Journal of Clinical & Medical Case Reports

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Case Report

Alcohol Abuse, Reproductive Coercion and Intimate Partner Violence: Case Reports and Mini-Review

Sergei V. Jargin*

  • People’s Friendship University of Russia, Russia

*Address for Correspondence: Sergei V. Jargin, People’s Friendship University of Russia, Clementovski per 6-82, 115184 Moscow, Russia, Tel: +7 495 9516788; E-mail:
Citation: Jargin SV. Alcohol Abuse, Reproductive Coercion and Intimate Partner Violence: Case Reports and Mini-Review. J Clin Med Case Reports. 2018;5(1): 5.
Copyright © 2018 Jargin SV. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Journal of Clinical & Medical Case Reports | ISSN: 2332-4120 | Volume: 5, Issue: 1
Submission: 13 January, 2018 | Accepted: 16 February, 2018 | Published: 23 February, 2018


This article presents a continuation of report series on alcohol abuse, reproductive coercion and intimate partner violence. Abortion rate in the former Soviet Union has been the highest in the world, caused not only by the insufficient availability of modern contraception but also by irresponsible behavior. The overconsumption of alcohol is generally perceived as a contributing factor. Currently there is an improvement tendency. The social background of certain behavioral stereotypes such as reproductive coercion and binge drinking are discussed. The conclusion is that use of condoms is dependent on personal traits and the level of social development; however, alcohol consumption at sexual encounters and heavy binge drinking are risk factors for the non-use of condoms and other irresponsible behaviors.


Sexual coercion; Contraception; Alcoholism; Alcohol-related dementia


Reproductive Coercion (RC) includes direct or indirect partner behaviors that interfere with effective use of contraception. RC compromises women’s autonomous decisions and increases the risk for adverse outcomes such as Sexually Transmitted Infections (STI) and unintended pregnancy. RC is defined e.g. as male partners’ attempts to promote pregnancy through verbal pressure and threats (pregnancy coercion), direct interference with contraception (birth control sabotage), threats and coercion related to pregnancy continuation or termination (control of pregnancy outcomes) [1]. Contraception sabotage includes hiding, withholding, destroying, or removing female-controlled contraceptives or deliberately breaking or removing a condom during sex or failing to withdraw in an attempt to promote pregnancy despite a female partner’s wishes to prevent pregnancy [2]. In the literature, RC is usually discussed as an intentional activity [3]. It is proposed here to extend existing definitions by adding RC by negligence, in particular, sabotage of agreed or presupposed withdrawal method of contraception, which sometimes happens under the impact of alcohol intoxication. Admittedly, it may be difficult to distinguish between negligence, subconscious and conscious intentions.
It is known that RC is associated with the Intimate Partner Violence (IPV); half of the women who reported RC also reported partners’ physical violence [4]. The risk of unintended pregnancy doubled among women reporting both IPV and RC [5]. More specifically, in a large survey of women in the United States, 8.6% of them reported ever having an intimate partner who tried to get them pregnant when they did not want to [6]. It should be noted that a majority of studies on these topics have been conducted in more developed countries, while dimensions of the problem in less open societies can only be conjectured; phenomena discussed in this report can persist without publicity, being regarded as norm by a part of the society. In particular, the “rape culture” is an ideology excusing or supporting sexual assault [7]. Furthermore, alcohol consumption is associated with IPV [8,9]. Here are presented four case histories on alcohol abuse, reproductive coercion and IPV, a continuation of the series of reports started previously [10-13]. All cases are from the late Soviet era. Certain cases were reported to the authorities after a delay as the Soviet-time morality generally disapproved reporting of illegal and immoral acts especially if committed by people from the privileged milieu.

Case Reports

Case 1

son of a higher officer awarded himself a next rank every time he was infected with gonorrhea. In this way he became a “generalissimo” illustrating irresponsibility-the patient was proud of his “career”. He was one of the informal leaders in a company that involved adolescents in binge drinking and teenage girls in sexual contacts e.g. with foreign truck drivers coming to international exhibitions in Moscow. Intramuscular injections of Hexestrol (named Synoeshtol in Russia) oil solution were used to induce abortions-a well-known method in the former SU [14]. Some patients, especially those who could be regarded as socially unprotected or “immoral”, reported on harsh and painful gynecological manipulations, abortions etc. whereas personal judgment and ideation of punishment have apparently played a role. Being aware also of lengthy and unpleasant treatments of STI at prevention-and-treatment centers (so-called dermatovenereological dispensaries) [11], high-risk groups avoided medical institutions, practiced self-treatment or continued spreading STI.

