ALE. AMYKO C. BATEHCKHAL NOAPOCTKOBAA HAPKOJIOrMMA Pysosodcmao Aaa epavett SCANNING - by WATCHER Wy ba AIEHBHTPAD «MEUUAHAy JEHUHTPANCKOE OT/EAFHME 1991BBK 67.3 J166 YAK 616.89-008.441 13 +616.89-008 441 33]-053 (035) Pewensent J H Ieacs. 2p Men way, npod, san xageapoit acrexoi W monpos7kono% newawanpne ZIMA For Summary see page 303 Jhuxo A. E,, Barencknis B.C. 4165" Tloupocrusai wapxwiorus Pyxouoxcruo.— JI Meque wna, 1991. — 304 ¢—ISBN 5—225—01359—7 B pyouonerse ames octons ptarnoern,fevenns n none -rown patna anentamiows, nanparrennuy aapenuaiid (onde ase hod, seaponosol, nepainnsaeok, KoRaWwoncn) # ToxeHKCMann (WHAM: yt EraNysaopy, CHOTSODRHe M TDaNKMAKSATODY, ranonNAcreNs @ ap) Baccmorpents ix onmiviin of xOQHuE op iAANKTHDHOrO NoseAgHR {aauynotgebxenin att Me epencTEau Ges sABHEENOETIC OT HH) ‘Bycononeruo mpeantaaaveie tay Napnos0con, SeMsHaTpOD i NORPOCT: Komsst repanenoa 1 S108170000—102 ae ISBN 5—225—01359—7 BRK 578 AE. Amo, BC Burenexut, 1961 + OTJIARNEHUR Baeneawe MACTD 1 OBILAS TIOMPUCTKOBAR HAPKUSIOL MH Tasoa J Onpenencine ocnonnnx noxatii 2 XOMTEPWH aNarHOcTUK:t pall Hero anworoauaNa, OApOCTKODX MAPKOMAKHA W TOXCHKOMANN Qemonmae nowATH HOADOCTKORO HapKeaorAK Annuernmxae nowexeite Tlepexox aaanktusHora conecenin » Goaesxy Leransin Gopeaia (aasos0si3Ma_ apKOMaIUIM, TOXCHROMAI) U1 creana Somes KAGeCHOWRALAA HADKOTHKOR W EpyeHT roRCbweRtA ReMeETE Facea 2 usuonorwueckie ¥ couNonemosoraNectse ocoBeieNceTH noxpocT- Konoro sospacta KEK ‘PaKrOpm DAYNITHR PaNNErO AaKOTOrRSMa, apronani 1 toxcaxomannt Poss guiwarormeckix ocobeMkorTen nysepranvore nepwoaa Buavenite nospacrust courloneuxonormMeckieN neaBesuoerel —nonpectKo- Bux ovenerscosne peat Peannice rpy2miponaQin co ceepcravKaKi xax nenyunh conwoneMvono- tontccnk spat Hepyiemi’ ssdhyoontowemh » cenve Rex mpexpacnoraraies® ‘pesrop lorimeun woTinnpona Tpyrne couaisno-nenvoxcrateciae faktopay cnocoGermyoume anae Taco J Axueuryeuuu xapantepa x newxonaraK Kex GaKrOpH, RANAUITE a aanntuonee Momence x Gepmnpoparme papiiciasoesit Buawente nevxonarasecscre npeopei26 feysrottewausl mtn aucenrysucn Napaiereps newxonseH aK cheKTOP anicororo puexs : Denfenneen aAaweTeRsors noReReHi| pM paste THAN ekueKT¥ALN sapantepa ncHxonarit Pago 1 Metneots 9 99 Gexpive wntoxeavaus.ou Gerpue aserimennnie neeosnt Ocrpee Mpawouxposazmse sKnoreRNe neHas Oerprir npomouponnittie stawhasonartieckie(CHxO3st Xponitieekite siroweunauKonie eweIT Taaoa & OGeneaovanne noxpocTeos, saoynerpeBaaiouex amxoronen, ap- HeaROTUREMN _ADYTIONN TonCnMeERONE NenecrBMH Onpoc pomwresel » xpyrix saewos comma Crcaewia a noapocree ua apyrux MeTOSMKOR Viexamaroume yeraHooxt Oeworp rospoeraa Hafmoneane 32 Tozeaennew rn 3 4 4 18 38 31 5a 58 SBRBSE SZ n 1 B Bt 83Tlewxonommsecean gyerioctixa © noxpocrkonok wapKosioraw a MaGopatopiiie vetoau Hecienonaans cy Tease 6. 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182 elusiutatpayeluses 205 Diagnostics of alcoiolism in ‘adolescence my 154 ‘Aniphetemine confustonal ‘states. | 22 ll lt) tS ao Pessiianitice ‘of treatment PhD. ie Miguae lend) depondence re Dit 206 “Treatment in the stale of acuie infoxication .. 