Question 1 · Hard
A 45-year-old man cannot stop once he starts drinking, makes excuses for his drinking, feels remorse, and tries short periods of total abstinence. He still holds his job. Which Jellinek phase is he in?
- AProdromal phase
- BCrucial phase
- CPre-alcoholic phase
- DChronic phase
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Answer: B · Crucial phase
Loss of control after the first drink is the hallmark of Jellinek's crucial phase. Rationalisation, remorse, attempts at abstinence and family conflict also belong to this phase, while the person may still be working. The prodromal phase is marked by blackouts and secret drinking without loss of control. The chronic phase brings prolonged binges, tremors, ethical deterioration and collapse of excuses.
- A: The prodromal phase has blackouts and secret drinking, but control is still kept.
- C: The pre-alcoholic phase is only relief drinking, with no loss of control.
- D: The chronic phase shows long binges, tremors and deterioration, which he does not yet have.