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| More on Defining Alcoholism |
| Columns - On the Web | |
| Written by Stuart Gitlow, MD | |
| Friday, 05 October 2007 | |
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For several months, this column focused on the difficulties experienced
at Wikipedia with respect to the public entry there on alcoholism. I
spoke of the debates among participants and contributors to Wikipedia
regarding not only content of the entry but even the basics of
definition. A good deal of bandwidth was taken with discussion as to
what the very first line of the entry would be. How can one easily
reduce “alcoholism” to a single sentence that comfortably fits into the
paradigm for physicians, sociologists, clinicians, and the lay-public?
The National Institute on Alcohol Abuse and Alcoholism (NIAAA) presents its perspective on alcoholism on a website targeting college drinking as a culture that needs to be altered. The site includes an FAQ at: http://www.collegedrinkingprevention.gov/OtherAlcoholInformation/facts/q-a.aspx#question1 There, NIAAA has defined alcoholism as a disease that includes four symptoms: craving, loss of control, physical dependence and tolerance. This is an unfortunate opening of the FAQ, since alcoholics do not necessarily have any of these four symptoms. Let me give two examples: Want to read the entire article? Don't miss out...Subscribe now to Counselor Magazine—or buy the single issue! It's easy. Just follow the links below:
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