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Robert M. Morse, MD; Daniel K. Flavin, MD

JAMA. 1992;268(8):1012-1014.

Abstract
To establish a more precise use of the term alcoholism, a 23-member multidisciplinary committee of the National Council on Alcoholism and Drug Dependence and the American Society of Addiction Medicine conducted a 2-year study of the definition of alcoholism in the light of current concepts. The goals of the committee were to create by consensus a revised definition that is (1) scientifically valid, (2) clinically useful, and (3) understandable by the general public. Therefore, the committee agreed to define alcoholism as a primary, chronic disease with genetic, psychosocial, and environmental factors influencing its development and manifestations. The disease is often progressive and fatal. It is characterized by impaired control over drinking, preoccupation with the drug alcohol, use of alcohol despite adverse consequences, and distortions in thinking, most notably denial. Each of these symptoms may be continuous or periodic.

(JAMA. 1992;268:1012-1014)

Author Affiliations
the Joint Committee of the National Council on Alcoholism and Drug Dependence and the American Society of Addiction Medicine to Study the Definition and Criteria for the Diagnosis of Alcoholism

Footnotes
A complete list of the participants in this project appears at the end of this article.

Reprint requests to National Council on Alcoholism and Drug Dependence, 12 W 21st St, New York, NY 10010 (Dr Flavin).

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