Table Of ContentRECENT DEVELOPMENTS IN
ALCOHOLISM
VOLUME14
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
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Editorial Board
Chair: Chair Emeritus and Founder:
James D. Beard, Ph.D. Charles S. Lieber, M.D.
Dharam P. Agarwal, Ph.D. C. J. Peter Erickson, Ph.D. Sara Jo Nixon, Ph.D.
Howard C. Becker, Ph.D. V. Gene Erwin, Ph.D. Roger Nordmann, M.D., Ph.D.
Marlene O. Berman, Ph.D. Daniel Flavin, M.D. Stephanie S. O´Malley, Ph.D.
Stefan Borg, M.D. Adrienne S. Gordon, Ph.D. Adolf Pfefferbaum, M.D.
Michael E. Chamess, M.D. Kathleen A. Grant, Ph.D. Tamara J. Phillips, Ph.D.
Allan C. Collins, Ph.D. Victor Hesselbrock, Ph.D. John Saunders, Ph.D.
David W. Crabb, M.D. Paula L. Hoffman, Ph.D. Boris Tabakoff, Ph.D.
John Crabbe, Ph.D. Hiromasa Ishii, M.D. Jalie A. Tucker, Ph.D.
Chistopher L. Cunningham, Ph.D. Thomas R. Jerrells, Ph.D. Joanne Weinberg, Ph.D.
Nancy Day, Ph.D. Harold Kalant, M.D., Ph.D. Gary S. Wand, M.D.
Philippe A.J. De Witte, Ph.D. Ting-Kai Li, M.D. James R. West, Ph.D.
Ivan Diamond, Ph.D. Robert O. Messing, M.D.
Research Society on Alcoholism American Society of
Addiction Medicine
President:
Ivan Diamond, M.D., Ph.D. President:
G. Douglas Talbott, M.D.
VicePresident:
Edward P. Riley, Ph.D. President-elect:
Marc Galanter, M.D.
Secretary:
Tina Vanderveen, Ph.D. Secretary:
Andrea G. Barthwell, M.D.
Treasurer:
Victor Hesselbrock, Ph.D. Treasurer:
James W. Smith, M.D.
Immediate Past President:
R. Adron Harris, Ph.D. Immediate Past President:
David E. Smith, M.D
Publications Committee Chair:
James D. Beard, Ph.D.
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 York, New York 10016
Frank J. Chaloupka, Department of Economics, University of Illinois at Chi-
cago, Chicago, Illinois 60607; and Health Economics Program, National Bu-
reau of Economic Research, New York, New York 10017-5405
Juan Ramon De la Fuente, Instituto Mexicano de Psiquiatría, Calzada, CP
14370 México, DF
Robert E. Drake, Psychiatric Research Center, Dartmouth Medical School,
Lebanon, New Hampshire 03766
Magi Farré, Universitat Pompeu Fabra and Universitat Autónoma de Barce-
lona, Barcelona, Spain
Douglas Fountain, The Lewin Group, Fairfax, Virginia 22031
Howard S. Friedman, Department of Medicine, Long Island College Hospi-
tal, Brooklyn, New York; and Department of Medicine, SUNY Health Sci-
ences Center at Brooklyn, Brooklyn, New York 11201
vii
viii Contributors
Richard K. Fuller, Division of Clinical and Prevention Research, National
Institute on Alcohol Abuse and Alcoholism, Bethesda, Maryland 20892-7003
Peter R. Giancola, Western Psychiatric Institute and Clinic, Department of
Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, Pennsyl-
vania 15213
Maria Luisa González, Institut Municipal d´Investigació and Universitat Au-
tónoma de Barcelona, Barcelona, Spain
David A. Gorelick, Intramural Research Program, National Institute on Drug
Abuse, National Institutes of Health, Baltimore, Maryland 21224
Edward Gottheil, Department of Psychiatry, Jefferson Medical College,
Thomas Jefferson University, Philadelphia, Pennsylvania 19107
Ellen F. Gottheil, Department of Psychiatry and Behavioral Sciences, Univer-
sity of Washington Medical School, Seattle, Washington 98195
Michael Grossman, Department of Economics, City University of New York
Graduate School, New York, New York, 10036, and Health Economics Pro-
gram, National Bureau of Economic Research, New York, New York 10017-
5405
Henrick J. Harwood, The Lewin Group, Fairfax, Virginia 22031
Harold D. Holder, Prevention Research Center, Berkeley, California 94704
Margaretha Jarvinen, Institute of Sociology, University of Copenhagen, 1361
Copenhagen, Denmark
Takenobu Kamada, Department of Gastroenterology, Osaka Rosai Hospital,
Osaka 591, Japan
Maria A. Leo, Department of Medicine, Mount Sinai School of Medicine,
