By Benjamin Kissin MD, Meredith Hanson MSW (auth.), Joel Solomon MD (eds.)
It is celebrated that alcoholism remains to be one in every of this country's significant public illnesses. This factor is thoroughly documented by way of Dr. Gerald Klerman, leader of ADAMHA, within the moment bankruptcy ofthis quantity. inspite of the most important position that alcohol performs within the wellbeing and fitness care problems with inner drugs, neurology, and psychiatry, the topic keeps to fall among the cracks of many of the disciplines. as a result, it has develop into virtually a self-discipline of its personal; but there are not any educational departments of alcoholism simply because educational departments are unidisciplinary and alcoholism is obviously a multidisciplinary box inside medication. inspite of the numerous disciplines all in favour of the examine and therapy of alcoholism, psychiatry keeps to have a unique, albeit usually missed, courting to alcoholism, and it's the articulation ofthat courting which brought on the dep. of Psychiatry on the Downstate scientific heart to prepare the convention upon which many chapters during this quantity are dependent. specific emphasis in settling on the themes to be lined used to be put on the interface among alcoholism and medical psychiatry, together with affective problems, schizophrenia, suicide, early life, the targeted difficulties of girls, and psychotherapy, to say just some of them.
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Extra info for Alcoholism and Clinical Psychiatry
Schizophr Bull 7: 125-134, 1981. Durkheim E: Suicide. London, Routledge and Kegan Paul, republished in 1952. Maciver RM: The Ramparts We Guard. New York, Macmillan, 1950. Westermeyer J, Bush J, Wintrob R: A review of the relationship between dysphoria, pleasure, and human bonding. Dis Nerv Syst 39:415-424, 1978. lnt J Addictions 13:443-459, 1978. Nathan PE, Lipson AG, Vettraino AP, et a/: The social ecology of an urban clinic for alcoholism: Racial differences in treatment entry and outcome. Int J Addictions 3:55-63, 1968.
Interventions focusing on these three factors need not be in conflict. In fact, they often overlap or complement work directed at the others. ~ ENVI RONMENT (COMMUNITY) Fig 2. Alcohol-related problems: Interactions. 26 Gerald L. Klerman Host. One of the prionhes in prevention dealing with the host is identifying high-risk groups such as women and youth. There is evidence of an increase in alcohol consumption among these two groups. Among women there is concern about the harmful consequences of the fetal alcohol syndrome and about the fact that the stigma of alcoholism may keep women from entering the treatment systems as readily as they should.
These include responsibilities to the A Cross-cultural Perspective 39 group, care of children and sick, respect for others and their personal belongings, participation in certain social or religious rituals, and adherence to cultural norms. Increasing time spent in an intoxicated state and increasing economic resources devoted to alcohol (and to alcohol-related problems) conflict with these values and attitudes by reducing the time and resources available for culturally sanctioned activities. Over time, the alcoholic person begins to place higher priority on the alcohol experience than on commitment to family or group.
Alcoholism and Clinical Psychiatry by Benjamin Kissin MD, Meredith Hanson MSW (auth.), Joel Solomon MD (eds.)