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Essay text:
As recently
as DSM-I (1952) and DSM-II (1968), this understanding largely informed the work
of psychiatric diagnosticians: alcohol and drug abuse, like antisocial behavior and sexual
deviation, with which they were grouped, were seen as an expression of the abuser’s decision
to flaunt society’s rules of proper conduct. Although not framed explicitly in motivational
terms, this view of substance abuse nonetheless conceptualized the moral shortcomings of
alcohol abusers as working hand-in-hand with their motivational deficits to maintain their
abuse—although the mechanisms by which the two complemented each other could not be
specified...
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Common topics in this essay:
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