Department of Justice, Law and Society
School of Public Affairs
The American University
Fall 1990
73.302.01 - ALCOHOLISM AND SOCIETY
Tuesday and Friday at 12:45 - 2:00 p.m.
Hurst Hall 210
Faculty: Jeffrey A. Schaler
Office: Ward 216
Telephone: (301) 585-5664 in Silver Spring, Md.
Office hours: Tuesdays 2 - 3:00 pm and Fridays 2 - 3:00 pm (by appointment)
Course Description
Beverage alcohol is a legal drug long used to create an experience of intoxication. The health risks of alcohol use and abuse are well-known. Heated controversy now exists among policymakers, clinicians and researchers about how alcohol gets into the body. For example, is alcoholism a function of physiology, free will, a combination of the two, or just moral weakness? To what extent should alcoholics be held responsible for their behavior?
This course will investigate the current disease-model of alcoholism debate and its ramifications for prevention, education and treatment policies. The role that environment plays in drinking behavior will be contrasted with studies on heredity. Addiction and criminal responsibility as well as constitutional issues related to state-supported treatment programs will also be addressed.
Course Objectives
- To familiarize students with current theoretical terms and concepts in the alcohol field, the methods used to research these concepts, and the applications of the concepts in the clinical, legal and policymaking settings.
- To develop observational skill in self-observation and other-observation in relation to alcohol-using behaviors.
- To understand the ideological, economic, and political investments integral to perspectives on alcoholism.
- To learn how to evaluate alcohol abuse prevention and treatment program effectiveness.
Course Requirements and Grades Case study 20% Mid-term examination 30% Debate 20% Final examination 30% Total = 100%
Case study
Write a five-page, typed, double-spaced, paper on someone you know well, a friend, family member, (or yourself), who has had, or has, a problem with drinking alcohol. Describe the person in terms of age, sex, socioeconomic background, education, family, state of health, legal problems, lifestyle and factors you think have contributed to the drinking problem. Differentiate between what you are able to observe about this person and what you imagine or interpret to be the reasons for his/her behavior. Protect the identity of the person you are writing about. Make two copies of the paper, one to keep for yourself and one to be handed in to the instructor.
Required Texts and Readings
Fingarette, H. (1988). Heavy Drinking: The Myth of Alcoholism as a Disease. Berkeley, Ca.: University of California Press.
Peele, S. (1989). Diseasing of America: Addiction Treatment Out of Control. Lexington, Mass.: Lexington Books.
The following articles may be purchased bound as Packet #48 at Kinko's, located in the Butler Pavilion lower level.
Bazell, R. (1990). The drink link. The New Republic, May 7, 13-14. (Not included in the packet, distributed separately.)
Cahalan, D. (1988). Implications of the disease concept of alcoholism. Drugs & Society, 2, 49-68.
Fillmore, K.M. and Sigvardsson, S. (1988). "A meeting of the minds" - A challenge to biomedical and psychosocial scientists on the ethical implications and social consequences of scientific findings in the alcohol field. British Journal of Addiction 83, 609-611.
Kissin, B. (1983). The disease concept of alcoholism. In R.G. Smart et al. (eds.) Research advances in alcohol and drug problems, Volume 7. New York: Plenum Press, pp. 93-126.
Lester, D. (1989). The heritability of alcoholism: Science and social policy. Drugs & Society,3, 29-67.
Peele, S. (1990). Second thoughts about a gene for alcoholism. The Atlantic Monthly, August, 52-58.
Room. R. (1983). Sociological aspects of the disease concept of alcoholism. In R.G. Smart et al. (eds.) Research advances in alcohol and drug problems, Volume 7. New York: Plenum Press, pp. 47-91.
Szasz, T.S. (1972). Bad habits are not diseases. Lancet, July 8, 1972, 83-84.
Recommended reading
Jellinek, E.M. (1960). The Disease Concept of Alcoholism. New Haven, Conn.: Hillhouse Press.
Vaillant, G.E. (1983). The Natural History of Alcoholism. Cambridge, Mass.: Harvard University Press.
Class debate
A class debate will take place on December 4 and 11. All students must participate by making at least a two-minute statement. Your statement will be graded on the basis of clarity, articulation, presentation and logic. Half of the class will participate on December 4 and the other half on December 11.
The topic to be debated on December 4 is: "Resolved: Alcoholism is a medical disease."
