Hostname: page-component-78c5997874-4rdpn Total loading time: 0 Render date: 2024-11-08T08:20:35.899Z Has data issue: false hasContentIssue false

Alcoholism diagnosis and Celtic names

Published online by Cambridge University Press:  13 June 2014

Michael WP Carney
Affiliation:
Hill House, Mount Park Road, Harrow on the Hill, Middlesex
Brian F Sheffield
Affiliation:
Hill House, Mount Park Road, Harrow on the Hill, Middlesex

Abstract

Objective: To investigate assertions that Celts have higher rates of alcoholism and mental illness than non-Celts.

Method: The records of 3,000 admissions to Northwick Park Hospital Psychiatric Unit, Harrow (a North West London suburban middle class borough research hospital with a strictly defined catchment area – the London Borough of Harrow: population 200,000), from June 1987 for three years under the clinical care of four consultant psychiatrists, were examined.

Results: There were 683 with non-Celtic names and 175 with Celtic names (16.7%) (data on 10 patients incomplete). 306 (35%) of non-Celts and 88 (50%) of Celts were aged under 40 years. Alcohol dependence (ICD 303) was significantly commoner (p<0.001) among the Celts (35.3%) than among the non-Celts (12.9%). There were highly significant excesses (p<0.001) of native-born Celts with ICD 303 (54%) compared with non-Celts 12.9% or with Celts born outside Celtdom (23%). Patients with Norman names tended to follow the Celts in these respects. There were no differences with respect to the prevalence of psychosis or other ICD categories among Celts and non-Celts.

Conclusion: Doctors should be aware of the high prevalence of alcoholic dependence among people with Celtic names, whether these were born in Celtic countries or not, entertain a high index of diagnostic suspicion and take preventative measures accordingly. However, we found no excess of other categories of psychiatric disorder among Celts as compared with non-Celts. Patients with Norman-derived names seemed to follow the Celts in these respects.

Keywords

Type
Original Papers
Copyright
Copyright © Cambridge University Press 1995

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1.Herm, GThe Celts: the people who came out of the darkness. London: Weidenfeld & Nicholson, 1976.Google Scholar
2.Tain, BoCuailnge – The Tain (translated by Kinsella, T). London: Oxford University Press, 1969.Google Scholar
3.Mourant, AE, Kopec, AC, Domaniewska-Sobtzak K. Northern and Central Europe: distribution of human blood groups and other polymorphisms (2nd ed). London: Oxford University Press, 1976; 14:62–9.Google Scholar
4.McAlister, RAS. Ancient Ireland: a study in the lesson of archeological history. London: Methuen, 1935.Google Scholar
5.De Breffny, B. Irish family names, arms, origins and locations. Dublin: Gill & Macmillan, 1989.Google Scholar
6.Harper, PS. Genetic variation in Wales. J Roy Coll Physicians 1976; 10: 321–32.Google ScholarPubMed
7. International Classification of Disease, (9th ed). Geneva: WHO, 1978: 177208.Google Scholar
8.Latcham, RW, Kreitman, N, Plant, MA, Crawford, A. Regional variations in British alcoholic morbidity rates: a myth uncovered? BMJ 1984; 289:1341–3.CrossRefGoogle Scholar
9.Crawford, A, Plant, MA, Kreitman, N, Latcham, R. Regional variations in alcohol-related morbidity in Britain: a myth uncovered? BMJ 1984; 289: 1343–9.CrossRefGoogle Scholar
10.Walsh, D, O'Hare, A, Blake, B, Halpenny, JV. The treated prevalence of mental illness in the Republic of Ireland – the three county case registrar study. Psychol Med 1980; 10: 465–70.CrossRefGoogle Scholar
11.Book, JA. A genetic and neuro-psychiatric investigation of a North Swedish population, with special regard to schizophrenia and mental deficiency. Arch Genetica 1953; 4: 1100:133–9: 345–414.Google Scholar
12.Torrey, ES, McGuire, M, O'Hare, A, Walsh, D, Spellman, MP. Endemic psychosis in Western Ireland. Am J Psychiatry 1984; 141: 966–70.Google ScholarPubMed
13.Cummins, PW. Data on psychosis in Ireland – unconfirmed. Am J Psychiatry 1984; 142: 518.Google Scholar
14.Kelleher, MJ, Copeland, JRM, Smith, AJ. High first admission rates for schizophrenia in West Ireland. Psychol Med 1974; 4: 460–2.CrossRefGoogle Scholar
15.Nuallain, M, O'Hara, , Walsh, D. Incidence of schizophrenia in Ireland. Psychol Med 1987; 17: 943–8.CrossRefGoogle Scholar
16.Lyn, R, Hampson, S. Alcoholism and alcohol consumption in Ireland. J Ir Med Assoc 1970; 63: 3942.Google Scholar
17.Walsh, SHD. Alcohol and Ireland. Br J Addict 1987; 82: 118–20.CrossRefGoogle ScholarPubMed
18.Saunders, WM, Kershaw, PW. The prevalence of problem drinking and alcoholism in West Scotland. Br J Psychitry 1978; 133: 493–9.CrossRefGoogle Scholar
19.Walker, ARP. Whatever is going on in Scotland? South African Medical Tydskrif 1980; 57 (part 1): 2.Google ScholarPubMed
20.Plant, MA, Plant, ML. Alcohol and alcohol problems research 9: Scotland. Br J Addict 1986; 81: 1721.CrossRefGoogle Scholar
21. Editorial. Scots lead the way on alcohol. BMJ 1985; 1: 952–3.Google Scholar
22.Scott, A, Kelleher, MJA, Smith, A, Murray, RM. Regional differences in obsessionality and obsessional neurosis. Psychol Med 1982; 12: 131–4.CrossRefGoogle ScholarPubMed
23.Conroy, RM, Shelley, E. Critical reading 1: reading an article on the causation of disease. J Ir Coll Physicians and Surgeons 1994; 23: 283–8.Google Scholar
24.Cooklin, RS, Ravindran, A, Carney, MWP. The patterns of mental disorder in Jewish and non-Jewish admissions to a district general hospital psychiatric unit. Is manic-depressive illness a hysterical Jewish disorder? A preliminary report. Psychol Med 1981; 13: 209–12.CrossRefGoogle Scholar