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Cedar Rapids Gazette (Newspaper) - November 6, 1974, Cedar Rapids, Iowa In treating Iowa's alcoholics The Cedar Hapids Gazette' Wed.. Ncv 6. 1974 Aversion therapy discounted By Harold A. Mulford, Ph.D. Dlructor, Alcohol Studios Slulo Psychopathic Hospital, Iowa Clly Before Iowa (ax funds are committed to Implementing the aversion therapy fur alcoholism used at the Schlck-Shadol hospital as proposed by CominlBsioner 1'awlewskl of the slate health depart- ment, Iowa's taxpayers, alcoholic? and their families alike should demand that the Shade! hospital conduct a definitive study of its effectiveness (Cedar Rapids Gazette, October Meanwhile, atten- tion should be given lo the facts that have been revealed by research to date. The Schick-Shadel aversion treat- ment Is hardly new. Some of us knew it as the "Kceley cure" when practiced over in Illinois years ago, and it has been practiced at Shade! hospital since 1935. The treatment causes the patient to associate vomiting and nausea with the sight, smell and the taste of alcohol every other day for ten days. The nausea and vomiting are produced by injection of the drug emetine hydrocbloride (not sodium pentothol as stated by the health In essence, the patient is punished for drinking. Psychologists call it "negative reinforcement." Others call it a "chemical spanking." The treatment costs It is the most expensive of all the dozens of alco- holism treatments that might be intro- duced into the state. The proposed 10- bed facility could treat a maximum of 365 patients a year, at a total cost of nearly The cost is three times the average cost per alcoholic served by Iowa's comprehensive community alco- holism centers, and it lias not been proven any more effective. The effectiveness of the treatment was studied by Dr. Lemcre and his col- leagues over 30 years ago. The results were inconclusive. One must wonder why in 40 years of operation a definitive experimental study of its effectiveness has not been conducted. Such a study would be no more difficult or expensive than the inconclusive research that was conducted. Bicentennial 'Horizons': 101 ideas Studies which have compared aver- sion treatment with other treatments have uniformly yielded nt-gallvc results. One must wonder also why Iowa's health commissioner Ignores these facts. The health commissioner is correct when he says, "You have lo be motiva- ted for this Ireatmenl lo work." This was stressed by Dr. Lemere and his col- leagues who conducted the research on which today's success claims rest. The point is reiterated by Dr. Smith, the present director of Ihe hospital, in a recent article in a medical journal. There is much research showing that more highly motivated alcoholics enjoy a higher recovery rate, for all manner of trealmenls, including the compre- hensive services provided by Iowa's community centers, and all of which are less expensive than the Shadel treat- ment. Dr. Lemere, el. al., lisled the follow- ing as "types unsuilable for (Ihe Sha- del) "The financially in- digent; the uncooperalive or poorly motivated; the constitutional psycho- path; those of borderline Intelligence; the 'inadequate, sensitive, easily led who drink as an escape'; those with a criminal record; patients who have dete- rioraled mentally from alcoholism and vitamin deficiency; Ihose suffering from drug addiction; the psychotic; profes- sional men, doctors, lawyers, etc.; wo- men." "It was also reported thai "we have been unsuccessful in Irealing a single Opinion Page 2 Views Ideas Insights Judgments Comments Individual under 28 years of age." Approximately one-fifth of the alcoholics served by Iowa's centers last year were in (his age group. Dr. U-mcre slates lhal llio type best sulled for Ihls treat- ment is the "normal stable person who has gradually developed Ihe habit and now wants help In breaking It.' Exports agree that this is the Ideal patient to treat by any therapy. One might assume that u patient who has agreed to pay to vomit every other day for ten days, is highly moti- vated. Whether or not a patient whose bill was being paid by the slate would be equally motivated lo slop drinking is questionable To propose this improrai cosily therapy as a "new" trealment and to suggest that it offers hope for any large number of Iowa's alcoholics, is pure gimmickry; il works a cruel decepllon on Ihe stale's alcoholics and Iheir suf- fering families, nol lo mention the taxpayers. It is becoming increasingly evident that Iowa's network of comprehensive community alcoholism centers is lead- ing Ihe nalion in the dlreclions now being recommended by the Nalional Institute on Alcoholism and Alcohol Abuse, as the mosl effecllve and effi- cient means of delivering Ihe most help to the most alcoholics and the mosl ben- efit lo Ihe community at Ihe leasl unll cost. Unlil a controlled experiment demon- strates otherwise, it is fair to assume that Iowa's community centers enjoy recovery rates, for Ihc same type of highly "motivated" patienls, which al leasl equal lhal of Shadel hospital and lor much less cost The last Iowa general assembly made Ihe mistake of shifting control of the community centers from the local levi'l In Ihe sliile. We can only Irusl lhal Ihc Iowa Alcohol Commission will not compound this mistake by approving an uninformed proposal to introduce an unprovcn trealment into the stale, merely because it employs Ihe use of drugs and is carried oul in a hospital. Make a mark on C.R. future By Mrs. Russell L Prince Chairperson, Heritage Task Force Mid-America Bicentennial Commission In keeping with the national goal of building a betler America and a better world, the Horizons '76 lask force of the Mid-America Bicentennial Commission has developed a list of 101 project ideas thai can be followed through by Cedar Rapids-Marion area organizations. We want to encourage large and small groups of all ages to begin planning now to conlrlbute talent and effort to the