The topic on December 11 is: "Resolved: The disease-model of alcoholism should be abolished."
[Note: You can add 5% credit to your course grade by attending one of the following two events sponsored by the Drug Policy Foundation. Write a three page review (typed & double-spaced) of the event you attended. Ask the instructor for information on writing guidelines and how to register.
- September 28: Filming of "America's Drug Forum," at Biznet television studio, Department of Commerce, Wash., D.C. You can participate as an audience member in two taped shows distributed for PBS broadcast, one on drug addicts, the other investigating racist allegations concerning current drug policies. No charge.
- October 31 - November 4: "The Great Issues of Drug Policy," The Fourth International Conference on Drug Policy Reform, Mayflower Hotel, 1127 Connecticut Avenue, N.W., Wash., D.C. Reduced student rate by special arrangement. You must discuss the workshops or talks you plan to attend with the instructor.]
Clear and accurate writing will be taken into account in assigning grades. Material discussed in class, and not in any of the readings, may form the basis for questions on the examinations. 5% grade reduction for over three class absences. Students are responsible for anything covered in class during their absence. Readings must be completed by the session to which they are assigned. Additional readings may be assigned during the course.
Class Schedule Date Topic Reading September 4 Introduction and overview September 7 Models of alcohol use Fillmore Sigvardsson Szasz September 11 Benjamin Rush, Fingarette, 1-30 loss of control theory, Peele, 1-54 September 14 the disease concept Kissin September 18 The disease concept continued; Kissin Who says what the truths are?; Peele, 55-83 September 21 Can alcoholics control their drinking? Fingarette, 31-69 September 25 Review of experiments; Davies, Room Merry, Marlatt, etc. September 28 Sociological aspects of the Room disease concept October 2 Case study is due - Discussion of case studies October 5 Discussion of case studies October 9 Is alcoholism hereditary? Lester, Bazel, October 12 Genetic theories of alcoholism Peele (Atlantic) October 16 What is Alcoholics Anonymous? Peele, 85-202 October 19 Does treatment work? Fingarette, 70-95 October 23 Treatment: Medicine or education? October 26 Mid-term examination October 30 Implications of the disease concept Calahan November 2 Policy considerations November 6 Law, Morality, and Addiction Peele, 203-229 November 9 Heavy drinking as a way of life Fingarette,99-113 November 13 First Amendment Rights and Ellen Luff,Esq., State-supported treatment programs ACLU-Md. attorney, guest lecturer November 16 Treatment coercion: Legal and ethical considerations November 20 No class November 23 No class November 27 Addiction and criminal responsibility Finish reading Peele and Fingarette November 30 Disease model defense issues December 4 Class debate December 7 Class debate December 11 Review December 18 No class December 21 Final Exam
Department of Justice, Law and Society
School of Public Affairs
The American University
Spring 1991
73.302.01 - ALCOHOLISM AND SOCIETY
Tuesday and Friday at 2:10 - 3:25 p.m.
Ward 109
Faculty: Jeffrey A. Schaler
Office: Ward 216
Telephone: (301) 585-5664 in Silver Spring, Md.
Office hours: (by appointment)
Course Description
Beverage alcohol is a legal drug long used to create an experience of intoxication. The health risks of alcohol use and abuse are well-known. Heated controversy now exists among policymakers, clinicians and researchers about how alcohol gets into the body. For example, is alcoholism a function of physiology, free will, a combination of the two, or just moral weakness? To what extent should alcoholics be held responsible for their behavior?
This course will investigate past and contemporary theories regarding alcoholism and their ramifications for prevention, education and treatment policies. The roles of psychology and environment in understanding drinking behavior will be contrasted with studies on biological factors and heredity. Philosophical and constitutional issues, as well as legal arguments based on the disease model of alcoholism, will be addressed.
Course Objectives
- To familiarize students with past and current theoretical terms and concepts in the alcohol field, the methods used to research these concepts, and the applications of the concepts in the clinical, legal and policy making settings.
- To develop observational skill in self-observation and other-observation in relation to alcohol-using behaviors.
- To understand the ideological, economic, and political investments integral to perspectives on alcoholism.
- To learn how to evaluate alcohol abuse prevention and treatment program effectiveness.
Course Requirements and Grades Case study 20% Mid-term examination 30% Debate 20% Final examination 30% Total = 100%
Required Texts and Readings
Fingarette, H. (1988). Heavy Drinking: The Myth of Alcoholism as a Disease. Berkeley, Ca.: University of California Press.