2) | 2 1 1 | 1st Ephedrone . soe . » 206 Besintowteation 158 Bervitine 208 ‘Treatment in withdrawal syndrome So Amphetamine rrr Suppressing of addiction ses ss alleine Le poe : 212 BerGotierapy 18 Trealment and prevention... CU Erlectveness of treatment according’ 10 dala ‘of fatlow up studies £60 Chapler 13. Cocaine. poe 216 System of management. aS 18) ‘Actuality of probleme ard’ prevatence 2218 Prevention . ee fee Clinical picture of intoxication... ee BI ‘Medical titeratiog and educational’ chestres ‘°°... 1 102 Poyehosee “eaused. by cocaine) 0 2) Sl Lt lao Diseovery of the high risk groups - : 6 Goraine withdraval eyndrome ne 2 Chapter 10. Inhalants (misuse and dependence). ve 6B Misuse and dependence... a fae ‘Delattions "ad Watery ot peoaleee DL Lies ‘Trealment and prevention | |: Dll be lee pede of anaeaue St ss ioe Chapter #4, Cannabinelds (Meskeesh and marihuanna) so RH Active substances . + » 166 General information . 224 Gawline 166 Bevalence aong yong sad aioleséen jopuation in’ USN sta! oie Spat-remover : : 168 occidental” counties : Acetone. vee see 1 188 Prevalence ‘among edolesecuts th USSR. L 28 Toluene and paint solvents) 9.0 Lo Clinieal picture of acute tnloxieation | |). | er Give 17 React to the fest stoking : Lo. 3a Atypical intoxication : wee wm The mild subpsychotie intoxication... a Pelusiona? vietre lan The aovere peychatie inlaxiestion 231 Encephatopathic picture 1 LLL Lt li Withrewal “ssndrome polls. 238 ‘Misuse end dependence . pe : 13 Indistinet_ withdrawal ‘syndrome . oe 236 Peculiarities of misuse -: 13 Obvious withdvawal syndrome. | |. 2 1) 1 28 Diagnostics of dependence . . |. a erreraranene 1 Peyehoses jm withdrawal period _ 237 About stages. ol “dependences Delve Misuse and dependence ase Gonsequenors of crore intoxiclion:‘psyehoorganie “syndeone) and Chron pafehones daring bashesstism 2. eucephalopally) eee sn ITB Yreatment and” prevention. Lt 240 cee caine’ satin ainsi gc erg I Omi stcients da USN aid ‘ete? Sevidedtel coimties BB ABT, 5 Lyciodi, Prevalence emong adolescents in USA aid other cecidedtel countries ane, Tritenypheny! hydrochloridum; Dimedrol, Diphenhy- Prevalence among, adolescents: i USSR = 246 rant thydvuchtantd) 181 Clinies! picture af opioid intoxication in seélescents | nt Definitions wt se BB Alvpicat ‘cliniat’péetres ee : History’ of prevatenes oo a Withdrawal “synafome th adarescenis * : Clinica! picture of intoxication 22 Stas indistinct withdrawal syodiome at the first stage of disease Asthmatol cd Obvious withdrawal syndrome at the secand stage of disease Cyclodol del se we see 187 Pseudowithdrawal syndrome rrr Dimedrol delirium ”. PEPE L PPS Pill lp Maca and Aepandaton Atypical reactions. see DE ‘Misuse withhout dependence . ‘Flastbacksy (Posthatlucinogen perception disorder) 191 The first slage of dependence Delusional psychoses... ss Lt Dat The second stage of dependence . 2... Depressions Se Complications. in. adolescents Dit enderice : PEEL lhl. las Psychological studies Differential diagnosis 7° age ‘Treakment Treatment and prevention 22. LL age ‘Urgent mesizes in” overdosage Chapter 12. Stimulants (Ephedrone, Pervitioe, Anphetanine, Caffeine) 195 ‘Treatment in withdrowal syndrome Batinition - De es BD ‘Suppression of aaacsion History’ of prevalence “1.7... 