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Since the Jellinekian Foundation of modern alcohol studies 75 years ago, no one has yet systematically studied the role of his ethnographic studies, his university attendance and engagement in psychoanalytic work leading to the birth of his first book (published in 1917), which applied an ethnographic approach. The purpose of this paper is to uncover and show the ethnographic, experimental psychological and psychoanalytic roots in Jellinek’s different models of alcohol problems, from the conventional medical one, though the Alcoholics Anonymous-inspired concept, to the species of alcoholism theory.

Using the data from their research in the archives of Budapest, Berlin, Leipzig and Grenoble, the authors examine Jellinek’s scientific output in alcohol studies. They focus on data related to Jellinek’s activity in statistics, ethnography including field work and the business model of psychoanalysis.

Drawing from various traditions of science, Jellinek acquired considerable sources of knowledge with the help of his friends and teachers during his formative years, which later led him to renew and transform his models of alcohol problems. New data on Jellinek’s personal history, a by-product of the archival research, is also presented.

The Jellinekian heritage, including his cross-fertilisation approach, represents a vast reserve for addiction science.

This paper not only adds to the understanding of the history of addiction, but might also lead to a rearranging of our knowledge about the founder of the field.

The Jellinek Center is a treatment service for prevention, care and cure of clients with addiction problems. Ten years ago the first quality improvement program was started. In 1994 the management team did the first formal self‐assessment based on the European Foundation for Quality Management (EFQM) Model and three assessors from the “Instituut Nederlandse Kwaliteit” audited the Jellinek and delivered a feedback report which was used to make an elaborate two‐year work‐plan. Five projects to improve the quality of the Jellinek Center were identified and carried out. After two years, the work‐plan was evaluated and the improvements assessed through a self‐assessment conducted by the management team and an external audit team made up of six assessors. The findings of the self‐assessment were presented to the Dutch jury for the EFQM Award and the Jellinek Center won the Dutch Quality Award. The Jellinek is not complacent, however, as it recognises that the next phase of the quality management journey is to carry out self‐assessment in all teams, redesign the treatment processes and improve performance measurements.

Purpose – The chapter examines the historical pattern of interconnections between drug policy, research, and treatment in light of recent theoretical developments in the medicalization thesis advanced in the sociology of medicine.

Methodology/approach – The chapter uses interpretive methods to examine how the social construction of addiction as a “chronic, relapsing brain disorder” converges with or diverges from the conceptual framework offered by sociological theorists of medicalization and biomedicalization.

Findings – The approach adopted shows how the meanings of the bio/medicalization of addiction shifted and circulated within and beyond the institutions developed to respond to drug addiction as a hybrid social, medical, and biomedical condition during the 20th century.

Social implications – Bio/medical frameworks for addiction are the outcome of historical attempts to influence public attitudes and develop effective methods to treat and prevent this “disease” in ways that would positively affect the quality of life of people living with addictions.

Originality/value – This original contribution addresses both strengths and limitations of bio/medical models, assessing how their influence has changed over time.

This chapter examines four episodes of The Simpsons, paying particular interest to one, The Days of Wine and D’oh’ses to connect the notion of pastiche with a symbolic interactionist view of media representation. We use The Simpsons and episodes pertinent to alcoholism and alcoholic imbibing to show that pastiche, which does not deny the resolute qualities of a serious social issue, nevertheless provides ironic and fantastic imagery to merge the serious and even tragic with the comedic. We use the four episodes to depict alcoholism as a disease but also as focal point for humor, making the contrast between The Days of Wine and D’oh’ses and its classic alcoholism-film counterpart, The Days of Wine and Roses, central to the tragic-comedic connection. We further draw upon Denzin’s notions of the comedic drunk and the alcoholism alibi to discuss how pastiche both inspires attention to alcoholism as a serious medical disease and disease of the self and to alcoholism as pivotal to comedic character development and the emergence of pragmatic and creative selves.

In this study, I explore what happens “after incarceration” from the perspective of private prison vendors. Using the experience of women prisoners in California in the aftermath of Brown vs Plata (2011) and Realignment, I trace the rise and growing popularity of carceral rehabilitation programs. Although rehabilitation was once considered an antidote to mass incarceration and the prison industrial complex, it now fuels the growth of private prison companies and provides a stable source of profitability. This analysis suggests the reconfiguration of mass incarceration in the US rather than its dissolution.

