Jellinek’s The Disease Concept of Alcoholism (1960) was a groundbreaking book. In it Jellinek made the disease concept of alcoholism scientifically respectable. He did this by taking a very careful and painstaking look at each of the possible ways of understanding alcoholism as a disease. In doing so, he evaluated available empirical evidence and the conceptual strength of each approach. Two major findings emerged. One was the concept of alcoholism as a progressive disease culminating in loss of control (that is, the inability to stop drinking after having begun).
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According to this scheme (Jellinek, 1952), alcoholism progresses from “occasional relief drinking” to
“obsessive drinking continuing in vicious cycles,” having passed through such stages as “onset of blackouts,” “grandiose and aggressive behavior,” “family and friends avoided,” and “indefinable fears.”
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