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The Biology of Alcoholism - Volume 6: The Pathogenesis of Alcoholism Psychosocial Factors (Paperback, Softcover reprint of the original 1st ed. 1983)
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The Biology of Alcoholism - Volume 6: The Pathogenesis of Alcoholism Psychosocial Factors (Paperback, Softcover reprint of the original 1st ed. 1983)
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Pathogenesis is defined in Blakiston's Medical Dictional), as "the
course of development of disease, including the sequence of
processes or events from inception to the characteristic lesion or
disease. " The central position of the word "pathogenesis" in the
titles of Volumes 6 and 7 in itself connotes a bias on the part of
the editors in favor of the disease concept of alcoholism, inasmuch
as the end product of the pathogenetic process is presumed to be a
disease. But the disease model as here conceptualized is vastly
different from that of Jellinek, or of Alcoholics Anonymous, or of
psychoanalysis. In those theories, alcoholism is seen as the
inevitable consequence of some specific flaw in the heredity or the
experience of the afflicted individual that inexorably leads to
alcoholism. In these present volumes, the alcoholic syndrome is
viewed rather as the outgrowth of the interaction of a variety of
biological, psychological, and social influences which, depending
on the predom inance of one or another, may lead to different types
of alcoholism. This view, which has been labeled the
bio-psycho-social perspective, encompasses a larger view of the
dynamics of the development of alcoholism, incorporating data from
each of the phenomenologic levels involved. An additional
complication arises from the fact that the physiolog ical and
psychosocial stigmata of alcoholics, which are probably most often
the result of prolonged drinking, frequently have come to be
considered as causes of the disease.
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