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The Knotted Cord - An Update on Transgenerational Alcohol (Hardcover)
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The Knotted Cord - An Update on Transgenerational Alcohol (Hardcover)
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The Knotted Cord: An Update on Transgenerational Alcohol. Is a
follow up to the original The Knotted Cord published by Nova
Science in 2014. It is written as a conversation between myself in
2014 and then in 2019. The conversation is structured around the
chapters of the initial book. Thus Ireland's toxic romance with
alcohol, the stigma of transgenerational alcohol and the ethical
dilemma of diagnosing and managing Neurodevelopmental Disorder
prenatal alcohol exposure offer the beginning thrust to the book
showing what has changed in the intervening five years and what has
not changed. Overall the book is a critical and academic update on
the complexities of understanding transgenerational alcohol and its
impacts on societies worldwide. Management has clearly been placed
in a Systems of Care paradigm, which is consistent with the 2014
book. However the intervening five years have produced a new
clinical instrument, the Early Childhood Service Intensity
Instrument (ECSII). The clinical emphasis on mothers and children
under five years of age has become the entry into decreasing the
impact of transgenerational alcohol. At the moment, the teratogenic
effect of alcohol on the developing fetus remains frozen in being
only related to a dysmorphic face. This is far from the truth as
this prenatal acquired brain injury causes a mainly hidden, non-IQ,
non-Face driven Global neurodevelopmental disorder, now more
correctly diagnosed as Neurodevelopmental Disorder prenatal alcohol
exposure, NDPAE, DSM 5.Code 315. Lastly, the challenge of
approaching transgenerational alcohol and its impacts is a
challenge to traditional medical practices of child and adult care.
This disconnected model of care does not fit as medical, nursing,
addiction and social workers need to move out of their silos and
communicate with health professionals across the age range and
accept this 'orphan' condition.
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