In the alcoholism paradigm, cirrhosis per se held relatively little interest except as an indicator phenomenon useful for estimating the prevalence of alcoholism--via the famous and controversial Jellinek Formula (Argeriou, 1974; Roizen and Milkes, 1980).
(1978 [1970-1971]) elected to shore up rather than criticize or pass over the Jellinek Formula and its potential rhetorical benefits for the alcohol controls paradigm.
The rhetorical circumstance thus had the odd effect of prompting Popham (1970), an alcohol controls paradigm advocate, to defend the beleaguered Jellinek Formula fully a decade after that paradigm had been effectively demolished by critiques offered in the Quarterly Journal of Studies on Alcohol by Seeley (1959) and Brenner (1959), which prompted Jellinek (1959) himself to call for the formula's retirement from service.
366)--in his comment on the significance of Skog's (1980a) treatment of lagged effects of consumption change on cirrhosis mortality trends--had pronounced the Jellinek Formula and its "nebulous logic" as obsolete and unnecessary.
That linkage, once supplied by the alcoholism paradigm's Jellinek Formula, could also be supplied by Ledermann's (1956) single-distribution or log-normal model of popular alcohol consumption.
In short, the added value imported by the incorporation of the Ledermann model to fill the functional role once filled by the alcoholism paradigm and the Jellinek Formula was sufficiently great to alcohol controls paradigm advocates that the Ledermann model's focus on total per capita consumption was adopted as part of the conceptual package.(6)
The mindset that perceives this high utility for the Ledermann model, we suggest, has its origins in the previous reliance on the alcoholism paradigm and the Jellinek Formula as the significance-granting link between cirrhosis and a greater orbit of alcohol-related problems.
Jellinek, E.M., "Estimating the prevalence of alcoholism: Modified values in the Jellinek Formula and an alternative approach," Quarterly Journal of Studies on Alcohol 20:261-269, 1959.