2 196 System of management ft Chpical piewre of wmoxicaion SL 2 Lge Elfectiveress of weamment ©) 21) 2D Ephedone see ee : 2 188 Prevention vv ve ee ee 10Chapter 16. The other drugs misused by adolescents m8 “Teanguillizers ne: 3 Barituretes DODD 1 t pet Noxyron. (Glutethimidum) Le oo Ergotemine (Ergomettine) | Lele 283 Anabolic steroids. a8 dopings : belt 353 Other sunstances 7" Delle, bat Chapter 17. The use of multiple cuhstances end polydrig dependence In Mbiecendy, TA SumStnees and pelydre, depend 285 Definitions ee ei eles 2m Diagnostica eriterig J. nes Polysubstance misuse ‘witout dependence LL Ber Polysubstanee suisuse with dependence of one drug Ct 1 Be Peciliatties of treatment nn ee ee 88 Appendic, Underground dictionary of Russian adolescents with addictive behaviour Seen eee 20 Referens Misute of alcohol “and ‘adateceant aisabatiens 7 .. 33 Psychoactive substance misuse and’ dependenos | 27 BBEREHHE Hecmorps Ha 10, 40 » nauieh crpane, Haumnan ¢ 80-x roaou, 9 noapoerkoDo nonyaaunn pacnpo cTpanuadcs ssoynoTpeOnenMe anKorazeM, apKO- THKAMM HC APYTHMN TORCHMECHHMH weMIeCTBEMH, 20 wACTORUMerO BeMeHH He 610 H9MAHO uN OIKOrO PyKoROgcrsa m0 nOgpocrKoRof HapKoaorny. {Lo TOCTeAHNX ACT awe OTReARIE CTATHN nO WAC. HUM Bonpocam 8 sTOh OGactH Galan peaKOcTSN. Llenayputie crporocti we ToubKO cepa mO- aoonbe nyOARKAWHH, NOH OTOHDARK HBTepec 1 HecaeaoseMM. Bo sropo® nogosune 80-x ronos, Korma HaYaaach TOAMTHKA TAaCHOCTH, HepBOHANAADHO cHOMMIACH Tapaaoxcamsnan enryaunis. Hhopmauia o nap. KOMaWinx H TOKCHKOMAHAAX Y NOgpocrKoS Gyp- RUM HOTOKOM xaMMyaa D razerE, OBuLccrPCLHO TOmTHNeCKHe 2KypHadt, Ha TeAeBHACHMe HB pa- aonepenaun. Borg Ke Bpemor elle coxpanMance, cyulecTweHve OrpZHueMMA wa TaKOTO me cOneD- OKAHNS NYOAHKayKH B HaYUHOH MeAHNHHCKOR An. ‘vepatype. B wrore crenwaaHern-napKonOrH 4 Hon POCTKOBME HcHxHaTpH BAY KAeAK Guan sepHaTe HeOGXOAHMIe HARMLIC © pachpocTpaneHiH gnoynor- pe6renuk pasauuwiinn ToKCHNeCKAMN —BemecT- BaMH, Haake O KAPTHHE HNTUKCHKAUMA, Popmnpusa: HHH HapKoMatiudt MH TOXCHKOMAHMi, Hx WacTOTe H BEPONTHHX MpHYHHAX He WS MpoeccuoNaabHHX ny6sukanni, a us MerowiNxon Macconof HHbop- Maus. Hago onqars AOWKHOe AKTHBHOCTH H AaKe eMenocrn HexoTOptx ‘KypHaaNCton, Ho NeKoCTATOK, WapKonorHueckoro MporbeccHORanHsMa, a HHOTZa x NUIUHH 3s COHLAMKUHMUCTON, YUAN srayeHMe atix coo6uiennfi, Maso Toro, . 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Vwenwo ostomy n yeHtpe BMAMaxu 3 naxtoh KUHTe MocTARAeHN Ronpocls AvarnocTHKH, aeveHAR 4 npodusaxtmxn, Bo oTHowenma Kaxcqoro us epenern, HeMonbsyemna —JoapuctKamm jut 340 YOOTPEONCHAA,~~ ANKOTOMA, WUTaAHTOB, ratAoUN- HureHo, KOKANKa, CTHMYARTOpOB, ONKaTOR, TPA; BHAM3OTOPOB H APYTHX — OMHCMBACTCH KAK KAPTUHA OCIpHX —aTOKCHKaMKH—u — HaHOONee — xapaK- TepHan, W aTHTHWHas, TAK K ocoBenHoCTH an0yn0 TpebseHus, PopmupoBakia aaBucuMocTH, a6cTa- enum, Pacemarpipaiotca sospacrune ocuGeH- HOCTH neveMUA Kak OCTPHX oTpaBTeHul, TAK 1 Tepanentu4eckOR TaKTHKH Npa PopMupoBaHAA an- KOTOJM3Ma, HAPKOMSHRA H TOKCHKOMaRHM, a TAKE obcyxasioter osMOKHMe — MpOdHaKTHYECKHE Mepis. Tleppoe pyxononets wenaGexHo He aMUeHO He AOCTATKOR, BOSMORO AamE CyMMETHEMA, CTO