We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Article |

Social Competence and Essential-Reactive Distinction in Alcoholism

Arch Gen Psychiatry. 1965;12(6):552-556. doi:10.1001/archpsyc.1965.01720360024004.
Text Size: A A A
Published online

THE ETIOLOGY of alcohol addiction remains obscure. A frequent formulation is that the disorder is a symptom manifestation of an underlying mental or personality disturbance, usually of a nonspecific nature;1-4 however, some consider that even this view is due to a bias in experience, and that alcoholism may be found in people with quite normal5 or even "magnificent"6 personalities.

As in so many other areas in psychiatry causative factors have been sought in family background,7-9 the pressures of culture and the adult role,7 and in biochemical and nutritional abnormalities.6 Although these various approaches may reflect the different emphases of different investigators, often dealing with differing social and cultural groups, it may be more useful from the point of view of research to consider alcohol addiction as a group of disorders, analogous to Bleuler's "group of schizophrenias." Within this group


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview





Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Submit a Comment


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.