Rogalski C J
West Side Medical Center, Department of Veterans Affairs, Chicago, Illinois.
Int J Addict. 1993 Jan;28(1):1-46. doi: 10.3109/10826089309038920.
There are massive changes underway in the allocation of funds for health care in the United States which will impact upon services provided for users and misusers of intoxicating substances. Recent findings suggest that conditions in the marketplace and the development of professions have effected standards of care rather than a reasoned analysis of need and outcome. Psychologists question to what extent they will be involved in public policy issues including what is clinically and socially relevant. The goal of this paper was to determine if an historical perspective upon federal regulation of intoxicating substances (tobacco/alcohol/drugs) would enlighten the psychotherapy scientist in the pursuit of standards for service. The methodology included a review of the economic and social structure of colonial America which included tobacco plantations, breweries, and distilleries as well as a review of the formation of the federal government and political system in which men, women, and slaves were each assigned different performance standards/roles and economic rewards within the community. The implication is that potential for self-regulation and psychological development is based upon the legacy of our forefathers.
美国医疗保健资金分配正在发生巨大变化，这将影响为使用和滥用致醉物质者提供的服务。最近的研究结果表明，市场状况和行业发展影响了医疗保健标准，而非基于对需求和结果的合理分析。心理学家质疑他们将在多大程度上参与公共政策问题，包括哪些在临床和社会上是相关的。本文的目的是确定对联邦对致醉物质（烟草/酒精/毒品）监管的历史视角是否会启发心理治疗科学家追求服务标准。方法包括回顾殖民时期美国的经济和社会结构，其中包括烟草种植园、啤酒厂和酿酒厂，以及回顾联邦政府和政治制度的形成，在这种制度下，男性、女性和奴隶在社区中被赋予了不同的绩效标准/角色和经济回报。这意味着自我调节和心理发展的潜力基于我们祖先的遗产。
