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The use of suggestion techniques with adolescents in the treatment of glue sniffing and solvent abuse.

1 Various approaches to the treatment of adolescents who have developed long-term chronic dependency on the inhalation of solvent fumes are briefly outlined with regard to their effectiveness. 2 The importance of suggestion in the counselling relationship is emphasized as a feature which underlies the work of therapists from a wide range of systems of psychotherapy. 3 A method of treatment incorporating hypnosis is described and evaluated with reference to case reports. 4 The indications are that hypnotherapy has distinct advantages over other methods of treatment in the economy of time and effort needed to treat patients effectively in comparison with other methods; in reducing the observable and reported stress levels for patients undergoing treatment; and in improving the overall effectiveness of the therapy as measured by improvements in the patient's condition, e.g. severely reducing or ceasing the inhalation of solvent vapours.

Adolescent↗

Glue-sniffing and distal renal tubular acidosis: sticking to the facts.

An index case is presented to introduce the subject of the acid-base and electrolyte abnormalities resulting from toluene abuse. These include metabolic acidosis associated with a normal anion gap and excessive loss of sodium and potassium in the urine. The major question addressed is, what is the basis for the metabolic acidosis? Overproduction of hippuric acid resulting from the metabolism of toluene plays a more important role in the genesis of the metabolic acidosis than was previously believed. This conclusion is supported by the observation that the rate of excretion of ammonium was not low during metabolic acidosis in six of eight patients, suggesting that distal renal tubular acidosis was not an important acid-base abnormality in most cases where ammonium was measured. The excretion of hippurate in the urine unmatched by ammonium also mandates an enhanced rate of excretion of the cations, sodium and potassium. The loss of sodium causes extracellular fluid volume contraction and a fall in the glomerular filtration rate, which may transform the normal anion gap type of metabolic acidosis into one with a high anion gap (accumulation of hippurate and other anions). Continuing loss of potassium in the urine leads to hypokalemia. An understanding of the metabolism of toluene provides the basis for the unusual biochemical abnormalities seen with abuse of this solvent.

Acid-Base Equilibrium↗

Glue sniffing: a pilot study of the cognitive effects of long-term use.

A psychological test battery briefly assessing memory, intelligence, and attention was administered to 10 delinquent solvent inhalers and 10 matched controls. The solvent abuse group showed significant impairment in tests of memory, nonverbal intelligence, and attention and concentration. The implications for future research are discussed.

Adolescent↗

Glue sniffing.

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Adolescent↗

Glue sniffings.

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Humans↗

Glue sniffing.

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Child↗

Glue sniffing.

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Adolescent↗

Glue sniffing.

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Humans↗