勤勞靑少年의 自殺性向의 産業災害와의 相關分析

咸 雄 大韓神經精神醫學會 1980 신경정신의학 Vol.19 No.4

The present study was intended to clarify the relationship between suicidal trends and their industrial accidents among adolescent workers and to reveal descriptive analysis of the incidence of suicidal impulsiveness, self-injury, and suicidal attempt. In order to achieve these goals, samplings were made by disproportional probability sampling procedure, and questionnaries were finally supplied to 633 working adolescents including 305 workers with accidents and 328 workers without accidents, coming from 59 companies located in Seoul, Kyung-Ki Do and Kyung Sang Buk Do. These collected data were computerized at KIST using SPSS program and statistically analysed by Chi-square method. The Results of the study are as follows. First, Korean adolescent workers showed to have the experiences of suicidal impulsiveness in 39.0% (non-accident group 40.2%; accident group, 37.7%), of self-injury in 17.2% (nonaccident group 13.7%; accident group, 23.0%), and of suicidal attempt in 17.1% (non-accident group, 13.4%; accident group, 21.0%). Second, Male adolescent workers outnumbered the female ones in the proportions of all the variables such as suicidal impulsiveness (1.3 times), self-injury (1.8 times), and suicidal attempt (1.3 times). This tendencies were also showed both in the accident group(male and female ratio of suicidal impulsiveness is 1.6:1, of self injury 1.2:1, and of suicidal attempt 1.1:1) and in the non-accident group(suicidal impulsiveness 1.3:1, self-injury 2.7:1, and suicide attempt 1.5:1). Third, According to the presence or absence of industrial accident, suicidal trends were significantly higher proportions in the accident group comparing with the non-accident group. Fourth, Korean adolescent workers experienced higher suicidal attempts than the report made by Min's Korean students study or by Jacobziner's American adolescent study. And this tendency was predominantly observed in male adolescent workers. Fifth, Industrial accidents among Korean adolescent workers showed significant correlation with suicidal trends such as suicidal impulsiveness, self-injury of suicidal attempt, and these were statistically significant relations, especially, in female adolescent workers.

