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CONTENTS




                     Chapter 6. Concurrent Disorders                               169
                        Introduction                                               169
                        Hypotheses that may explain the observed comorbidity       170
                        Schizophrenia                                              171
                           Tobacco smoking and schizophrenia                       171
                           Psychostimulant (cocaine and amphetamine) dependence and
                              schizophrenia                                        174
                           Alcohol use and schizophrenia                           176
                           Neurobiological interactions between schizophrenia and the effects
                              of psychoactive substances                           176
                        Depression                                                 180
                           Tobacco smoking and depression                          181
                           Psychostimulant dependence and depression               182
                           Alcohol use and depression                              183
                           Neurobiological interactions between depression and the effects
                              of psychoactive substances                           184
                        Discussion and conclusions                                 188

                     Chapter 7. Ethical Issues in Neuroscience Research on Substance
                        Dependence Treatment and Prevention                        209
                        Introduction                                               209
                        Types of research on neuroscience of substance dependence  209
                           Animal experiments                                      209
                           Epidemiological research on substance dependence        209
                           Experimental studies in humans                          210
                           Clinical trials of pharmacotherapy for substance dependence  210
                           Trials of pharmacotherapies to prevent substance dependence  211
                        Approach to ethical analysis                               211
                           Principles of biomedical ethics                         216
                           Human rights                                            217
                        Ethics of animal experimentation in neuroscience research  218
                        Ethical principles in human biomedical research            219
                           Independent ethical review of risks and benefits        219
                           Informed consent                                        220
                           Recruitment of subjects                                 220
                           Privacy and confidentiality                             221
                        Emerging ethical issues in neuroscience research           222
                           Research on vulnerable persons                          222
                           Are substance dependent people vulnerable persons?      223
                           Provocation studies                                     223
                        Ethical issues in epidemiological research on substance dependence  224
                        Ethical issues in clinical trials of pharmacological treatments
                           for substance dependence                                225
                           Trial design                                            225


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          Pagetit                  7                               19.1.2004, 12:36
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