Case 2

A case of child abuse followed by alcoholism in the victim was reported previously together with discussion of cause-effect relationships [13]. The case history had a prequel. A 33-year-old single mother with her 5-year-old son was visiting by relatives in another Soviet republic. The head of the inviting family was an officer from another Soviet republic; there had been violence in his family. The officer had a 20-years-old son, who (together with his friend) sexually assaulted the visiting mother’s cousin. Two years later the officer’s son married the victim, who was pregnant at that time. Under conditions of the Soviet registration system, aimed to counteract mass migration to the capital, factual and fictive marriages were used to be registered in Moscow. It is known that one of the reasons for women to remain with their assailants can be shortage of community resources such as the legal assistance and social support [15]. In the former SU, the registration and accommodation have been strong motives especially for Moscow and other cities attracting migrants. In some less developed societies with a widespread rape myth acceptance, sexual violence was a way of acquiring wives [15,16]. The fact that some victims married rapists was seen as indication that women enjoy it; in fact, however, existing accounts demonstrate various degrees of trauma [16]. High social positions held by sexual offenders or their relatives sometimes impede reporting [15]. Later on, the stepfather physically abused his stepson, while the mother sometimes participated in battering.

Case 3

The victim of child abuse described in the Case 2 was prone to the alcohol consumption and binge drinking during his adolescence and early adulthood: up to 500 ml of vodka with beer or 1.5 l of fortified (around 18 % of alcohol by volume) wine at one sitting. Potential cause-effect mechanisms were discussed in [10,17]. At the age of 22 years he entered relationship with a 7 years older woman coming from another Soviet republic; having no affordable accommodation in Moscow, she had a motive to maintain the relationship. An alternative of the cohabitation was a dormitory, where a room was shared with 2 other women. This motive is known also in other countries, where individuals lacking affordable housing may feel coerced to maintain unsafe relationships [18]. The female partner participated in binge drinking taking lower doses. The heavy binge drinking was in some, albeit rare, cases associated with neglectful sabotage of the agreed withdrawal method of contraception. In the course of the 4-year-long cohabitation there was “only” one abortion induced by intramuscular injections of Hexestrol (Synoestrol). However, the neglectful stereotype has been repeated by the male partner also with other partners, which resulted in 2 more abortions at least. The neglectful behavior was apparently reinforced by symptoms of impairment of the frontal lobe function (discussed below) caused by the prolonged alcohol intake with heavy binges: irresponsible behavior, lack of concern about consequences or morals, misdemeanors and hooliganism, drunk driving etc. Besides, IPV was practiced by the male partner (slapping in the face, pulling the hair), sometimes but not always in connection with the drinking binges. Today, he sincerely regrets his misbehavior. In the author’s opinion, the propensity to IPV was a continuation of the “family tradition” i.e. abuse by the stepfather and mother, who both had been victims of physical abuse in their own childhood.
This case illustrates an immediate, “mechanistic” cause-effect-relationship between the binge drinking on one hand, IPV and RC on the other hand, against the background of child abuse in the perpetrator’s family history. This mechanism is rarely discussed in the literature, where intentional RC-related behaviors are emphasized, e.g. “a male partner told you not to use any birth control, said he would leave you if you did not get pregnant, told you he would have a baby with someone else if you didn’t get pregnant” etc. [4]. The neglectful sabotage of the withdrawal method of contraception associated with the binge drinking is not mentioned in this and similar lists. At the same time, the pattern of IPV and RC described in the Case 3 has been widespread in the former SU against the background of the limited availability of modern contraception, being one of the causes of the high abortion rate [19].

