Self-medication
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Self-medication is the use of drugs, sometimes prescription drug sometimes illicit, to treat a perceived or real malady, often of a psychological nature without consultation with medical personnel.
Over-the-counter drugs are a form of self medication. The buyer diagnoses their own illness and buys a specific nonprescription drug to treat it. The World Self-Medication Industry (WSMI) define self-medication as the treatment of common health problems with medicines especially designed and labeled for use without medical supervision and approved as safe and effective for such use.
A person may also self-medicate by taking more or less than the recommended dose of a drug.
Some mental illness sufferers attempt to correct their illnesses by use of alcohol, tobacco, cannabis, or other mind-altering drugs. While this may provide immediate relief of some symptoms such as anxiety, it may evoke and/or exacerbate some symptoms of several kinds of mental illnesses that are already latently present, and may lead to addiction/dependence, among other side effects of long-term use of the drug.
The theory that drug dependence or addiction results from self-medication for the distress caused by a pre-existing condition was introduced in 1974 by David F. Duncan and Edward J. Khantzian in independent publications. This theory has come to be known as the self-medication hypothesis. For example, sufferers of post-traumatic stress disorder are prone to self-medication, as well as many individual without this diagnosis which have suffered from (mental) trauma.
Occasionally an individual will attempt self-medication for physical illnesses. For example, it is believed that Kurt Cobain's use of heroin partially stemmed from a painful stomach condition.
The current phenomenon in many Western societies of the widespread usage of vitamins, herbs, and other over-the-counter "supplements"--usually without the advice, supervision, or even knowledge of any licensed health professional--is another possible example of self-medication. Some observers of health behavior and medical affairs have speculated that this trend may arise from the desire of laymen to feel more in control of their own health--rather than relying on the traditional medical establishment, whose motives are sometimes seen as suspect. The extraordinary increases in the cost of traditional health care in recent decades--doctors, hospitals, prescriptions, etc.-- causes some individuals to desperately try to find more affordable alternatives to treat or prevent their own afflictions, though this pursuit sometimes proves to be ineffective and expensive.
Contents |
[edit] Self medication with alcohol
[edit] Self medication and drugs of addiction
[edit] See also
[edit] References & Bibliography
[edit] Key texts
[edit] Books
- Albanese, M. J., & Khantzian, E. J. (2002). Self-medication theory and modified dynamic group therapy. New York, NY: Haworth Press.
- Crawley, B. (1993). Self-medication and the elderly. Thousand Oaks, CA: Sage Publications, Inc.
- Harchik, A. E. (1994). Self-medication skills. Baltimore, MD: Paul H Brookes Publishing.
- Weiss, R. D., & Mirin, S. M. (1997). Substance abuse as an attempt at self-medication. New York, NY: New York University Press.
[edit] Papers
- Achalu, ED (2002).The self-medication hypothesis: a review of the two major theories and the research evidence. SMH: Recent Developments on the Self-Medication Hypothesis, 1(10), id1. [1]
- Blenkinsopp A, Bradley C (1996). Over the counter drugs: the future for self medication. British Medical Journal, 312, 835.
- Duncan DF (1974a). Reinforcement of drug abuse: Implications for prevention. Clinical Toxicology Bulletin, 4(2), 69.
- Duncan DF (1974b). Drug abuse as a coping mechanism. American Journal of Psychiatry, 131(6), 724.
- Duncan DF (1975).The acquisition, maintenance and treatment of polydrug dependence: A public health model. Journal of Psychedelic Drugs, 7(2), 201.
- Hughes CM, McElnay JC, Fleming GF (2001). Benefits and risks of self medication. Drug Safety, 24, 1027
- Khantzian, EJ, Mack JE, Schatzberg AF (1974). Heroin use as an attempt to cope: clinical observations. American Journal of Psychiatry, 131(2), 160.
- Khantzian EJ (1985). The self-medication hypothesis of addictive disorders: focus on heroin and cocaine dependence. American Journal of Psychiatry, 142(11), 1259.
- Khantzian EJ (1990) Self-regulation and self-medication factors in alcoholism and the addictions. similarities and differences. Recent Developments in Alcoholism, 8, 255.
- Khantzian, E. J. (1997). The self-medication hypothesis of substance use disorders: A reconsideration and recent applications: Harvard Review of Psychiatry Vol 4(5) Jan-Feb 1997, 231-244.
- Khantzian, E. J. (2003). The Self-Medication Hypothesis Revisited: The Dually Diagnosed Patient: Primary Psychiatry Vol 10(9) Sep 2003, 47-48, 53-54.
