<p>Re: college abstinence rules vs. lack of rules.</p>
<p>I haven’t seen Earlham numbers since 1999, so if you have later, please PM. I know from folks there that binge drinking has dropped significantly since then, but that’s not my point.</p>
<p>There are numbers and there are numbers. Binge drinking is one indicator. However, frequent binge drinking and/or heavy (near daily) drinking are better indicators of campus cultures. I know some of the researchers attached to the UOklahoma “dry campus” initiative. One of the things they found when they went “dry” was a smallish initial drop in binge drinking, but very large declines in frequent bingeing and/or heavy drinking. The reason was simple: folks had to make a great effort to go off campus and get it. They might do it once in two weeks, but they were much less likely to do it nearly daily, unless they were already alcohol-dependent. The preliminary results in the UMass experiment seem to be the same. In both cases, of course, there is much more evaluation to do, but it is not surprising that proximity and ease of availability impact behavior, as most of the high school surveys show. So, yes, admissions offices can have impacts, but there is actually plenty that can be done if a college chooses. </p>
<p>I happen not to favor enforced “dry campus” approaches, but not because they don’t work. There are several dozen other initiatives short of dry that have proven effective.</p>
<p>Conyat - I’ll check in with the website person re: the prevention toolkit on Tuesday.</p>
<p>1of42 - lots of interesting “issues”. Actually, we know from “experimental” data that binge drinking is higher on college campuses than reported. First, we know that the average student reports one fewer drink than s/he actually had. Second, because when asked to pour a drink, the average student pours one 1.8x the standard. So a person who reports four drinks (and is classified as a non-binger) on average would have had 5 X 1.8 drinks or 9 drinks, or, put another way, is likely to have a BAC higher than 0.16. Half will have more.</p>
<p>The “problem drinker” standard for youth is indeed problematic, and evolving. The idea is to try to arrive at a percentage that reflects both number of episodes and overall volume in a single algorithm, as predictive of future “problems” done the road. For youth, this algorithm seems to work, but I would note that in the case I am the reporter, not the researcher.</p>
<p>Alcohol dependence (and abuse) is defined in the DSM-IV - The Diagnostic and Statistical Manual of the American Psychological Association, Fourth Edition. It combines both physical characteristics (tolerance, withdrawal, urge to drink more) with psychosocial ones. I can bore you for hours with discussion concerning each individual item included in the diagnosis (I do that at work), but overall, it seems to work pretty well. They are working on the DSM-V now.</p>
<p>I think 20 years from now, we will look at some of our current discussions as somewhat silly. The science is indeed telling us that genetic predispositions toward alcohol and drug addiction are extremely strong. We have already isolated 7 allele pairs for alcohol alone, and there are probably more. So for people, drinking alcohol is more like an allergic person eating peanuts. It will almost certainly land them in trouble, usually serious, down the road. For others, it is more a matter of keeping them safe, protecting them from acute alcohol poisoning, unprotected sex and rape, driving, balconies. For some people, the only amount of alcohol that is safe is none; for others, it is a different story. Science will be able to answer which are which pretty soon, sooner than you think, and sooner than we will be able to deal with confidentiality and privacy issues.</p>
<p>But on the other hand, if parents will just look through their own families trees they will usually have a pretty good idea of what they need to tell their own kids. One size fits all definitely doesn’t cut it - but how we go about cutting is going to make for an interesting world indeed.</p>