When "The Natural History of Alcoholism" was first published in
1983, it was acclaimed in the press as the single most important
contribution to the literature on alcoholism since the first
edition of Alcoholic Anonymous's Big Book. George Vaillant took on
the crucial questions of whether alcoholism is a symptom or a
disease, whether it is progressive, whether alcoholics differ from
others before the onset of their alcoholism, and whether alcoholics
can safely drink. Based on an evaluation of more than 600
individuals followed for over forty years, Vaillant's monumental
study offered new and authoritative answers to all of these
questions.
In this updated version of his classic book Vaillant returns to
the same subjects with the perspective gained from fifteen years of
further follow-up. Alcoholics who had been studied to age 50 in the
earlier book have now reached age 65 and beyond, and Vaillant
reassesses what we know about alcoholism in light of both their
experiences and the many new studies of the disease by other
researchers. The result is a sharper focus on the nature and course
of this devastating disorder as well as a sounder foundation for
the assessment of various treatments.
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