A Sociological Study on the Emergent Needs of Treatment for Mild Alcoholics and on the Development of Safe Drinking Environments

本研究分别于1995年和1996年对日本8所精神病院的酒精中毒住院患者进行了调查，并于1996年在大阪地区进行了一次关于酒精和毒品问题的社区社会调查。紧随其后的是分析工作任务和努力完成1997.1年度研究报告。精神病院的调查分别于1980、1990、1995和1996年进行，其中最后一个1996年的数据用于回顾患者档案方法中数据可靠性的方法学评估。对1,731例共198例1996年的资料进行了分年分析，并与1996年的资料进行了比较，发现从调查之日起1~2年后，回顾病历法最有效。另一个重要的发现是，酒精依赖的症状表现按年份和地区的不同，无论是通过身体障碍还是精神和神经障碍。讨论了这一结果归因于…。更多的原因是受试者酒精依赖症状的缓解，部分原因是酒精依赖门诊诊所在20世纪80年代的快速发展，特别是在大城市地区。反映本次调查研究的结果，建议应根据酒精患者的特征变化制定新的或更新的治疗方案，作为新的、多样化的治疗需求。1996年，采用入户访谈法，对1030名20~60岁男性普通居民进行了社区社会调查。对488个样本的分析，最终得到有效的分析数据，表明酒精问题是相对最不紧迫的社会问题。与此同时，酒后驾车或青少年饮酒等违法违规饮酒行为被高度列为严重的社会问题与酒精相关的问题。这被认为与日本的奢侈饮酒文化有关，社会上不承认问题饮酒是酒精问题，除非是合法的越轨行为。至于对康复可能性的信念，研究发现，对酗酒者的评估比对甲基苯丙胺滥用的评估更有可能，但比对溶剂滥用的评估更低。较少

In our research project, alcoholic impatients survery through 8 mental hospitals over Japan and a community social investigation in Osaka area on alcohol & drug problems in 1996 was conducted respectively in 1995 and in 1996. This was followed by the tasks of nalysis work and efforts to complete a research report in 1997.1. The mental hospital survey was carried out for 1980,1990,1995 and 1996, of which the last 1996 data was intended for methodological evaluation of data reliability in retrospective patient-file method. The total of 1,731 cases excluding 198 cases of 1996 year data was analyzed by year with cmparison to the 1996 data and found that retrospective patient-file method is at best valid to data one or two years back from the date of survey. Another significant findings is difference, by year and region, of symptom manifestation of alcohol dependence either through physical disorder or psychiatric and neurological disorder. It was discussed that this results was attributed … More party to mildening of symptoms of alcohole dependence among subjects and partly to rapid development of aocohol outpatient clinics through 1980s, specifically in big urban areas. Reflecting these outcomes from this survey research, it is proposed that new or renovated therapeutic programs should be developed in accordance to the change of charasteristics of alcohol patients as new, diverse therapeutic needs.2. A community social investigation in 1996 was conducted with door-to-door interview method to a randamly selected general residents of 1,030 males, ranging 20 through 60 of their age. Analysis of 488 sample, finally obtained as the effective analysis data, showed taht alcohol problem was ranked comparatively least urgent social problem. In the meantime, legally deviated drinking behaviors such as drinking drive or youth drinking are highly ranked as serious social problem alcohol-related problems. This is discussed to be associated with the pennissive drinking culture of Japan, socially not recognizing problem drinking as alcohol problems unless being legally deviant. As for the belief of possibility of recovery, it was found that the case of alcoholics is evaluated more probable thatn that of methamphetamine abuse but less probable than solvent abusers. Less