The Natural History of Alcoholism Revisited

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Harvard University Press, 1995 - Medical - 446 pages
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When The Natural History of Alcoholism was first published in 1983, it was acclaimed in the press as the single most important contribution to the literature on alcoholism since the first edition of Alcoholic Anonymous's Big Book. George Vaillant took on the crucial 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 forty years, Vaillant's monumental study offered new and authoritative answers to all of these questions.

In this updated version of his classic book Vaillant returns to the same subjects with the perspective gained from fifteen 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 what we know about 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 devastating disorder as well as a sounder foundation for the assessment of various treatments.

 

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Contents

The Problem
1
The Questions Revisited
11
Is Alcoholism a Unitary Disorder?
17
Methodology
23
The Etiology of Alcoholism
46
Paths into Abstinence
231
Return to Asymptomatic Drinking
278
The Sample
307
The Measures 3 18
318
The Doctors Dilemma
347
Suggestions for WouldBe Helpers
362
A Summing Up
375
Measurement Scales
393
References
407
Index
439
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Page 407 - ANSTIE. — Stimulants and Narcotics, their Mutual Relations, With Special Researches on the Action of Alcohol, ^Ether, and Chloroform on the Vital Organism.

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About the author (1995)

He is a widely respected researcher, psychiatrist & professor at the Harvard Medical School. He is also the author of several books, including The Wisdom of the Ego, The Natural History of Alcoholism & Adaption to Life. He is considered one of the world's foremost authorities on aging.

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