The Etiology and Natural History of Alcoholism
JL, a middle-aged real estate broker, is brought to the emergency room for evaluation of possible internal injuries following a motor vehicle accident. He is under arrest for driving while intoxicated. Alternately belligerent and morose, he states that recent marital difficulties have “driven him to drink,” just like his father before him. Other than intoxication, physical examination is remarkable for an enlarged liver, with liver function tests compatible with alcoholic hepatitis. After telling Mr L that if he does not stop drinking he will die of liver disease, the emergency room physician walks away shaking her head about another hopeless alcoholic.
KeywordsHepatitis Depression Alco Plague
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- 1.Vaillant GE: The Natural History of Alcoholism: Causes, Patterns, and Paths to Recovery. Cambridge, Mass, Harvard Univ Press, 1983.Google Scholar
- 2.Kaij L: Studies on the Etiology and Sequels of Abuse of Alcohol, thesis. University of Lund, Sweden, 1960.Google Scholar
- 3.Partanen J, Bruun K, Markkanen T: Inheritance of Drinking Behavior: A Study on Intelligence, Personality, and Use of Alcohol in Adult Twins. Helsinki, Finland, Finnish Foundation for Alcohol Studies, 1966, pp 14–59.Google Scholar
- 8.Plant ML: Drinking Careers. London, Tabistock, 1979.Google Scholar
- 12.Tarter RE: Minimal brain dysfunction as an etiological predisposition to alcoholism, in Meyer RE, et al (eds): Evaluation of the Alcoholic: Implications for Research, Theory, and Treatment. NIAAA Monograph Series, 1981.Google Scholar
- 13.Johnson VE: I’ll Quit Tomorrow. New York; Harper and Row, 1975.Google Scholar
- 16.Bean MH: Denial and the psychological complications of alcoholism, in Bean MH, Zinberg NE (eds.): Dynamic Approaches to the Understanding and Treatment of Alcoholism. New York; Free Press, 1981, pp 55–96.Google Scholar
- 19.Polich JM, Armor DJ, Braiker HB,: The Course of Alcoholism: Four Years after Treatment. New York; John Wiley and Sons, 1981.Google Scholar
- 21.Armor DG, Pölich JM, Stambul HB,: Alcoholism and Treatment. New York; John Wiley and Sons, 1978.Google Scholar
- 22.Fifth Special Report to the US Congress on Alcohol and Health. Rockville, Md, DHHS Publication No (ADM)84–1291, 1983.Google Scholar
- 24.Emrick CD: A review of psychologically oriented treatment of alcoholism. II. The relative effectiveness of different treatment approaches and the effectiveness of treatment versus no treatment. J Stud Alcohol 1974;36:88–109.Google Scholar