Europad-Nr.3

HeroinAdd8-4

1. CONTENTS
   Combating the Stigma: Discarding the Label “Substitution Treatment” in Favour of “Behaviour-Normalization Treatment”
2. In the Service of Patients: The Legacy of Dr. Dole
3. Injecting Buprenorphine Tablets: A Manageable Risk
4. QTc Prolongation in Methadone Maintenance: Fact and Fiction
5. Methadone: Is It Enough?

Europad-Nr.2

HeroinAdd4-3

• CONTENTS
  Harm reduction and specific treatments for heroin addiction.
  Different approaches or levels of intervention? An illnesscentred
  perspective

  Methadone Treatment in Croatia

  The renaissance of methadone treatment in America

  Methadone and commonplaces

  Methadone maintenance and HIV infection

  Breast-feeding for a methadone-maintened mother: a case
  report

  Methadone Maintenance treatments in European
  extracommunity target

Europad-Magazin!

HeroinAdd5-2

1. Introduction ………………………………………………………………………………………………….8
   The Clinical and Therapeutic Aspects of Personality Disorders
   in Addicted Patients …………………………………………………………………………………….14
   Addiction and symptoms of psychopathology ………………………………………………….14
   Addiction and psychopathological dimensions ………………………………………………..14
   Addiction and Personality Disorders ………………………………………………………………16
   Antisocial Personality Disorder (APD) …………………………………………………………………………18
   Personality and the etiopathogenesis of addiction …………………………………………..19
   The self-medication hypothesis for addictive disorders …………………………………………………..19
   The role of subjective effects: the self-selection hypothesis …………………………………………….20
   Sensation-seeking behaviour and impairment of gratification: what is too little
   or too much? ……………………………………………………………………………………………………………..21
   The psychology of addiction: evolution of theoretical models. ………………………….22
   Psychodynamic theories ………………………………………………………………………………………………22
   Beyond psychodynamics …………………………………………………………………………………………….24
   Addiction and Bipolar Spectrum ……………………………………………………………………25
   Treatment of Personality Disorders during Methadone Maintenance ……………….30
   Conclusions …………………………………………………………………………………………………31
   The Clinical and Therapeutic Aspects of Mood Disorders
   in Addicted Patients …………………………………………………………………………………….32
   Epidemiology ……………………………………………………………………………………………….32
   Assessment and evaluation of depression in addicted patients ………………………….34
   Family History of Mood Disorders …………………………………………………………………35
   Primary or secondary nature of comorbid mood disorder in relation
   to addiction ………………………………………………………………………………………………….36
   Impact of comorbid mood disorders on the natural course
   of heroin addiction ……………………………………………………………………………………….37
   Substance use among Bipolar Patients …………………………………………………………..38
   Addiction and Suicide …………………………………………………………………………………..38
   Heroin addiction and its consequences on mood …………………………………………….41