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Cedar Rapids Gazette (Newspaper) - November 6, 1974, Cedar Rapids, Iowa In treating Iowa s alcoholics The Odar Rapids Gazette* Wed.. Nev $. 1174    j/\ Aversion therapy discounted By Harold A. Mulford, Ph.D. Director, Alcohol Studies State Psychopathic Hospital, Iowa City Before Iowa tax funds are committed to implementing the aversion therapy for alcoholism used at the Schtck-Shadel hospital as proposed by Commissioner Pawlewski of the state health department. Iowa’s taxpayers, alcoholic? and their families alike should demand that the Shadel hospital conduct a definitive study of its effectiveness (Cedar Rapids Gazette, October 29). Meanwhile, attention should be given to the facts that have been revealed by research to date. The Schick-Shadel aversion treatment is hardly new Some of us knew it as the “Keeley cure” when practiced over in Illinois years ago, and it has been practiced at Shadel 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 hydrochloride (not sodium pentothol as stated by the health commissioner). In essence, the patient is punished for drinking. Psychologists call it ‘‘negative reinforcement.” Others call it a ‘‘chemical spanking. ” The treatment costs $1,575. It is the most expensive of all the dozens of alcoholism treatments that might be introduced into the state. The proposed lobed facility could treat a maximum of 305 patients a year, at a total cost of nearly $000,000. The cost is three times the average cost per alcoholic served by Iowa’s comprehensive community alcoholism centers, and it has not boon proven any more effective. The effectiveness of the treatment was studied by Dr. Lemere and his colleagues 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. Studies which have compared aversion treatment with other treatments have uniformly yielded negative results. One must wonder also why Iowa’s health commissioner ignores these facts. The health commissioner is correct when he says, ‘‘You have to be motivated for this treatment to work.” This was stressed by Dr Lemere and his colleagues who conducted the research on which today’s success claims rest. The point is reiterated by Dr. Smith, the present director of the 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 treatments, including the comprehensive services provided by Iowa’s community centers, and all of which are less expensive than the Shadel treatment. Dr. Lemere, et. a1., listed the following as ‘‘types unsuitable for (the Shadel) treatment”: “The financially indigent; the uncooperative or poorly motivated; the constitutional psychopath; those of borderline intelligence; the ‘inadequate, sensitive, easily led who drink as an escape’; those with a criminal record; patients who have deteriorated mentally from alcoholism and vitamin deficiency; those suffering from drug addiction; the psychotic; professional men, doctors, lawyers, etc.; women.” “It was also reported that "we have been unsuccessful in treating a singleOpinion Page 2 Ideas Judgments Views Insights Comments individual under 28 years of age.” Approximately one-fifth of the alcoholics served by Iowa’s centers last year were in this age group. Dr Lemere states that the type iiest suited for this treatment is the “normal stable person who has gradually developed the habit and now wants help in breaking it.’ Experts agree that this Is the ideal patient to treat by any therapy. One might assume that a patient who has agreed to pay $1,575 to vomit every other day for ten days, is highly motivated. Whether or not a patient whose bill was being paid by the state would be equally motivated to stop drinking is questionable To propose this unproven costly therapy as a “new” treatment and to suggest that it offers hope for any large number of Iowa’s alcoholics, is pure gimmickry; it works a cruel deception on the state's alcoholics and their suffering families, not to mention the taxpayers. It is becoming increasingly evident that Iowa’s network of comprehensive community alcoholism centers is leading the nation in the directions now being recommended by the National Institute on Alcoholism and Alcohol Abuse, as the most effective and efficient means of delivering the most help to the most alcoholics and the most benefit to the community at the least unit cost, Until a controlled experiment demonstrates otherwise, it is fair to assume that Iowa’s community centers enjoy recovery rates, for the same type of highly “motivated" patients, which at least equal that of Shadel hospital and for much less cost. The last Iowa general assembly made the mistake of shifting control of the community centers from the local level to the state. We can only trust that the Iowa Alcohol Commission will not compound this mistake by approving an uninformed proposal to introduce an unproven treatment into the state, merely because it employs the use of drugs and is carried out in a hospital. Bicentennial Horizons': TOI ideas Make a mark on C.R. future By Mrs. Russell L. Prince CHairporton, Heritage Talk Force Mid America Bicentennial Commistion In keeping with the national goal of building a better America and a better world, the Horizons ’76 task force of the Mid-America Bicentennial Commission has developed a list of 101 project ideas that 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 contribute 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 the three areas of celebration across our nation, the Horizons ’76 programs are planned to commemorate the past by looking to the future. In contrast to Heritage ’76 and Festival ’76, which emphasize the past and present, our endeavors will focus on activities designed to improve the quality of life for future generations. Task force members are anxious to leave a “gift” to the Cedar Rapids-Marion area residents of 2676. Two of the 101 ideas would provide a decorative