- Khantzian, E. J. (2003). Understanding Addictive Vulnerability: An Evolving Psychodynamic Perspective: Neuro-Psychoanalysis Vol 5(1) 2003, 5-21.
- Khantzian, E. J. (2003). "Understanding Addictive Vulnerability: An Evolving Psychodynamic Perspective": Response to Commentaries: Neuro-Psychoanalysis Vol 5(1) 2003, 53-56.
- Wazaify M, Shields E, Hughes CM, McElnay JC (2005). Societal perspectives on over-the-counter (OTC) medicines. Family Practice, 22: 170-176.
[edit] Additional material
[edit] Books
- Blazer, D. G. (2004). Alcohol and Drug Problems. Arlington, VA: American Psychiatric Publishing, Inc.
- Cheney, C. D. (1996). Medical nonadherence: A behavior analysis. New York, NY: Plenum Press.
- Huffman, M. A., & Wrangham, R. W. (1994). Diversity of medicinal plant use by chimpanzees in the wild. Cambridge, MA: Harvard University Press.
- Rand, C. S., & Weeks, K. (1998). Measuring adherence with medication regimens in clinical care and research. New York, NY: Springer Publishing Co.
[edit] Papers
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- Zucker, T.-P., Flesche, C. W., Germing, U., Schroter, S., Willers, R., Wolf, H.-H., et al. (1998). Patient-controlled versus staff-controlled analgesia with pethidine after allogeneic bone marrow transplantation: Pain Vol 75(2-3) Apr 1998, 305-312.
[edit] =Dissertations
- Adcock, S. A. W. (1993). The development and evaluation of an educational intervention to teach responsible medication use to senior adults: Dissertation Abstracts International.
- Alexander, G. L. (1992). Social support, self-esteem, and medication-taking behavior in older adults: Dissertation Abstracts International.
- Branin, J. J. (2003). Correlates of strategy use in medication adherence among older adults. Dissertation Abstracts International: Section B: The Sciences and Engineering.
- Caffery, D. M. (2007). Components of medication management: Psychometric properties of the Cognitive Screen for Medication Self-Management (CSMS) test in older adults. Dissertation Abstracts International: Section B: The Sciences and Engineering.
- Charupatanapong, N. (1990). An analysis of consumers' risk perceptions of their self-medication practices in Thailand: Dissertation Abstracts International.
- Damphousse, K. R. (1995). Reciprocal relationships between adolescent drug use and psychological distress: An examination of the self-medication hypothesis. Dissertation Abstracts International Section A: Humanities and Social Sciences.
- Dowell, M. S. (1991). People's expectations of their medications: An ethnographic study: Dissertation Abstracts International.
- Hall, D. H. (2005). Contributing to self-medication hypothesis research: A focus on severity of substance abuse and negative affect states in a methadone maintenance population. Dissertation Abstracts International: Section B: The Sciences and Engineering.
- Lynch, W. J. (2000). Regulation of intravenously self-administered drug intake in rats: Factors affecting, mechanisms underlying, and sex differences. Dissertation Abstracts International: Section B: The Sciences and Engineering.
- Miller, N. G. (1991). Decreasing medication abuse in psychiatric outpatients using special packaging: Dissertation Abstracts International.
- Miralles, M. A. (1993). Access to care and medication use among the ambulatory elderly in Rio de Janeiro, Brazil: Dissertation Abstracts International.
- Ostrowsky, M. K. (2007). Extending khantzian's self-medication hypothesis: An examination of low self-esteem, depression, alcohol use, marijuana use, and violent behavior. Dissertation Abstracts International Section A: Humanities and Social Sciences.
- Pabon, T. M. (2004). The self-medication theory of addictive disorders: Motivational aspects of drug addiction. Dissertation Abstracts International: Section B: The Sciences and Engineering.
- Rice, M. A. (1998). Concordant and discordant drug use in intimate relationships: A longitudinal study. Dissertation Abstracts International: Section B: The Sciences and Engineering.
- Robinson, R. J. (2008). Comorbidity of alcohol abuse and depression: Exploring the self-medication hypothesis. Dissertation Abstracts International: Section B: The Sciences and Engineering.
- Stawar, T. L. (1991). Perceptual learning style, modality-specific mnemonic elaboration strategies and achievement of severely psychiatrically disabled adults in self-medication management skills training: Dissertation Abstracts International.
- Stockwell, L. M. (1993). A qualitative exploration of medication-taking behaviors in the elderly: Dissertation Abstracts International.
[edit] External links
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