Rethinking the Alcohol Problem: A Natural Processes Model

1984 ◽  
Vol 14 (1) ◽  
pp. 31-43 ◽  
Author(s):  
Harold A. Mulford

A multivariate natural processes model for thinking about alcohol use and abuse is offered as an alternative to the traditional static-entity, single-cause way of thinking that historically generated a series of formal institutional attacks on different supposed causes of alcohol abuse, but which failed to solve the alcohol problem. The work seeks a model that better fits what is known about the alcohol problem, and one that leads to more effective informal constraints on alcohol abuse. Alcoholics are viewed as being at some stage of an alcoholic process, a rehabilitation process, a labeling process, a clinicalization process and a dissocialization process. This way of thinking challenges the traditional notion that alcoholics are all-of-a-kind entities and that there is a single cause, or even a single set of causes, that account for the drinking of all alcoholics, or that explains the drinking of the same person at different times. Rather, it directs us to consider the dynamics of the changing combinations of interacting social, psychological and physiological forces influencing a person's drinking behavior as he progresses in the several processes.

1979 ◽  
Vol 45 (3) ◽  
pp. 735-740 ◽  
Author(s):  
John W. Jones

This study examined 25 boys and 35 girls in an elementary school and found illicit alcohol use occurred in 1 out of 5. Moreover, the frequency of weekly alcohol consumption among both the students' families and friends, as observed by the student, reliably predicted alcohol consumption rates by male students but not females. The obtained pattern of results is discussed in terms of an observational learning model of youths' drinking behavior, and implications of the findings are given.


2020 ◽  
Author(s):  
Sarah A Griffin ◽  
Timothy J Trull

Objectives: Using Ecological Momentary Assessment methods (EMA) we aimed to investigate the influence of trait and state (momentary) impulsivity on alcohol use behaviors in daily life. Facets of the UPPS trait model of impulsivity (Whiteside and Lynam, 2001) have been found to differentially relate to alcohol-related outcomes and behaviors in cross-sectional and longitudinal studies. The present work expands on this by assessing UPPS facets in daily life and examining the contributions of trait and state impulsivity facets to daily life drinking behavior. Methods: 49 participants were prompted at least six times per day for 21 days. A total of 4,548 collected EMA reports were included in analyses. Multi-level models were computed predicting daily life alcohol use behaviors from state and trait impulsivity facets and relevant covariates. Results: Individual facets of momentary impulsivity differentially related to alcohol outcomes, such that (lack of) premeditation and, to a lesser extent, sensation seeking showed unique patterns of association with drinking and drinking quantity. Only trait levels of (lack of) premeditation were related to drinking behavior in daily life; no other trait UPPS scale significantly related to alcohol use. Conclusions: These results highlight state difficulties with premeditation as particularly relevant to drinking behavior in daily life. Our results also support the incremental validity of state impulsivity facets over trait level measures in relation to drinking behavior in daily life. These findings offer important insight into the phenomenology of daily-life alcohol use and highlight possible avenues for intervention and prevention efforts. Public Health Statement: Momentary fluctuations in premeditation predict alcohol use in daily life. Treatments targeting planning or forethought in relation to alcohol use may interrupt this process contributing to daily life drinking behaviors.


2020 ◽  
Vol 61 (4) ◽  
pp. 453-469
Author(s):  
Eric M. Vogelsang ◽  
Joseph T. Lariscy

Researchers and practitioners often extol the health benefits of social relationships and social participation for older adults. Yet they often ignore how these same bonds and activities may contribute to negative health behaviors. Using data from the Wisconsin Longitudinal Study (16,065 observations from 7,007 respondents), we examined how family characteristics, family history, and social participation predicted three measures of alcohol abuse between ages 53 and 71. Results indicate that, generally, greater social participation is associated with increased drinking days per month. We also found that religious participation and having ever lived with an alcoholic are each associated with reporting possible alcohol dependence but not with alcohol consumption itself. Lastly, we identified gendered associations between marital dissolution and drinking behavior. These findings contextualize the increasing rates of alcohol abuse among older adults by emphasizing the possible negative consequences of “linked lives” on health via relationship stress and group norms.


