The Natural History of Alcoholism Revisited

The Natural History of Alcoholism Revisited

Hardback

By (author) George E. Vaillant

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  • Publisher: HARVARD UNIVERSITY PRESS
  • Format: Hardback | 462 pages
  • Dimensions: 161mm x 235mm x 28mm | 600g
  • Publication date: 27 June 1995
  • Publication City/Country: Cambridge, Mass
  • ISBN 10: 067460377X
  • ISBN 13: 9780674603776
  • Edition: 2, Revised
  • Edition statement: 2nd Revised edition
  • Illustrations note: 14 line illustrations, 82 tables

Product description

This text, first published in 1983, examines the questions of whether alcoholism is a symptom or a disease, whether it is progressive, whether alcoholics differ from others before the onset of their alcoholism, and whether alcoholics can safely drink. Based on an evaluation of more than 600 individuals followed for over 40 years, Vaillant's original study offered new and authoritative answers to all of these questions. In this updated version Vaillant returns to the same subjects with the perspective gained from 15 years of further follow-up. Alcoholics who had been studied to age 50 in the earlier book have now reached age 65 and beyond, and Vaillant reassesses current knowledge of alcoholism in light of both their experiences and the many new studies of the disease by other researchers. The result is a sharper focus on the nature and course of this disorder as well as a sounder foundation for the assessment of various treatments. This book was awarded the biennial Jellinek Memorial Fund prize for the best research on alcohol abuse in the world.

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Review quote

"The Natural History of Alcoholism Revisited" is a revised and updated version of [what] was, and still is, regarded as a classic and certainly broke new ground during the 1980s...The new text provides an update based on developments over the past 15 years; and its importance again derives from the fact that almost all the alcohol abusers identified in the first version have been followed up for an additional 15 years to make 50 years in all. It goes without saying that 50-year follow-up studies are few and far between...Vaillant's 50-year follow-up now stands as a milestone within the addiction literature...It is required reading...The data are beautifully presented and described and the conclusions eminently reasonable. -- John B. Davies "Times Higher Educational Supplement"

Table of contents

The Problem; The Problem Revisited; The Seven Questions; The Questions Revisited. Part 1 What is Alcoholism?: Is Alcoholism a Unitary Disorder?, Empirical Evidence; The Etiology of Alcoholism - Cultural Factors, Genetic Factors, Genetic Factors Revisited, Childhood Environment, Personality and Premorbid Emotional Stability, Anxiety and Alcohol Abuse, Anxiety and Alcohol Abuse Revisited, Depression and Alcohol Abuse, Depression and Alcohol Abuse Revisited, Sociopathy and Alcohol Abuse Revisited, A Case Example, Other Etiological Factors, Conclusions; The Natural History of Alcoholism - Alcoholism in Women Revisited, Patterns of Alcohol Use among the Core City and College Men, Groups IV and V Revisited, Comparison of the College and Core City Samples to a U.S. Sample, Prevalence of Alcohol Abuse Revisited, Patterns of Alcohol Abuse and Mental Health, Patterns of Alcohol Abuse and Physical Health, Coronary Heart Disease Revisited, The Safe Limits of Alcohol Consumption, The Natural History of Treated and Untreated Alcoholism, The Natural History of Alcoholism Revisited, The Core City Sample, The Core City Sample Revisited, Is Alcoholism a "Progressive Disease"?, Table 3.9 Revisited, A Multifaceted Disease, Progression Revisited, The Problem of the Atypical Alcoholic, The Natural History of Treated Alcoholism, Alcoholism and Morbidity, Mortality Revisited, Hypertension and Alcohol Abuse, Prognosis, Habit Addiction, and Relapse. Part 2 Patterns of Recovery: Paths into Abstinence - Definition of Abstinence, 'Abstinence" Revisited, Etiology of Abstinence, Stable Abstinence Revisited, The Relationship of Alcoholics Anonymous to Abstinence, Alcoholics Anonymous Revisited, The Consequences of Abstinence, The Consequences of Abstinence Revisited; Return to Asymptomatic Drinking - Asymptomatic Drinking Revisited, Case Histories, Return to Controlled Drinking Revisited, Social Environment, Behavioural Training Revisited, Conclusion. Part 3 Methodology: The Sample - The College Sample, The Core City Sample, Comparison of the Two Samples; The Measures - Childhood Premorbid Variables, Midlife Outcome Variables, Attrition, Limitations. Part 4 Lessons for Treatment: The Doctor's Dilemma - The Clinic Sample as an Illustration of the Dilemma, Natural Healing Forces in Alcoholism, Resolution of the Dilemma, Alcoholism Treatment Revisited; Suggestions for Would-Be Helpers - Pharmacotherapy and Psychotherapy Revisited, Additional Guidelines; Summing Up - Alcoholism: Symptom or Disease?, Symptom or Disease Revisited, Is Alcoholism a Progressive Disease?, Are Alcoholics Premorbidly Different?, Is the Cure Worse Than the Disease?, Can "Real" Alcoholics Ever Safely Drink Again?, Abstinence versus Controlled Drinking Revisited, Which Clinic Treatments Help?, Clinic Treatment Revisted, Behavioural Approaches Revisited, Is Recovery through AA the Exception or the Rule?, A Final Reminder. Appendix: