SOME NOTES ON THE NEW PARADIGMATIC ENVIRONMENT OF “NATURAL REMISSION” STUDIES IN ALCOHOL RESEARCH

REFERENCES

• Drew L. R.H. Alcoholism as a Self-limiting Disease. Q. J. Stud. Alcohol 1968; 29: 956–967
   PubMedGoogle Scholar
• Including Knupfer [3], Smart [4], Roizen et al. [5], Fillmore et al. [6], and Saunders and Kershaw [7] among others – and adding to a small literature generated over the previous decade
   Google Scholar
• Knupfer G. Ex-problem drinkers. Life History Research in Psychopathology, M. Roff, L. Robins, H. Pollack. University of Minnesota Press, Minneapolis 1972; 2: 256–280
   Google Scholar
• Smart R. G. Spontaneous Recovery in Alcoholics: a Review and Analysis of the Available Research. Drug and Alcohol Dependence 1975/1976; 1: 277–285
   Web of Science ®Google Scholar
• Roizen R., Cahalan D., Shanks P. Spontaneous remission' among untreated problem drinkers. Longitudinal Research in Drug Use: Empirical Findings and Methodological Issues, D. Kandel. Hemisphere Press, Washington, DC 1978; 195–221
   Google Scholar
• Fillmore K. M., Bacon S. D., Hyman M. The 27-Year Longitudinal Panel Study of Drinking by Students in College, 1949–1976 1979, Final report to NIAAA (Contract Number ADM 281–76–0015),
   Google Scholar
• Saunders, Kershaw. 1974
   Google Scholar
• Armor D. J., Polich J. M., Stambul H. B. The Course of Alcoholism: Four Years after Treatment. Rand Corporation, Santa Monica 1976
   Google Scholar
• Bruun, et al. Alcohol Control Policies in Public Health Perspective. Finnish Foundation for Alcohol Studies, Helsinki 1975
   Google Scholar
• Cahalan D., Room R. Problem Drinking Among American Men. Rutgers Center of Alcohol Studies, Monograph No. 7. New Brunswick, NJ 1974
   Google Scholar
• Ledermann S. Alcool, Alcoolisme, Alcoolisation. Presses Universitaires de France, Paris 1956
   Google Scholar
• For the contemporary state of the Ledermann model discussion, see Miller and Agnew [13]
   Google Scholar
• Miller G. H., Agnew N. The Ledermann Model of Alcohol Consumption: Description, Implications and Assessment. Q. J. Stud. Alcohol 1974; 35: 877–898
   PubMedGoogle Scholar
• Edwards, et al., [46] represents the NPHA paradigm's most recent comprehensive and authoritative expression
   Google Scholar
• WHO Expert Committee on Problems Related to Alcohol and Consumption, Problems related to alcohol consumption. World Health Organization Technical Report Series, 650, 1980
   Google Scholar
• Beauchamp D. E. Beyond Alcoholism: Alcohol and Public Health Policy. Temple University Press, Philadelphia 1980
   Google Scholar
• Moore M., Gerstein D. Alcohol and Public Policy: Beyond the Shadow of Prohibition. National Academy Press, Washington, DC 1981
   Google Scholar
• Jellinek E. M. Phases of Alcohol Addiction. Q. J. Stud. Alcohol 1952; 13: 673–684
   PubMedGoogle Scholar
• Robinson D. The Alcohologist's Addiction: Some Implications of Having Lost Control over the Disease Concept of Alcoholism. Q. J. Stud. Alcohol 1972; 33: 1028–1042
   PubMedGoogle Scholar
• Skog O.-J., Duckert F. The development of Alcoholics' and Heavy Drinkers' Consumption: a Longitudinal Study. J. Stud. Alcohol 1993; 54: 178–188
   PubMed Web of Science ®Google Scholar
• Elsewhere in Skog's oeuvre [[22] p. 592, emphasis added] – and in the context of his discussion of the impact of wartime Paris' wine rationing on long-term “heavy drinkers”—can be found: “The control of the alcoholics' drinking was therefore not a voluntary, cognitive control but a strict environmental control.” This assertion may afford a more direct, if passing, glimpse of the relationship Skog perceives between changeability and voluntarism
