Am J Psychiatry 1986; 143:1-11
Copyright © 1986 by American Psychiatric Association
An etiologic model of alcoholism
JM Donovan
As we await a successful model of the etiology of alcoholism, research and
intervention strategies founder. The author critically reviews the present
etiologic models, particularly those bearing on alcoholic personality. The
central shortcoming of these models is that they pay only lip service to
the multidimensional etiology of alcoholism. Hereditary, environmental, and
psychostructural risk factors have never been adequately integrated into
any one design. The author explains the difficulties that this problem and
others have introduced into the previous etiologic research. In the
conclusion, he constructs a new model from the positive findings thus far.
This, in turn, suggests the studies needed next and has definite diagnostic
and therapeutic implications.
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