Case 4

This case summarizes numerous similar experiences of date rape [20], which was often not regarded as such in the former SU, if not arranged as provocation. He invites her or she him, they sit on a sofa and drink wine, and then she says “no”; there follows a more or less intensive resistance. Studies indicate that sexually aggressive acts often do not involve condom use, whereas offender’s alcohol consumption and condom non-use correlate significantly [21]. Obviously, thecondom use is inconvenient in the settings of sexual violence even if resistance is weak and insincere. However, the withdrawal method of contraception can be applied, its sabotage always being a neglectful or intentional act. Definitions of the non-consent and coercion in conditions of a date are not always straightforward [22-24], which is beyond the scope of this report.

Review of Literature

As illustrated by the Case 4, the date rape aggravated by neglect of contraception sometimes amounts to RC and leads to an abortion, while alcohol may be a contributing factor. Alcohol supposedly enhances the misperception of intentions in such cases, which may increase the risk of sexual aggression, although some males believe that coercion they commit is merely seduction [25]. On the other hand, it is assumed that alcohol impairs a woman’s ability to recognize the sexual assault risk and to resist advances [26]. Although intoxication is not a prerequisite of the sexual violence, their frequent co-occurrence suggests that alcohol may play a causative role in some cases [27].
Furthermore, one of the risk factors of contraception sabotage is hostility toward women [7,28], either towards all of them or to a certain ethnic or another type. Hostile attitudes toward women and alcohol intoxication are known risk factors for sexual coercion and non-use of condoms [28]. A direct association between men’s misogynistic attitudes and the use of coercion to obtain unprotected sex was reported [21]. RC or IPV may be a conscious or subconscious “revenge” for some true or imagined insult in the past, while a date or cohabitation may provide opportunities for that.
The abortion rate in the former SU has been the highest in the world caused not only by the insufficient availability of modern contraception but also by irresponsible behavior [19]. Fortunately, both the abortion rate and alcohol consumption (heavy binge drinking in particular) in Russia tend to decrease [29-33]. It should be also mentioned that rape in marriage was widespread in the former SU [16]. At the same time, the incidence of HIV infection is growing [34], which is another argument in favor of the condom use. The “consumerist” attitude to women has been widespread in the former SU. Atheism, propagated during the Soviet era, contributed to the irresponsibility in marriage and immoral behavior. In particular, fictive and half-fictive (temporary) marriages were broadly used for obtaining registration and accommodation in large cities attracting migrants. For example, a well known professor and scientist publicly reproached a postgraduate student from Siberia that he didn’t marry to stay in Moscow [35]. Children from such marriages may become victims of maltreatment as their mothers remarry a migrant (Case 2). Apparently, there was an unofficial directive behind such attitude aimed at the birth rate elevation initially in conditions of the gender imbalance after the World War II. In the meantime, the gender imbalance has reverted and global overpopulation has come to the fore. The male-to-female ratio is growing worldwide due to sex-selective abortions, used increasingly in certain regions, and international migrations [36].
The association between alcohol consumption and negligent behavior is explicable within the framework of the alcohol myopia theory [37,38]. Under the impact of alcohol, the cognitive capacity is impaired, so that intoxicated individuals concentrate their attention on the stimuli that are most significant for them. Less salient cues, needing more cognitive resources, tend to remain out of the vision field. Under such conditions, immediate sexual engagement involves the already restricted cognitive resources, while more remote cues such as the risk of STI or unintended pregnancy remain out of the vision field [37]. Remarkably, inebriated persons may concentrate their attention on the risks and display more prudent behavior if the salient features of the sexual encounter emphasize the risks [39]. For example, under the impact of alcohol, “partner pressure decreased condom-decision abdication” i.e. intoxicated women negotiated for condom more decisively [40], which is also explicable within the framework of the alcohol myopia theory. There is even the opinion that alcohol increases the probability of condom use in women of certain ethnic background by lowering anxiety about proposing the condom use [41].
