PMID: 2204463Jul 1, 1990Paper

Combining pharmacological antagonists and behavioural psychotherapy in treating addictions. Why it is effective but unpopular

The British Journal of Psychiatry : the Journal of Mental Science
C Brewer

Abstract

Supervised administration of disulfiram is one of the very few treatments that can significantly reduce alcohol consumption, yet it is rarely used, despite being simple and cheap. Disulfiram is not 'aversion therapy', but a technique for facilitating exposure and response prevention, and it fits comfortably into a behavioural, social-learning model of addiction (or dependence) and its treatment. The availability of other effective antagonists, notably to opiates, suggests that an approach that is demonstrably effective in alcohol dependence may be helpful in treating other addictions. The reasons for the unpopularity of this approach appear to be largely ideological.

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Citations

Jul 1, 1997·Pharmacology, Biochemistry, and Behavior·M L Stitzer, S L Walsh
Mar 29, 2002·Lancet·Colin Brewer
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Nov 1, 1993·The British Journal of Psychiatry : the Journal of Mental Science·C Brewer
Jan 9, 2017·Alcohol and Alcoholism : International Journal of the Medical Council on Alcoholism·Colin BrewerMarilyn Skinner

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