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Are You an Alcoholic?
Wall Street Journal ^ | 8 January 2008 | MELINDA BECK

Posted on 01/08/2008 7:59:30 AM PST by shrinkermd

More than 30% of Americans engage in risky drinking at some point in their lives...

...Researchers have made up dozens of screening tests over the years. According to one developed for Johns Hopkins University Hospital years ago that still pops up on the Web, I'm "definitely an alcoholic" because I answered yes to at least three of 20 questions...

But Alcoholscreening.org3 says I'm "below the range usually associated with harmful drinking or alcoholism" since I have only a glass or two of wine when I drink.

The authoritative American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders, or DSM-IV, separates alcohol abuse from alcohol dependence, based partly on the problems the drinking causes. You qualify for a diagnosis of "abuse" if you've done any one of these in the past year: drunk alcohol in hazardous situations, like driving; kept drinking despite social or interpersonal problems; had legal problems related to alcohol or failed to fulfill major obligations at work, school or home because of drinking.

You've moved on to "dependence" if you've done any three of these seven: drunk more or longer than you intended; been unable to cut down or stop; needed more alcohol to get the same effect; had withdrawal symptoms without it; spent more time drinking or recovering; neglected other activities or continued to drink despite psychological or physical problems.

...Too much, too fast means consuming more than four drinks in two hours for men, and more than three in two hours for women. That's a level that, on average, makes people legally drunk and impairs brain function. (A standard U.S. drink, by the way, is 12 oz. of beer, 5 oz. of wine or a 1.5 oz. shot of 80 proof spirits, according to government agencies.)

(Excerpt) Read more at online.wsj.com ...


TOPICS: Health/Medicine; Society
KEYWORDS: 2buckchuck; alcoholism; brainondrugs; libertarian; livingindenial; usa
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To: Hardastarboard
When are you going to rise from your Scotch, cigar, and gun powder induced stupor and write something else?

I'm trying to get at least one post a week in there. More will be coming as I get up to speed with Radigans Raiders...

Thanks for the support.

L

81 posted on 01/08/2008 8:52:06 AM PST by Lurker (Pimping my blog: http://lurkerslair-lurker.blogspot.com/)
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To: jennyjenny
Maybe I should no longer participate in our games of taking a drink every time a dem says the word, “change”.

No, the game is fine, your issue is that after hearing the word change forty billion times you decided to start the drinking game to have a drink if by "vnance" you hear the word change. Frankly, I can't believe you can see straight enough to read this if indeed you are drinking to the word change :)

82 posted on 01/08/2008 8:53:41 AM PST by 1Old Pro
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To: ConorMacNessa

That’s not fair!


83 posted on 01/08/2008 8:55:30 AM PST by swain_forkbeard (Rationality may not be sufficient, but it is necessary.)
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To: shrinkermd
...I'm "definitely an alcoholic" because I answered yes to at least three of 20 questions...

There's only one question you have to ask yourself to find out if you have a problem with alcohol: Does alcohol cause me problems?

84 posted on 01/08/2008 8:56:13 AM PST by randog (What the...?!)
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To: svcw

And I have read that even if you never drink again, you are still an alcoholic. I’ve heard it argued that if you never drank in your life, you might be an alcoholic who didn’t know it. It all seems a bit odd to me.


85 posted on 01/08/2008 8:58:57 AM PST by swain_forkbeard (Rationality may not be sufficient, but it is necessary.)
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To: shrinkermd

Nary a drop until I was 35, when my wife-to-be insisted on a champagne toast or nothing to toast. Subsequent 5 years have been an exploration of what’s available, with little interest in “effects”.


86 posted on 01/08/2008 8:59:20 AM PST by ctdonath2
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To: shrinkermd
ALCOHOL’S DAMAGING EFFECTS ON THE BRAIN

Difficulty walking, blurred vision, slurred speech, slowed reaction times, impaired memory: Clearly, alcohol affects the brain. Some of these impairments are detectable after only one or two drinks and quickly resolve when drinking stops. On the other hand, a person who drinks heavily over a long period of time may have brain deficits that persist well after he or she achieves sobriety. Exactly how alcohol affects the brain and the likelihood of reversing the impact of heavy drinking on the brain remain hot topics in alcohol research today.

