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TITLE
CERTIFICATE
DECLARATION
ACKNOWLEDGEMENT
CONTENTS
LIST OF TABLES
LIST OF FIGURES
LIST OF FLOW CHARTS
ABBREVIATIONS
1. INTRODUCTION
Flow chart No. I Etiology of Alcohol
1.1 Impact of Alcoholism
1.2 A Global Menace
1.3 Kerala Scenario in Focus
1.4 Rationale of the Study
1.5 Objectives and Hypotheses
1.6 Methodology
Summing up
2. ADDICTION: A CRITICAL ANALYSIS
2.1 Alcoholism
2.1.1 Historical aspect
Fermentation
Distillation
2.1.2 Different Types of Alcohol
2.1.3 Chemistry of Alcoholism and its Effect
Short-term Effects of Depressants
Long-term Effects
2.1.3.1 Alcohols Trip and its Effects
2.1.3.2 Syndromes Connected with Alcohol
2.1.4 Various Causes of Alcoholism
2.1.5 Family of Alcoholics
2.1.6 A Disease
2.2 Drug Abuse
2.2.1 Historical Aspect
2.2.2 Classification of Drug and its Effects on the Body.
2.2.2.1 Legal Drugs
2.2.2.2. Illegal Drugs
2.2.3 Classification of Addictive Drugs
2.2.3.1 Narcotic Analgesics
Flow chart No. 2 Narcotic Analogies
2.2.3.2 Stimulants
2.2.3.3.Hallucinogens
2.2.3.4 Depressants
2.2.3.5 Cannabis
2.2.3.6 Volatile Solvents
2.2.3.7 Other Drugs of Abuse
2.2.4 Various Causes of Drug Abuse
2.2.4.1 Individual Factors
2.2.4.2 Social Factors
2.3 Tobacco Related Problems
Fig. No: I Tobacco
2.3.1 Ban of advertisements and legislation
2.3.2 For successful legislative activities
Summing up
3. TREATMENT: MYTH AND REALITY
Introduction
3.1 Addiction, Recovery and Relapse
3.1.1 Addiction
3.1.1.1 The Stages of Addiction
3.1.2 Recovery
3.1.3 Relapse
3.1.3.1 Relapse Prevention
3.2 Misconception About treatment
3.3 Different Models of Treatments
3.3.1 Self Help programmes
3.3.2 De -Addiction Centres
3.3.3 Yoga
3.3.4 Intensive Counselling
3.3.5 Spiritual Retreat
3.3.6 Aversion Therapy
3.3.7 Antabuse Treatment
3.3.8 Acupuncture
3.3.9 Pranic healing
3.3.10 Prayer Therapy
3.3.11 Holistic Model
3.4 Holistic Approach -A Gandhian Perspective
Summing up
4. THE KERALA SCENARIO
Introduction
Table No. 1 An account of death tolls in some of the important hooch tragedies
4.1 Pattern of Acoholism and Substance Abuse
Flow chart No. 3 Supply of Indian Made Foreign Liquor in Kerala
Flow chart No. 4 Supply of Toddy network
Flow chart No. 5 Classification of various liquors
Table No. 2 The rate of consumption of the liquor
4.2 Handling the Menace
Table No.3 The revenue of the government income through Beverages Corporation
4.2.1 Prohibition
4.2.1.1 Prohibition in Indian Tradition
4.2.2 Temperance Movement
4.2.3 Treatment
4.2.3.1 Retention In Treatment
4.2.3.2 Community Involvement
4.2.3.3 Support System
4.3 Case Studies
4.3.1 SURAKSHA
4.3.2 ABHAYA
4.3.3 ADARRT
4.4 Data Analysis
Table No. 4 Age wise distribution of the respondent
Fig. No: 2 Age wise distribution
Table No. 5 Male / Female
Fig. No. 3 Married or Unmarried
Fig. No: 4 Religions
Fig. No: 5 Educational qualification
Fig. No: 6 Type of family
Fig. No: 7 Occupation
Table No. 6 Reason for taking the first drink
Fig. No: 8 Monthly income in rupees
Table No. 7 Age at the time of taking the first drink
Table No. 8 Place from where the first drink was taken
Table No. 9 Frequency of drinking
Table No. 10 Amount spent on alcohol
Table No. 11 Nature of relationship with family