The relationship between safer sex decision making and alcohol intake depends on the stage of sociocultural development. Some studies conducted in more developed countries did not unequivocally confirm the correlation between the alcohol consumption and non-use of condoms [41-48]. According to some research conducted in more developed countries, only high levels of drunkenness reduce the probability of condom use [41]. On the contrary, all known studies conducted in less developed or recently industrialized countries, did confirm the association between alcohol intake and non-use of condoms [49-55]. It can be reasonably assumed that the social progress correlates with the improvement of morality, so that distracting factors such as alcohol lose their force. Apparently, migrations contribute to the leveling of international differences.
Apart from immediate effects of the alcohol intake, the consequences of prolonged alcohol overconsumption and heavy binge drinking should be taken into account. The term “alcoholic dementia” used in the former SU does not exactly correspond to the term “alcohol-related dementia”, used in other countries because head trauma, old hematomas, malnutrition, deficiency of proteins and vitamins (especially thiamine) may contribute to the damage of the nervous system and advancement of personality changes [56-58]. Frontal lobe syndrome is considered to be a hallmark of chronic alcohol abuse. Post mortem studies demonstrated a lower average weight of brains in alcoholics, particularly of the frontal lobes, while the neuron density tends to decline under the impact of repeated alcohol intoxications [59-64]. Manifestations of the frontal syndrome and alcohol-related dementia are largely overlapping and include personal and social neglect, emotional disinhibition, derangements of the cognitive capacity with impaired perception of risks, lack of concern about consequences or morals, irresponsible behavior such as the non-use of condoms [61-66], exemplified here by the Case 3. The topic of violence in alcohol-related dementia is beyond the scope of this report; however, aggression does occur in such patients [67,68]. Finally, it should not be forgotten that aggression in alcoholics and individuals with alcohol-related dementia is sometimes provoked by their partners, relatives and other persons [69].
It is known that women who experience IPV are at a higher risk of unintended pregnancy. There is a correlation between RC and IPV [3]; RC is even classified as one of the forms of IPV, thus being comparable with violent crime. RC and sexual coercion may lead to unintended pregnancy, abortion, STI, unfavorable pregnancy outcomes, and psychological trauma [70,71]. Among the predisposing social factors, currently becoming more conspicuous in Russia, are militarist and machismo ideology [72], whereas promiscuity is sometimes seen as an attribute of “manliness”, impunity of some misdemeanors, display of death and violence on TV, which tends to distract public attention from violence in families, child and elder abuse, sexual coercion and RC.
In conclusion, the use of condoms in relation to the alcohol drinking is largely dependent on individual features and the level of sociocultural development; but alcohol at sexual relations and heavy binge drinking enhances the risk of the non-use of condoms and sabotage of the withdrawal method of contraception. Analogously, experiments with alcohol administration demonstrated that people behave more aggressively when drinking; but these effects are stronger in people who are already predisposed to aggression [27]. Overall, survey research indicates that the personality characteristics of sexual offenders who drink alcohol during the assault are similar to those who do not drink during the assault [27]. As discussed previously, survey data from Russia are of limited value as this research tool has been discredited by obtrusive proposals to answer various questionnaires, often asking for private information [10]. Moreover, some people generally mistrust authorities because of nonobservance of some laws and regulations. Future effort should be aimed at strengthening mutual trust between authorities and the population, which would contribute to the elaboration of efficient preventive measures. Potential benefits of IPV and RC screening by health care providers include assisting women in naming certain behaviors as coercive and enabling them to seek help [3]. Interventions and publications promoting awareness of RC as well as preventive and overcoming strategies are of importance for reducing unintended pregnancy and abortion rate [73].


