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Cynthetiq · 03-26-2008, 10:13 AM

Quote:

Source: NYTimes
View: Can Sips at Home Prevent Binges?

March 26, 2008
The Pour
Can Sips at Home Prevent Binges?
By ERIC ASIMOV

PARENTS always want to share their passions with their children. Whether you’re a fan of baseball or the blues, sailing or tinkering with old cars, few things are as rewarding as seeing a spark of receptivity in the eyes of the next generation.

It usually doesn’t take. Most of the time kids — teenagers, anyway — would as soon snicker at their old man’s obsessions as indulge him. Even so, I can’t help hoping that my sons might share my taste in music and food, books and movies, ball teams and politics. Why should wine be any different?

It’s the alcohol, of course, which makes wine not just tricky but potentially hazardous. Nonetheless, I would like to teach my sons — 16 and 17 — that wine is a wonderful part of a meal. I want to teach them to enjoy it while also drumming it into them that when abused, wine, like any other alcoholic beverage, can be a grave danger.

As they were growing up I occasionally gave them tastes from my glass — an unusual wine, perhaps, or a taste of Champagne on New Year’s Eve. They’ve had sips at Seders and they see wine nightly at our dinner table. With both boys now in high school, I thought it was time to offer them the option of small tastes at dinner.

In European wine regions, a new parent might dip a finger in the local pride and wipe it lovingly across an infant’s lips — “just to give the taste.” A child at the family table might have a spoonful of wine added to the water, because it says, “You are one of us.” A teenager might have a small glass of wine, introducing an adult pleasure in a safe and supervised manner. This is how I imagined it in my house.

But about a year ago, my wife attended a gathering on the Upper East Side sponsored by several high schools addressing the topic of teenagers and alcohol.

The highly charged discussion centered on the real dangers of binge drinking and peer pressure, of brain damage and parental over-permissiveness, and of the law.

One authority disparaged the European model, saying that teenage drinking in Europe — never mind which part — is much worse than it is in the United States. The underlying message was that nothing good comes from mixing alcohol and teenagers.

My wife was shaken. We agreed to hold off on the tasting plan. But I decided to try to get some answers myself.

I found ample evidence of the dangers of abusive drinking. Recent studies have shown that heavy drinking does more damage to the teenage brain than previously suspected, while the part of the brain responsible for judgment is not even fully formed until the age of 25.

“If we were to argue that responsible drinking requires a responsible brain, theoretically we wouldn’t introduce alcohol until 25,” said Dr. Ralph I. Lopez, a clinical professor of pediatrics at Weill-Cornell Medical College who specializes in adolescents.

The law specifies 21 as the age when people can buy and drink alcohol. Bill Crowley, a spokesman for the New York State Liquor Authority, confirmed that it was illegal to give anyone underage a taste of an alcoholic beverage in a restaurant, cafe or bar. But in the home?

“We don’t have any jurisdiction over what happens in the home,” Mr. Crowley said. Of course, each state’s laws differ, and lack of jurisdiction doesn’t mean immunity. The police or social service agencies could intervene if underage bingeing were encouraged in the home. And when driving is a factor, everything changes. But inside the home, the law, at least, seems to permit the small tastes that I had in mind.

Even so, are small tastes justified? Abundant research shows the dangers of heavy drinking and the necessity of getting help with teenage alcohol abuse. But little guidance is offered on teaching teenagers about the pleasures of wine with a meal.

It would be easy to preach abstinence to children until they’re 21, but is it naive and even irresponsible to think that teenagers won’t experiment? Might forbidding even a taste of wine with a meal actually encourage secrecy and recklessness?

Some experts think so. Dr. Lopez began to offer his daughter a little wine at dinner when she was 13.

“You have to look at a family and decide where alcohol fits,” he said. “If you demonstrate the beauty of wine, just as you would Grandma’s special pie, then it augments a meal. However, if there is an issue about drinking within a family then it’s a different situation.”

If a family member had an alcohol problem, or if cocktails were served regularly for relaxation, he said, “That’s a different message than wine at the table.”

I called Dr. Paul Steinberg, a psychiatrist in Washington, who is the former director of counseling at Georgetown University.

“The best evidence shows that teaching kids to drink responsibly is better than shutting them off entirely from it,” he told me. “You want to introduce your kids to it, and get across the point that that this is to be enjoyed but not abused.”

He said that the most dangerous day of a young person’s life is the 21st birthday, when legality is celebrated all too fervently. Introducing wine as a part of a meal, he said, was a significant protection against bingeing behavior.

What is the evidence? In 1983, Dr. George E. Vaillant, a professor of psychiatry at Harvard University, published “The Natural History of Alcoholism,” a landmark work that drew on a 40-year survey of hundreds of men in Boston and Cambridge.

Dr. Vaillant compared 136 men who were alcoholics with men who were not. Those who grew up in families where alcohol was forbidden at the table, but was consumed away from the home, apart from food, were seven times more likely to be alcoholics that those who came from families where wine was served with meals but drunkenness was not tolerated.

He concluded that teenagers should be taught to enjoy wine with family meals, and 25 years later Dr. Vaillant stands by his recommendation. “The theoretical position is: driving a car, shooting a rifle, using alcohol are all dangerous activities,” he told me, “and the way you teach responsibility is to let parents teach appropriate use.”

“If you are taught to drink in a ceremonial way with food, then the purpose of alcohol is taste and celebration, not inebriation,” he added. “If you are forbidden to use it until college then you drink to get drunk.”

In a more recent study of 80 teenagers and 80 young adults in Italy, Lee Strunin, a professor at the Boston University School of Public Health, found that drinking wine in a family setting offered some protection against bingeing and may encourage moderate drinking. But she cautioned against extrapolating from Italy to the United States.

Her colleague, David Rosenbloom, director of the School of Public Health’s Youth Alcohol Prevention Center, emphasized that family context was crucial. “Does the kid see the parents drunk?” he asked. “Does the kid understand expectations? Is there violence in the family setting?”

“It is certainly possible that in some family contexts the introduction of wine at family dinners could have a mild protective factor,” he said, adding that he believes that expecting abstinence is a perfectly reasonable parental position.

In the best of all possible worlds, I suppose, young adults would not touch alcohol until they turn 25 and then would instantly understand the pleasures of moderate consumption. It seems to me as silly to imagine that as it is to expect the same at 21.

Although the issue is not settled in my household, my cautious opinion now is that my teenage sons have more to gain than to lose by having a taste of wine now and then with dinner. By taste, I mean just that: a couple of sips, perhaps, not a full glass, and decidedly not for any of their friends, whose own parents must make their own decisions.

The years between ages 15 and 25 are dangerous straits, and it doesn’t help to know that alcohol is associated with many of the hazards young adults face. Finding that sweet spot between sanctimony and self-centered frivolity is a parent’s job. I think I’m there, but it’s not quite comfortable.

We had wine with dinner on a regular basis. I was allowed to have grand marnier in coffee at a young age. I was allowed to drink at home as a teen.

This did nothing to prevent me from binging when I had the opportunity. I didn't drink for taste, I drank for effect.

I taught my sister how to drink and not get wasted so I thought. But I just gave her a higher tolerance so that guys couldn't get her drunk and take advantage of her. She too could binge very well in college. But she didn't continue to drink, I did.

I do think that it's a good thing to expose kids to alcohol at an early age. It gives them an understanding of a very complex system and lifestyle that makes them feel more comfortable in social settings when they are older.