Effects And Treatment Of Alcoholism

The understanding of alcoholism, and hence its definition, continues to change. Many terms, often with hazy differences in meaning, have been used to describe different stages and manifestations of the disease. In 1992 the National Council on Alcoholism and Drug Dependence and the American Society of Addiction Medicine published a definition reflecting the current understanding of the disease: “Alcoholism is a primary, chronic disease with genetic, psychosocial, and environmental factors influencing its development and manifestations. The disease is often progressive and fatal. It is characterized by impaired control over drinking, preoccupation with the drug alcohol, use of alcohol despite adverse consequences, and distortions in thinking, most notably denial. Each of these symptoms may be continuous or periodic.” This definition recognizes alcoholism as a disease, i.e., as an involuntary disability. It accepts a genetic vulnerability in some people and identifies the phenomenon of denial as both a psychological defense mechanism and a physiological outcome of alcohol’s effect on the memory.

Although anyone can become intoxicated while drinking, the alcoholic is less likely to recognize the signs and control his or her intake. Intoxication is produced by alcohol as it circulates in the blood and acts to depress the central nervous system. Alcohol can pass directly into the bloodstream. The absorption rate depends principally on the concentration of the drug in the stomach and small intestine. This concentration is limited by the presence of alcohol dehydrogenase. Because women normally carry less alcohol dehydrogenase in their intestines, they usually consume less alcohol than men before showing its effects.

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