Jellinek’s Phases of Alcoholism and DSM-IV TR have many differences and similarities. Jellinek's Phases of Alcoholism are much older in distinguishing alcohol abuse and dependence, while DSM-IV TR is newer, revised, and seems to be more accurate. There are many different opinions about which way is best to follow in treating and diagnosing alcohol abuse and dependence.
Jellinek’s Phases of Alcoholism has for different phases. The prealcholic phase is drinking socially but finding yourself drinking more to handle stress. This phase usually lasts several months to more than two years. The prodronormal phase is turning into a need and no longer a want, this is also when blackouts begin. This phase can last form six months to about 5 years. The crucial phase is where you start to lose to control, once you take your first drink, you can not stop. Your life will revolve around alcohol. The last phase is the chronic phase, you begin drinking at an earlier time in the day and spend the majority of the day under the influence. You are able to tolerate more alcohol which causes you to drink more heavily and your behavior becomes dangerous. Tremors begin and you are no longer rational.
The DSM-IV TR Diagnostic Criteria is a little different. For Alcohol dependence they see it as a pattern which leads to distress or impairment. They evaluate it from a 12 month period, if you have 3 or more issues from the list, you are considered alcohol dependent; Tolerance is increased and it becomes a need, withdrawal, not successful in being able to cut back alcohol consumption, spending more time doing things related to drinking, drinking larger amounts or a longer period than intended, when you know there is physical or psychological problem but continue to drink, and giving up things in your life because of your drinking.
The DSM-IV TR for alcohol abuse is also a pattern in a 12 month period. If you have at least one from the following it is considered alcohol abuse; continue...
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