The alcohol dependence syndrome: A legacy of continuing clinical and scientific importance
MetadataShow full item record
This paper offers some reflections on Griffith Edwards' continuing legacy with particular reference to his and Milton Gross's formulation of alcohol dependence as a 'provisional' clinical syndrome. The ideas and language from this seminal paper have heavily influenced international diagnostic classification systems. However, it is observed that there has also been significant (and increasing) divergence-in particular around the original proposal that dependence and negative alcohol-related consequences are independent, if inevitably inter-related dimensions. This is most apparent in the conflation of alcohol-related problems and dependence phenomena implicit in DSM-V. It is also argued that the alcohol dependence syndrome (ADS) has substantial continuing influence and relevance to current clinical practice. The hypothesis that degree of alcohol dependence is a useful indicator of the possibility of a return to controlled drinking continues to receive support, and underpins the widespread implementation of brief interventions for 'early stage' problem drinkers. It is suggested that the kind of careful clinical observations that underpinned the original concept of alcohol dependence have continuing relevance to the formulation of improved understanding, measurement instruments, diagnostic systems and clinical responses.
Showing items related by title, author, creator and subject.
Association of parental supply of alcohol with adolescent drinking, alcohol-related harms, and alcohol use disorder symptoms: a prospective cohort studyMattick, R.; Clare, P.; Aiken, A.; Wadolowski, M.; Hutchinson, D.; Najman, J.; Slade, T.; Bruno, R.; McBride, Nyanda; Kypri, K.; Vogl, L.; Degenhardt, L. (2018)© 2018 The Authors. Published by Elsevier Ltd. This is an Open Access article under the CC BY-NC-ND 4.0 license Background: Some parents supply alcohol to their children, reportedly to reduce harm, yet longitudinal research ...
McCormack, C.; Hutchinson, D.; Burns, L.; Wilson, J.; Elliott, E.; Allsop, Steve; Najman, J.; Jacobs, S.; Rossen, L.; Olsson, C.; Mattick, R. (2017)Background: Current estimates of the rates of alcohol-exposed pregnancies may underestimate prenatal alcohol exposure if alcohol consumption in early trimester 1, prior to awareness of pregnancy, is not considered. Extant ...
Browne, A.; Newton, M.; Gope, M.; Schug, S.; Wood, Fiona; Allsop, Steve (2013)Introduction: High rates of trauma recidivism associated with alcohol use indicate the need to screen foralcohol consumption and related harm. Routine collection of prevalence data relating to alcohol use inAustralian ...