Zusammenfassung
Hintergrund Obwohl empirische Untersuchungen positive Effekte von Disulfiram auch in gerichtlich
angeordneten Behandlungen belegen, wird es im deutschen Maßregelvollzug kaum verordnet.
Methode Anhand zweier Kasuistiken wird der Einsatz von Disulfiram als Bestandteil der psychiatrischen
Behandlung im Maßregelvollzug illustriert. Ergebnisse Disulfiram kann bei Maßregelpatienten mit hohem Alkoholrückfallrisiko aufgrund unzureichender
Impulskontrolle Abstinenz sichern. Diskussion Verordnung von Disulfiram ist als Adjuvanz zur Rückfallprophylaxe bei Hochrisikopatienten
des Maßregelvollzugs zu erwägen.
Abstract
Background Research studies and clinical experience provided us with valuable information about
the efficacy of disulfiram. Although supervised disulfiram treatment has been shown
to improve outcome in court-referred patients too it is obviously rarely used in German
forensic hospitals. Method Two cases illustrated the application of disulfiram to constitute an adjunct to treatment
of forensic inpatients. Results Disulfiram can be used as an adjunct for maintenance of abstinence when the relapse
risk is due to insufficient impulse control. Discussion The decision to use disulfiram to assure sobriety for high risk groups, e. g. criminal
offenders is discussed.
Schlüsselwörter
Disulfiram - Maßregelvollzug - Alkohol - Pharmakotherapie
Key words
disulfiram - alcoholism - relaps prevention - mental ill offenders
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Dr. med. Georg Stolpmann
Universitätsklinik für Psychiatrie und Psychotherapie Göttingen, Abteilung Forensische
Psychiatrie und Psychotherapie
Rosdorfer Weg 70
37073 Göttingen
eMail: georg.stolpmann@nlkh-goettingen.niedersachsen.de