정신병 환자의 통합치료를 위한 낮병원 모델의 효과성 연구 : 1년 반 동안의 전향적 추적 연구

김선재,윤성철,이후경,성상경,함 웅,이규항 大韓神經精神醫學會 1998 신경정신의학 Vol.37 No.6

연구목적:, 낮병원은 환자의 위축된 심리적, 사회적 기능을 회복시키고 장기입원으로 인한 퇴행과 지역사회와의 단절을 피할 수 있는 장점이 있다. 저자들은 이전 연구에서 한국 실정에 맞는 정신병환자의 통합치료를 위한 낮병원 모델을 개발하였다 그러므로 본 연 구는 이전의 낮병원 모델에 대한 연구를 기초로 하여, 1) 입원치료만 받은 환자 및 보호자를 대조군으로,하고, 2) 전향적으로 추적조사를 하여. 3) 저자들이 개발한 통합치료를 위한 낮병원 모텔의 효과성을 연구할 목적으로 실시되었다. 연구방법: 1996년 5월부터 1997년 l1월까지 계요병원 낮병원에 참여하여 치료를 받았던 17명의 환자 및 보호자를 대상군으로(이하 낮병원군 및 낮병원보호자군이라 함) 하였으며 대조군은 동기간 동안 입원병동에서 퇴원한 후 외래치료만 받고 있는 환자 증 진단, 나이, 성별, 기능에 대한 평가가 일치하는 환자 및 보호자 (이하 입원군 및 입원보호자군이라 함)를 일대일로 짝지어 선발하였다. 두 군을 대상으로 삶의 질 척도 (quality of life scale)를 시행하였고 저자들이 제작한 병식, 약물에 대한 자세, 치료에 대한 만족도 설문지를 두 군 환자 및 가족들을 대상으로 시행하였다. 낮병원군 및 낮병원보호자군은 낮병원 치료를 받기 시작한 시점부터 입원군및 입원보호자군은 퇴원한 시점부터 2주,3개월,6개월,12개월,18개월 간격으로 위의 척도들을 전향적으로 시행하였다. 결과: 1) 삶의 질 평균점수에 있어서 낮병원군이 입원군에 비해 의미 있게 높았다. 낮병원군은 3개월에 의미있는 상승을 보인 후 큰 변화 없이 유지되다가 18개월에 의미 있는 하강이 나타났으나 입원군은 3개월에 의미있는 상승을 보였고 낮병원군에 비해 6개월이 빠른 12개월부터 의미 있는 하강을 보이기 시작했다. 2) 병식 평균점수에 있어서 낮병원군, 낮병원보호자군의 점수가 입원군,입원보호군에 비해 의미 있게 높았다. 낮병원군 및 낮병원 및 낮병원보호자군의 점수는 3개월,6개월에 의미 있게 상승하여 18개월까지 큰 변화없이 유지되었고 입원군 및 임원보호자군의 점수는 기준시점인 퇴원 당시와 변화없이 18개월까지 유지 되었다. 3) 약물에 대한 자세 평균점수에 있어서 낮병원군이 입원군에 비해 의미 있게 높았으나 낮병원보호자군의 경우에는 입원보호자군에 비해 의미있게 높게 나타나지 않았다. 낮병원군이 3개월,6새월에 의미 있게 사응하여 입원군에 비해 6개월부터 18개월까지 의미 있게 나타 났다. 4) 치료에 대한 마녹도 평균점수에 있어서 낮병원군, 낮병원보호자군의 점수가 입원군, 입원보호자군에 비해 의미 있게 높았다. 낮병원군의 경우에 3개월,6개월에 의미 있게 상승하여 6개월부터 18개월까지 입원군에 비해 높게 나타났다. 낮병원보호자군의 경우에 3개월,6개월에 의미 있게 상승하여 6개월부터 18개월까지 입원보호자군에 비해 의미 있게 나타났다. 5) 연구 기간 동안 낮병원군의 입원횟수. 입원기간이 입원군에 비해 의미 있게 더 낮았다. 결론: 저자들이 개발한 낮병원 모델이 정신병환자의 삶의 질을 높여주고 환자 및 보호자의 병식 수준을 높여주며 약물에 대해 올바른 자세를 갖게 하고 치료에 대한 만족도를 높여 주었다. 또한 재입원을, 재원기간을 낮춤으로써 정신병 환자 치료에 효과적인 것으로 생각된다. 0bjectives : A day hospital has been remodeled artier a vision to help psychotic patients quickly recover their psychologica1 and social functions and lessen their induced recessions caused by long-term hospitalization, thereby enhancing their social abilities. The authors concerned once developed a day hospital model of an integrated therapy for psychotic patients suitable for Korean situation in their previous paper. Based on it the present study was to determine how effective a day hospital would be, in comparison of the fo11owing two paired groups day hospital group with experience of hospitalization(hereinafter abbreviated as DH group) & day hospital parents group with experience of hospitalization(hereinafter abbreviated as DH parents group) and OPD group with experience of hospitalization(hereinafter abbreviated as OPD group) & OPD parents group with experience of hospitalization(hereinafter abbreviated as OPD parents group) . Methods : During the 18-month long research period(from May to 1996 October 1997), 17day hospital patients with experience of hospitalization & their parents and the same number of OPD patients with experience of hospitalization & their parents were corespondingly paired with at random, who identified themselves closest in the fo11owing categories : diagnosis, age, sex and function. All of them were asked to check questionnaires on their respective quality of life, insight, and their attitude about drug. Day hospital patients with experience of hospitalization and their parents were checked from the first day they were treated while OPD patients with experience of hospitalization and their parents were examined after discharge from hospital, commonly at the interval of 2 weeks,3 months,6 months,12 months, and 18 months. Results : 1) The quality of life scored higher in DH group than in 0PD group. It turned increased significantly at the 3rd month and continued the same until the 12th month. At the 18th month, it showed a significant downturn. Meanwhile, DH group showed a significant upturn at the 3rd month and it turned down at 12 month. 2) The insight of DH group and DH parents group scored higher compared with OPD group and OPD parents group between the 3rd and 18th month, with the 3rd and 6th month showing a particular strength as well. Meanwhile, it continued unchanging for day DH group and DH parents group from the date on, of their discharge from hospital. 3) Attitude towards drugs scored higher in DH group than in OPD group at the 3rd and 6th month. It continued unchanging between the 6th and 18th month. It didn't score significantly higher in DH parents group than in their counterparts. 4) Satisfaction on the therapy started upward in DH group at the 3rd and 6th month, and scored higher in them than in their counterparts during the period form the 6th and 18th month. It started upward as well in DH parents group at the 3rd and 6th month, and scored higher in them than in their counterparts during the period form the 6th to the 18 month. 5) Number, and duration of DH group totalled lower than those by OPD group during the research period. Conclusion : The day hospital model, developed by the authors concerned, has proved a highly effective treatment far psychotic patients, as the data scored higher in the day hospital patients and their parents than in the OPD patients with experience of hospital and their parents in terms of "Quality of life" by patients, insight, attitude toward drugs and satisfaction on its therapy.