  1. McGirr SA, Bomsta HD, Vandegrift C, Gregory K, Hamilton BA, et al. (2017) An examination of domestic violence advocates' responses to reproductive coercion. J Interpers Violence.
  2. Silverman JG, Raj A (2014) Intimate partner violence and reproductive coercion: global barriers to women's reproductive control. PLoS Med 11: e1001723.
  3. Grace KT (2016) Caring for women experiencing reproductive coercion. J Midwifery Womens Health 61: 112-115.
  4. Katz J, Poleshuck EL, Beach B, Olin R (2017) Reproductive coercion by male sexual partners: associations with partner violence and college women's sexual health. J Interpers Violence 32.
  5. Miller E, Jordan B, Levenson R, Silverman JG (2010) Reproductive coercion: connecting the dots between partner violence and unintended pregnancy. Contraception 81: 457-459.
  6. Black MC, Basile KC, Breiding MJ, Smith SG, Walters ML, et al. (2011) The National Intimate Partner and Sexual Violence Survey (NISVS): 2010 summary report. Atlanta, GA: National Center for Injury Prevention and Control, Centers for Disease Control and Prevention.
  7. Johnson NL, Johnson DM (2017) An empirical exploration into the measurement of rape culture. J Interpers Violence 886260517732347.
  8. Oliveira JB, Kerr-Correa F, Lima MC, Bertolote JM, Tucci AM (2013) Sexual abuse and alcohol use among women in metropolitan Sao Paulo, Brazil: a general population study. Rev Bras Epidemiol 16: 817-825.
  9. Zhan W, Shaboltas AV, Skochilov RV, Krasnoselskikh TV, Abdala N (2013) History of childhood abuse, sensation seeking, and intimate partner violence under/not under the influence of a substance: a cross-sectional study in Russia. PLoS One 8: e68027.
  10. Jargin SV (2016) Reliability of surveys on alcohol consumption, sexual coercion and contraception. J Addiction Prevention 4: 01-05.
  11. Jargin SV (2016) Treatment of gonorrhea in Russia: Recent history. Global J Dermatol Venereol 4: 1-5.
  12. Jargin SV (2015) Alcohol abuse and alcoholism in Russia. IJEMHHR 17: 603-604.
  13. Jargin SV (2017) Child abuse, autism and excessive alcohol consumption. J Addiction Prevention 5: 4.
  14. Muzhanovskii EB, Fartushnyi AF, Sukhin AP, Sadov AI (1992) The detection of abortion agents in biological material. Sud Med Ekspert 35: 24-28.
  15. Renzetti CM, Edleson JL, Bergen RK (2012) Companion reader on violence against women. Los Angeles: Sage.
  16. Russell DEH (1990) Rape in marriage. New York: McMillan.
  17. Jargin SV (2011) Letter from Russia: child abuse and alcohol misuse in a victim. Alcohol Alcohol 46: 734-736.
  18. Rosenbaum JE, Zenilman J, Rose E, Wingood G, DiClemente R (2016) Predicting unprotected sex and unplanned pregnancy among urban African-American adolescent girls using the theory of gender and power. J Urban Health 93: 493-510.
  19. Jargin SV (2016) High abortion rate in Russia: on the role of condom use and alcohol misuse. J Addict Prev Med 1: 104.
  20. Black KA, McCloskey KA (2013) Predicting date rape perceptions: the effects of gender, gender role attitudes, and victim resistance. Violence Against Women 19: 949-967.
  21. Davis KC, Kiekel PA, Schraufnagel TJ, Norris J, George WH, et al. (2012) Men's alcohol intoxication and condom use during sexual assault perpetration. J Interpers Violence 27: 2790-2806.
  22. Cook SL, Gidycz CA, Koss MP, Murphy M (2011) Emerging issues in the measurement of rape victimization. Violence Against Women 17: 201-218.
  23. Heise L, Moore K, Toubia N (1996) Defining "coercion" and "consent" cross-culturally. SIECUS Rep 24: 12-14.
  24. Bouffard LA, Bouffard JA (2011) Understanding men's perceptions of risks and rewards in a date rape scenario. Int J Offender Ther Comp Criminol 55: 626-645.
  25. Farris C, Treat TA, Viken RJ, McFall RM (2008) Sexual coercion and the misperception of sexual intent. Clin Psychol Rev 28: 48-66.