AaMH, NO Mepe HaKONAeHHs OMBITA, STH HELOCTATKA muy? OKasaTRCH EME ONE OVEBHAKWMK, HO Ha- cyulwan norpeSHocTe B nocoOuH, cHcremaTHuecKK HomaraiouieM OcHOBK NOApOCTKOBOH HapKOsOrAM — oGAaeTH, 10 cux nop eme Mano copeweniol Bia ysHom oTHoWeHHtH,—B T71a94x aBTOPOR oNpaBAs Baer nx nontsrKy.Yacmp I. OBUIAS NO TPOCTKOBAA HAPKOJOTHA Taaga 1. OMPEAEAEHVE OCHOBHBIX MOHATHH HW KPHTEPHM AMATHOCTHKA PAHHFTO ARKArANUaM A, NOMPOCTKOBBIX HAPKOMAHHEL 4 TOKCHKOMAHHET OCHOBHLIE NOHATHS MOMPOCTKOBOT HAPKOmorHHt BaoynotpeSacunc oaKoroacm y noapoctnos BKmOWACT SHaKOMCTBO C ONBAKAOUUIAN: QOZAMK v BospAcTe xo 16 ser m Guaee-mesve peryanpuoe yrorpedacnme chapTHMN. Hann Kos Ges nipystaxon saaHexMocTa wv Goace crapulem noapacte Uluuko A, E., 1979). Bneaennnia @ 1985 r. aaxoHom w name crpaie Gutta aanpen Wena npoawKa aaKOrOABKELX HANHTKOD DHUAM B BospacTe Ao 21 rong. Jaxon of07, ne Gyaysn ormencnli, npaktaxceKn scKope nepecra co6monatoca, B to xe spema B pxae sapySexunix crpad sospactanie UrpaHHeHiti v OTHOLLCHINE NPOAANG ATKOTOABHBIX. Ha ytkoa Becoma andipepenunponaynh v aaBNcRMOCTH OT NX Kpe- nnocty. AnKoroabuie KARKTKH EPRRATO paaKeaKT Wa Kpemue (oBwaHO conepxxamme Goaee 18% zaxoroas}, epoanelt xpenoers: (oT 9 20 18%) 1 ene6ue (ao 6%). Hopcctno, sro w Sseuy ucSommoli KOBLEHTpAlNH 2oKOromb MOKET cOMEPAATCA & MRULSKX MpOAyk- Tax (HANDHMEp, B B-AKCSHOM KeHpe MOKET OWT AO 09th aA. xorona) Pawuuk (moapoctkosul) aakoroansm soapasy- Meaaer paruwrue xotm Bu I cranwie amkoroanawa R ROapACTE AO 18 aer. Toapo6ucs concpasanne oTas repsinon paccmarpanacrcn pra. Hap KOTHX— neulecTHo, asoynorpeoacume KoropaM neaes crane com#aaunol onacHocTH ObMuREsIbHO NPHIHAHO TaKoBANM 12-58 €f0 cHocoGHOCTH NpH OANOKpaTHOM yNoTpeOAeHRN BHSwHATS MH AeKaTeMHOe TIeHEMIErKDe COCTOSHMe, A IPH cHcTEMATHUPCKOM IpweMe—newxnueexyio iam spnanicexyio 3anstenMocth OT Hero, B wauch. crpawe oauvasenbim npMoxanem cAyatiT akmo4e- HNC ABHHOTO BCUECTBA A CMACOK HapKOTHKOR MDHKEION MAKACTPA “upasooxpanenus CCCP. 2 Tlono6oe nonmMaxne repmiia exapKoTaKs mpHHATO He Bo RCex empawax. Hanpumep, 8 CLA wapkoraxaan o6uuio nasupaior 2€ SPENT ss0yNOTpeGICHHE KOKAKHOM, ralAONAHOreHAMA BpOse LSD, amperaminamia H HeXOTOPHIMH APYTAMM ReMtecTRAMH —mpe- eaeayeren saKoNoM TaK 3Ke CTPOTO, KAK H OnRaTait. IfcuxoakTHBHOE TOKCHYECKOe BEULECTBO mOmET o6zauath Tema Ke ynoMmKyraIMN cRolicRAMH, UTO H HapKOTHK, HO COMMATHAS ONACHOCTE a/OyNOTPeBNeHHE HM He cTOAe BHCOKA, H ARON RE npaonan. Onto u TO xe BeuLeCTBO B Pashbie FO4H B OLKOA M TOA Ke CTpaHE MOMMET TO He NDHIHARATHER RADKOTAKOM, 70 RKMOWATLES B HX WHCAO. Tpamepow morxer Guth Gap6amna (amataa-HatpRH), odunnarbHo oTuccenHaih x napKoTukam B CCCP mute 8 cepeaane 80-x roaos. Hapkomauwn 2 Haueh crpawe yueer opnusansitoe onpene. Jewie, aHHoe npHKasOM MUNHETpA ARpaROOxpaKen CCCP (N30 ot 11.01.78 r, a Ne 388 or 19.04.78 r.), Oto nonATHe HE ToABKO Meamunuckoe (KAHHYECKDe) 1 CONKAAHHOE, HO H OpKAHECKOE Hapxowannen Hassava o7eaHb, BuISBaHNAR CCTeMaTHEECKRM yNOTpeGsenHeM BeULECTB, BKAIOYEHHWX B COHCOK HapKOTHKOB, 4 ApomBAMOMARcH saBCHMOCTOIC OT 3THX BEMIECTR— nIcHxHYECKOR, a nuoraa w dbuanuecKol TOKCHKOMAHHA Mpeqctanaser coboh Goaests, nposnasio- mytoca noaoGuok ac nenasccKol, a nuoraa Hu OHaHMeCKOB, gaDH- cHMOCTHIO OT BeULeCTBA, He BKMOTeHHOrO B OdMNMaTDHAR CHACOK WapKOTAKOR. Saoynorpe6utetite HAPKOTHKaMH HK ADYTHMH TOKCHYECKHMH Be mectBami Ges saBHCHMOCTH OT HEX HapxOManHell HAM TOKCHKOMA- xuelt wecunraeres Ina o6ozHauexna anoyaopeBaeHua Gea aanucu- MOCTH TPeAATANOCl HeCKOABKO RANMeKORAHMA: © «HApKOTHAM> (Uavumoxan 1. UL, 1975], stoxcnnomanwiccnoe nopemennes [lasko A. E., 1979), «smwsomnueckoe saoynorpedaenies [Ypa- koe H. {. 