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Motivation, Responsibility and Sickness in the Psychiatric Treatment of Alcoholism

Published online by Cambridge University Press:  29 January 2018

Phil Davies
Phil Davies*
Affiliation:
MRC Institute of Medical Sociology, Westburn Road, Aberdeen, AB9 2ZE Scotland
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Summary

Two dominant themes of alcohological thinking and practice are considered in this paper; the disease concept and the concept of motivation. Both are examined in terms of (a) the rights, obligations and responsibilities associated with different types of illness and degrees of severity, and (b) the routine care and treatment of alcoholism in two out-patient alcoholism clinics. The allocation of responsibility and attribution of motivation in psychiatric alcoholism consultations are examined. Finally, the relationship between responsibility allocation, motivation attribution and judgements of a potentially moral nature is considered. It is concluded that a Mutual Participation model of sickness behaviour and doctor-patient relationship is operative in the psychiatric treatment of alcoholism, based upon patients' self-responsibility and strength of character (willpower). In this respect, the psychiatric treatment of alcoholism contrasts with other (particularly non-psychiatric) conditions and treatments.

Type
Papers
Information
The British Journal of Psychiatry , Volume 134 , Issue 5 , May 1979 , pp. 449 - 458
Copyright
Copyright © Royal College of Psychiatrists, 1979 

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References

Bloom, S. W. & Summey, P. (1976) Models of the doctor-patient relationship: a history of the social system concept. In The Doctor–Patient Relationship in the Changing Health Scene, U.S. Department of Health, Education and Welfare, National Institutes of Health.Google Scholar
Byrne, P. S. & Long, B. E. L. (1976) Doctors Talking to Patients. London: H.M.S.O. Google Scholar
Glatt, M. (1969) The Alcoholic and the Help He Needs. Royston, Herts: Priory Press.Google Scholar
Health Education Council (Undated) Recognizing the Alcoholic—Guidance for the Professional Worker. Google Scholar
Jellinek, E. K. (1960) The Disease Concept of Alcoholism. New Jersey: Hillhouse Press.CrossRefGoogle Scholar
Keller, M. (1976) The disease concept revisited. Quarterly Journal of Studies on Alcohol, 37, 1694–717.Google Scholar
National Council on Alcoholism (Undated) The Alcoholism Complex—A Genus with Many Species. Google Scholar
Orford, J. & Edwards, G. (1977) Alcoholism. London: Oxford University Press.Google Scholar
Parsons, T. (1949) The Structure of Social Action. New York: Free Press, Glencoe.Google Scholar
Parsons, T. (1951) The Social System. London: Routledge and Kegan Paul.Google Scholar
Parsons, T. (1964) Social Structure and Personality. New York: Free Press, Glencoe.Google Scholar
Robinson, D. (1976) From Drinking to Alcoholism: A Sociological Commentary. London: Wiley and Sons.Google Scholar
Sterne, M. W. & Pittman, D. J. (1965) The concept of motivation: a source of institutional and professional blockage in the treatment of alcoholics. Quarterly Journal of Studies on Alcohol, 26, 41–57.CrossRefGoogle ScholarPubMed
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