   Google Scholar
• Skog O.-J. Implications of the distribution theory for drinking and alcoholism. Society, Culture, and Drinking Patterns Reexamined, D. J. Pittman, H. R. White, 1991; 576–597
   Google Scholar
• Seeley J. R. Death by Liver Cirrhosis and the Price of Beverage Alcohol. Can. Med. Assoc. J. 1960; 83: 1361–1366
   PubMedGoogle Scholar
• Skog O.-J. The Collectivity of Drinking Cultures: a Theory of the Distribution of Alcohol Consumption. Br. J. Addiction 1985; 80: 83–90
   PubMedGoogle Scholar
• Schachter S. Recidivism and Self-Cure of Smoking and Obesity. Am. Psychol. 1982; 37: 436–444
   PubMed Web of Science ®Google Scholar
• It may well appear odd to some readers for us to speak of the “problematization” of “alcohol problems.” Yet the concept of “alcohol problems,” as it derived originally from alcohol survey research, stopped short of the categorically problematized connotation it more often carries today. Lower-level positive alcohol-problems reports from survey respondents who reported “moderate” or “light drinking,” for example, were more often regarded by survey analysts as measurement error or byproducts of social frictions surrounding drinking in non-permissive normative environments. As Room [51] recently recalled, analysts viewed such positive problem reports with a measure of embarrassment
   Google Scholar
• Sobell L. C., Cunningham J. A., Sobell M. B. Recovery from Alcohol Problems with and without Treatment: Prevalence in Two Population Surveys. Am. J. Pub. Health 1996; 86: 966–972
   PubMed Web of Science ®Google Scholar
• Language in the U.S. National Institute on Alcohol Abuse and Alcoholism's most recent Alcohol and Health report to Congress [72] suggests the already-in-hand conventionalism of the change: “Growing evidence indicates that many people who experience alcohol problems can successfully stop or reduce their alcohol use without participating in formal treatment programs”
   Google Scholar
• Robins L. The Vietnam drug User Returns. Series A, No. 2, Special Action Office Monograph. May 1974
   Google Scholar
• Room R. Treatment-seeking populations and larger realities. Alcoholism Treatment in Transition, G. Edwards, M. Grant. Croom Helm, London 1980; 205–224
   Google Scholar
• Roizen R. How does the Nation's ‘alcohol problem’ change from era to Era? Stalking the Social logic of problem Definition transformations since repeal. Altering the American Consciousness: Essays on the History of Alcohol and Drug Use in the United States, 1800–1997, S. Traey, C. Acker. University of Massachusetts Press, Boston 0000, (originally presented at the conference on Historical Perspectives on Alcohol and Drug Use in American Society, 1800–1997 sponsored by the Francis Clark Wood Institute for the History of Medicine of the College of Physicians of Philadelphia, 9–11 May 1997)
   Google Scholar
• Wagner D. The New Temperance: The American Obsession with Sin and Vice. Westview Press, Boulder, CO 1997
   Google Scholar
• Sutton C. Swedish Alcohol Discourse: Construction of a Social Problem. Acta Universitatis Upsaliensis, Uppsala 1998
   Google Scholar
• Knupfer G. The epidemiology of Problem Drinking. Am. J. Pub. Health 1967; 57: 973–986
   Web of Science ®Google Scholar
• Room R. Sociological aspects of the disease concept of alcoholism. Research Advances in Alcohol and Drug Problems. Plenum Press, New York and London 1983; 47–91
   Google Scholar
• A bumper strip one of us spotted in north Idaho reads—“Wife and dog missing, reward for dog.”
