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ALCOHOL RELATED PROBLEMS. TEETOTALLER: one who does not drink and has never drunk alcohol ABSTAINER: one who is not drinking alcohol anymore T otal about.

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Presentation on theme: "ALCOHOL RELATED PROBLEMS. TEETOTALLER: one who does not drink and has never drunk alcohol ABSTAINER: one who is not drinking alcohol anymore T otal about."— Presentation transcript:

1 ALCOHOL RELATED PROBLEMS

2 TEETOTALLER: one who does not drink and has never drunk alcohol ABSTAINER: one who is not drinking alcohol anymore T otal about 15 – 20 % of population CONSUMER: one who drinks ALCOHOL, IRRESPECTIVE OF THE QUANTITY T otal about % of population DIFFERENT USE OF ALCOHOL ALCOHOL FREE

3 RISK MODERATE DRINKER One who drinks 1 glass of wine or beer during a meal, and occasionally some spirits (coffee with brandy, liquor) ALL ALCOHOLICS used to be MODERATE DRINKERS

4 HEAVY RISK PROBLEMATIC DRINKER one who drinks SIGNIFICANT quantities of alcohol, so as to provoke BEHAVIOURAL ALTERATIONS and PHYSICAL DAMAGES

5 PROBLEMATIC DRINKER DAMAGES are INEVITABLE and start to show depending on: AGE of onset of alcohol consumption PHYSICAL CONDITIONS QUANTITY CONSUMED GENDER IT IS ONLY A MATTER OF TIME !

6 VERY HIGH RISK in danger of DEATH The ALCOHOLIC Every year in ITALY there are about alcohol-related deaths One who DOES NOT CONTROL anymore his alcohol consumption He is DEPENDENT on drinking ALCOHOLISM is NOT a DESEASE, it is a LIFE STYLE

7 There are many ALCOHOLISMS People become ALCOHOLICS through many different pathways ONLY the START is the SAME for ALL BEGINNING to DRINK ALCOHOLIC

8 TEETOTALLERS ALCOHOLICS MODERATE DRINKERS PROBLEMATIC DRINKERS ALCOHOL USE You can shift from the outside to the centre almost INADVERTENTLY

9 IRREVERSIBLE ALCOHOLISM MODERATE DRINKING ABSTINENCE PROBLEMATIC DRINKING ALCOHOLISM DEATH SOBRIETY ALCOHOL USE ONE WAY

10 ITS NOT A PROBLEM of QUANTITY Over the last 50 years the RECOMMENDED or SAFE quantities have been constantly reduced. The B.A.C. allowed for driving has been reduced in many countries from 0,8 gr./L. to 0,5 - and in some cases to 0,0 ITS VERY EASY TO INCREASE PROGRESSIVELY the daily quantity (ALMOST) without noticing it

11 Evolution over the last 50 years of the recommended daily quantities of wine (considered safe): Dr. Quartini (1960):1 litre per day Dr. Berardi (1984):0,66 litres (man) 0,50 litres (woman) W.H.O. (2000):0,14 litres per day (less than 1 glass) Guess what the next recommended quantity is going to be……

12 DRINKING is a RISKY BEHAVIOUR ALCOHOL is a PLEASURE just for a moment then you start HAVING PROBLEMS then it becomes the BOSS There is no alcoholic out there who was not, at one stage, a moderate drinker

13 Every substance that: W.H.O. World Health Organization is PSYCHOACTIVE provokes PHYSICAL ADDICTION provokes PSYCHIC ADDICTION provokes WITHDRAWAL SYMPTOMS is a DRUG ALCOHOL is a LEGAL DRUG Maradona V. Van Gogh – Self portrait

14 IT DOES ALTER the FUNCTIONING of the BRAIN: Initially it produces EUPHORIA, then AGGRESSIVITY Eventually it works as SEDATIVE on CENTRAL NERVOUS SYSTEM It provokes A BAD HABIT, upto DEPENDENCE ALCOHOL is a LEGAL DRUG