We do know that heavy drinking may have extensive and far–reaching effects on the brain, ranging from simple “slips” in memory to permanent and debilitating conditions that require lifetime custodial care. And even moderate drinking leads to short–term impairment, as shown by extensive research on the impact of drinking on driving.

A number of factors influence how and to what extent alcohol affects the brain (1), including how much and how often a person drinks; the age at which he or she first began drinking, and how long he or she has been drinking; the person’s age, level of education, gender, genetic background, and family history of alcoholism; whether he or she is at risk as a result of prenatal alcohol exposure; and his or her general health status.

This Alcohol Alert reviews some common disorders associated with alcohol–related brain damage and the people at greatest risk for impairment. It looks at traditional as well as emerging therapies for the treatment and prevention of alcohol–related disorders and includes a brief look at the high–tech tools that are helping scientists to better understand the effects of alcohol on the brain.

BLACKOUTS AND MEMORY LAPSES

Alcohol can produce detectable impairments in memory after only a few drinks and, as the amount of alcohol increases, so does the degree of impairment. Large quantities of alcohol, especially when consumed quickly and on an empty stomach, can produce a blackout, or an interval of time for which the intoxicated person cannot recall key details of events, or even entire events.

Blackouts are much more common among social drinkers than previously assumed and should be viewed as a potential consequence of acute intoxication regardless of age or whether the drinker is clinically dependent on alcohol (2). White and colleagues (3) surveyed 772 college undergraduates about their experiences with blackouts and asked, “Have you ever awoken after a night of drinking not able to remember things that you did or places that you went?” Of the students who had ever consumed alcohol, 51 percent reported blacking out at some point in their lives, and 40 percent reported experiencing a blackout in the year before the survey. Of those who reported drinking in the 2 weeks before the survey, 9.4 percent said they blacked out during that time. The students reported learning later that they had participated in a wide range of potentially dangerous events they could not remember, including vandalism, unprotected sex, and driving.

Binge Drinking and Blackouts

• Drinkers who experience blackouts typically drink too much and too quickly, which causes their blood alcohol levels to rise very rapidly. College students may be at particular risk for experiencing a blackout, as an alarming number of college students engage in binge drinking. Binge drinking, for a typical adult, is defined as consuming five or more drinks in about 2 hours for men, or four or more drinks for women.

Equal numbers of men and women reported experiencing blackouts, despite the fact that the men drank significantly more often and more heavily than the women. This outcome suggests that regardless of the amount of alcohol consumption, females—a group infrequently studied in the literature on blackouts—are at greater risk than males for experiencing blackouts. A woman’s tendency to black out more easily probably results from differences in how men and women metabolize alcohol. Females also may be more susceptible than males to milder forms of alcohol–induced memory impairments, even when men and women consume comparable amounts of alcohol (4).

ARE WOMEN MORE VULNERABLE TO ALCOHOL’S EFFECTS ON THE BRAIN?

Women are more vulnerable than men to many of the medical consequences of alcohol use. For example, alcoholic women develop cirrhosis (5), alcohol–induced damage of the heart muscle (i.e., cardiomyopathy) (6), and nerve damage (i.e., peripheral neuropathy) (7) after fewer years of heavy drinking than do alcoholic men. Studies comparing men and women’s sensitivity to alcohol–induced brain damage, however, have not been as conclusive.

Using imaging with computerized tomography, two studies (8,9) compared brain shrinkage, a common indicator of brain damage, in alcoholic men and women and reported that male and female alcoholics both showed significantly greater brain shrinkage than control subjects. Studies also showed that both men and women have similar learning and memory problems as a result of heavy drinking (10). The difference is that alcoholic women reported that they had been drinking excessively for only about half as long as the alcoholic men in these studies. This indicates that women’s brains, like their other organs, are more vulnerable to alcohol–induced damage than men’s (11).

Yet other studies have not shown such definitive findings. In fact, two reports appearing side by side in the American Journal of Psychiatry contradicted each other on the question of gender–related vulnerability to brain shrinkage in alcoholism (12,13). Clearly, more research is needed on this topic, especially because alcoholic women have received less research attention than alcoholic men despite good evidence that women may be particularly vulnerable to alcohol’s effects on many key organ systems

Source-US Dept of Health. URL: HERE.

