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The reluctance to combine.

D J Ottenberg

    The American Journal of Drug and Alcohol Abuse
    |January 1, 1977
    PubMed
    Summary
    This summary is machine-generated.

    Combined treatment for substance abuse shows promise but remains experimental. Further research is needed to identify suitable candidates for this approach, advocating for a unified concept in substance abuse care.

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    Area of Science:

    • Addiction Medicine
    • Public Health Policy
    • Psychiatry

    Background:

    • Substance abuse patterns are shifting from single to multiple substance dependence.
    • This trend has spurred interest in combined treatment models for addiction.
    • A generic conceptualization of substance abuse is proposed to integrate diverse addiction types.

    Purpose of the Study:

    • To evaluate the effectiveness of combined treatment for substance abuse.
    • To explore the theoretical underpinnings of a unitary theory for all substance abuse.
    • To address the need for a unified approach in addiction research and practice.

    Main Methods:

    • Review of existing studies on combined versus segregated substance abuse treatment.
    • Analysis of factors contributing to differences between various substance abusers.

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  • Examination of professional resistance to a generic substance abuse concept.

    • Main Results:

    • Some studies indicate combined treatment is as effective as segregated treatment.
    • Individual outcomes vary; not all patients benefit from combined approaches.
    • Reliable methods for patient selection for combined treatment are currently lacking.

    Conclusions:

    • Combined treatment for substance abuse is currently experimental and not ready for widespread adoption.
    • A generic concept of substance abuse is crucial for effective planning, policy, and research.
    • Professional resistance stems from unfamiliarity, vested interests, and prejudice, hindering progress.