wonderful Bicentennial celebration which is only'a few months away. The Horizons projects lend a real opportunity for people-to-people participation through organized groups. Of Ihe three areas of celebration across our nation, the Horizons programs are planned lo commemorate the past by looking to the future. In contrast lo Heritage '76 and Festival '70, which emphasize the past and present, our en- deavors will focus on activities designed lo improve Ihe quality of life for future generations. Task force members arc anxious lo leave a "gift" to the Cedar Rapids- Marion area residents of 2070. Two of the 101 ideas would provide a decorative fountain oul doors for Ihe genera- lions ahead. European countries have been able to create, maintain and pass lo generation after generation beautiful outdoor fountains, and we think our people can do as well. A second impressive gift suggestion is a sealed time box to be encased in concrete and placed underground in Greene square (which will always be a city Our lime box would contain the usual cornerstone items but would also leave for our descendants of other "things of our time" which will surely be artifacts by 2070. We visualize such items as a tape recorder (with some instruclions on how lo make it predictions from our citizens on what they think 2070 will be like, and n host of other things. When you have ideas lo work with, It's difficult to know which ones to emphasize. But we can see those kinds of projects during Ihe observance of the Bicentennial: U'l's establish resident artists in the city parks, where Ihe talented (and maybe not so talented) can sketch scenes and prolralls on a warm Sunday Let's help Ihe continuing development of Ihe Pioneer village in Scminole park We think Ihe publishing of a Bicentennial cookbook would be fun and useful Bike and hike trails arc needed and certainly ore apropos of Ihc Bicentennial era. We think some adult classes In the historical crafts quilling, candle making, rug making, blacksmithing would develop into a real Bicentennial attraction. And looking at some govern- menial facilities lhal arc inmsod during afternoon or nlghl time we can visualize the shoving of historical mnvios nr playlets produced by schools or other groups. We would like to see an Avenue of Flags perhaps in Ihc between city hull and the courthouse. We also hope the Insights A few highly endowed men will rescue the world for cen- turies to come. Henry Newman American (lag will be flown everywhere during 11170 and thereafter. Anyone Interested in our working lisl of 101 projects Ihul people could easily accomplish may receive one by calling me (377-0441) or the Bicentennial office Of course, we arc eager to bear other ideas loo, because we Iruly believe the Bicentennial observance here is a people-lo-people endeavor. The main theme is "Invite the World lo Visit Mid- America in 1976" and the response from local families who are anxious lo liosl a foreign family sometime during is growing every day. Other lask force chairpersons will review Iheir plans in the near future. In Ihe meantime, our members are anxious to share project ideas. Those interested arc urged to gel in touch with Mrs. Ben Blackstock, Mrs. Michael Crawford, Mrs. .1. Judson Fashimpaur, Charles Kremcnak, James (1. Moore, Parks Commissioner Stan Heinis. Roger Sligers or me. Way with words More outs By Theodore M. Bernstein Employes with odd dispositions. A lit- tle while back we listed terms sent in by wags lo describe Ihe ousling of people from Iheir jobs. A lawyer was dis- barred, a clergyman was unfrocked nr maybe and so on. Now Mrs. Noah W. Kleesc of Phila- delphia sends in some additional ideas for such terms: Magician disillusioned. Phone op- erator disconnected. Innkeeper dislodged. Garment mender dis- patched. Castle lord demoted. Organ- ist disorganized. Surgeon inopera- ble. Battery worker discharged. Loan officer discredited. Plumber flushed. nouns. A problem that puz- zles many users of Ihe language, Includ- ing Mrs.' M. S. Cooper of Philadelphia, is whether to use a singular verb or a plural verb aflcr a collective noun. Specifically she asks about Ihe sentence "The family of the late Mrs. ,Iohn Brown wish to thank yon for your expression of sympathy The rule, which IK a fuzzy one, is lo use a singular verb (wislios In this in- .stance) unless there Is a desire or need lo lay stress on the Individuals making up the group. Example of tho singular use: "The editorial staff is milled in backing Ihe lax proposals." Kximmlo of plural iiso.-'Tlio oditorial staff nave differing opinions about Hie lax propos- als Word oddities. The word coward has something to do with a tail, but just what is not certain. Basic in the word is Ihe Lalin caudo, meaning tail. One reference work cites the phrase "with tail between the another cites Ihe phrase "one who (urns tail" and a third comes up with the idea of a coward retreating to the tail end of an army. Take your cboi :c. More oddities: Since this is' the dec- lion season, perhaps you would like lo know where the word elect comes from. If you were to guess lhal it had some- thing lo do with picking and choosing, you would win a cigar. The word de- rives from the Latin the past participle of which was made up of e-, meaning oul, and legere, meaning choose. Now York Times Svocllcolc Isn't it the truth? By Carl Rlblol, jr Our country, with Us poverty and riches, passion and violence, nonsense and waste, and corruption In high places, can be likened to an endangered and disabled ship wallowing In heavy seas. II doesn't sink because il has so many wa- terllght compartments, but Iho pas- sengers got their feet wet and the chills of fear are forever going up and down their spines. world is woory of statesmen whom democracy has degraded into Disraeli Well read... and with good reason. is a KILLIAN BONUS? A WEEKLY SERIES OF SENSA- TIONAL VALUES PLANNED IN COOPERATION WITH ONLY THE OF MANUFACTURERS. 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