Author(s):  
Hai Minh Vu ◽  
Tung Thanh Tran ◽  
Giang Thu Vu ◽  
Cuong Tat Nguyen ◽  
Chau Minh Nguyen ◽  
...  

Traffic collisions have continuously been ranked amongst the top causes of deaths in Vietnam. In particular, drinking has been recognized as a major factor amplifying the likelihood of traffic collisions in various settings. This study aims to examine the relationship between alcohol use and traffic collisions in the current context of Vietnam. A cross-sectional study was conducted on 413 traffic collisions patients in six health facilities in the Thai Binh Province to investigate the level of alcohol consumption and identify factors influencing alcohol use among these patients. The Alcohol Use Disorders Identification Test-Consumption (AUDIT-C) scale was used to determine the problematic drinking behavior of the participants. The percentage of patients having problematic drinking was more than 30%. Being male, having a high household income, and working as farmer/worker were risk factors for alcohol abuse. People causing accidents and patients with a traumatic brain injury had a higher likelihood of drinking alcohol before the accidents. This study highlights the necessity of more stringent laws on reducing drink-driving in Vietnam. In addition, more interventions, especially those utilizing mass media like educational campaign of good behavior on social networks, are necessary to reduce alcohol consumption in targeted populations in order to decrease the prevalence and burden of road injuries.


1984 ◽  
Vol 20 (4) ◽  
pp. 657-667
Author(s):  
Mark Migotti

It is commonplace to observe that the history of thought reveals certain recurring patterns whose mode of expression changes according to context. It is equally apparent that to chart the salient characteristics of an influential way of thinking – to give concrete, clearly defined shape to the usually tangled fundamental impulses informing a cast of mind – is a complex, difficult task which calls for attention from (at least) the historian, the psychologist, the philosopher and, in the case of religious figures and movements, the theologian alike. With regard to the manner of thinking embodied in the theological doctrines of Martin Luther such a task is fraught with more than the usual number of pitfalls. In the first place, following recent Luther scholarship, we must be wary of assuming that the great Reformer held fast to a single set of theological opinions throughout his long career. We shall not, therefore, attempt to reach conclusions applicable to Luther's thought as a whole, but rather shall focus exclusively on a number of key early expositions of the Theologia Crucis. Here, between about 1514 and 1520, we find, according to our argument, enough thematic unity to warrant the search for underlying principles. A second, less easily disposed of difficulty is the lack of a working consensus as to how and with what aims in mind one should even begin an historical analysis of Luther's texts. For example, to the believer who regards Luther's basic tenets as in a straightforward sense divinely inspired, the attempt to extract from his writings the ingredients of a certain thoroughly human way of thinking will seem doomed to inadequacy from the start. Likewise, for different reasons, many of today's.


2018 ◽  
Vol 43 (1) ◽  
pp. 91-97 ◽  
Author(s):  
Justin J. Anker ◽  
Erich Kummerfeld ◽  
Alexander Rix ◽  
Scott J. Burwell ◽  
Matt G. Kushner

2019 ◽  
Vol 1 (1) ◽  
pp. 80
Author(s):  
Christos Tsiongas ◽  
Christos Zilidis ◽  
Evangelos C. Fradelos ◽  
Konstantinos Tsaras ◽  
Dimitrios Papagiannis ◽  
...  

Alcohol abuse is a common incident in college student’s communities. The purpose of this research study was to evaluate the rates of alcohol use among university students in Greece and to search if there is a relation between alcohol use disorders and mental health status (depression, anxiety, stress).


Author(s):  
James McIntosh

The paper discussed here claimed that the old guidelines for safe alcohol consumption should be replaced by much lower ones of about one standard drink per day. However the paper suffers from some statistical problems which lead to misleading results. In addition, by concentrating on mortality and older members of the population it fails to account for important aspects of the effect of alcohol use on individual health. It is shown when the effects of alcohol use on self-reported health and health service utilization are considered what has been traditionally been proposed as safe drinking behavior should continue to be used.


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