4 ap. 1981] 4 ap. He Mekhudee wAe0 ‘Tepmauion nerpe- waetcn B sapyGexuol JuTepatype, HaNDKMep B aHTMosSMYHOH (drug use, drug misuse, drug abuse) » oranyne ot drug dependence, xoraa sanucuMocts y2Ke cipopusponaach. Ho p nocaequme roms ace Goabulee pacnpoetpanenne noay- Maer TepMit wacTynaer NMcHHOTOrAA, Koraa BCAeA 34 ilepARIMN FpoGaMn culeayioT MOBTopHBe. Tonepe. MonHO ynoTpe6mior ro aaKorom, To paomnimue ToKeITECKIC De mecTed, sxayan AocrymHWe HapxorHEH. O6HHHO 3TO MponcxoaT 3 ROMMUNHKA, KUTOPRE COOHPAIDIE HE TALK IN CORMECTHOF Snoynotpeb.aenHtx, mocaeawee cule OeTaeTeR ORNOH Hs wee e60- pit, Tlenxoaxrbuee Bemectoa n oTHx KOMMalINAX HoNOABAyTOTCA ‘LAA peceabsy, a8 OGocTPEHHE ROCNDKATAR MOANOM MyINIKR, 1.10 cexcyansioh pactopMoxeniocra mt. mt. Tipesnouraetes to v3 cpenera, worepoe oGnemiaer Seraymuyio KoMMynianie. 3a npe Aenani cooek KONTANRH Hu amKOrORD, HN HUE TOXCHUeCKHE Be- ‘mecto4 ne yuvipeGamvren. Sram BuGopa npeanow#racKoro wewectaa aaRepmact ONCK Tlogpoctox OctauapanBaetcn Ha OSYOM H3 HeCKONLKHX BeMecTB H mpeanoxntaer ero. Ho sannemmoctn or npeanowitacMoro newiecTaa eme ner. Ha aaom stanc musansetes reaoHMCTHNecKa® yera- Nonka— senate nosymnrm. onpexesemmue mpRrrae omy Drau rpyunowok ueHAKIeCKUA sabUCHMOCTH MOAET GRID 20° Gapnex x npeabayutin sranam, oneanwem B. C. Bureuckan 1 coast. (1984). Ha 970M sTane MotpebHoctE B ynoTpeOICHRH atKo- TOAH HAH RHOTO TOKCHYECKOTO HeLCCTBA BOSiMKAeT MeMeLAeHHO, Kak TOAbKO cOOHpaeTea KomnaKu [CrporoHos 10, A. Kananaaze B. T., 1978]. 3a apenenama sro KOMNaMHH pacHeRHa eure He posuKaeT. HnatpHayanuiaad MCHXHsecKaa 3aBHCHMOCTD KaK ucpual apKonaK cue oreyrerayer, Maa upoGymacnin Bacre: 8ua TpebyioTen cruMyaw, sanycKaIOMMe yonosHopebaeKTopHUe MexanHoM, Bronol nyts (mowocy6crantine annurunune nomexenue) Hasnaw TaKKE eepBHYMEIM MOHOMApKOTKIMOMD (BHTeHeKuti B.C. W np, 1980} C camoro nayata 20 dopwiposaima sanncumoctn Nogpoctok IaoynoTpeGaAeT TOAbKO OAMAM nemecTnoM, aime BCero 2T0 OTHOCKTEN K aNKOTO.IO (HAMpAMeD, K CUMOFOHY B cenLcKOH MecrhocTa), B HeKOTOpHX perMoHax— Kk raliumly Haw OnMaTOM, H OWeHb pemKO—x apyrHM semectBam. Or nepBHx caysailiasx npo6 REDEXOAAT K STHSORRXECKOMY HoyMOTNeReHEIA TInereneuun dap. Mipyerca rpynnonaa MeHXMvecKaN zaBHcuMOcTs, B aanbuelhiucy apyrue enleersa UenoALsyIOTeR MOpEAKA KAK dastewtTcaN HoGpaH Horo Aaa sxoyHOTpeOseHUR cpeneTsa HAN mm youTeHAA ero Rel crann, ue) 6 NEPEXOW AJUMKTHBHOTO NOBEAEHHA B BOJIESHE Puck pasputaa axkoroauoma, napKomannh « TOKCHKOMANMH pM HAAHHKH aMAUKTHBKOTO MosegenHA, no Aauiuaw pastitix asTopor, He OnMMaKOS. B urHoMeNuH OMMaTOD Be aMuawa picxa yxaanBaercr ot 19 0 38% [Maddux J., Des- mond D., 1980], no anim D. Ladewig (1972)—42 %. Bro xe BDEMA HsBeCTHO, 470 95 S, ModOaNK