87 posted on 01/08/2008 9:00:42 AM PST by shrinkermd
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To: shrinkermd

““Alcoholism” is a major mental disorder found in people of varying temperaments, ability, ages and backgrounds.”

Funny how things like that are so subject to change. Why it doesen’t seem all that long ago when homosexual behavior was considered a mental disorder. It probably still would be if the Psychiatric profession wasn’t 99% liberal commies.


88 posted on 01/08/2008 9:11:16 AM PST by antisocial (Texas SCV - Deo Vindice)
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To: i_dont_chat

I’ve been clean sober since 10/26/75, I’m 77.

Keep Coming Back It Works!

ODAT


89 posted on 01/08/2008 9:17:01 AM PST by blackie (Be Well~Be Armed~Be Safe~Molon Labe!)
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To: ken5050

Martin was a huge drinker. But towards the end he just continued with his shtick without it.


90 posted on 01/08/2008 9:18:49 AM PST by Vision (Thompson/Hunter '08)
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To: Hildy
I have no disagreement, I quit in '89 and my life has been better.

What I do find ironic is that those who drank and quit are often branded by a doctor as being/having been an alcoholic and get charged more for insurance, etc. as a result than their peers who may well consume far more alcohol over their lifetimes, and have far more intoxicated moments as well.

91 posted on 01/08/2008 9:37:11 AM PST by Smokin' Joe (How often God must weep at humans' folly.)
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To: ExpatGator
Who works on cars a mechanic?

From a couple of nitwits with wrenches I have seen--and the messes they made, not necessarily on this one...although I do get your point.

Stupid is as stupid does, and if doing something creates problems, not doing whatever it is makes sense.

92 posted on 01/08/2008 9:40:48 AM PST by Smokin' Joe (How often God must weep at humans' folly.)
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To: Smokin' Joe

Some people know how to drink and some don’t. It is not what you do but how you do it. Paying attention to anti drinking “experts” is a mental disorder.


93 posted on 01/08/2008 9:45:05 AM PST by Perfesser
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To: Smokin' Joe

“From a couple of nitwits with wrenches I have seen—and the messes they made, not necessarily on this one...although I do get your point.”

HA! Thanks for the valid point. I’m a gunsmith and can tell you firsthand that same observation definitely applies to this industry as well. Makes one think that some of those shadetree gunsmiths are alcoholics!


94 posted on 01/08/2008 10:04:49 AM PST by ExpatGator (Extending logic since 1961.)
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To: Mr. Blonde
And yes this post was mostly to pimp the criminally underwatched TV show mentioned above. :)

I watched the new episode last night, and when it was over I was depressed to realize there are only going to be nine more, and then it's over for good.

Incidentally, great David Simon interview here.

95 posted on 01/08/2008 10:05:43 AM PST by Bubba Ho-Tep ("More weight!"--Giles Corey)
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To: Perfesser
It is not what you do but how you do it.

...or who b*tches about it! (8^D)

Seriously, though, some can and some can't--and that goes for a lot of things.

96 posted on 01/08/2008 10:12:13 AM PST by Smokin' Joe (How often God must weep at humans' folly.)
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To: USCG SimTech
Having quit (to the drop) almost 3 years ago, my perspective is that attachment to alcohol is a parasite that is beautiful to pet and woo, while it tells you it’s okay if it takes your body parts and slowly kills them. Of course it feels good, we all like it when we pet a kitten and it purrs back. This is a spiritual level dweller that takes bites out of your mental level of self, then physical, and then social. But that’s only how I percieve the parasite I have caged and well locked away. Others may not recognize the parasite as a threat. That’s fine... for now. It’s all your events on your path.

Excellent analogy! That is truly what it's like. (I went from being a worthless drunk inches away from living on the streets to a sucess in my career. Ten years sober now.)

97 posted on 01/08/2008 12:32:46 PM PST by scan59 (Let consumers dictate market policies. Government just gets in the way.)
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To: shrinkermd

98 posted on 01/08/2008 2:06:22 PM PST by Undertow ("I have found some kind of temporary sanity...")
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To: JackRyanCIA

Austin Nichols...!


99 posted on 01/08/2008 2:08:17 PM PST by Osage Orange (Molon Labe)
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To: svcw

We all must be diagnosed with something so that we can be properly medicated.


100 posted on 01/08/2008 2:28:56 PM PST by GourmetDan
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