Peele, S. (1989). Diseasing of America: Addiction Treatment Out of Control. Lexington, Mass.: Lexington Books.
The following articles may be purchased bound as a packet at Kinko's, located in the Butler Pavilion lower level.
Antze, P. (1987). Symbolic action in Alcoholics Anonymous. In M. Douglas, (ed.), Constructive drinking: Perspectives on drink from anthropology. New York: Cambridge University Press, pp. 149 - 181.
Appelbaum, P.S. (1989, September). How does the law view alcoholism? Harvard Medical School Mental Health Letter, Vol. 6, No. 3, p 8.
Davies, D.L. (1979). Defining alcoholism. In M. Grant & P. Gwinner (eds.) Alcoholism in perspective . Baltimore, Md.: University Park Press, pp. 42-51.
Fingarette, H (1983). Philosophical and legal aspects of the disease concept of alcoholism. In R.G. Smart, F.B. Glaser, Y. Israel, H. Kalant, R.E. Popham, & W. Schmidt (eds.), Research advances in alcohol and drug problems, Vol 7. New York: Plenum Press, pp. 1-45.
Fingarette, H. (1989). A rejoinder to Madsen. The Public Interest, 95, Spring, 118-121.
Keller, M. (1972). On the loss-of-control phenomenon in alcoholism. British Journal of Addiction, 67, 153-166.
Keller, M. (1976). The disease concept of alcoholism revisited. Journal of Studies on Alcohol, 37, 1694-1717.
Madsen, W. (1989). Thin thinking about heavy drinking. The Public Interest, 95, Spring, 112-118.
Marlatt, G. A., Demming, B., & Reid, J.B. (1973). Loss of control drinking in alcoholics: An experimental analog. Journal of Abnormal Psychology, 81, 233-241.
Merry, J. (1966). The "loss of control" myth. The Lancet, June 4, 1257-1258.
Prince, J.M., Glatt, M.M., Pullar-Strecker, H. (1966). The "loss of control" myth. The Lancet , June 25, 1423-1424, [Letters to the Editor].
National Council on Alcoholism. (1972). Criteria for the diagnosis of alcoholism. Annals of Internal Medicine, 77, 249-258.
Paredes, A., Hood, W.R., Seymour, H., & Gollob, M. (1973). Loss of control in alcoholism: An investigation of the hypothesis with experimental findings. Quarterly Journal of Studies on Alcohol, 34, 1146-1161.
Roizen, R. (1987). The great controlled-drinking controversy. In M. Galanter, (ed.), Recent developments in alcoholism, Vol. 5. New York: Plenum Press, pp. 245-279.
Szasz, T. (1972). Bad habits are not diseases. The Lancet, July 8, 83-84
Vaillant, G. (1990, March). We should retain the disease concept of alcoholism. Harvard Medical School Mental Health Letter, 6, pp. 4-6.
Case study
Write a five-page, typed, double-spaced, paper on someone you know well, a friend, family member, (or yourself), who has had, or has, a problem with drinking alcohol. Describe the person in terms of the following characteristics: Age, sex, socioeconomic background, education, family, how long he/she has been drinking problematically, state of health, legal problems, lifestyle and factors you think have contributed to the drinking problem. Differentiate between what you are able to observe about this person and what you imagine or interpret to be the reasons for his/her behavior. Protect the identity of the person you are writing about. Make two copies of the paper, one to keep for yourself and one to be handed in to the instructor.
Class debate
A class debate will take place on December 4 and 11. All students must participate by making at least a three-minute statement. You must submit a maximum one-page, single-spaced typed copy of your statement on the day of your presentation. Anything over one page will not be accepted. Your statement will be graded on the basis of clarity of presentation, communication/articulation, organization, audience contact (eye and voice contact), and logic of argument presented. Half of the class will participate on December 4 and the other half on December 11.
The topic to be debated on December 4 is a medical-policy setting and entitled: "Resolved: Alcoholism is a medical disease."
The topic on December 11 is a legal-policy setting and entitled: "Resolved: The disease-model of alcoholism should be abolished." Refer to the recommended reading list at the end of this syllabus for reference material.