   Google Scholar
• Roizen R. Drinking and Drinking Problems: Some Notes on the Ascription of Problems to Drinking. Epidemiology Section meeting, 21st International Institute on the Prevention and Treatment of Alcoholism, HelsinkiFinland, June, 1975
   Google Scholar
• Levine H. G. What is an Alcohol-related Problem? (Or, What are People Talking About When They Refer to Alcohol Problems?). J. Drug Iss 1984; 14: 45–60
   Web of Science ®Google Scholar
• Kreitman N. Alcohol Consumption and the Preventive Paradox. Br. J. Addiction 1986; 81: 353–363
   PubMedGoogle Scholar
• De Lint and Schmidt's [41] original introduction of the Ledermann model to an English speaking scientific readership pointed away from bi-directional changeability and relied instead on Ledermann's unidirectional “snowballing” image of alcohol use—which held, summarized de Lint and Schmidt, that “an individual gravitates toward increasing consumption as a result of social pressures and the pleasureable aspects of alcohol use.” (We thank Robin Room for pointing this out to us.)
   Google Scholar
• De Lint J., Schmidt W. The Distribution of Alcohol Consumption in Ontario. Q. J. Stud. Alcohol 1968; 29: 968–973
   PubMedGoogle Scholar
• Terris. 1967
   Google Scholar
• Jellinek E. M. Expert Committee on Mental Health, World Health Organization. Report of the first session of the Alcoholism Subcommittee. Annex 2: Jellinek estimation formula. WHO Tech. Rep. Ser.; No. 42, Geneva 1951
   Google Scholar
• Roizen, et al. 1998
   Google Scholar
• Popham R., Schmidt W., de Lint J. Government control measures to prevent hazardous drinking. Drinking: Alcohol in American Society–Issues and Current Research, J. A. Ewing, B. A. Rouse. Nelson-Hall, Chicago 1978; 239–266
   Google Scholar
• Edwards Griffith, et al. Alcohol Policy and the Public Good. Oxford University Press, Oxford 1994
   Google Scholar
• Midanik L. T., Tam T. W., Greenfield T. K., Caetano R. Risk Functions for Alcohol-related Problems in a 1988 US national sample. Addiction 1996; 91: 1427–1437
   PubMed Web of Science ®Google Scholar
• Lemmens P. H. When is a Social Problem Alcohol-related? [Comments on Midanik et al.'s ‘Risk functions for alcohol-related problems in a 1988 US national sample’]. Addiction 1996; 91: 1445–1447
   Web of Science ®Google Scholar
• Harford T. Risk Curves for Alcohol Problems [Comments on Midanik et al.'s ‘Risk functions for alcohol-related problems in a 1988 US national sample’]. Addiction 1996; 91: 1444–1445
   Web of Science ®Google Scholar
• Makela K. How to Describe the Domains of Drinking and Consequences [Comments on Midanik et al.'s ‘Risk functions for alcohol-related problems in a 1988 US national sample’]. Addiction 1996; 91: 1447–1449
   Google Scholar
• Room R. Drinking Patterns and Drinking Problems: From Specifying the Relationship to Advising the Public [Comments on Midanik et al.'s ‘Risk functions for alcohol-related problems in a 1988 US national sample’]. Addiction 1996; 91: 1441–1444
   Web of Science ®Google Scholar
• Resentment among early alcohol scientists toward the alcoholism paradigm commenced quite early in the paradigm's history and came to include even founding fathers of movement—including E.M. Jellinek [53], Selden Bacon [see Room, 1978, [54] p. 135] and Harry Tiebout. Tiebout—one of the early post-Repeal formulators and influential advocates of the alcoholism movement (as well as psychiatrist to Bill W. and Mrs. Marty Mann)—as early as 1955 publicly lamented the overselling of the disease concept's scientific credentials. “I cannot help but feel,” he wrote, “that the whole field of alcoholism is way out on a limb which any minute will crack and drop us all in a frightful mess. I sometimes tremble to think of how little we have to back up our [disease concept] claims” [(quoted by White [55]]
   Google Scholar
• Jellinek E. M. The Disease Concept of Alcoholism. Hillhouse Press, New Haven 1960
   Google Scholar
• Room R. Governing Images of Alcohol and Drug Problems: The Structure, Sourcems and Sequels of Conceptualizations of Intractable Problems. Ph.D. diss., Sociology, University of California, Berkeley 1978
   Google Scholar
• White W. L. Slaying the Dragon: The History of Addiction Treatment and Recovery in America. Chestnut Health Systems Publication, Bloomington, IL 1998
   Google Scholar
• Seeley J. R. Alcoholism is a Disease: Implications for Public Policy. Society Culture and Drinking Patterns, D. J. Pittman, C. R. Snyder. Southern Illinois University Press, Carbondale and Edwardsville 1962; 586–593
   Google Scholar
• Roizen R. The American Discovery of Alcoholism, 1933–1939. Ph.D. diss., Sociology, University of California, Berkeley 1991
   Google Scholar
• Roizen R. Paradigm Sidetracked: Explaining Early Resistance to the Alcoholism Paradigm at Yale's Laboratory of Applied Physiology, 1940–1944. Presented at the Alcohol & Temperance History Group's International Congress on the Social History of Alcohol, Huron College, London, OntarioCanada, May, 13–151993
   Google Scholar
• Room [60] noted approvingly in his commentary on the influencial WHO 1980 Expert Committee Report, that “the U.S. alcoholism movement itself is in the process of breaking its longstanding tacit alliance with beverage industry interests, and adopting a more ‘public health’ and ‘control’ oriented line on such issues as labelling of alcohol containers and control for alcohol advertisements.”