  26. Testa M, Livingston JA (2009) Alcohol consumption and women's vulnerability to sexual victimization: can reducing women's drinking prevent rape? Subst Use Misuse 44: 1349-1376.
  27. Abbey A (2011) Alcohol's role in sexual violence perpetration: Theoretical explanations, existing evidence, and future directions. Drug Alcohol Rev 30: 481-489.
  28. Wegner R, Davis KC, Stappenbeck CA, Kajumulo KF, Norris J, et al. (2017) The effects of men's hostility toward women, acute alcohol intoxication, and women's condom request style on men's condom use resistance tactics. Psychol Violence 7: 593-601.
  29. Perlman FJ (2010) Drinking in transition: trends in alcohol consumption in Russia 1994-2004. BMC Public Health 10: 691.
  30. United Nations Department of Economic and Social Affairs Population Division (2013) World Abortion Policies.
  31. Popov AA, Visser AP, Ketting E (1993) Contraceptive knowledge, attitudes, and practice in Russia during the 1980s. Stud Fam Plann 24: 227-235.
  32. (2018) Federal State Statistics Service of Russian Federation.
  33. Radaev V (2015) Impact of a new alcohol policy on homemade alcohol consumption and sales in Russia. Alcohol Alcohol 50: 365-3728.
  34. Lan CW, Scott-Sheldon LA, Carey KB, Johnson BT, Carey MP (2014) Alcohol and sexual risk reduction interventions among people living in Russia: a systematic review and meta-analysis. AIDS Behav 18: 1835-1846.
  35. Jargin SV (2010) On the causes of alcoholism in the former Soviet Union. Alcohol Alcohol 45: 104-105.
  36. Jargin SV (2011) Where have all the flowers gone? S Afr Med J 101: 494.
  37. Weinhardt LS, Carey MP (2000) Does alcohol lead to sexual risk behavior? Findings from event-level research. Annu Rev Sex Res 11: 125-157.
  38. Giancola PR, Josephs RA, Parrott DJ, Duke AA (2010) Alcohol myopia revisited: clarifying aggression and other acts of disinhibition through a distorted lens. Perspect Psychol Sci 5: 265-278.
  39. MacDonald TK, Fong GT, Zanna MP, Martineau AM (2000) Alcohol myopia and condom use: can alcohol intoxication be associated with more prudent behavior? J Pers Soc Psychol 78: 605-619.
  40. George WH, Davis KC, Masters NT, Kajumulo KF, Stappenbeck CA, et al. (2016) Partner pressure, victimization history, and alcohol: women's condom-decision abdication mediated by mood and anticipated negative partner reaction. AIDS Behav 20 (Suppl 1): S134-S146.
  41. Walsh JL, Fielder RL, Carey KB, Carey MP (2014) Do alcohol and marijuana use decrease the probability of condom use for college women? J Sex Res 51: 145-158.
  42. Parks KA, Collins RL, Derrick JL (2012) The influence of marijuana and alcohol use on condom use behavior: findings from a sample of young adult female bar drinkers. Psychol Addict Behav 26: 888-894.
  43. Livingston JA, Testa M, Windle M, Bay-Cheng LY (2015) Sexual risk at first coitus: does alcohol make a difference? J Adolesc 43: 148-158.
  44. Gilmore AK, Granato HF, Lewis MA (2013) The use of drinking and condom-related protective strategies in association with condom use and sex-related alcohol use. J Sex Res 50: 470-479.
  45. Senf JH, Price CQ (1994) Young adults, alcohol and condom use: what is the connection? J Adolesc Health 15: 238-244.
  46. Davis KC, Masters NT, Eakins D, Danube CL, George WH, et al. (2014) Alcohol intoxication and condom use self-efficacy effects on women’s condom use intentions. Addict Behav 39: 153-158.
  47. Cooper ML (2002) Alcohol use and risky sexual behavior among college students and youth: evaluating the evidence. J Stud Alcohol 14: 101-117.
  48. Weir BW, Latkin CA (2015) Alcohol, intercourse, and condom use among women recently involved in the criminal justice system: findings from integrated global-frequency and event-level methods. AIDS Behav 19: 1048-1060.
  49. Gallo MF, Warner L, Bell AJ, Bukusi EA, Sharma A, et al. (2011) Determinants of condom use among female sex workers in Kenya: a case-crossover analysis. J Womens Health (Larchmt) 20: 733-738.