New York, New York; and Bronx VA Medical Center, Bronx, New York 10468
Robert Levy, Department of Psychiatry, New York University School of Med-
icine, Bellevue Hospital Medical Center, New York, New York 10016
Charles S. Lieber, Departments of Medicine and Pathology, Mount Sinai
School of Medicine, New York, New York; and Alcohol Dependence Treat-
ment Program and Section of Liver Disease and Nutrition, Bronx VA Medical
Center, Bronx, New York 10468
Contributors ix
Gina Livermore, The Lewin Group, Fairfax, Virginia 22031
David Lyons, Department of Physiology and Pharmacology, Wake Forest
University School of Medicine, Winston-Salem, North Carolina 27157
Elena Medina-Mora, Instituto Mexicano de Psiquiatría, Calzada, CP 14370
México, DF
Ruth Montalvo, Department of Medicine, Division of Gastroenterology and
Nutrition, The University of Texas Health Science Center at San Antonio, San
Antonio, Texas 78284-7878
Howard B. Moss, Western Psychiatric Institute and Clinic, Department of
Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, Pennsyl-
vania 15213
John Mullahy, Department of Preventive Medicine, Bradley Memorial, Uni-
versity of Wisconsin, Madison, Wisconsin 53706
Katsuhisa Noda, Department of Gastroenterology, Osaka Rosai Hospital,
Osaka 591, Japan
Mary O´Malley, Department of Psychiatry, New York University School of
Medicine, Bellevue Hospital Medical Center, New York, New York 10016
Alfonso Paredes, Laboratory for the Study of the Addictions, West Los An-
geles, VA Medical Center, Los Angeles, California 90073
Linda J. Porrino, Department of Physiology and Pharmacology, Wake Forest
University School of Medicine, Winston-Salem, North Carolina 27157
Gudrun Pöschl, Laboratory of Alcohol Research, Liver Disease and Nutrition,
and Department of Medicine, Salem Medical Center, D-69121 Heidelberg,
Germany
Luciana Ramos, Instituto Mexicano de Psiquiatría, Tlalpan, 14370 México, DF
Martha Romero, Instituto Mexicano de Psiquiatria, Tlalpan, 14370 México, DF
Henry Saffer, Department of Economics, Kean University, Union, New Jer-
sey 07083; and Health Economics Program, National Bureau of Economic
Research, New York, New York 10017-5405
Gabriela Saldivar, Instituto Mexicano de Psiquiatría, Tlalpan, 14370 México,
DF
x Contributors
Steven Schenker, Department of Medicine, Division of Gastroenterology and
Nutrition, The University of Texas Health Science Center at San Antonio, San
Antonio, Texas 78284-7878
Jordi Segura, Institut Municipal d´Investigació and Universitat Autónoma de
Barcelona, Barcelona, Spain
Helmut K. Seitz, Laboratory of Alcohol Research, Liver Disease and Nutri-
tion, and Department of Medicine, Salem Medical Center, D-69121 Heidel-
berg, Germany
Ulrich A. Simanowski, Laboratory of Alcohol Research, Liver Disease and
Nutrition, and Department of Medicine, Salem Medical Center, D-69121
Heidelberg, Germany
Jody L. Sindelar, Department of Epidemiology and Public Health, Yale Uni-
versity School of Medicine, New Haven, Connecticut 06520
Edward G. Singleton, Behavior Therapy Treatment Research Center, Johns
Hopkins University School of Medicine, Baltimore, Maryland 21224
Hilary R. Smith, Department of Physiology and Pharmacology, Wake Forest
University School of Medicine, Winston-Salem, North Carolina 27157
Norman Sussman, Department of Psychiatry, New York University School of
Medicine, Bellevue Hospital Medical Center, New York, New York 10016
Rafael de la Torre, Institut Municipal d´Investigació and Universitat Autóno-
ma de Barcelona, Barcelona, Spain
Laurence Westreich, Department of Psychiatry, New York University School
of Medicine, Bellevue Hospital Medical Center, New York, New York 10016
Christopher T. Whitlow, Department of Physiology and Pharmacology,
Wake Forest University School of Medicine, Winston-Salem, North Carolina
27157
Harumasa Yoshihara, Department of Gastroenterology, Osaka Rosai Hospi-
tal, Osaka 591, Japan
