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Alcoholism
Alcoholism, also known as alcohol use disorder (AUD), is a broad term for any drinking of alcohol that results in mental or physical health problems. The disorder was previously divided into two types: alcohol abuse and alcohol dependence. In a medical context, alcoholism is said to exist when two or more of the following conditions is present: a person drinks large amounts over a long time period, has difficulty cutting down, acquiring and drinking alcohol takes up a great deal of time, alcohol is strongly desired, usage results in not fulfilling responsibilities, usage results in social problems, usage results in health problems, usage results in risky situations, withdrawal occurs when stopping, and alcohol tolerance has occurred with use.
Disease theory of alcoholism
The modern disease theory of alcoholism states that problem drinking is sometimes caused by a disease of the brain, characterized by altered brain structure and function. The American Medical Association (AMA) declared that alcoholism was an illness in 1956. In 1991, the AMA further endorsed the dual classification of alcoholism by the International Classification of Diseases under both psychiatric and medical sections. Alcoholism is a chronic problem. However, if managed properly, damage to the brain can be stopped and to some extent reversed. In addition to problem drinking, the disease is characterized by symptoms including an impaired control over alcohol, compulsive thoughts about alcohol, and distorted thinking.
The Natural History of Alcoholism Revisited
The Natural History of Alcoholism Revisited (1995) is a book by psychiatrist George E. Vaillant that describes two multi-decade studies of the lives of 600 American males, non-alcoholics at the outset, focusing on their lifelong drinking behaviours. By following the men from youth to old age it was possible to chart their drinking patterns and what factors may have contributed to alcoholism. Another study followed 100 severe alcoholics from a clinic eight years after their detoxification. "The National Review" hailed the first edition (1983) as "a genuine revolution in the field of alcoholism research" and said that "Vaillant has combined clinical experience with an unprecedented amount of empirical data to produce what may ultimately come to be viewed as the single most important contribution to the literature of alcoholism since the first edition of AA's Big Book."
Alcoholism in family systems
Alcoholism in family systems refers to the conditions in families that enable alcoholism, and the effects of alcoholic behavior by one or more family members on the rest of the family. Mental health professionals are increasingly considering alcoholism and addiction as diseases that flourish in and are enabled by family systems. Family members react to the alcoholic with particular behavioral patterns. They may enable the addiction to continue by shielding the addict from the negative consequences of their actions. Such behaviors are referred to as codependence. In this way, the alcoholic is said to suffer from the disease of addiction, whereas the family members suffer from the disease of codependence.
Molecular and epigenetic mechanisms of alcoholism
Alcoholism is a chronic disease characterized by trouble controlling the consumption of alcohol, dependence (needing to consume more to achieve the same effects), and withdrawal upon rapid cessation of drinking. According to ARDI reports approximately 88,000 people had alcohol-related deaths in the United States between the years of 2006 and 2010. Furthermore, chronic alcohol use is consistently the third leading cause of death in the United States. In consequence, research has sought to determine the factors responsible for the development and persistence of alcoholism. From this research, several molecular and epigenetic mechanisms have been discovered.
Harry Tiebout
Harry M. Tiebout M.D. (2 January 1896 - 2 April 1966) was an American psychiatrist who promoted the Alcoholics Anonymous approach to the public, patients and fellow professionals. He served on the Board of Trustees of Alcoholics Anonymous from 1957–1966 and was president of the National Council on Alcoholism from 1951-1953. Harry Tiebout was raised in Brooklyn, New York. He earned his bachelor's degree at Wesleyan University in 1917, then went to Johns Hopkins University School of Medicine, where he also completed an internship with a specialization in psychiatry. The psychiatry service at Hopkins was led by Adolph Meyer, who had an eclectic approach in which Freudian theory was contributory but not dominant.
Richard R. Peabody
Richard Rogers Peabody (13 January 189226 April 1936) grew up as a member of the upper class in Boston, Massachusetts. He attended Groton, where his grandfather was headmaster, and later enrolled at Harvard as had many of his family before him. He married Polly Jacob, the daughter of another blue-blooded Boston family with whom he had two children. He served as a captain during World War I in the American Expeditionary Force. Upon returning from World War I he became an alcoholic. His lost his inheritance because of his drinking and his wife to an affair. After their divorce, he sought help through the Emmanuel Movement and later wrote a book, "The Common Sense of Drinking", in which he described a secularized treatment methodology.