Note
Clear and accurate writing will be taken into account in assigning grades, as well as participation in class discussions. Material discussed in class, and not in any of the readings, may form the basis for questions on the examinations. 5% grade reduction for over three class absences. One grade reduction for five absences. Students are responsible for anything covered in class during their absence. Readings must be completed by the session to which they are assigned. Additional readings may be assigned during the course.
Class Schedule Date Topic Reading January 15 Introduction and overview January 18 What is alcoholism? Fingarette, 1-30 Peele, 1-54, Szasz article January 22 History and models of alcoholism Fingarette, 31-69 January 25 Models of alcoholism Peele, 55-83 January 29 The disease concept Keller (disease concept) February 1 Loss of control theory NCA, Keller (loss of control) February 5 Genetic theory and studies Peele, 84-171 February 8 Genetic theory and studies February 12 Case study is due - Discussion of case studies February 15 Discussion of case studies February 19 Experiments on loss of control Merry, Prince February 22 Experiments on loss of control Marlatt, Paredes February 26 Treatment for alcoholism March 1 Treatment issues Fingarette, 70-95 March 5 Review for mid-term exam March 8 Mid-term examination (Spring Break) March 19 New approaches to treatment Peele, 171-202 Fingarette, 99-132 Controlled-drinking controversy Roizen article March 22 Law, Morality, and Addiction Peele, 203-229 Heavy drinking as a way of life Fingarette, 133-145 March 26 First Amendment Rights and Luff article State-supported treatment March 29 Alcoholics Anonymous Antze article April 2 Addiction and criminal responsibility Fingarette article April 5 Disease model defense issues Appelbaum Important Supreme Court Cases April 9 Social policies to help the Madsen, heavy drinker Fingarette (rejoinder), Vaillant articles April 12 Social policies Lecture April 16 Class debate April 19 Class debate April 23 Psychological considerations and new directions in alcoholism policy Lecture April 26 Final exam review May 7 Final examination 2:10pm-4:40pm
Recommended Readings
(Ideas contained within these works will be referred to throughout the course.)
Alcoholics Anonymous World Services. (1976). Alcoholics Anonymous: The story of how many thousands of men and women have recovered from alcoholism, (Third Edition). New York: Alcoholics Anonymous World Services, Inc.
Alexander, B. K. (1990). Peaceful measures: Canada's way out of the war on drugs. Toronto: Univ. of Toronto Press.
Bandura, A. (1986). Social foundations of thought & action: A social cognitive theory. Englewood Cliffs, N.J.: Prentice-Hall, Inc.
Blum, K. , Noble, E., Sheridan, P.J., Montgomery, A., Ritchie, T., Jagadeeswaran, P., Nogami, H., Briggs, A.H. and Cohn, J.B. . (1990). Allelic association of human dopamine D2 receptor gene in alcoholism. Journal of the American medical Association , 263, 2055-2060.
Bolus, A.M., Dean, M., Lucas-Derse, S., Ramsburg, M., Brown, G.L., & Goldman, D. (1990). Population and pedigree studies reveal a lack of association between the dopamine D2 receptor gene and alcoholism. Journal of the American Medical Association, 264, 3156-3160.
Cahalan, D. (1988). Implications of the disease concept of alcoholism. Drugs & Society, 2, 49-68.
Davies, D.L. (1962). Normal drinking in recovered alcohol addicts. Quarterly Journal of Studies on Alcohol 23, 94-104.
Fillmore, K.M. and Sigvardsson, S. (1988). "A meeting of the minds" - A challenge to biomedical and psychosocial scientists on the ethical implications and social consequences of scientific findings in the alcohol field. British Journal of Addiction 83, 609-611.
American Medical Association. (1967). Manual on alcoholism.
Christopher, J. (1988). How to stay sober: Recovery without religion. Buffalo, N.Y.: Prometheus Books.
Goodwin, D.W. (1988). Is alcoholism hereditary? New York: Ballantine.
Institute of Medicine. (1990). Broadening the base of treatment for alcohol problems. Wash., D.C.: National Academy Press.
Gordis, E., Tabakoff, B., Goldman, D., & Berg, K. (1990). finding the gene(s) for alcoholism. Journal of the American Medical Association,, 263,2094-2095.
Gusfield, J.R. (1963). Symbolic crusade: Status politics and the American Temperance Movement . Urbana, Ill.: University of Illinois Press.
Heather, N. and Robertson, I. (1981). Controlled drinking. London: Methuen.
