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Other evidence for at least two alcoholisms II: Life course variation in antisociality and heterogeneity of alcoholic outcome

Published online by Cambridge University Press:  04 March 2009

Robert A. Zucker*
Affiliation:
University of Michigan
Deborah A. Ellis
Affiliation:
Vayne State University School of Medicine
Hiram E. Fitzgerald
Affiliation:
Michigan State University
C. Raymond Bingham
Affiliation:
Michigan State University
Keith Sanford
Affiliation:
Michigan State University
*
Robert A. Zucker, University of Michigan Alcohol Research Center, 400 E. Eisenhower Parkway, Ste. 2A, Ann Arbor, MI 48108–3318 (E-mail: [email protected]).

Abstract

Within the framework of a cumulation/nesting theory for the emergence of adult psychopathology, a typing structure for alcoholism based upon variations in life course continuity of antisocial behavior over childhood and adulthood was examined for its ability to differentiate symptomatic and life history variations among alcoholic and nonalcoholic men accessed by way of a population-based recruitment strategy. Results supported the theory and identified two alcoholic types, one high on lifetime antisociality (antisocial alcoholic = AAL), the other low (nonantisocial alcoholic = NAAL), and a third nonalcoholic type with low lifetime antisociality. Types differed in age of onset, severity, number, and life course of alcohol problems, measures of social adaptation, amount and severity of other psychopathology, and salience of family history load of alcoholism. Antisociality and alcoholism tended to be nested characteristics.

Type
Articles
Copyright
Copyright © Cambridge University Press 1996

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