fountain — outdoors — for the generations ahead. European countries have been able to create, maintain and pass to 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 lie a city park). Our time box would contain the u*ual cornerstone items but would also leave for our descendants of 2676 other “things of our time which will surely tie artifacts by 2676, We visualize such items as a tap** recorder (with some instructions on how U) make it work), predictions from our citizens on what they think 2676 will lie like. and a host of other things When you have 161 ideas to work with, it’s difficult to know which ones to emphasize. But we can sec these kinds of projects during the 1976 observance of the Bicentennial: U*t’s establish resident artists iii the city parks, where the talented (and maybe not so talented) can sketch scenes and protraits on a warm Sunday Ud’s help the continuing development of the Pioneer village in Seminole park We think the publishing of a Bicentennial cookbook would be fun and useful Bike and hike trails are needed and certainly are apropos of the Bicentennial era. We think some adult classes in the historical crafts — quilting, candle making, rug making, blacksmithing — would develop into a real Bicentennial attraction And looking at some governmental facilities that are unused during afternoon or night time we can visualize the showing of historical movies or playlets produced by schools or other groups. We would like to see an Avenue of Flags i>erha|>s in the Plaza between city hall and the courthouse. We also hope the Insights A few highly endowed men will rescue the world for centuries to come. —John Henry Newman Way with wordsMore outs By Theodore M. Bernstein Employes with odd dispositions. A little while back we listed terms sent in bv wags to describe the ousting of people from their jobs. A lawyer was disbarred, a clergyman was unfrocked or maybe unsuited and so on. Now Mrs. Noah W. Kleese of Philadelphia sends in some additional ideas for such terms: Magician — disillusioned Phone operator — disconnected. Innkeeper — dislodged. Garment mender — dispatched. Castle lord — demoted. Organist — disorganized. Surgeon — inoperable. Battery worker — discharged. Loan officer — discredited. Plumber — flushed. Collective nouns. A problem that puzzles many users of the language, including Mrs. M. S. Cooper of Philadelphia. is whether to use a singular verb or a plural verb after a collective noun. SjM^ ifically she asks about the sentence “The family of the late Mrs. John Brown wish (wishesI) to thank you for your expression of sympathy ” The rule, which is a fuzzy one, is to use a singular verb (wishes in this instance) unless there is a desire or need to lay stress on the Individuals making up the group. Example of the singular use: "The ixlitorial staff is united in backing the tax proposals.” Example of plural use:"Tile editorial staff have differing opinions about the tax proposals ” American flag will be flown everywhere during 1976 and thereafter. Anyone interested in our working list of 101 projects that people could easily accomplish may receive one by calling me (377-6441) or the Bicentennial office (362-1776). Of course, we are eager to hear other ideas tis), because we truly believe the Bicentennial observance here is a people-to-people endeavor. The main theme is “Invite the World to Visit Mid-America in 1976” and the response from local families who are anxious to host a foreign family sometime during 1976 is growing every day. Other task force chairpersons will review their plans in the near future. In the meantime, our members are anxious to share project ideas. Those interested are urged to get in touch with Mrs. Ben Blackstock, Mrs. Michael Crawford. Mrs. J. Judson Fashimpaur, Charles Kremenak, James G. Moore, Barks Commissioner Stan Reinis, Roger Stigers or me. Word oddities. The word coward has something to do with a tail, but just what is not certain. Basic in the word is the I^itin cauda, meaning tail. One reference work cites the phrase “with tail between the legs.” another cites the phrase "one who turns tail” and a third comes up with the idea of a coward retreating to the tail end of an army. Take your chol *e. More oddities: Since this is the election season, perhaps you would like to know where the word elect conn's from. If you were to guess that it had something to do with picking and choosing, you would win a cigar. The word derives from the I .alin electus, the past participle of eligere, which was made up of e-, meaning out, and legere, meaning choose. Ne* York Time* SyndicateIsn't it the truth? By Carl Riblet, jr Our country, with its 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. It doesn’t sink because it has so many watertight compartments, but the passengers get their feet wet and the chills of fear are forever going up and down their spines. "The world is weary of statesmen whom democracy has degraded into politicians " — Ben/amm Disraeli I nterCK eon Press Syndic citeWell read... and with good reason. More of interest to Eastern Iowans! RAPIDS for the style conscious and penny wise! Women's Carefree Tops and Slacks what in a kllllW BOVIS?4.79 5.99 SLACKS, REGULARLY 7.99 TOPS, REGULARLY 5.99 A WEEKLY SERIES OF SENSATIONAL VALUES PLANNED IM COOPERATION WITH ONLY THE • est of manufacturers. EACH BONUS ITEM MEETS OUR RIGID STANDARDS OF QUALITY ANO WILL IE SOLO AT LOW •ONUS PRICES ONLY WHILE SPECIAL QUANTITIES LAST. “Atleigh” brand nylon turtleneck top bas long hemmed sleeves and a back zipper. Small to large in black, brown, berry, rust, navy or white. Pants have stitched crease and welt seams. Choice of tweeds or solids in IO to 18. Codar Rapid* Aislo Bar, Downtown Shoot Floor Downstair* Budget Storo and Undo*# Budget Shop Iowa City:    Mall    Shopping Cantor on Si* at Sycamore ;

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