Diagnostic Tools Essay
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 drinking that interferes with home or work, continued drinking that causes problems with personal life, drinking and having risky or hazardous behavior, more than one alcohol-related legal issue. There are some differences between Jellinek’s Phases of Alcoholism and DSM-IV TR. The newer version, DSM-IV TR dropped the word alcoholism and does not believe in overlapping symptoms of abuse or dependence.
Diagnosing alcohol dependence are as followed; if the person has or doesn’t have withdrawal and tolerance. Diagnosing alcohol abuse is associating with continuing to drink even though they have legal, personal, or social problems because of alcohol. While Jellinek’s Phases are associated with social, physical, and psychological symptoms recorded over a matter of time, they come step by step. They also believe phases can overlap. DSM-IV TR is what more people go by, because it is up to date and more accurate to help diagnose people with what kind of problem are facing.