주정중독환자들의 퇴원 후 경과에 관한 연구

성상경,함 웅,방양원 大韓神經精神醫學會 1993 신경정신의학 Vol.32 No.5

Follow-up study of 153 alcoholic inpatients who received over 2 weeks of treatment, and their families was conducted by the telephone interview and structured questionnaire. The results were as follows : 1) Within 6 months after discharge, about 80.3% of the patients had a first-drinking experience while only 12.4% of them remained abstinent after 2 years. 2) After discharge, about 67.2% of the patients improved or were abstinent but only 3.6% of them worsened compared to the pre-admission period. 3) After discharge, 66.4% of the patients discontinued their treatment, whereas only 13.9% of them continued to receive out-patient treatments. 4) The drinking pattern was significantly correlated with behavioral pattern, social and job adaptations, interpersonal relationship and familial relationship(P<.001). 5) As for the attitude of the families towards the effectiveness of the neuropsychiatric in-patient treatment, 73% of them responded that the treatment had been effective. 6) The annual mortality rate in alcoholic patient after discharge(3.5%) was two times more than the control group(1.6%). 7) The most frequency cause of death among discharged alcoholics was circulatory system disease wuch as liver cirrhosis, hepatic cancer and cardiac arrest, whereas that in the control group was of unknown etiology(eg, natural death induced by aging process).

自殺企圖者에 關한 硏究

奇栢錫,孫鳳基,咸 雄,金慶植,石在鎬 大韓神經精神醫學會 1980 신경정신의학 Vol.19 No.4

This paper brings up to date a study of suicide attempters coming to a major emergency room in Hang Gang Sacred Heart Hospital during a year from Oct. of 1978 to Sept. of 1979. Results of the study and the review of the 10-year-ago literature indicate that the age of the attempters becomes older in its tendency although the incidence of suicide attempts continues to be a public health problem primarily among young women. Organic phosphorous and Sodium fluoroacetates are significantly common methods used in comparison with other territory in Seoul.

