Alcoholism and Clinical Psychiatry by Benjamin Kissin MD, Meredith Hanson MSW (auth.), Joel

By Benjamin Kissin MD, Meredith Hanson MSW (auth.), Joel Solomon MD (eds.)

It is celebrated that alcoholism is still one among this country's significant public illnesses. This factor is thoroughly documented via Dr. Gerald Klerman, leader of ADAMHA, within the moment bankruptcy ofthis quantity. despite the foremost function that alcohol performs within the healthiness care problems with inner drugs, neurology, and psychiatry, the topic maintains to fall among the cracks of a number of the disciplines. consequently, it has develop into nearly a self-discipline of its personal; but there aren't any educational departments of alcoholism simply because educational departments are unidisciplinary and alcoholism is obviously a multidisciplinary box inside of medication. regardless of the numerous disciplines all in favour of the learn and therapy of alcoholism, psychiatry keeps to have a distinct, albeit frequently missed, dating to alcoholism, and it's the articulation ofthat courting which caused the dep. of Psychiatry on the Downstate clinical heart to prepare the convention upon which many chapters during this quantity are dependent. specific emphasis in deciding on the subjects to be lined used to be put on the interface among alcoholism and medical psychiatry, together with affective problems, schizophrenia, suicide, youth, the specified difficulties of ladies, and psychotherapy, to say just some of them.

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Westermeyer J, Lang G: Ethnic differences in use of alcoholism facilities. Int J Addict 10:513-520, 1974. Paine HJ: Attitudes and patterns of alcohol use among Mexican Americans: Implications for service delivery. J Stud Alc 38:544-553, 1977. Hoffman H: County characteristics and admission to state hospital for treatment of alcoholism and psychiatric disorders. Psychol Rep 35:1275-1277, 1974. Mellsop GW: The effects of distance in determining hospital admission rates. Med J Australia 2:814-817,1969.

The Finnish findings dramatically illustrate the impact of fluctuations in the general consumption of alcohol on alcohol-related problems. Availability and Price We have determined that per capita consumption is related to health hazards on individual and aggregate levels. But what determines consumption? We do not know all the factors, but two of the important factors are availability and price. Regulations have been relaxed concerning hours of sales and types of establishments selling alcohol products, and some states have lowered the drinking age from 21 to 18 years of age.

CHAPTER 2 Prevention of Alcoholism GERALD L. KLERMAN, MD The Scope of the Problem For many years, alcoholism was viewed as a moral defect. The problem was seen in drunkenness and not in drinking, in alcoholism and not alcohol. The focus was firmly entrenched on the individual. In spite of new research on the alcoholic personality and the probability that genetics determines thresholds of alcohol tolerance, alcoholism can no longer be viewed only in terms of the individual. Unfortunately, there has been a great reluctance to look at the broader economic and social issues.

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