Search

When The Natural History of Alcoholism was first published in 1983, it was acclaimed in the press as the single most important contribution to the literature on alcoholism since the first edition of Alcoholic Anonymous's Big Book. George Vaillant took on the crucial questions of whether alcoholism is a symptom or a disease, whether it is progressive, whether alcoholics differ from others before the onset of their alcoholism, and whether alcoholics can safely drink. Based on an evaluation of more than 600 individuals followed for over forty years, Vaillant's monumental study offered new and authoritative answers to all of these questions.In this updated version of his classic book, Vaillant returns to the same subjects with the perspective gained from fifteen years of further follow-up. Alcoholics who had been studied to age 50 in the earlier book have now reached age 65 and beyond, and Vaillant reassesses what we know about alcoholism in light of both their experiences and the many new studies of the disease by other researchers. The result is a sharper focus on the nature and course of this devastating disorder as well as a sounder foundation for the assessment of various treatments.

Between 1939 and 1942, one of America's leading universities recruited 268 of its healthiest and most promising undergraduates to participate in a revolutionary new study of the human life cycle. The originators of the program, which came to be known as the Grant Study, felt that medical research was too heavily weighted in the direction of disease, and their intent was to chart the ways in which a group of promising individuals coped with their lives over the course of many years.Nearly forty years later, George E. Vaillant, director of the Study, took the measure of the Grant Study men. The result was the compelling, provocative classic, Adaptation to Life, which poses fundamental questions about the individual differences in confronting life's stresses. Why do some of us cope so well with the portion life offers us, while others, who have had similar advantages (or disadvantages), cope badly or not at all? Are there ways we can effectively alter those patterns of behavior that make us unhappy, unhealthy, and unwise?George Vaillant discusses these and other questions in terms of a clearly defined scheme of'adaptive mechanisms'that are rated mature, neurotic, immature, or psychotic, and illustrates, with case histories, each method of coping.