The editors of this section wished to explore psychoanalytic approaches to addiction and substance abuse; though not sub-specializing in that domain, in our own practices, we found we were both treating several patients with opiate, alcohol, and marijuana dependence. As of 2014, one in four young adults aged 18–25 reported misuse of prescription or illicit substances, which include marijuana, stimulants, and heroin. The National Survey on Drug Use and Health (NSDUH) is a nationwide survey of 70,000 people aged 12 and older on tobacco, alcohol, and drug use and mental health in the United States. It has been conducted yearly since 1971. Results from the most recent survey, in 2019, give us cause for both hope and concern. Opiate use has diminished, now affecting about 2 million people. Marijuana was the most frequently used illicit substance, and its use is increasing; 17% of those over 12 years old had used it in the past year. In youth 12 to 25 years old, marijuana smoking is associated with depression and concurrent opioid and alcohol abuse.

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简介 - 成瘾：一个普遍存在的问题

本节的编辑希望探索对成瘾和药物滥用的精神分析方法；虽然不是该领域的子专业，但在我们自己的实践中，我们发现我们都在治疗几名患有阿片类药物、酒精和大麻依赖的患者。截至 2014 年，四分之一的 18-25 岁年轻人报告滥用处方药或非法物质，包括大麻、兴奋剂和海洛因。全国药物使用与健康调查 (NSDUH) 是一项针对美国 70,000 名 12 岁及以上人群的烟草、酒精、药物使用和心理健康状况的全国性调查。自 1971 年以来，它每年进行一次。2019 年的最新调查结果给我们带来了希望和担忧。阿片类药物的使用已经减少，现在影响了大约 200 万人。大麻是最常用的非法物质，并且它的使用正在增加；12 岁以上的人中有 17% 在过去一年中使用过它。在 12 至 25 岁的青年中，吸食大麻与抑郁症以及同时滥用阿片类药物和酒精有关。