included in Chapter 11, etc.).dysfunction) are included in the chapters with which they share The American Psychiatric Association (APA, 2000) DefiSubstance Abuse ● ● The substance-related disorders are composed of two groups: the substance-use disorders (dependence and abuse) and the substance-induced disorders (intoxication and withdrawal). Other substance-induced disorders (delirium, dementia, am-nesia, psychosis, mood disorder, anxiety disorder, and sexual and Statistical Manual of Mental Disorders, Fourth Edition, Text symptomatology (e.g., substance-induced anxiety disorder is included in Chapter 8; substance-induced sexual dysfunction is BACKGROUND ASSESSMENT DATASUBSTANCE-USE DISORDERS ned Substance-Related DisordersC HAPTER Diagnostic^4
2506_Ch04_071-104.indd 71 2506 Ch 04 071 - 104 .indd related to substance use.Substance Dependence DefiRevision (DSM-IV-TR)“Dependence” is defiadaptive pattern of substance use manifested by recurrent and The need is so strong as to generate distress (either physical or psychological) if left unfulfisignifion substances is identifi 7 effects characteristic of a withdrawal syndrome when a drug is substance.” Symptoms include use of substances in physically harmful circumstances, impaired role performance (school, work, or home), repeated encounters with the legal system for substance-related conduct, and experiencing personal problems 1 ned cant adverse consequences related to repeated use of the ned as a compulsive or chronic requirement. defi ed by the appearance of unpleasant lled (Townsend, 2009). Dependence nes “substance abuse” as “a mal-^71 10/1/10 9:33:54 AM 10 / 1 / 10 9 : 33 : 54 AM
