Impairment may involve physiological, psychological or social dysfunction" (Maltzman, 2000, p.43). A final quote by Stanley E. Gitlow of Mount Sinai School of medicine suggests that "alcoholism is a disease characterized by the repetitive and compulsive indigestion of any sedative drug.in such a way as to cause interference in some aspects of the subjects life, be it in the area of interpersonal relationships, job, marriage, or physical health. It is absolutely critical to appreciate that this definition does not in any way specify which sedative agent is used, the frequency of its use, or the amount ingested" (O"Brien & Chafetz, 1982, p.26). Based on the above various quotations, it can be said that there is a wide opinion on the classification and the definition of alcoholism. The Patient: WG is an alcoholic or substance abuser according to the outlines set forth in the DSM-IV. WG is a 24 year old male and currently resides at his father's dwellings in Red Deer, Alberta. As the result of numerous years of drinking to excess have forced this man into the situation that he now finds himself. WG does not currently have his driver's license because he received an impaired ticket from the police late last year and lost his license for a year. WG has a casual job with his father's company and works only when he needs money to purchase more alcohol. A typical day for WG starts at around ten o"clock in the morning when he wakes and then washes. He frequently feels sick from drinking and eats--at most--once a day. Within an hour or two of waking he typically makes his way to a local pub for a drink to help his hangover. He usually stays for five or six hours drinking and playing pool with his father or cousin. In the evening he generally goes to the local bars and continues drinking and playing pool. After the bar closes WG--more often than not--invites people back to his house to continue drinking.
