E. M. Jellinek's Disease Concept of Alcoholism.
E. M. Jellinek's Disease Concept of Alcoholism.
复制标题
E. M. Jellinek 的酗酒疾病概念。
DOI：
10.1111/add.14400
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发表时间：
2019
期刊：
影响因子：
--
通讯作者：
Kelly,JohnF
中科院分区：
文献类型：
--
作者：
Kelly,JohnF
The 1950s saw the United States having emerged victorious from the Second World War, enjoying a prodigious industrial and economic boom, and witnessing a new liberation in youth culture, epitomized by the birth of rock and roll music. America also was dancing quickly out of the shadows of prohibition with the aid of a buoyant and reinvigorated alcohol industry. More likely to support and propagate the notion that “alcoholism comes in people, not in bottles”, thus down-playing broader environmental influences (eg, alcohol availability, accessibility, price) and alcohol pharmacology (ie, that it also causes toxicity and intoxication-related harms independent of addiction), the zeitgeist of the 1950s was ripe for EM Jellinek’s “The Disease Concept of Alcoholism”. Yet, somewhat surprisingly, given its title and this historical context, the book’s major contribution was to highlight a shift from a linear, quantitative, view of “alcoholism” as a singular progressive disease, to the notion of a highly heterogeneous disorder from which more homogeneous, qualitatively distinct, sub-types might be derived, only some of which may constitute disease. Furthermore, despite the book’s ostensible disease focus, potentially evoking a reductionistic and purely biogenic orientation to addiction, Jellinek places the etiology and clinical course of alcoholism within a very broad cultural and socio-economic context. The book remains a rich and informed treatise of the topic of alcohol problems that reveals a humbling and unsettling truth regarding the degree of progress we may think we have made in the 60 years since its publication.
