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Presenting authoritative reviews by leading researchers and clinicians in the field of alcoholism, this book studies the neuropsychiatric, medical, economical and cross-cultural aspects of alcoholism.
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RECENT DEVELOPMENTS IN ALCOHOLISM VOLUME 14 THE CONSEQUENCES OF ALCOHOLISM RECENT DEVELOPMENTS IN Edited by MARC GALANTER New York University School of Medicine New York, New York Associate Editors HENRI BEGLEITER, RICHARD DEITRICH, RICHARD FULLER, DONALD GALLANT, DONALD GOODWIN, EDWARD GOTTHEIL, ALFONSO PAREDES, MARCUS ROTHSCHILD, and DAVID VAN THIEL Assistant Editors DEIRDRE WINCZEWSKI MAUREEN CARUSO An Official Publication of the American Society of Addiction Medicine and the Research Society on Alcoholism. This series was founded by the National Council on Alcoholism. ALCOHOLISM VOLUME 14 THE CONSEQUENCES OF ALCOHOLISM Medical Neuropsychiatric Economic Cross-Cultural KLUWER ACADEMIC PUBLISHERS NEW YORK / BOSTON / DORDRECHT / LONDON / MOSCOW eBook ISBN: Print ISBN: 0-306-47148-5 0-306-45747-4 ©1998 Kluwer Academic Publishers New York, Boston, Dordrecht, London, Moscow Print ©2000 Kluwer Academic / Plenum Publishers New York All rights reserved No part of this eBook may be reproduced or transmitted in any form or by any means, electronic, mechanical, recording, or otherwise, without written consent from the Publisher Created in the United States of America Visit Kluwer Online at: and Kluwer's eBookstore at: http://kluweronline.com http://ebooks.kluweronline.com Editorial Board Chair Emeritus and Founder: Charles S. Lieber, M.D. Chair: James D. Beard, Ph.D. Dharam P. Agarwal, Ph.D. Howard C. Becker, Ph.D. Marlene O. Berman, Ph.D. Stefan Borg, M.D. Michael E. Chamess, M.D. Allan C. Collins, Ph.D. David W. Crabb, M.D. John Crabbe, Ph.D. Chistopher L. Cunningham, Ph.D. Nancy Day, Ph.D. Philippe A.J. De Witte, Ph.D. Ivan Diamond, Ph.D. C. J. Peter Erickson, Ph.D. V. Gene Erwin, Ph.D. Daniel Flavin, M.D. Adrienne S. Gordon, Ph.D. Kathleen A. Grant, Ph.D. Victor Hesselbrock, Ph.D. Paula L. Hoffman, Ph.D. Hiromasa Ishii, M.D. Thomas R. Jerrells, Ph.D. Harold Kalant, M.D., Ph.D. Ting-Kai Li, M.D. Robert O. Messing, M.D. Research Society on Alcoholism President: Ivan Diamond, M.D., Ph.D. Vice President: Edward P. Riley, Ph.D. Secretary: Tina Vanderveen, Ph.D. Treasurer: Victor Hesselbrock, Ph.D. Immediate Past President: R. Adron Harris, Ph.D. Publications Committee Chair: James D. Beard, Ph.D. Sara Jo Nixon, Ph.D. Roger Nordmann, M.D., Ph.D. Stephanie S. O´Malley, Ph.D. Adolf Pfefferbaum, M.D. Tamara J. Phillips, Ph.D. John Saunders, Ph.D. Boris Tabakoff, Ph.D. Jalie A. Tucker, Ph.D. Joanne Weinberg, Ph.D. Gary S. Wand, M.D. James R. West, Ph.D. American Society of Addiction Medicine President: G. Douglas Talbott, M.D. President-elect: Marc Galanter, M.D. Secretary: Andrea G. Barthwell, M.D. Treasurer: James W. Smith, M.D. Immediate Past President: David E. Smith, M.D This page intentionally left blank. Contributors Tiina Arppe, Department of Sociology, The University of Helsinki, 00200 Helsinki, Finland Enrique Baraona, Department of Medicine, Mount Sinai School of Medicine, New York, New York; and Bronx VA Medical Center, Bronx, New York 10468 Mary F. Brunette, Psychiatric Research Center, Dartmouth Medical School, Lebanon, New Hampshire 03766 Jordi Camí, Institut Municipal d´Investigació Medica and Universitat Pompeu Fabra, Barcelona, Spain Carlos Campillo, Instituto Mexicano de Psiquiatría, Tlalpan, 14370 México, DF Silvia Carreño, Instituto Mexicano de Psiquiatría, Calzada, CP 14370 México, DF Ricardo Castaneda, Department of Psychiatry, New York University School of Medicine, Bellevue Hospital Medical Center, New Yor