aMepkKancKuY ROeKHaCay Ka. MX, BoeHasLiMx 30 ByetHame Tam anoynoTpeGARBLIMK epKo- TUKAMA, BepyPUINCE ROMO w CLA, Gpocuatt snoynorpeéuchne wun, Tomxo 5% epasy oGuapyauam ce6n saxnaumn HapKoma- aM, @ cme 16 % epuyance x MapKOTMayun B AaJtbHeAUleM. Puck sasneut oT pata dakropoa, & TOM 4HcAe oF TOTO, KaxitM RemecTnom wayiNaiot suoynorpebanrs. Buyrpupenioe npeaeuHe HAPKOTHKOB SHANUTEMDHO NOANIUAeT puck Ho epeau moapocrKon, CKAOHHEA K BHOMBKAM, Hepes 10 ver awe y 12% OwA auario! etuponae xpommectut anzoronnom (Tonon 10. D., 1988} Makropy, chocosctaywmne wan npenater- byomme “nepcxoay aaauxtusHoro nopeneHHR B Goaesh, MOMHO pasnesHTd Ha comnanuiwe, nexomorHue- cKue W OHOAOrHYecKHe. K counanbism gaxropaw orniecstea jactynmocrs nemectna Aa nompoctka, Ma Hero, cTeneHb rpoamuel orpercrsen- Hoon, RAMAHNe rpynne cpepetitMKon, x KoTopom npunaaaemNT ogpoctox. K MeHAoMOrRYECKHM dbaxTopam MO:KHO OTHECTH THN axueHTYa- UHH xapaxtepa noxpoctka (0 YeM moApoBHee ckasaHO Bra. 3), RDHDACKATeAbHOCTS —BOSMNKAOMHX oMlyuLeHHA K nepexHBanAE, BupaGoTKa renoHCrauecKal yorawonKn, ETPAX MpHUANATE peat. heii (B Taa3ax camoro noupoctKs) BpeR caMomy ce6e, » waCT- FocTe enoemy 2gopontic. Bakinoe muaschne apnmacren “orcyici~ 6 bilo CONMANLHNX HHTepecoBy H ecTPEMTEHMIO x caMoyTRepxae- unio» Burencxwi B.C. x ap., 1989), Cpean 6 Hee HIHAYaAbHOH TomepanTHocTA (NanpAMCD, AHAWAKAYANLHAR HeuepenucHmucr als, mavOUPOT, BNCOKAR YCrORUMBOCTE).-K_ HAM TaKKe OTHOCHTCH OTAFOMCHKAA ATKOTORNAMOM HucaeacTHENHOCTH (msitetao 4 aakoronus posmTesek ao poraciua pecHKa), pesH- AYasbHOe Oprannieckoe nopaxKeHKe roxoRK Mo3ra, xXpolNue- ckne Goneary neve © KapywieMeM ee aeToKeRUKDyIOMe pyHK- na, H of wiccRRA Gans oma Toro BemectBa, KoTOpHiK sslOynOTpeCAIO bp NOSINCIL® BR I CTADMS ROAFSHM (AKOPOAMEMA, HAPKOMANHH, TOKCHKOMAHHH) Pasnitue anxoroawama, wapxomanni toxenKomaitll mpi: arto puageann, ua 3 erann. Tpaavuel emay iiwn yeqoun Tlostomy muoraa npaSeraior K oGossiavennam apone nan eaaxoroaase TIL eranne I craaxs anaieres nrorom wuoromeriero TevesitA Goutese. B woApoctxopom Bospacte ce pagaHTne He ycuenacT nocTH TIT cram. Hannanayasonan ncwxeckan sanncemocts mansetes oeuoouum mpronaxen I cragun [nano A E., 1985}, B oransie of rpyimouok ncwxwueckos sanncHwocTH, ceoflerBeHHoR aaaMAInMHUMY ubedeHO ELI B NPEACOACANCHHOM NepHO.Te, RE AHBULYAAbWaR SABHCHMOCTH XEPAKTCPHSYCTCA PRaOM OCOGeENHOCTeH. Sapucnwocrs, no onpesenennio BO3 (Drug dependence. 1966}, npeacranaaer cook «coctoanue repHoawucexot nas xpoNa SecKo HNTOKeHKaMHE, BHAURACMOe MONTOPHAM ynOTpeHAeHAeN ecrecmmesior® aM ciirerimeexora aeutecTuar. Sasacmeucty UCaN aaeTea CAeAyOMMMA XapakrepRCTHKaMH: 1) ORageBalOUkAM KeNa- SEM ais MeyaUaKMEM —BALCOHACM (KONMYAGCHEA) MpoAoArKaTs yHorpe6tenMe AanHorO BellccTaa, TO6UBAR ero JHOGLMM NYTAMH 2) ‘TenxeHutel yocanwaaty nosy, o6wapymHHam pocr TomepaNT- soctu; 3) nosHMKHORENHeA °pmpekra (xanpamep, sibopau}, Kovopui aoctHraerca ToabKO ¢ ysemae HMeM 103. TipyroW run nomnmtexus ronepanrHocra mporannerca He yne- JNNeHHEM pa30BHX JOSHPOROK, a HEOBXOAHMOCTHIO BBOAUTE Rak hoe Bewiectso nce Gombe MACAO pasa TeNeNHE cYTOK (T. & BOS pacTaer cyTOWHaR Osa, Kak 9TO, KANpAMep, HAGmiogaeTcs pH ANQeTAMHHODOR