15 GETTING USED: In case of repeated consumption, the effectiveness of a substance decreases over time, because the body does create a sort of resistance TOLERANCE: The need to take progressively larger quantities to get the same effect DEPENDENCE: The need to continue to take the same substance, to prevent the withdrawal symptoms YOU CANNOT DO WITHOUT

16 OCCASIONAL CONSUMPTION MODERATE DRINKING INCREASE of TOLERANCE NEED to DRINK MORE EVIDENT PHYISICAL and PSYCHIC PROBLEMS EVIDENT PROBLEMS in the FAMILY and WORKPLACE THE PROBLEM CANNOT BE HIDDEN THE DEPENDENCE STAIRS D E P E N D E N C E FREQUENT CONSUMPTION NEED to DRINK MORE FREQUENTLY INCAPACITY to CONTROL DRINKING EXCUSES, ALIBIS, TRICKS PROBLEMS in the FAMILY DECREASE of TOLERANCE COMPULSIVE CONSUMPTION CRAVING

17 Have you ever felt the need to Cut down on drinking? Have you ever felt Annoyed by criticism of your drinking? Have you ever had Guilty feelings about your drinking? Have you ever drunk in the morning as an Eye opener? CAGE QUESTIONNAIRE on DEPENDENCE If you are a responder to at least TWO of such questions, you are likely to be already an alcoholic, just ONE if you are a youngster

18 For ALL DRUGS LEGAL or ILLEGAL the RIGHT QUANTITY is ZERO Dr. Garattini 2006

19 WHAT can ENCOURAGE ALCOHOL consumption DRINKING CULTURE MARKETING COMMON PLACES and PREJUDGEMENTS Caravaggio - Bacchus

20 very old TRADITIONS widely spread and well accepted BEHAVIOUR in order not to feel DIFFERENT DRINKING CULTURE

21 MY GRANDFATHER DRINKS TO REMEMBER MY UNCLE DRINKS TO FORGET MY NEPHEW DRINKS TO BE SMART AND GET GIRLS BUT MY GRANDFATHER DOESNT REMEMBER MY UNCLE DOESNT FORGET MY NEPHEW DOESNT GET ANY GIRLS SIMPLY, ALL THE THREE GET DRUNK

22 MARKETING IS A CONDITIONING FACTOR AND DOESNT INFORM Soft taste… … the full taste of life.. It creates an atmosphere… He knows what to drink… …and you know what you drink Italian taste Wine is sincere

23 COMMON PLACES and PREJUDGEMENTS ALCOHOL INCREASES STRENGTH ? NO WAY ! ATHLETES CANNOT DRINK ALCOHOL HEATS YOU UP ? NO WAY ! alcohol dilates the veins: drinking in the cold can be dangerous Hercules Jury Chechi

24 COMMON PLACES and PREJUDGEMENTS ALCOHOL INCREASES BLOOD NOT TRUE ANAEMIA is very frequent among the ALCOHOLICS ALCOHOL STIMULATES and MAKES YOU FEEL STRONG NOT TRUE it is a depressant of the NERVOUS SYSTEM it is an ANAESTETIC

25 COMMON PLACES and PREJUDGEMENTS Casanova Gargantua ALCOHOL increases your sexual potency ? NOT TRUE ! it may increase the DESIRE but the PERFORMANCE is much worse ALCOHOL is a DIGESTIVE ? NO WAY ! it provokes AESOPHAGITIS and GASTRITIS

26 COMMON PLACES and PREJUDGEMENTS ALCOHOL can help in case of collapse ? NOT SO alcohol dilates the veins: it lowers the blood pressure and therefore makes a collapse even worse

27 CONCLUSION The very MODEST beneficial effects of ALCOHOL, strongly MARKETED, but scientifically UNPROVEN, are in any case NEGLIGIBLE, if compared to the many DAMAGES (PHYSICAL and BEHAVIOURAL) that it can cause, in the INDIVIDUAL and in the COMMUNITY


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