It is argued that addicts, as people in general, are forward-looking and that they try to make the best of what they have got. However, this does not imply that they are fully rational. Cognitive defects, instabilities in preferences, and irrationalities in the form of wishful thinking and dynamical inconsistency play an important role in addictive behaviours. These “imperfections” in people's rationality may not have very large consequences in the case of ordinary goods, but their effect can be dramatic in relation to addictive goods. In the first part of the paper, the rational addiction theory and the empirical evidence that have been presented in support of the theory is reviewed. Regarding the conventional tests of the theory by econometric methods, it is argued that the tests are misguided, both theoretically and methodologically. Furthermore, it is claimed that the definition of addiction implicit in the rational addiction theory is unrealistic, and that the theory makes unrealistic assumptions about human nature. Some empirical evidence for these claims is reviewed. It is concluded that although the theory has its virtues, it faces serious problems and must be rejected in its original form. Secondly, the socio-cultural embeddedness of addictive behaviours, and the social roots of individual preferences, are discussed. These issues are more or less ignored in rational addiction theory. It is argued that we cannot expect to obtain a proper understanding of many addictive phenomena, unless they are seen in their proper socio-cultural context.

Many researchers who have studied drinking in Ireland have worked under the assumption that the Irish have a particularly acute problem with alcohol. Through an investigation of historical and contemporary writings on the subject I demonstrate that the problem is more complicated than traditional images would lead one to believe. Generally it is not known that Ireland has one of the lowest rates of alcohol consumption in Europe and one of the highest percentages of abstainers, although it is also true that Ireland has one of the highest hospital admission rates for alcohol‐related illnesses. In an attempt to understand the complex variety of drinking behaviours in Ireland, I advocate the reinterpretation and use of the concept of ambivalence in the context of Irish drinking, adapting ideas of Barth (originally applied to Bah) in the process.

This chapter explores Food for Change, a social entrepreneurial program created by the Houston Food Bank. Food for Change explicitly considers the interlinkages of social problems within an individual. Food for Change collaborates with educational and training organizations and healthcare providers to use supplemental food resources to address clients' needs antecedent to food insecurity. We propose a model to conceptualize how food insecurity is influenced by multiple levels of social determinants. We then describe the Food for Change program and offer lessons about the holistic nature of clients, the productivity and challenges of interorganizational collaborations to address the roots of social problems, and the forethought and courage of organizational leadership to try to create self-sufficient clients who might become liberated from their services.

Only a handful of studies have examined social interactions between parents and children around food choice, though these have important implications for health. Moreover, we know very little about how socioeconomic status might influence these exchanges, including the nature and outcomes of children’s requests for specific foods and drinks.

Data are from a survey of 401 families with children ages 2-17. Using formal mediation models to decompose direct and indirect effects, we test three potential mechanisms of socioeconomic differences in caregivers’ propensity to indulge children’s requests for specific foods or drinks: (1) Children’s food-seeking behaviors; (2) Caregivers’ nutritional attitudes and values; and (3) Caregiver social control and monitoring of children’s diets. We also present a symbolic indulgence explanation, which is not empirically testable using our data, but is consistent with qualitative evidence (Pugh, 2009).

We find significant SES differences in the frequency and nature of children’s requests for foods, nutritional attitudes and values, and opportunities for caregiver monitoring of children’s eating habits, but these mechanisms explain little of the association between socioeconomic status and caregiver responses.

Limitations of this study include the non-probability sample and the inability to demonstrate the meaning and intention underlying SES effects. Nonetheless, our findings provide information about how SES does and does not influence parent-child interactions around food choice, which has important implications for developing effective policies and interventions for improving children’s diets.

In light of null findings regarding alternative explanations, children’s requests for unhealthy food and parents’ willingness to grant them may be related to cultural practices around parenting that differ by social class. Consequently, culture may be an important yet under-emphasized mechanism contributing to socioeconomic disparities in children’s dietary habits and health.