Olbrich*
Affiliation:
Fachbereich Psychologie/Soziologie, Universität Konstanz, and Staff Psychiatrist, Psychiatrisches Landeskrankenhaus Reichenau, Feursteinstr. 55, D–7750 Konstanz, W.–Germany

Summary

In an attempt to evaluate the clinical significance of alcohol withdrawal, the rate of symptoms and incidence of treatment were determined in 84 female alcoholics following abrupt withdrawal. Results indicated that abstinence symptoms of an emergency type (delirium tremens, convulsions) only rarely occur and require active treatment, whereas those physical and emotional disturbances frequently seen in alcohol withdrawal need very little medical help. This finding is in contradistinction to current clinical opinion.

Type
Papers
Copyright
Copyright © Royal College of Psychiatrists, 1979 

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References

Bonhoeffer, K. (1911) Alkohol-, Alkaloid- und andere Vergiftungspsychosen. Zeitschrift für Aerztliche Fortbildung, 8, 415–22.Google Scholar
Cheshmedjiev, P. & Atanassov, V. (1972) Prophylaxis of the acute psychotic complications in chronic alcoholic cases and the role of the withdrawal syndrome in their genesis. Alcoholism, Zagreb, 8, 107–9.Google Scholar
Cohen, R., Davies-Osterkamp, S., Koppenhoefer, E., Müllner, E., Olbrich, R., Rist, F. & Watzl, H. (1976) Ein verhaltenstherapeutisches Behandlungs programm für alkoholkranke Frauen. Nervenarzt, 47, 300–6.Google Scholar
Feuerlein, W. (1974) The acute alcohol withdrawal syndrome: findings and problems. British Journal of Addiction, 69, 141–8.Google Scholar
Hershon, H. I. (1977) Alcohol withdrawal symptoms and drinking behaviour. Journal of Studies on Alcohol, 38, 953–71.Google Scholar
Isbell, H., Fraser, H. F., Wikler, A., Belleville, R. E. & Eisenman, A. J. (1955) An experimental study of the etiology of ‘rum fits’ and delirium tremens. Quarterly Journal of Studies on Alcohol, 16, 133.Google Scholar
Mello, N. K. & Mendelson, J. H. (1970) Behavioural studies of sleep patterns in alcoholics during intoxication and withdrawal. Journal of Pharmacology and Experimental Therapeutics, 175, 94112.Google ScholarPubMed
Mendelson, J. H., Ed. (1964) Experimentally induced chronic intoxication and withdrawal in alcoholics. Quarterly Journal of Studies on Alcohol, Supplement 2.Google Scholar
Rosenblatt, S. M., Gross, M. M., Malenowski, B., Broman, M. & Lewis, E. (1972) Factor analysis of the daily clinical course rating scale of the acute alcoholic psychoses. Quarterly Journal of Studies on Alcohol, 33, 1060–4.Google Scholar
Victor, M. (1966) Treatment of alcoholic intoxication and the withdrawal syndrome: a critical analysis of the use of drugs and other forms of therapy. Psychosomatic Medicine, 636–50.Google Scholar
Victor, M. & Adams, R. D. (1953) The effect of alcohol on the nervous system. Proceedings of the Association for Research of Nervous and Mental Diseases, 32, 526–73.Google Scholar
Von Kerekjarto, M. (1969) Hamburger Depressions–Skala. In Das Depressive Syndrome, p. 640 (ed. H. Hippius and H. Selbach). Muenchen: Urban und Schwarzenberg.Google Scholar
Winer, B. J. (1971) Statistical Principles in Experimental Design. New York: McGraw-Hill.Google Scholar
World Health Organization (1955) Alcohol and Alcoholism. Report of an Expert Committee. Technical Report Series, No. 94. Geneva: W.H.O. Google Scholar
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