Alcohol And Mental Illness (Press, 7 May 1965)

In a presentation on 6 May 1965, Dr. D. M. F. McDonald, a senior psychiatrist at Porirua Hospital and visiting psychiatrist at Wellington Hospital, highlighted the significant impact of alcoholism on mental health in the Wellington area. Speaking at the annual meeting of the National Society on Alcoholism of New Zealand, he reported that one-third of all mental illness cases among males he had treated were linked to alcoholism. Over the past year, Dr. McDonald had worked with roughly 600 male patients, with 30 percent of these cases primarily involving alcoholism. Dr. McDonald pointed to New Zealand's cultural norms, which celebrate male drinking culture, as a contributing factor to alcoholism, especially among adolescents. He suggested that New Zealand’s relatively comfortable living conditions have left individuals with excessive leisure time, leading to boredom and a sense of meaninglessness. Many seek excitement through alcohol, which historically has served as a quick form of tranquilliser, providing a temporary escape from depression. He also expressed concern over the growing prevalence of alcoholism in affluent societies, noting it is one of the most challenging conditions to treat and is becoming increasingly significant in socially advanced countries like New Zealand. Despite the challenges, Dr. McDonald described the typical New Zealand alcoholic as an intelligent and charming individual with a strong drive for creativity. However, many struggle with feelings of despair while drinking, as alcohol becomes a substitute for other appetites and desires such as food, love, and creativity. In his treatment approach, Dr. McDonald emphasised the importance of collaboration with Alcoholics Anonymous, while also addressing the need for vitamins and tranquilliser drugs, especially during withdrawal. He noted that patients often responded quickly to treatment but highlighted that many were only partially convinced of their alcoholism, making behavioural change challenging. Towards the end of his address, Dr. McDonald cautioned against proposed legislation in Parliament that would enforce compulsory treatment for alcoholics. While he acknowledged the serious social implications of alcoholism, he cautioned that such measures might create further issues in treatment, emphasising the necessity of a willing partnership between patients and healthcare providers. His recommendations were rooted in a compassionate understanding of the complexities surrounding alcoholism and its treatment.

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