BapKOMAHI) Pocr Toepantocti K aakoroato B nonpoeTKOnOM Bospacte He- OOxORUNO OmEHMRATE ¢ yHeTOM cbuaHUECKOrO pasRETHs, oCOGeHHO 6 pa ero axuesepanun, Eoin nepoue onpatinioue noau asixorons Guan renpoGonane 5 12-13 set, a x 14-15 ronam scnenctaHe ARUEIEpAUAA NUAPUCIUK IpeBpatnaen BO BSpUCALID My RAAHY, pupoe ua 15—30 cm, mpHOanat # macce tera wa 10—16 xr, 70 heyauaHTeabio, To! TOAepAHTHOCTe K AAKOTONO Mora BO3- pact n 2—3 pasa Gea neakolt sasucumocrH oT Hero, Coraacno R. Lingeman (1974), paaanunwe HapkotHKH o6.ra- AST weomMMaKoBO cmocobuocTsio nowEIlATD TOaepaNrKocTe: cprdeomea Pasnumue mosaponancena Mopgunnve mpenapanz —_Buctpoe # RoctHTAlotiee BuCOKO crenenH — nepe- Docume 708k Moryt 3HaHTeaHo MpeRUEIATS aerathe Hie na erakriink AWAMBAY yMOE Mapaxyana Bospactaer weanavarea>so Foumue Toate npw oten utemeiom saoynorpeSacnmt Axiberaninta Mocraraet suauwrenuiod Crencum, uo oTmunaeren Ho Supeteninoctiin — ona no xneaeren aperHepHen 20%- OyauMocrH W GeccoMMMUs, Ho AX TORBACKHA SRGOPAH NegGXoNIND Yreauvenwe 10344 Tanaounnorews Heoautexona pk pagnux cpeneraax — x LSD no- aumacten yxxe c TpeTaero MpHweHeMuR, x NeHAoGHER NY paspuogeron over Ouerpo, K MEKCAAMHY He B03- WuKnet concew Konaux ‘Oreyrerayer Tonepanrnocts: MoxeT ospactat» apeMeNHo Oa BaKSHHEM BHEWHHX dakTopos. Hanpumep, BEAeHHE HaAOKCaHa Moker Bpe- MeHHO nopLCcHTTD ToApaNTHOCTS KO Bee MpenapaTam OnHA, MPHEM aMHuagnna Waa TanonepHmona — KO Beem raqmonKWoreHaM. Fla- o60p07, HaBMOAACMoe MoeNe NepeHeceHHOH ABeTHITOHUHH pesKoe CHHOKeHWE TOACPAHTHOCTH K OMMaTaM BOBCE He cBHUeTeAHCTByET © UpeKpawennit Gosaesiit — IICHAMMECKAN SaBHCHMOLTS MUMET MUA MoCTEO cOxpaHHTECH. Conkeabuan aesanantanun TaKke HNOra mpuso- AWTCH B KAYECTBE OAHOO HS MpHSHAKOB, WepERKo conponoxnac- Mux sanueMMocTs y Bapoeawx. Ho y MoapocTkoR conwabHam 1e3- aganrayus MOKeT npospuTecs eule RO dopMupovaxnn 2anncH- MocTH H fame HO Havada AAAHKTHBHOTO HOREAEHMA H NOCAYRUT Oana 43 sbaxtopos, emy CHucoGcTay;omitx. C apytom cropons, ApH onWHaMe H Tauraillasme y NOApOCTKOB couMaNEhaR Resazanra- ul HepBoHavaabio MOXKeT Re MpompaRToeR MpH yxke ehopunpo- paneer Hapxomanait. Tloapocrkn ete mposomKawr yxeby, YMe10 CKPHBalOT AesAMHKBeHTHNe HOCTYNKH. Y HeKOTOpHX M3 HHX, Soaumed actus npH HaNKHH axueTYSMI uusOHAHOTO THTa, achcrsie WeKOTOpHx AYDMAHAWHx BEMECTE MOET BREE waAO ckasuBaTeCH Hu MOMEAEHN, OMDRMENHE UCTUETER MesAMEWEHHAM AAA OxpyrKaloulix. TaKux nogpocrkos 8 CLA HasHBaioT exonoZ- ‘sum romopamne (cold head). »ICTARMS BOAESH OcHOBHAIM MpHSHAKOM Ti CTAaHN aoKUrUARSMA, HapKUManni nm TOKeHKOMAHHA CHHTACTCR paOBHTME susHUECKOH sanueRMocTH H cbasannioro ¢ Meh BMpAXCHHOTO aGCTHHEHTHOrO CHKApOMA TPH epepwRe pery.tnpHoro snoynorpeGrenis. OanaKo ovesiaan ¢bu- awuecKaN 34RNCHMOCTL BOTPeYAETCR TOALKO MPH aAKOTOAUSMe, OMH- NOME H HapKOMaIMA, BUODANHEX HeKOTOPEMH eTHNyARTOPAMH B3aoynorpeG.icine apyrkme cpeucruaMey, Aarxe BKMOTEHHAME B cmH” COK HAPKOTHKOS, HO BMSMBET DASHUECKOH JasMCMMUCTH: KM Oruocetem Napixvana (rauneut) KOKEHH, B oTwouenan MTaaTHTOR BOAMOKHOCTS DRSHYECKOR saBNCHMO- orm gcraeten kecHon Tipu oreyrerowe usnueckoh sauncHmoctH OcHORMNM mMpHaka- kom TI crag cranopnten Kapriia xpomiticckolt nuToKenkaunn. Alawrexsnoe w