European Stars And Stripes (Newspaper) - August 19, 1986, Darmstadt, Hesse                                Children of alcoholics a found m � first lie Piholic. Inning and an overcoming of ear the denial and ear of having an alcoholic  Brown said studies of Aca patients show similar patterns develop within families of alcoholics that involve Strong denial of the addiction and the forming of destructive co dependent relationships with the drinking Parent. These co dependent roles she said get earned into adult life in the form of distrust inability to form intimate relationships a Lack of self esteem and the need to control a co dependent is dominated by the  said Brown they adjust to the needs and behaviour of the person with the problem it s a pattern full of disturbances and often results in the cd dependent developing the same behaviour As the  another Pioneer in the Field san Diego psychologist Claudia Black has formulated a set of three rules she says govern alcoholic families Don t talk Don t Trust Don t feel. Children at an Early ag3. She said learn that their emotional and even physical survival depends on following those rules which follow them into their adult lives. Brown said a Large percentage of Aca patients Are either practising alcoholics recovering alcoholics or Harbor a tremendous fear of becoming alcoholic. They also have a 50 percent Chance of marrying an alcoholic and Are about twice As Likely to attempt suicide As the general population if they re not drinking they feel the constant need for  said Brown this can Lead them to become tremendously rigid and  researchers say the fear of Aca patients is not unfounded because studies have indicated the group As a whole is genetically predisposed to become alcoholic if they drink. The rate of addiction of adult children of alcoholics is four to seven times higher than the general population. Or. Richard Heilman of the veterans administration Hospital in Minneapolis said at a recent meeting of the National Council on alcoholism in san Francisco that genetic influence is now identifiable in at least 35 percent of alcohol abusers Heilman said geneticists Hope to soon develop a test to determine whether a person particularly a child is Likely to become an alcoholic they already know for example that people who do not inherit genes for an alcohol metabolizing protein called aldehyde dehydrogenase will never become alcoholics. Some people Are really vulnerable sitting ducks for this disease and did t know  said Heilman. Their biochemistry acted abnormally when they drank alcohol. Now offspring of alcoholics do not have to be ignorant of this Factor. Something can be done about  y unavailable from military doctors m follow the instructions of the obstetrician who inserted it Parker said. The Only id that should be removed is the Dalton shield by . Robins co., medical officials said. Robins stopped production in 1974, and last year sought Protection under . Bankruptcy Laws after thousands of women who used its Dalton shield sought damages for Pelvic infections sterility and other problems the Only id still being manufactured in the Stales is proves laser by Alza corp., which had 3 percent of the id Market. Unlike the other devices protest assert contains a slow releasing natural hormone progesterone. The device must be replaced annually while the others can remain in place for two to three years. Protest assert might be available at some army hospitals. Parker said. Luis have been the fifth most common form of contraception following voluntary sterilization birth control pills condoms and diaphragms. The intrauterine device is 95 percent to 96 percent effective. But even before the manufacturers stopped production some doctors had concerns that Luis sometimes caused infection and infertility. Whether a woman gets an id Afen army Hospital is Between her and her doctor Parker said. Doctors Are supposed to counsel women about the different types of birth control available and the possible risks of each. Parker said he also has advised them to inform women seeking Luis that they May have to change to a different Type of birth control when the devices must be replaced because of the Market situation. Each individual physician has the right to decide on the Type of service he s going to provide a patient the discussion Between the obstetrician and his or her patient is the ultimate  Parker said army doctors May not insert an id brought in by the patient he said the Frankfurt army regional medical Center stopped providing Luis earlier this year because of the uncertainty surrounding them said Ann Lancaster head nurse for obstetrics and gynaecology. But the Hospital began prescribing Lippes Loop in june after receiving guidance from 7th medical come she said. We have one Type we Are using at patient request. We re not advertising Lancaster said we Don t have  or. Col Richard belts chief of obstetrics at Lan Stuhl army regional medical Center said the available Luis Are still an acceptable form of birth control for some women. For the lady who can t take the Pill or does t like condoms it s there ready logo. It s safer to use the id than to get pregnant said belts obstetrics and gynaecology consultant for 7th medical come. Yurkosky of the Wiesbaden Hospital said Luis Are being produced in Europe and Are available from private doctors. If a woman does get an id from a private doctor in Europe she should get at least a picture of the device and a product information paper if available even if it s in a foreign language Yurkosky said. Her doctor in the states probably would need the information when removing the id. Salt Coil Lippes Loop intrauterine devices Luis Coil Loop & Dalton shield most Luis Are Small plat he devices of different shapes and sizes Tor insertion into the uterus. One or two strings extend into the upper Vagina to placement of the device can be checked. Luis May remain inserted Lor Long periods of time Lor contraceptive purposes. Exactly Why an id works is unknown. Theories in clude a. That it makes the ovum pats Down the fallopian tube too rapidly Lor either fertilization or implantation b. That it interferes with Hie lining of the uterus making implantation impossible c. That it interferes directly with the implantation process. The stars and stripes Page 15