정신병환자에서 집단정신치료와 싸이코드라마의 치료요인 비교

윤성철,이후경,정인과,이규항,함 웅,차정화 大韓神經精神醫學會 1998 신경정신의학 Vol.37 No.3

목 적 : 본 연구에서는 정신병환자를 대상으로 실시한 집단정신치료와 싸이코드라마에 작용하는 치료요인을 조사하여, 그 치료적 특성들을 비교하기 위한 목적으로 이루어졌다. 방 법 : 1996년 9월부터 1997년 5월까지 낮병원에 참여한 환자를 대상으로 하였다. 대상자는 총 35명의 정신병환자로 남자 22명, 여자 13명이었다. 동일한 낮병원 환자들에게 집단정신치료와 싸이코 드라마를 각각 시행한 후, 13가지 치료요인 척도를 사용하여 집단정신치료의 구성원, 싸이코드라마의 주인공, 싸이코드라마의 관객에 작용하는 치료요인의 순위를 각각 조사하였다. 이 세 집단을 모두 상위기능 집단과 하위기능집단으로 나누어 치료요인을 비교하였다. 상위와 하위기능집단은 낮 병동에서의 생활, 치료 프로그램에 참여하였을 때의 태도, 치료자와 면담하였을 때의 모습을 기준으로 하여 낮병원 치료팀 모임에서 치료자들의 합의에 의해 결정하였다. 각각의 치료 요인은 평균점수를 산출하여 치료 요인의 순위를 매겼으며, 이 순위에 의해 집단정신치료, 싸이코드라마의 주인공, 싸이코드라마의 관객에 작용하는 치료요인의 특징을 비교하였다. 결 과 : 본 연구에서 나타난 치료요인에 대한 특정적인 결과는 다음과 같다. 1) 싸이코드라마에서 주인공은 기능수준에 관계없이 모두 “카타르시스”와 “일차 가족 집단의 교정적 감정 경험”을 매우 중시하였다. 2) 싸이코드라마에서 주인공은 상위기능집단의 경우 “치료자의 조언”을 하위기능집단의 경우 “구성원의 조언”을 중시하였다. 3) 싸이코드라마에서 관객은 기능수준에 관계없이 모두 “치료자와의 동일시” 와 “구성원과의 동일시”를 매우 중시하였으며, 또한 보편성을 중시하였다. 4) 상위기능집단의 경우 집단정신치료 싸이코드라마의 관객 및 주인공에서 “대인관계학습”을 중시하였으며, 특히 집단정신치료에서 “대인관계학습”을 매우 중시하였다. 5) 하위기능집단에서 싸이코드라마의 주인공과 집단정신치료에서 모두 “사회화 기술의 발달”을 중시하였다. 결 론 : 본 연구의 결과를 종합하여 다음과 같이 제안할 수 있다. 먼저 집단정신치료나 싸이코드라마를 환자에게 시행할 때 치료자가 치료요인을 고려하여 치료를 진행하는 것이 효과적일 것으로 생각된다. 다음으로 집단정신치료와 싸이코드라마는 모두 동일하게 중요한 치료법으로 실제 임상에서 널리 이용하는 바람직한 것으로 생각된다. 마지막으로 집단정신치료와 싸이코드라마의 기법을 서로 혼합하여 사용한다면 매우 효과적인 치료법이 될 수 있을 것으로 생각된다. Objective : This study was performed to investigate the therapeutic factors of group psychotherapy and psychodrama which were applied to psychotic patients, and to compare the therapeutic characteristics of two therapies. Methods : The subjects of this study were patients of a day hospital from September 1996 to May 1997. The subjects were composed of 35 psychotic patients(22 males, 13 females). Both of group psychotherapy and psychodrama were done to the patients of the day hospital. After these therapeutic factors were checked by the members of group psychotherapy, the protagonists of psychodrama, and the audience of psychodrama using 13 therapeutic factors scale. All three groups divided into higher functioning group and lower functioning group by mutual consent of the therapists in the treatment team meeting according to the patient's life of the day hospital, the attitude in programs, and the state during the interview with the therapist. And then therapeutic factors of higher and lower functioning group were compared. By the mean score of each therapeutic factor the rank of therapeutic factors was decided. By these ranks we compared the important therapeutic factors on the members of group psychotherapy, the protagonists, and the audience. Results : The results were as follows : 1) The protagonists of psychodrama set a very high value on “catharsis” and “the corrective recapitulation of the primary family group”, regardless of their functional level. 2) The protagonists with a higher function set a higher value on “guidance of therapists”, while those who had a lower function set a higher value on “guidance of members”. 3) The audience of psychodrama set a very high value on “identification with therapists”, “identification with members”, and set a high value on “universality”. 4) The higher functioning group of the group psychotherapy, the audience, and the protagonists set a high value on “interpersonal learning”, especially the patients of group psychotherapy set a very high value on “interpersonal learning”. 5) The lower functioning group of the protagonists and the group psychotherapy set a high value on “development of socializing techniques”. Conclusion : From the results of this study, we can draw some suggestions. First, if therapists take the above-mentioned therapeutic factors into consideration during the sessions of group psychotherapy or psychodrama, they can obtain more effective therapeutic outcome. Second, it is desirable that both group psychotherapy and psychodrama should be used more extensively as important methods of treatment in clinical settings. Third, the combination group psychotherapy and psychodrama would be more effective than the separate application of each therapy.

