Drinking in Longitudinal Perspective: Career and Natural History

Edwards, Griffith

doi:10.1111/j.1360-0443.1984.tb03853.x

Cited by 37 publications

(9 citation statements)

References 46 publications

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“…I also suggested that treatment may well benefit from understanding such ''natural processes of recovery'' (Edwards, 1984).…”

Section: ''Natural Healing Factors''mentioning

confidence: 99%

“…In addition, the ongoing work of Moos and his associates (Bromet & Moos, 1977;Finney & Moos, 1992;Moos, Finney, & Chan, 1981) appears to confirm the crucial role of such ''natural'' or ''extratreatment'' factors. It may well be that in order for treatment to be effective, it must be syntonic with such ''natural processes of recovery'' (Edwards, 1984). In order to understand these issues we need research that focuses on dynamics that ''invite and reinforce'' sobriety over the long-term (Taylor, Brown, Duckitt, Edwards, Oppenheimer, & Sheehan, 1985).…”

Section: State Of the Questionmentioning

confidence: 99%

“…Comprehensive understanding of the nature and ''natural history'' of alcoholism requires knowledge of both its addictive and recovery ''careers'' (Edwards, 1984;Vaillant & Milofsky, 1982). Yet, while the literature is rich and varied in its exploration of alcoholic drinking, it is less abundant in its study of recovery.…”

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confidence: 99%

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Extended Length of Sobriety:

1994

Alcoholism Treatment Quarterly

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“…I also suggested that treatment may well benefit from understanding such ''natural processes of recovery'' (Edwards, 1984).…”

Section: ''Natural Healing Factors''mentioning

confidence: 99%

Section: State Of the Questionmentioning

confidence: 99%

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Extended Length of Sobriety:

1994

Alcoholism Treatment Quarterly

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“…The way in which research findings can actually be fed back to influence clinical care then poses further interesting questions. The Addiction Research Unil has over the years produced work on coping mechanisms and relapse prevention (Litman et a/., 1984), studies on the help seeking process (Thom, 1986(Thom, ,1987, work on the wives of alcoholics (Orford et al, 1975), and research on the special needs of the homeless alcoholic (Edwards et al, 1966), all of which have provided insights which have been integrated into the work of the clinical service Research on the long-term course of alcoholism (Edwards, 1989b) and ideas on 'natural history and career' (Edwards, 1984) have a similar ready follow through to clinical practice. The two-dimensional dependence and problems model to the development of which the ARU's research contributed (Edwards, 1986), provides the clinical worker with a basic framework, and the ARU has developed measures for dependence (SADQ, Stockwell et ai, 1979) and for alcohol related problems (APQ, Drummond, 1990), which are used in the clinical setting.…”

Section: Research As Another Integral Activitymentioning

confidence: 99%

The alcoholism treatment service at the Maudsley Hospital, London

Edwards¹

1991

British Journal of Addiction

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This article describes the linked clinical, research and teaching functions of the Maudsley's Alcoholism Treatment service. Emphasis is placed on the heterogeneity of the patients who are seen. Therapy must therefore always be patient-specific and the Procrustean insistence that patients should fit the programme rather than the programme fit the patients should be resisted. Within the diversity of approaches which are employed some important common elements can though be identified: detailed case assessment as the necessary basis for everything else, goal setting, a flexible intensity of response, networking with other treatment resources, and attention to methods of patient recruitment. The relationship between outpatient and inpatient services is discussed: about 80% of all new referrals are treated entirely on an outpatient basis. The clinical setting provides a teaching base for the Diploma in Addiction Behaviour. There is a close link between this clinical service and the Addiction Research Unit; issues of clinical and research collaboration and the interpretation and clinical application of research findings are considered. Whatever the theories in which a team believes or the techniques which it practices, the nurturing of hope is the vital essence of the practical business of treatment.

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“…Griffith Edwards (1984) was the first to distinguish between the natural history of alcoholism and the career of the drinker. The former implies a process that, if left unchecked by intervention, follows an inevitable progression that is essentially the same for all individuals with the condition.…”

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confidence: 99%

Life‐Course Observations of Alcohol Use among Navajo Indians: Natural History or Careers?

Kunitz¹

2006

Med Anthropol Q

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In this article, I describe changes in patterns of alcohol use and abuse among Navajo Indians from the mid-1960s to the late 1990s. The prevalence of alcohol dependence continues to be higher than in the general U.S. population, but remission is also common, as it was in the 1960s and previously. Men have substantially higher rates of alcohol dependence than women. The former engage in heavy drinking largely in response to the heavy drinking of those around them. The latter drink excessively largely as a response to psychiatric disorders, depression, and abuse by a partner or husband. As increasing numbers of people have moved to reservation and border towns, a youth culture has developed in which alcohol use is initiated by teenagers with their peers rather than, as in the past, with older kinsmen. Alcohol use has thus been freed from the constraints imposed by both isolation and family obligations.

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Drinking in Longitudinal Perspective: Career and Natural History

Cited by 37 publications

References 46 publications

Extended Length of Sobriety:

Extended Length of Sobriety:

The alcoholism treatment service at the Maudsley Hospital, London

Life‐Course Observations of Alcohol Use among Navajo Indians: Natural History or Careers?

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