HiTeHeHBHOe sacynoTpebAeHNe TOKCHECKHMH neue” CTRaMi, AaKC cM He CONPOBOKAAeTCR MpHsKaKamK DHsHIECKOR SOBNCHMOCTH, OBKMHO MPHBOANT K THDKEABM NCHXHNECKHM H DH3H- eck pacerpoiicrsam, Ousnuecxoh saancumocrhw Kaawna¥oT _cocTosHe. orga Remtecta0, KOTOPHM 3oynOTpeGaAsaH, CrawORATER MOCTORRHO HeOOXOWIMEM dag MOAREP EMH NOPMA.TLOTS GYHRIWORPODNA opraiuama. Tlepepuia 8 ynotpe6zemna BusHsaeT supameHHyO AOCTHHENKIO— OOTeIHERHOe COCTORHHE, HpoMMAMOUeEcH xapaKe TODHLIME TICHXRNCCKHMH, HeBpOOTHYCCKHMK K COMATHUECKANIE pacetpoficrsax, Vipwavaxd RupaxcHHoh xpouneckoh HNTOK- CHKANMA HeOAMHaKONM MPH PAdHNX BHMAX HAPKOMBHNE H TOK ennomard Xpounueckas wsTOKcHKauHy ANTaAAKTaMA ApOABAReTCR ncH- XOOPTANHUCCKHM CHHADOMON C MapyWNEHHRMK TaMHTH, OCUGEHHO KpaTKOupeMeHHOR, ocnabzexxem chocobuoctH KOHNeHTpApOBATS BHAMAHHE, YxyRINCHHeM cOOSpaanTeAbHOCTH H MeBponorHecKH MIL We COMATHUECKHM HAPYLIEHMNMK, MpCyMUMH KApTANE TOKEKYC. exot anuehanoneraH, Tau nprvoant x ofwemy neromento 1 mocroanuoit ana- Tha, OmHBEHXe MOKHO HaOsOLaTS TOADKO MPH pasCosopax © rauniwe HAN Np HeobxoAMMOCTH eo paaROOWIT. Y moapocTKos MyMcKOrO Noda BLICTYNaeT DeMMMNSaNA BHELIHOCTH. TlonpoGubie npxskakH xpoHHYecKoi HHTOKCHKaWHA npHBoAATCA Aasiee m cooTaeTeTRyOMUNX CARAX AGetunentH mi cunapom (abstinence— noeaoBHo oaHa- yact anuenRe Kaxoro-aH6o yaoBonscTBAT) MPKUATO HenocpeAeT- ReHHO CBASHBATD C QNSKYECKOR saBNCKMOCTHIO. OxHaKO y Noa pocrxos Weaecooopasio pasanvats aMpaxeHittah adcTANENTIBL CHHAPOM, neli¢TeNTeaLHO ¢ Heli cBASAKUBH, H cTepTI abeTHNeHT- wal cHHMpow, Korma nepepHB B sa0ynOTpEGACHRH KaKUM-AM6O Be- » luectoom mponexonnr ira oHe TOMKO MeHxRNEcKOH saBHeHMocTH or nero, wut aSernuewrow® cuwapom aKmn. NaeT Ke TOBKO TeHXMYECKIe, Ho H Henpoaoraeckite, H CoMaTHYE- CRHe Hapyuicany. E10 hapinia acto cocTOHT Ha cURLRTOMOD, ABAROILUNGH Kak Gli AHTHROAAMM TeX, HTO TOARIOTER BO BpeMs ToxeHuecKOrO ONbAHeWA, BMecto siGopHH HacTymaioT Tpesora 4 Tenpecen#, BMCCTO YCHACHHA aKTHBHOCTR— aNaTHA HK GesAeATeNb- HocTS, BMecTO penakcallnn —GccnoKoAcTBO K Geccommuna, BmecTO ‘AGcrancHTuui cxuapom y moapocrxos user rome oco- GenHocTH, esulcrscmine mMenKO aasmomy sospaery [Paxaat exit 10. E., 1963; Jimuxo A. E., 1985; Burenckwi B.C. a ap, 1989]. OSsreHo peaKo GuRAeT abipaKeHo NcHXOMaTONOALHVE TO Beaeiive, HanOMAMaiomee geKoxcucauNo MPH IMNAeNTORAKOR w wcreponAHO® ncwxonaTHAX. JIpyrok ocoBemocTaIo sBaneTtA He- PeaKan exnoutioen anceumyruponaT. adcrunennuin Cxpnnan er, BETeTATHBMSe HApYUIeHRA, KOTOPHE HeDOSMORHO yrauTb, OOBC- HoT KaKMM-HNG Yas — CoMaLHNecKHm —sa6onevarmnem | («npO cryaoh>) B nOxpocTkosoM BospacTe OuAZIOT OCODeHHO BMpaaeHKNMH nocraGcTiHeHTHNe COCTOMHHA B BAC BUpARenHOR acrestHH, KOTO- pan MOXeT CONPOBOANATHCR craCOLyWKEM, CKONHOCTHIO K pac- kanmiio (Apemelxomy), RWoraa Hectoticamd KneAMK rAMNngnE wens. Couficrentan uompocikam nereraTnsan aaGaatiioers HepenKo nponBaneter oNPAXCHHUMH KONeOANKAMM apTepHaAbnorO AaBTe- Hua, KomayacueHoe aacxenne (compulsion — npawyxae- Hue) OTuMUdeTee HEOZOTHMOCTHN, HEBOIMOAUOCTEIO ero TOMABATD, Taxoe naciemie o6unio canaweaor c dpuanueckod zanvemMorTeio Tipu anxoroausme i npH onunaMe 570 BHoaHe onpagaauwo. 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