By Benjamin Kissin MD, Meredith Hanson MSW (auth.), Joel Solomon MD (eds.)
It is widely known that alcoholism remains to be considered one of this country's significant public illnesses. This factor is punctiliously documented by way of Dr. Gerald Klerman, leader of ADAMHA, within the moment bankruptcy ofthis quantity. even with the most important position that alcohol performs within the future health care problems with inner drugs, neurology, and psychiatry, the topic keeps to fall among the cracks of a number of the disciplines. therefore, 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 of medication. even with the various disciplines serious about the learn and therapy of alcoholism, psychiatry maintains to have a different, albeit usually ignored, courting to alcoholism, and it's the articulation ofthat dating which caused 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 picking out the subjects to be coated was once put on the interface among alcoholism and medical psychiatry, together with affective issues, schizophrenia, suicide, early life, the certain difficulties of girls, and psychotherapy, to say just some of them.
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Am J Orthopsychiatry 42:398-403, 1972. Fallding H: The source and burden of civilization illustrated in the use of alcohol. Q J Stud Alcohol 25:714-724, 1964. Klausner SZ: Sacred and profane meanings of blood and alcohol. J Soc Psychol64:27-43, 1964. Goodwin DW, Crane JB, Guze SR: Alcoholic "blackouts": Review and clinical study of 100 alcoholics. Am J Psychiatry 126:191-198, 1969. Negrete JC: Cultural influences on social performance of alcoholics: A comparative study. Q J Stud Alcohol 34:905-916, 1973.
The economic costs of alcohol-related problems are manifested in two general ways. First, because problem drinking often makes people less effectively functional, society loses a part of the economic value of their normal production. Second, because certain goods and services such as health and social service resources and police and fire protection must be increased to cope with some of the consequences of alcohol abuse, the added costs are paid for by the general pUblic. A National Institute on Alcohol Abuse and Alcoholism (NIAAA) report estimated that in 1975 alcohol abuse and alcoholism cost the United States nearly $43 billion (Table I).
But through cooperation and collaboration we hope to reduce the individual health and social consequences of the many alcohol-related problems in our country today. Reference I. Healthy People: The Surgeon General's Report on Health Promotion and Disease Prevention, US Department of Health, Education, and Welfare, Public Health Service, 1979. CHAPTER 3 Alcoholism and Psychiatry A Cross-cultural Perspective JOSEPH WESTERMEYER, MD, PhD What is Culture? Culture, a complex and highly abstract concept, does not have the same direct basis in reality as does a rock, a cloud, or sound.
Alcoholism and Clinical Psychiatry by Benjamin Kissin MD, Meredith Hanson MSW (auth.), Joel Solomon MD (eds.)