Controlled Drinking

First published in 1981, here was the first review of literature on a controversial but increasingly practiced approach to the treatment of alcoholism. The authors analyse all the questions controlled drinking raises, starting with the need to examine the ‘disease conception’ of alcoholism and ‘total abstinence’ treatment.

Originally published in 1981 and revised in 1983, Controlled Drinking was the first scholarly review of the literature on a controversial but increasingly practiced approach to the treatment of alcoholism. Nick Heather and Ian Robertson analyse all the pertinent questions that controlled drinking raises, starting with the need to examine the ‘disease conception’ of alcoholism and ‘total abstinence’ treatment. They look at the evidence indicating that some people, previously diagnosed as alcoholics, are able to return to normal, controlled patterns of drinking, and discuss therapies where controlled drinking is the treatment goal, fully reviewing the evidence for their success and failure. Concluding with a discussion of the theoretical and policy implications of controlled drinking, the authors recommend that the disease view of alcoholism be finally abandoned.

For the revised paperback edition, as well as correcting and updating the text and references, the authors included an important postscript on the charges of falsification of evidence and their subsequent refutation which made up the Sobell affair. The wealth of other material presented in Controlled Drinking supports the authors’ conclusions even if the Sobells’ work were ignored. However, this revised edition was made more useful for student and professional readers by the postscript’s discussion of the controversy surrounding the most widely known and quoted controlled drinking trial at the time.

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