Jellinek, E.M. (1960). The disease concept of alcoholism. New Haven, conn.: Hillhouse Press.
Jellinek, E.M. (1952). The phases of alcohol addiction. Quarterly Journal of Studies on Alcohol 13, 673-84.
Jellinek, E.M. (1946). Phases in the drinking history of alcoholics. Quarterly Journal of Studies on alcohol 7, 1-88.
Kendell, R.E. (1979). Alcoholism: A medical or a political problem? British Medical Journal, 1, 367-371.
Kissin, B. (1983). The disease concept of alcoholism. In R.G. Smart et al. (eds.) Research advances in alcohol and drug problems, Volume 7. New York: Plenum Press, pp. 93-126.
Kurtz, E. (1988). A.A.: The story "A revised edition of Not-God: A history of Alcoholics Anonymous. New York: Harper & Row.
Lester, D. (1989). The heritability of alcoholism: Science and social policy. Drugs & Society,3, 29-67.
Marlatt, G.A. (1983). The controlled drinking controversy. American Psychologist 38, 1097-1110.
Mello, N.K. and Mendelson, J.H. (1972). Drinking patterns during work- contingent and non-contingent alcohol acquisition. Psychosomatic Medicine 34, 139-64.
Milam, J.R. & Ketcham, K. (1983). Under the Influence: A guide to the myths and realities of alcoholism . New York: Bantam.
Pattison, E.M., Sobell, M.B., and Sobell, L.C. (1977). Emerging concepts of alcohol dependence. New York: Springer Publishing Co.
Peele, S. (1985). The meaning of addiction: Compulsive experience and its interpretation. Lexington, Mass.: Lexington Books.
Peele, S. (1990). Second thoughts about a gene for alcoholism. The Atlantic Monthly, August, 52-58.
Reznek, L. (1987). The nature of disease. New York: Routledge & Kegan Paul.
Room, R. (1983). Sociological aspects of the disease model of alcoholism. In R.G. Smart et al. (eds.) Research advances in alcohol and drug problems, Volume 7. New York:
Schaler, J.A. (in press). Drugs and free will. Society.
Seligman, M.E.P. (1975). Helplessness: On depression, development, and death. New York: W.H. Freeman and Co.
Szasz, T. (1987). Insanity: The idea and its consequences. New York: Wiley & Sons.
Szasz, T.S. (1970). The manufacture of madness: A comparative study of the inquisition and the mental health movement. New York: Harper & Row.
Tabakoff, B., & Hoffman, P. (1988). Genetics and biological markers of risk for alcoholism. Public Health Reports 103, 690-698.
Tabakoff, B. (1988, September 13). Identification of individuals predisposed to alcohol abuse . U.S. Patent 4,770,996. Washington, D.C.
Vaillant, G.E. (1983). The Natural History of Alcoholism. Cambridge, Mass.: Harvard University Press.
Worell, L., & Tumilty, T.N. (1981). The measurement of locus of control among alcoholics. In H. M. Lefcourt (Ed.), Research with the locus of control construct: Vol. 1: Assessment methods. (pp. 321-333). New York: Academic Press.
Department of Justice, Law and Society
School of Public Affairs
The American University
Fall 1991
73.302.01 - ALCOHOLISM AND SOCIETY
Tuesday and Friday at 12:45 - 2:00 p.m.
Ward 111
Faculty: Jeffrey A. Schaler
Office: Ward 216
Telephone: (301) 585-5664 in Silver Spring, Md.
Office hours: Tuesdays 2 - 3:00 pm and Fridays 2 - 3:00 pm
(by appointment)
Course Description
Beverage alcohol is a legal drug long used to create an experience of intoxication. The health risks of alcohol use and abuse are well-known. Heated controversy now exists among policymakers, clinicians and researchers about how alcohol gets into the body. For example, is alcoholism a function of physiology, free will, a combination of the two, or just moral weakness? To what extent should alcoholics be held responsible for their behavior?
This course will investigate conflicting theories regarding the etiology of alcoholism and their ramifications for prevention, education and treatment policies. The history of alcohol policy in the U.S. will be examined, as well as that of Alcoholics Anonymous and the "great controlled-drinking controversy." Legal arguments pertaining to addiction and criminal responsibility, Supreme Court cases, and constitutional issues related to coerced treatment will also be addressed.