   Google Scholar
• Room R. A Farewell to Alcoholism? A Commentary on the WHO 1980 Expert Committee Report. Br. J. Addiction 1981; 76: 115–123
   PubMedGoogle Scholar
• Room's commentary [60] on the WHO 1980 Expert Committee Report notes: “Referring to Orford and Edwards ([62]) and other clinical trials and evidence on spontaneous remission, the Committee foresees ‘and increasing emphasis on quite simple forms of treatment, perhaps amounting to little more than firm advice to stop drinking or drink less.” Such assertions serve to connect the elaboration of the New public health paradigm with de-emphasis of more traditional alcoholism treatment
   Google Scholar
• Orford J., Edwards G. Alcoholism: A Comparison of Treatment and Advice, with a Study of the Influence of Marriage. Oxford University Press, Oxford 1977
   Google Scholar
• McLellan A. T., et al. Is treatment for substance dependence ‘Worth It?’: public health expectations, policy-based comparisons. Training About Alcohol and Substance Abuse for All Primary Care Physicians. Josiah Macy, Jr. Foundation, New York 1995
   Google Scholar
• Holder H. D. Can Individually Directed Interventions Reduce Population-level Alcohol-involved Problems? (editorial). Addiction 1997; 92: 5–7
   PubMed Web of Science ®Google Scholar
• Babor T. The social and public health significance of individually directed interventions. Alcohol and Public Policy: Evidence and Issues, H. Holder, G. Edwards. Oxford University Press, Oxford 1995; 164–189
   Google Scholar
• This factor has greater significance in the U.S.; where NIAAA's establishment in 1970 marked a watershed between non-governmental and governmental support for “alcohol science.” Elsewhere, of course, alcohol research establishments have had governmental support and public-interest orientations from their commencements
   Google Scholar
• Moore K. Organizing Integrity: American Science and the Creation of Public Interest Organizations, 1955–1973. Am. J. Sociol. 1996; 101: 1592–1627
   PubMed Web of Science ®Google Scholar
• Makela K. What can medicine properly take on?. Alcoholism Treatment in Transition, G. Edwards, M. Grant. Croom Helm, London 1980; 225–233
   Google Scholar
• “So-called public interest” might be a better choice of words, since the concept of the “public interest” opens up numerous and long-standing problematics
   Google Scholar
• Fingarette H. The Meaning of Criminal Insanity. University of California Press, Berkeley 1974
   Google Scholar
• Fingarette's [70] well crafted argument to the effect that psychiatric judgments regarding the insanity defense's involuntarist implication are inescapably metaphysical, political, and moral in character (rather than wholly medicoscientific) apply equally well to voluntarism/involuntarism judgments re alcohol problems
   Google Scholar
• NIAAA. Alcohol & Health, Ninth Special Report to Congress. NIAAA, NIH, Rockville, MD 1997
   Google Scholar