의과대학 정신과 실습 학생의 환자중심적 태도와 관련 요인

문석우,서정석,남범우,손인기,함 웅,조인희,권혁중 大韓神經精神醫學會 2006 신경정신의학 Vol.45 No.4

Introduction : The practicing of patient-centered medical services means a change in the pattern of the nature of doctor-patient relationship. The doctor oriented relationship is now moving to the pattern that patients resolve problems autonomously and participate in the decision-making in medical services. Authors performed this study to investigate the patient centeredness and influencing variables in medical students. Methods : Authors recruited 94 medical students before psychiatric clinical clerkship and all subjects were assessed by structured questionales including socio-demographic data, frequency of receiving doctor-patient relationship lectures, Minnesota multiphasic personality inventory (MMPl), Meyers-Briggs type indicator (MBTI), the authoritarian personality scale (AP), job satisfaction scale (JS), Patient practitioner orientation scale (PPOS), problem-solving decision-making scale (PSDM), and Beisecker locus ot authority in decision-making scale (BLAS), and the questionnaire of JS, PPOS, PSDM, and BLAS were rechecked after psychiatric clinical clerkship. Results : After psychiatric clinical clerkship, the score of JS, PPOS were higher than before. The group who had a good memory for taking a doctor-patient relationship lecture showed higher scores of the BLAS and PSDM than unexposed group. The AP was related with MBTI, correlated with the subscale of MMPI, however, inversely correlated with PPOS after psychiatric clinical clerkship. Conclusion : The authoritarian personality trait was related not only with other personality trait including introversion and psychopathic deviation (Pd) but also with patient-centeredness. Taking a lecture in doctor-patient relationship is positively related to the patient-centeredness.

한국인 알코올 의존 환자의 제2알데히드탈수소효소 유전자형 빈도

백인호,이철,이수정,이창욱,김정진,전태연,한상익,함 웅 大韓神經精神醫學會 1998 신경정신의학 Vol.37 No.1

연구목적 : 본 연구는 알코올의 대사과정에서 중요한 제2알데히드 탈수소효소(aldehyde dehydrogenase(ALDH)2)의 유전자형이 알코올 의존의 발병이나 임상 변인과 어떠한 연관성을 갖는지 알아보기 위하여 시행되었다. 방 법 : 141명의 알코올의존증환자와 144명의 대조군에서 ALDH2 유전자형을 제한효소법에 의하여 형벌하고 비교하였으며 환자군에서 ALDH2 유전자형 빈도에 따른 임상 양상의 차이를 조사하였다. 결 과 : 1) 알코올 의존증 환자군은 대조군보다 유의하게 ALDH2 1/1의 빈도가 높고 변이형 ALDH2인 ALDH2 1/2와 ALDH2 2/2의 빈도가 낮았다. 2) 알코올 의존증 환자에서 가족력에 따른 ALDH2의 유전자형 빈도는 유의한 차이가 없었다. 3) ALDH2 유전자형에 따른 음주 시작 연령, 알코올 의존증 발병 연령, 잠복기 사이에는 유의한 차이가 없었다. 결 론 : 이상의 결과는 제 2 알데히드 탈수소효소의 유전자형이 알코올 의존의 발병에 대한 위험도가 관련이 있음을 시사하였다. Objective : This study was designed to investigate the association of ALDH2 genetic types with the risk and clinical variables of alcohol dependence in Korean patients. Methods : ALDH2 genotypes were typed with restriction fragment length polymorphism method in 141 patients with alcohol dependence and 144 normal controls. The frequencies of ALDH2 genetic types were compared between patients and controls. Among the patients, the frequencies of ALDH2 genotypes were compared in terms of clinical variables. Results : 1) The genotypic frequencies of the subjects with ALDH2 1/1 were higher and those with variant ALDH2, that is,ALDH2 1/2 and ALDH2 2/2 were lower in patients than in normal controls. 2) The genetic frequencies of the patients with ALDH2 were not related to family history of alcohol dependence. 3) There were no differences for the age of first drink and onset age of alcohol dependence between the patients with ALDH2 1/1 and those with ALDH2 1/2 or ALDH2 2/2. Conclusion : These results suggest ALDH2 genotypes might be associated with the risk of alcohol dependence.

