This paper describes the relationship between severity of dependence a
nd medical and social consequences in a clinincal sample. Respondents
constitute a sample of 219 men and 162 women interviewed in nine alcoh
ol programs in a Northern California county. Results suggest that the
number of dependence indicators reported by respondents is a valid ind
icator of severity of alcohol dependence, and that there is a positive
relationship between the number of indicators and the number of medic
al and social consequences reported by respondents. When specific medi
cal and social consequences are examined, an analysis restricted to me
n only, the number of dependence indicators is associated with stomach
, heart and liver problems, DTs, hallucinations, public drunkenness, f
amily arguments and serious accidents, but it is not associated with d
runk driving arrests and job problems.