Friday, January 31, 2020

Anxiety Among Alcoholics and Non-Alcoholics Essay Example for Free

Anxiety Among Alcoholics and Non-Alcoholics Essay Abstract Alcohol is one of the most widely used drug substances in the world. For many people, drinking alcohol is nothing more than a pleasant way to relax. People with alcohol use disorders, however, drink to excess, endangering both themselves and others. In the mental health area alcoholism is caused mostly by depression, anxiety and stress, on the other hand it also leads to depression and stress. The present study aims to compare depression and anxiety among alcoholics and non- alcoholics. It was assumed that depression and anxiety may be the risk factors for alcoholism. A sample of 100 people (50 alcoholics and 50 non-alcoholics) was randomly selected from Delhi. Beck Depression Inventory (BDI) and Beck Anxiety Inventory (BAI) were used to collect data on depression and anxiety. t-test was administered to compare two groups. The result of the study showed that alcoholic group was higher on depression as well as anxiety than the non alcoholic group, and it was also found that there is no clear cut casual relationship between alcoholism and depression and anxiety. Alcoholism is perhaps most strongly associated with antisocial personality disorder and drug abuse, but its relationship to other forms of psychopathology has become increasingly evident. In particular, investigations of alcoholic samples indicate a strong co-occurrence of alcoholism with diverse form of anxiety and depressive disorder (Barbor et al, 1992; Chambless et al, 1987; Hasegawa 1991; keller 1994; Nunes, Quitkin Berman, 1988; Penick, 1994; Schuckit, Irwin Brown, 1990). ______________________________________________________________________ *Associate professor, Deptt. Of Psychology, Aligarh Muslim University, Aligarh **Research scholar, Aligarh Muslim University, Aligarh. According to Nijhawan (1972) Anxiety, one of the most pervasive psychological phenomenons of the modern era refers to a â€Å"persistent distressing psychological state arising from an inner conflict†. Depression can be defined as â€Å"a state of mind, or more specifically, a mental disorder, characterized by lowering of the individual’s vitality, his mood, his desires, hopes, aspirations and of his self-esteem. It may range from no more than a mild feeling of tiredness and sadness to the most profound state of apathy with complete, psychotic disregard for reality.† (Mendelssohn, 1963). Alcoholism can lead people into serious trouble, and can be physically and mentally destructive. Currently alcohol use is involved in half of all crimes, murders, accidental deaths, and suicides. There are also many health problems associated with alcohol use such as brain damage, cancer, heart disease, diseases of the liver, depression anxiety and other mental disorders. Results from community surveys and epidemiologic samples indicate that substantial comorbidity also exists for depression, anxiety and alcoholism in the general population (Regier et al, 1990; Helzer Pryzbeck, 1988; Kendler et al, 1995). The high co-occurrence of these syndromes, therefore, represents a significant clinical and public health issue that is likely to affect a substantial proportion of the general population. Although the comorbidity of alcoholism with anxiety and depressive disorders has been extensively documented in both clinical and epidemiologic investigations, the specific mechanisms underlying these associations remain a source of debate. One widely accepted hypothesis is that these forms of comorbidity reflect a causal relationship of alcoholism with anxiety and depression. Support for a causal association is based partly on observations that alcohol is commonly used to self- medicate symptoms of negative affect, and so, alcoholism often develops as a secondary diagnosis to anxiety and depression (Meyer Kranzler,1990; Hesselbrock, Meyer Keener,1985; Lader,1972; Merikangas et al,1985). The 18-month follow-up of participants of the Psychiatric Morbidity among Adults Living in Private Households, 2000 survey (Singleton Lewis, 2003) provides an opportunity to determine whether excessive alcohol consumption and abnormal patterns of use are risk factors for incident anxiety and depression in the general population. The study also examined the reverse relationship, considering whether anxiety and depression are risk factors for the development of abnormal patterns of alcohol consumption. However, evidence for a causal relationship is not unidirectional as alcoholism is often observed as a primary disorder, and the presence of problem drinking itself may generate severe anxiety or depressive syndromes (Mendelson Mello, 1979, Nathan, OBrien Lowenstein, 1971; Schuckit, Irwin Smith, 