Course Objectives
- To familiarize students with current theoretical terms and concepts in the alcohol field, the methods used to research these concepts, and the applications of the concepts in the clinical, legal and policymaking settings.
- To develop observational skill in self-observation and other-observation in relation to alcohol-using behaviors.
- To understand the ideological, economic, and political investments integral to perspectives on alcoholism.
- To learn how to evaluate alcohol abuse prevention and treatment program effectiveness.
- To acquire confidence in debating ideas regarding alcohol policy.
Course Requirements and Grades Case study 20% Mid-term examination 30% Debate 20% Final examination 30% Total = 100%
Case study
Write a five-page, typed, double-spaced, paper on someone you know well, a friend, family member, (or yourself), that has had or has a problem with drinking alcohol. Describe the person in terms of age, sex, socioeconomic background, education, family, state of health, legal problems, lifestyle and factors you think have contributed to the drinking problem. Differentiate between what you are able to observe about this person and what you imagine or interpret to be the reasons for his/her behavior. Describe what you think this person needs to do to take better care of him/herself, e.g., personality strategies, behavioral strategies, environmental strategies. Protect the identity of the person you are writing about. Make two copies of the paper, one to keep for yourself and one to be handed in to the instructor.
Required Texts and Readings
Fingarette, H. (1988). Heavy Drinking: The Myth of Alcoholism as a Disease. Berkeley, Ca.: University of California Press.
Heather, N. and Robertson, I. (1989) Problem drinking (2nd edition). New York: Oxford University Press.
Peele, S. (1989). Diseasing of America: Addiction Treatment Out of Control. Lexington, Mass.: Lexington Books.
The following articles are to be purchased bound as Packet #48 at Kinko's, located in the Butler Pavilion lower level:
Antze, P. (1987). Symbolic action in Alcoholics Anonymous. In M. Douglas, (ed.), Constructive drinking: Perspectives on drink from anthropology. New York: Cambridge University Press, pp. 149-181.
Blum, K. , Noble, E., Sheridan, P.J., Montgomery, A., Ritchie, T., Jagadeeswaran, P., Nogami, H., Briggs, A.H. and Cohn, J.B. . (1990). Allelic association of human dopamine D2 receptor gene in alcoholism. Journal of the American medical Association , 263, 2055-2060.
Bolos, A.M., Dean, M., Lucas-Derse, S., Ramsburg, M., Brown, G.L., & Goldman, D. (1990). Population and pedigree studies reveal a lack of association between the dopamine D2 receptor gene and alcoholism. Journal of the American Medical Association, 264, 3156-3160.
Cooper, R., Berger, L.S., Jackson, R.N. (1985). Alcoholism-Recovery and responsibility. The Center Magazine, 18, 62-64, [Letters to the Editor].
Ditman, K.S., Crawford, G.G., Forgy, E.W., Moskowitz, H., and Macandrew, C. (1967). A controlled experiment on the use of court probation for drunk arrests. American Journal of Psychiatry, 124, 160-163.
Fingarette, H. (1989). A rejoinder to Madsen. The Public Interest, 95, Spring, 118-121.
Fingarette, H. (1985a). Alcoholism - neither sin nor disease. The Center Magazine, 18, 56-63.
Fingarette, H. (1985b). What is alcoholism? Afterword. The Center Magazine, 18, 43-44.
Fingarette, H. (1981). Legal aspects of alcoholism and other addictions: Some basic conceptual issues. British Journal of Addiction, 76, 125- 132.
Gelman, D., Leonard, E.A., and Fisher, B. (1991, July 8). Clean and sober- And agnostic. Newsweek, 62-63.
Glaser, F.B. (1985). What is alcoholism? Treatment must be carefully matched to each individual. The Center Magazine, 18, 36-37.
Keller, M. (1976). The disease concept of alcoholism revisited. Journal of Studies on Alcohol, 37, 1694-1717.
Luff, E. (1989). The First Amendment and drug alcohol treatment programs: To what extent may coerced treatment programs attempt to alter beliefs relating to ultimate concerns and self concept? In A.S. Trebach & K.B. Zeese (Eds.) Drug policy 1989-90: A reformer's catalogue (pp. 262- 266). Washington, D.C.: Drug Policy Foundation.
Madsen, W. (1989). Thin thinking about heavy drinking. The Public Interest, 95, Spring, 112-118.
Madsen, W. (1985). What is alcoholism? Therapy often has high rate of success. The Center Magazine, 18, 36-37.