  50. Xiao Z, Palmgreen P, Zimmerman R, Noar S (2010) Adapting and applying a multiple domain model of condom use to Chinese college students. AIDS Care 22: 332-338.
  51. Matovu JK, Ssebadduka NB (2013) Knowledge, attitudes & barriers to condom use among female sex workers and truck drivers in Uganda: a mixed-methods study. Afr Health Sci 13: 1027-1033.
  52. Faye A, Faye MD, Leye MM, Diongue M, Niang K, et al. (2014) Study of determinants of unprotected sex in sailors of the Senegalese merchant navy. Bull Soc Pathol Exot 107: 115-120.
  53. Fentahun N, Mamo A (2014) Risky sexual behaviors and associated factors among male and female students in Jimma Zone preparatory schools, South West Ethiopia: comparative study. Ethiop J Health Sci 24: 59-68.
  54. Mola R, Pitangui AC, Barbosa SA, Almeida LS, Sousa MR, et al. (2016) Condom use and alcohol consumption in adolescents and youth. Einstein (Sao Paulo) 14: 143-151.
  55. Chen Y, Li X, Zhang C, Hong Y, Zhou Y, et al. (2013) Alcohol use and sexual risks: use of the Alcohol Use Disorders Identification Test (AUDIT) among female sex workers in China. Health Care Women Int 34: 122-138.
  56. Pohanka M (2016) Toxicology and the biological role of methanol and ethanol: Current view. Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub 160: 54-63.
  57. Ropper AH (1979) A rational approach to dementia. Can Med Assoc J 121: 1175-1190.
  58. Matsui T, Yokoyama A, Matsushita S, Kozaki K, Higuchi S (2014) Alcohol-related dementia. Nihon Rinsho 72: 749-756.
  59. Ridley NJ, Draper B, Withall A (2013) Alcohol-related dementia: an update of the evidence. Alzheimers Res Ther 5: 3.
  60. Sullivan EV, Harding AJ, Pentney R, Dlugos C, Martin PR, et al. (2003) Disruption of frontocerebellar circuitry and function in alcoholism. Alcohol Clin Exp Res 27: 301-309.
  61. Courtney KE, Polich J (2009) Binge drinking in young adults: data, definitions, and determinants. Psychol Bull 135: 142-156.
  62. Quemada JI, Sanchez-Cubillo I, Munoz-Cespedes JM (2007) Organic personality disorder: conceptual review and research strategies. Actas Esp Psiquiatr 35: 115-121.
  63. Brun A, Andersson J (2001) Frontal dysfunction and frontal cortical synapse loss in alcoholism-the main cause of alcohol dementia? Dement Geriatr Cogn Disord 12: 289-294.
  64. Grodin EN, Lin H, Durkee CA, Hommer DW, Momenan R (2013) Deficits in cortical, diencephalic and midbrain gray matter in alcoholism measured by VBM: effects of co-morbid substance abuse. Neuroimage Clin 2: 469-476.
  65. Fuster JM (1989) The prefrontal cortex: Anatomy, physiology, and neuropsychology of the frontal lobe. 2nd edition. New York: Raven Press.
  66. Johnson SA (2014) Understanding the role of alcohol during rape: the perfect storm of attention, emotion, & expectancies. Int J Emerg Ment Health 16: 259-269.
  67. Rommel O, Widdig W, Mehrtens S, Tegenthoff M, Malin JP (1999) ‘Frontal lobe syndrome’ caused by severe head trauma or cerebrovascular diseases. Nervenarzt 70: 530-538.
  68. Kim JM, Chu K, Jung KH, Lee ST, Choi SS, et al. (2011) Criminal manifestations of dementia patients: report from the national forensic hospital. Dement Geriatr Cogn Dis Extra 1: 433-438.
  69. Jargin SV (2015) Elder abuse, manipulation towards suicide, and homicide: Borders can be vague. IJEMHHR.
  70. Park J, Nordstrom SK, Weber KM, Irwin T (2016) Reproductive coercion: uncloaking an imbalance of social power. Am J Obstet Gynecol 214: 74-78.
  71. Silverman JG, Raj A (2014) Intimate partner violence and reproductive coercion: global barriers to women's reproductive control. PLoS Med 11: e1001723.
  72. Jargin SV (2016) Nuclear facilities and nuclear weapons as a guarantee of peace. J Def Manag 6: 146.
  73. Miller E, Decker MR, McCauley HL, Tancredi DJ, Levenson RR, et al. (2011) A family planning clinic partner violence intervention to reduce risk associated with reproductive coercion. Contraception 83: 274-280.