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Classification of alcoholism and diagnostics

Current classification of alcoholism do not satisfy the majority of researchers. It should be said that the world still has not been recognized systematic approach to the problem of alcoholism. And this situation is clearly impedes the development of any research related to this problem. Why is the problem of creating new pathogenetic classification of alcoholism is today so badly?
First, the fact that the classification scheme is not yet grasp the real diversity of the disease. In practice this leads to the fact that the diagnosis does not become the turning point of contact of the doctor with the patient. Once the diagnosis does not take into account the specific clinical variant of the disease, he does not prejudge the differentiation protivoallergennoy therapy, is not conducive to the individual approach to a patient.
Secondly, the existing diagnostic scheme uninformative in prognostic respect, not reliably predict the most probable dynamics of the disease in a particular patient, not Orient the doctor on search and warning prevailing complications of the disease, the effects of alcohol consumption.
Third, existing classification schemes restrain the implementation of a clear study of the biological basis of alcoholism, deepen the understanding of the pathogenesis of the disease. A variety of clinical variants is expressed in the ranges of values of different biochemical and pharmacological indicators, and averages again may not work in every case. Therefore understandable efforts to create a modern, based on the generalization of the accumulated huge clinical and experimental material classification of alcoholism, corresponding to the current level of knowledge and views on pathogenesis of alcoholism.
What are the main existing classification schemes of alcoholism?
One group classification has been based on the facts of social changes occurring with sick alcoholism, describes the changes of their behavior. It gives like a cross section of the disease, often with behavioural positions. In this group classifications, the most widespread classification of Jellinek (Jellinek, 1972). Although this classification and takes into account the main symptoms of the disease, dominant in him criteria reflect the leading causes and cultural and psychological factors that contribute to alcohol use. Describes the behavior of patients and their food. Much attention is paid and typologization of damage due to the systematic use of alcohol. Jellinek identifies five main forms of alcoholism.
When alpha-alcoholism alcohol is used for removal of negative emotions and experiences, as well as uncomfortable somatic sensations. In this case, tolerance to alcohol is increased, the changes in the psychological status and the patient's behavior is small, although any damage and the patient and his entourage. Alcohol consumption appears as "unruly behaviour", and the severity of the pathological process is growing slowly.
Socio-cultural factors are leading and beta alcoholism. Drunkenness is dictated by the traditions and customs of microsocial environment. In the course of the disease may appear certain somatic consequences of alcohol abuse, private social consequences (arrests, antisocial behavior, and so on).
Gamma-alcoholism - this is a more severe form of the disease. The patient initially, psychologically, and then physically (in the terminology of Jellinek) becomes dependent on alcohol, and the disease progresses at a solid pace. The most important characteristic gamma alcoholism is the loss of control over the quantity of alcohol consumed, the state expressed intoxication. Many days of heavy alcoholic excesses alternate with periods. Presents the whole range of negative effects of alcohol consumption. This type is common in the Nordic countries, where preference is given to the consumption of strong alcoholic drinks.
In Delta alcoholism prevails constant form of alcohol consumption. Decisive is the inability to refrain from receiving alcohol. This loss of control over the quantity of alcohol consumed is insignificant. The progression of the process and increase the severity of the consequence of drinking slower than the gamma alcoholism. Distributed in southern countries, where traditionally preferred the use of wine.