알코올 의존 환자에서 K-MMSE를 이용한 인지 기능 연구

서승진(Suhng-Jin Suh),최성빈(Sung-Bin Choi),김한오(Han-O Kim),원성두(Sung-Doo Won),손인기(In-Ki Sohn),함 웅(Woong Hahm),신경철(Kyung Chul Shin) 한국중독정신의학회 2009 중독정신의학 Vol.13 No.2

Objectives:This study aimed to characterize the cognitive functions of chronic alcohol dependent patients in their forties as compared to normal controls, via the K-MMSE (Korean version of the Mini-Mental State Examination). Methods:Participants were 25 male volunteers from the curative program at the Keyo hospital alcohol center, recruited from June 2007 to November 2007, and 25 male social drinkers who constituted the normal controls. We compared demographic characteristics, such as age, level of education, occupation, and socioeconomic status, and also K-MMSE results between the two groups. Results:Even though the demographic characteristics showed statistically significant differences between the two groups, their K-MMSE scores were not significantly different. Also, there was no identifiable correlation between demographic variables and K-MMSE total scores and subscales. The alcohol dependent patients varied significantly from the control group with regard to visuospatial area. Conclusion:In this study the cognitive functions and demographical variables such as education, occupation and socioeconomic status were not correlated. The subjects in two groups scored similar on K-MMSE in total score ; they had different scores in the test on their visuospatial area. In conclusion, some specific items of K-MMSE are thought to be applicable to predict whether patients with alcoholic dependence will have disability in their cognitive function.

의과대학생들의 성격성향과 관련된 환자중심적 태도

문석우(Seok Woo Moon),남범우(Beom Woo Nam),서정석(Jeong Seok Seo),류은정(Eun Jeong Ryu),권혁중(Hyuk Jung Kweon),손인기(In Ki Sohn),함 웅(Woong Hahm) 한국의학교육학회 2006 Korean journal of medical education Vol.18 No.1

Purpose: The patient-centered attitude is an effort to understand patients themselves as well as their disease. The doctor-oriented approach has been shifting to one where patients and participate in the deciding of medical service. We performed this study to investigate the patient-centeredness and influencing variables associated with personality traits. Methods: We recruited 94 medical students before their psychiatric clinical clerkship, and all subjects were assessed by a structured questionnaire including socio-demographic data, Minnesota Multiphasic Personality Inventory (MMPI), Meyers-Briggs type indicator (MBTI), the patientpractitioner Orientation Scale (PPOS), and the Authoritarian Personality scale (AP), The AP and PPOS questionnaires were repeated after the psychiatric clinical clerkship. Results: After the psychiatric clinical clerkship, the AP scores were significantly lower than before, and the PPOS significantly higher than before. The change in the AP scores were related to MBTI, correlated with MMPI subscales, however, inversely correlated with the changes in PPOS after the clinical clerkship. Conclusion: The authoritarian personality trait was related to, not only the personality trait including MBTI and MMPI subscales, but also to patient-centeredness in medical students.

알코올리즘 입원치료프로그램 참가자들의 퇴원 후 경과에 대한 연구

최성빈(Sung-Bin Choi),박병권(Byung-Kwon Park),김한오(Han-O Kim),원민혜(Min-Hye Won),손인기(In-Ki Sohn),함 웅(Woong Hahm) 한국중독정신의학회 2006 중독정신의학 Vol.10 No.1

Objectives:The purpose of this study is to evaluate the outcome of alcoholics who participated in an inpatient alcoholism treatment program of a mental hospital. At the same time, We studied the various clinical variables affecting the recovery of alcoholism. Methods:The 261 subjects who were diagnosed as alcohol dependence took part in the treatment program at the alcohol center in Keyo hospital at least for 2 weeks between January 2004 and December 2004. The subjects were followed up by faceto-face or telephone interview, and medical records were reviewed to obtain data on demographic characteristics, alcohol-related clinical characteristics, treatment process, etc. Results:1) the mean follow-up period was 19.67 months. 2) 141 of the 261 subjects were followed up, so the follow-up rate was 54.02% 3) 43 of the 141 subjects (30.5%) were classified into abstinent group, 23 (16.3%) into controlled drinking group, and 75 (53.2%) into relapse group. Abstinent and controlled drinking groups were called recovery group. So 66 (46.8%) of the 141 subjects were classified into recovery group. 4) By the comparison of relapse and recovery groups, education, socioeconomic status, occupation, and marital status are significantly different between groups. 5) Recovery group had a longer duration of abstinence before admission than relapse group. 6) Completion of alcoholism treatment program during admission and a return to work after discharge from hospital were associated with recovery of alcoholism. 7) In a stepwise regression model, four risk factors were significantly correlated with the recovery:a return to work after discharge from hospital, completion of alcoholism treatment program during admission, marital status, and duration of abstinence before admission. Conclusion:The variables above mentioned were thought to be the points to be duly considered for the better outcome of alcoholism.