Table No. 12 Source of money
Table No. I3 Attitude of co-workers
Table No. 14 Drinking and health
Table No. 15 Family relationships and financial situation
Table No. 16 Age and giving up the habit of drinking
Table No. 17 Persuasion to go to the treatment center
Table No. 18 Say No to drink
Table No. 19 Attitude towards the treatment center
Fig. No: 9 Experiences in the treatment centre
Table No. 20 Part of treatment that influenced better
Fig. No: 10 Positive decision taken under treatment
Fig. No: 1 1 Evaluation of the treatment programme
Fig. No: 12 Suggestions for improving treatment
Fig. No: 13 Major inspiration behind stop drinking
Fig. No: 14 Improvement in interpersonal relationship
Fig. No: 1 5 The attitude of others after the treatment
Fig. No: 16 Self evaluation
Fig No: 17 Changes seen after the treatment
Fig. No: 18 Relapse and its causes
Fig. No: 19 Follow up
Fig. No: 20 lntension to get rid of addiction
Fig. No: 21 Change of treatment centre
Fig. No: 22 Feelings at the time of failures
Fig. No: 23 Abstention and time span
Table No. 21 Main Precautions during the time of sobriety
Table No. 22 Visiting treatment center and participation in AAA Programmes
Table No. 23 Relaxation and happiness during the time of abstention
Table No. 24 Major achievements during abstention
Table No. 25 Society and encouragement
Table No. 26 Time with family members
Table No. 27 The programmes of the treatment centers for rehabilitation
Table No. 28 Financial background and family needs
Summing up
5. TOWARDS AN APPROPRIATE MODEL FOR KERALA., .
Introduction
5.1 Preventive Strategies
5.2 Session
5.2.1 Session I
5.2.2 Session II Mutual Trust
5.2.3 Session III The ideas of therapeutic community.
5.2.4 Session IV Rules, Rights and responsibility
5.2.5 Session V Peer Pressure Reversal Techniques.
5.2.6 Session VI Volunteer Works
5.2.7.Session VII..Five Common Feelings
5.2.8 Session VIII Decision Making Process
5.2.9 Session IX Developing Coping Skills
5.2.10 Session X Self-Esteem
5.2.11 Session XI Assertive skill
5.2.12 Session XII Developing Social View
5.2.13 Session XIII Time Management
5.2.14 Session XIV Communicative Skills
5.2.15 Session XV Stress Management
5.2.16 Session XIV Prayer is powerful
5.3 Towards a model Treatment Programme
5.3.1 History Taking
5.3.2 Programme in a nut shell
5.3.3 An over view of the Programme
Summing up
6. CONCLUSION
SELECTED BIBLIOGRAPHY
APPENDICES
APPENDIX - l GLOSSARY OF ALCOHOL TERMS
APPENDIX - II INTERVIEW SCHEDULE
APPENDIX - III DRUG USE QUESTIONNAIRE (DAST)
APPENDIX - IV DO YOU HAVE ATTENTION DEFICIT ?
APPENDIX -V FAMILY RECOVERY QUESTIONNAIRE
APPENDIX -VI THE TWELVE TRADITIONS OF ALCOHOLIC ANONYMOUS
APPENDIX -VII THE TWELVE STEPS
APPENDIX -VIIl LIST OF LEGISLATION REVIEWED
APPENDIX -IX AL-ATEEN IS FOR YOU^
APPENDIX -X AL-ANON IS FOR YOU^
APPENDIX -XI DID YOU GROW UP WITH A PROBLEM DRINKER?
APPENDIX -XII NEGATIVE RULES AND NEGATlVE MESSAGES COMMONLY HEARD IN ALCOHOLIC OR OTHER TROUBLED FAMILIES.
APPENDIX -XIII TWELVE THINGS TO DO IF YOUR LOVED ONE IS ALCOHOLIC
APPENDIX -XIV BANGKOK DECLARATION of Non - Governmental Organizations - 1994 World Forum on Drug Demand Reduction
APPENDIX - XV AN AUTOBIOGRAPHY IN FIVE SHORT CHAPTERS