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The treatment of alcoholism under this model consists mostly of social and legal measures brought to bear on the individual to make one feel guilty for going against the "right" collective way. Comment As a model this is probably the least relevant in terms of influence on attitudes to alcoholism today. There are, of course, nations such as India and the Islamic countries where such a position is a normal collective one. But in our society the teetotallers are rare and temperance groups in the minority.

He grew up in a small New England town of "intelligent, hard-working, church-going parents" who frowned upon the use of alcohol as did the other members of the community. Dr. Bob was obliged to attend at least four church services a week and vowed, when old enough to leave home, never to set foot in a church again. This rebellion against such rigid moral standards eventually led him into chronic alcoholism. 14 Many alcoholics of both sexes have had the same experience. As Kessel and Walton put, "If the parents are rigid in their teetotalism, then the child may in turn become fanatical in his own attitude to drink.

They advised cures, perhaps better quality wines to their wealthier patients, and simply condemned the poorer ones to charitable institutions or undignified death either alternative being the result of the "moral degeneracy" point of view that the conventional medical establishment shared with their social and cultural milieu. It was only in the 20th century, beginning with the study by Janet in 1915, that other points of view began to develop and that social, psychological and cultural questions were approached, placing alcoholism in a broader, less moralistic context.

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