Abstract
Most of our knowledge about the effects of alcohol on the CNS of humans has been derived from three basic experimental paradigms. In the first of these, the transient effects of alcohol ingestion are investigated by examining changes in information-processing ability during an episode of acute intoxication. In the second, less-commonly used paradigm, the immediate aftereffects of intoxication are determined by recording behavioral and electrophysiological changes during withdrawal from alcohol. In the third paradigm, the chronic sequelae of long-term alcohol use are assessed by examining neuropsychological and neuroradiological indices of brain damage in alcoholics who have been detoxified for several weeks. Each paradigm focuses on states that would appear to have very different biological properties (e.g., neuropsychological changes may be completely reversible in one, but not in another; evidence of cerebral atrophy may often be found in one, but not in another). Nevertheless, there are also many behavioral similarities between these states. For example, both the intoxicated college student and the detoxified chronic alcoholic use similar, inefficient strategies on verbal learning tasks and make similar types of errors.1 Perhaps because of those common features, many writers now assume that any time an individual’s score on a neuropsychological test is found to be correlated with some measure of alcohol use, that person must necesssarily have incurred measurable cerebral damage that is cumulative, most likely irreversible, and proportional to the total amount of alcohol consumed over his lifetime.
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References
Ryan C, Butters M: Cognitive deficits in alcoholics, in Kissin B, Begleiter H (eds): The Biology of Alcoholism, vol. 7. New York, Plenum Press, 1983, pp 485–538.
Wilkinson DA: Examination of alcoholics by computed tomographic (CT) scans: A critical review. Alcohol Clin Exp Res 6:31–45, 1982.
Parker ES, Noble E: Alcohol consumption and cognitive functioning in social drinkers. J Stud Alcohol 38:1224–1232, 1977.
Parker ES, Birnbaum I, Boyd R, et al: Neuropsychologic decrements as a function of alcohol intake in male students. Alcohol Clin Exp Res 4:330–334, 1980.
Parker DA, Parker ES, Brody JA, et al: Alcohol use and cognitive loss among employed men and women. Am J Publ Health 73:521–526, 1983.
MacVane J, Butters N, Montgomery K, et al: Cognitive functioning in men social drinkers: A replication study. J Stud Alcohol 43:81–95, 1982.
Parsons OA, Fabian MS: Comments on “Cognitive functioning in men social drinkers: A replication study.” J Stud Alcohol 43:178–182, 1982.
Bergman H, Axelsson G, Idestrom C-M, et al: Alcohol consumption, neuropsychological status and computer-tomographic findings in a random sample of men and women from the general population. Pharmacol Biochem Behav 18:501–505, 1983.
Hannon R, Day CL, Butler AM, et al: Alcohol consumption and cognitive functioning in college students. J Stud Alcohol 44: 283–298, 1983.
Ryback RS: The continuum and specificity of the effects of alcohol on memory: A review. Q J Stud Alcohol 32:995–1016, 1971.
Ryan C, Butters N: Further evidence for a continuum of impairment encompassing male alcoholic Korsakoff patients and chronic alcoholics. Alcohol Clin Exp Res 4:190–198, 1980.
Butters N, Cermak LS, Montgomery K, et al: Some comparisons of the memory and vis-uoperceptive deficits of chronic alcoholics and patients with Korsakoff’s disease. Alcohol Clin Exp Res 1:73–80, 1977.
Jones BM: Verbal and spatial intelligence in short-and long-term alcoholics. J Nerv Ment Dis 153:292–297, 1971.
Cala LA, Jose B, Mastaglia FL, et al: Brain atrophy and intellectual impairment in heavy drinkers: A clinical, psychometric and computerized tomography study. Aust NZ J Med 8:147–153, 1978.
Hill SY, Mikhael M: Computerized transaxial tomographic and neuropsychological evaluations in chronic alcoholics and heroin abusers. Am J Psychiatry 136:598–602, 1979.
Parker ES, Parker DA, Brody JA, et al: Cognitive patterns resembling premature aging in male social drinkers. Alcohol Clin Exp Res 6:46–52, 1982.
Botwinick J: Neuropsychology of aging, in Filskov SB, Boll RJ (eds): Handbook of Clinical Neuropsychology. New York, Wiley, 1981, pp 135–171.
Castelli WP, Gordon T, Hjortland MC, et al: Alcohol and blood lipids: The cooperative lipoprotein phenotyping study. Lancet 2:153–155, 1977.
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© 1985 Plenum Press, New York
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Hill, S.Y., Ryan, C. (1985). Brain Damage in Social Drinkers? Reasons for Caution. In: Galanter, M. (eds) Recent Developments in Alcoholism. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-7715-7_22
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DOI: https://doi.org/10.1007/978-1-4615-7715-7_22
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