Zusammenfassung
Suchtkrankheiten und ihre Behandlung stellen eine beunruhigende Herausforderung an die moderne Gesellschaft dar. Trotz jahrzehntelanger Forschung scheint die Wirksamkeit von Maßnahmen zur Rückfallprävention umstritten. Ein Beispiel: Zur gleichen Zeit, als in einer großangelegten amerikanischen Studie versichert wurde, daß die öffentlich finanzierten Behandlungszentren für Alkoholabhängige immerhin bei 67% ihrer Patienten eine Besserung erzielen (Armor et al. 1978), resümierte ein anderer bekannter amerikanischer Experte in einem Editorial, es habe in der Rückfallprophylaxe in den letzten 25 Jahren keinerlei Fortschritte gegeben (Gordis 1976).
Die Vorbereitung dieses Manuskripts wurde gefördert durch das National Institute of Mental Health, U.S. Public Health Service (Grants: AA-01372, K05-MH00364, MH 42248).
Eine frühere englische Version dieses Artikels wurde als „Dent Memorial Lecture“ bei der Jubiläumsfeier anläßlich des 100jährigen Bestehens der „Society for the Study of Addiction“ am 25. Oktober 1984 in London vorgetragen. Sie erschien im British Journal of Addiction unter dem Titel „What can long-term follow-up teach us about relapse and prevention of relapse in addiction?“ Der vorliegende Beitrag wurde übersetzt und bearbeitet von Ulrike Josenhans und Hans Watzl.
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Vaillant, G.E. (1989). Was können wir aus Langzeitstudien über Rückfall und Rückfallprophylaxe bei Drogen- und Alkoholabhängigen lernen?. In: Watzl, H., Cohen, R. (eds) Rückfall und Rückfallprophylaxe. Suchtproblematik. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-83805-7_3
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