Background: In 1804 Thomas Trotter, a recently retired Physician to the Fleet, published his 'Essay on Drunkenness'. This was the first ever book-length consideration of the phenomenon of alcohol dependence and its treatment.
Aims: The aim of this paper is to explore the impact of that treatise on the evolution of relevant ideas over the years that have followed.
Methods: A factual analysis of the content of the Essay is the starting-point, followed by an examination of sequential published appraisals on the significance, or lack of significance, of this work.
Findings And Conclusions: To the modern reader, Trotter is likely to be seen as prescient, with his assertion that 'the habit of drunkenness is a disease of the mind', setting the scene for two centuries of debate. The literature, however, seems to suggest that Trotter did not, in fact, achieve much impact either on professional opinion or on the emergent temperance movement. It was Benjamin Rush's 1785 pamphlet on 'Ardent Spirits' which achieved iconic status. Rush and Trotter, although in some ways overlapping in their ideas, differed in other respects.
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http://dx.doi.org/10.1111/j.1360-0443.2012.03890.x | DOI Listing |
Scand J Caring Sci
March 2021
Satakunta Hospital District, Department of Nursing Science, University of Turku, Pori, Finland.
Background: Healthcare professionals have a key role in detecting health risks from alcohol use. The earlier the alcohol misuse is identified and addressed, the lower the risk of harm and the need for actual drug treatment. Positive attitudes and high motivation on the part of nurses are needed for achieving success in the care of intoxicated patients.
View Article and Find Full Text PDFDrug Alcohol Rev
November 2014
Philip R. Lee Institute for Health Policy Studies, Department of Anthropology, History and Social Medicine, School of Medicine, University of California, San Francisco, USA.
The starting place for this essay is Knupfer and Room's insight that more restrictive norms around drinking and intoxication tend to be selectively applied to the economically dependent segments of society, such as women. However, since these authors wrote in 1964, women in the US and many other societies around the globe have experienced rising economic independence. The essay considers how the moral categories of acceptable drinking and drunkenness may have shifted alongside women's rising economic independence, and looks at evidence on the potential consequences for women's health and wellbeing.
View Article and Find Full Text PDFAddiction
September 2012
National Addiction Centre, London, UK.
Ther Umsch
May 1997
Laboratorien für Endorphinforschung, Institut für Rechtsmedizin, Universität Zürich.
The present essay on drug addiction deals, under the escort of empirical knowledges emanating from medico-legal toxicology, mainly with the behavioural, neurobiological, forensic and pharmacotherapeutical aspects of drug seeking and taking behaviour. The article emphasizes the idea that treatment of drug dependence [including that of the associated diseases and complications] should be performed according to the specific pharmacological and toxicological properties of the drugs involved. Furthermore, the treatment of drug dependence should be carried out in agreement with the individual needs of the patient, and in concordance with the multiple factors involved in the development and maintenance of drug addiction.
View Article and Find Full Text PDFBlutalkohol
November 1994
Untersuchungsstelle für Verkehrstauglichkeit, Universität des Saarlandes, Homburg/Saar.
I am replying to the critical analysis by Jansen and Utzelmann of one of my essays (Blutalkohol 30, 65-95, 1993). I reject their arguments; this underpins, once again, the unsatisfactory prognosis of expert opinion on DWI-offenders. Emphasis should be placed on general preventive measures with rules for behaviour rather than on efforts of assessing the driver's personality, which seems more just only at first sight.
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