Marlatt, G. A., Demming, B., & Reid, J.B. (1973). Loss of control drinking in alcoholics: An experimental analogue. Journal of Abnormal Psychology, 81, 233-241.
Merry, J. (1966). The "loss of control" myth. The Lancet, June 4, 1257- 1258.
Pomeroy, F.W. (1985). What is alcoholism? Denial of disease concept would be devastating. The Center Magazine, 18, 42-43.
Prince, J.M., Glatt, M.M., Pullar-Strecker, H. (1966). The "loss of control" myth. The Lancet , June 25, 1423-1424, [Letters to the Editor].
Room, R. (1985). What is alcoholism? Not sure "way of life" concept helps the situation. The Center Magazine, 18, 38-41.
Szasz, T. (1972). Bad habits are not diseases. The Lancet, July 8, 83-84
Takamine, J. (1985). What is alcoholism? Disease, not stubbornness, is what destroys life. The Center Magazine, 18, 41-42.
Tuchfield, B. (1981). Spontaneous remission in alcoholics. Journal of Studies on Alcohol 42: 626-41.
Vaillant, G. (1990, March). We should retain the disease concept of alcoholism. Harvard Medical School Mental Health Letter, 6, pp. 4-6.
Class debate
A class debate will take place on December 3 and 6. All students must participate by making at least a 3-5 minute statement, depending on the size of the class. Your statement will be graded on the basis of presentation (eye and voice contact), as well as clarity of reasoning. Half of the class will participate on December 3 and the other half on December 6. You must submit a typed, single-spaced, maximum of one page copy of your remarks to the instructor by the end of class on December 6. Your name must appear centered at the top of the page under the word "Pro" or "Con", depending upon which side of the debate you will be arguing. The topic for the debate will be announced in class. The articles from The Center Magazine and Public Interest are to be used for the debate.
* Clear and accurate writing will be taken into account in assigning grades. Material discussed in class, and not in any of the readings, may form the basis for questions on the examinations. One grade reduction for over three class absences. Students are responsible for anything covered in class during their absence. Readings must be completed by the session to which they are assigned. Additional readings may be assigned during the course.
Class Schedule Date Topic Reading September 3 Introduction and overview What is alcoholism? September 6 The history of alcohol policy Fingarette 1-69 in the U.S. September 10 Three models of alcohol use Heather & Robertson 1-89 September 13 The disease model Keller September 17 Loss-of-control theory Marlatt article September 20 Genetic theories Bolos, Blum articles Peele 383-386 September 24 Spontaneous remission Tuchfield article September 27 Controlled drinking Heather 90-171 October 1 Case study due - Discussion of case studies October 4 Case studies Finish Fingarette October 8 Social-psychological paradigms Heather 175-275 October 11 Social learning theory Finish Heather October 15 What is addiction? Peele 1-72 October 18 Kinds of addiction Peele 73-157 October 22 Mid-term exam review October 25 Mid-term examination October 29 What is treatment Gelman article November 1 Mr. Robert Witt, special Antze article guest lecturer from Kolmac Clinic, Silver spring, Md. - "Treatment programs and Alcoholics Anonymous" (attendance required) November 5 Help without treatment Peele 158-228 November 8 Legal arguments Fingarette article November 12 Supreme Court cases Ditman & November 15 Coerced treatment Luff articles November 19 Professor Bruce K. Alexander Peele 229-354 special guest lecturer from Simon Fraser University, British Columbia, Canada - "Addiction Re-defined" (attendance required) November 22 Self-efficacy, values & Finish Peele the role of community Debate preparation November 26 No class November 29 No class December 3 Class debate All Center December 6 Class debate Magazine and Public Interest articles December 10 Review for final examination December 20 Final examination 11:20am - 1:50pm
Academic Integrity Code
"Standards of academic conduct are set forth in the University's Academic Integrity Code. It is expected that all examinations, tests, written papers, and other assignments will be completed according to the standards set forth in this code. By registering, you have acknowledged your awareness of the Academic Integrity Code, and you are obliged to become familiar with your rights and responsibilities as defined by the Code. Violations of the Academic Integrity Code will not be treated lightly, and disciplinary action will be taken should such violations occur. Please see me if you have any questions about the academic violations described in the Code in general or as they relate to particular requirements for this course." (University policy requires this statement be included on all syllabi.)