1994; Stockwell, Hodgson Rankin, 1982). Heavy alcohol consumption has been implicated in the development of anxiety and depression (Schuckit, 1983). Many cross-sectional studies have identified considerable comorbidity between anxiety and depression, and alcohol abuse. For example, data from four large community based epidemiological studies (n422 000) in Europe and the USA consistently demonstrated a two- to threefold increase in the lifetime prevalence of anxiety and depression in those with DSM–III or DSM–III–R alcohol abuse or dependence (Swendsen et al, 1998). If anxiety disorders and alcoholism are casually related, there should be a high rate of alcoholism among patients being treated for anxiety disorders. Two studies (Torgersen, 1986; Cloninger et al, 1981) of the prevalence of alcoholism in patients being treated for anxiety neurosis were identified. These investigations suggest a lifetime population prevalence of alcohol abuse/dependence of approximately 14%. The survey of the relevant literature made it quite obvious that much of the studies show a prevalence of depression and anxiety among alcoholics. However, previous studies have also pointed out the possibility of alcoholism as risk factors for depression and anxiety. At the same time, literature does not provide any clear cut direction towards the casual relationship between alcoholism and depression and anxiety. Thus, despite the strong association of alcoholism with anxiety and depressive disorders, no universal consensus has been reached regarding the specific mechanisms underlying these associations. The present study aims to identify depression and anxiety among alcoholic and non-alcoholic peoples. Method: Sample: sample of the present study consisted of 100 subjects (50 alcoholics and 50 non alcoholics). The alcoholics were identified through survey from different living areas (including rural, urban and semi-urban) of Delhi and 50 alcoholics were randomly selected for the study. In the same way the non-alcoholic subjects were also selected randomly from different parts of Delhi. The age range of the subjects was between 25 to 50 years. Tools: â€Å"Beck Depression Inventory† BDI -2nd was designed by Beck, Steer Brown (1996). This self report scale has shown to document levels of depression. BDI -2nd edition contains 21 items, each answer being scored on a scale value of 0 to 3. The cut offs used are 0-13 Minimal depression; 14-19 Mild depression; 20-28 Moderate depression; and 29-63 Severe Depression. Higher total scorer indicates more severe depression symptoms. â€Å"Beck Anxiety Inventory† was designed Beck, Epstein, Brown, Steer (1988). This self report scale has shown to document levels of Anxiety symptoms in a valid and consistent manner. BAI contains 21 items each answer being scored on a scale value of 0 to 3. Each symptom item has four possible answer choices: not at all (assigned value =o); Mildly (it did not bother me much) (assigned value=1); Moderately (it was unpleasant but I could stand it) (assigned value =2); and Severely (I could barely stand it) (assigned value =3). The values for each item are summed together to yield an overall or score for all 21 symptoms that can range between 0 and 63 points. A total score of 0-7 is interpreted as a minimal level of Anxiety, 8-15 as ‘mild’, 16-25 as ‘moderate’ and 26-63 as ‘severe’. The BAI is psychometrically sound. Interval consistency ÃŽ ± =.92 to.94, for adults and test-retest (one week interval) reliability is .75. Procedure: The test for depression and anxiety were administered on the subjects individually after establishing the rapport with them. Each and every item was explained to the subject, and then he was asked to respond truly for the item. Thus data was collected for depression and anxiety from alcoholic and non-alcoholic people. t-test was applied to find out the significance of difference between the Mean scores of different groups. Results: TABLE-1 Showing comparison of Mean for depression and anxiety scores between the alcoholics and non-alcoholics Variables| Groups| N| Mean| Std.deviation| t | df| P| depression| Alcoholic Nonalcoholic| 50 50| 35.7600 17.1000| 10.17913 6.15530| 11.092| 98| .01*| Anxiety| Alcoholicnonalcoholic| 50 50| 38.0800 18.3200| 11.55261 6.18570| 10.662| 98| .01*| *Significant at .01 level of confidence TABLE-1 further shows the results obtained by the comparison of alcoholics and non alcoholic group for depression and anxiety. The obtained results show that the mean depression score (M=35.7600) for alcoholic people is higher than the mean depression score (M=17.1000) for non alcoholic people, and the difference between the two means (t=11.092) is statistically significant at .01 level of confidence. Consequently it reveals the findings that alcoholic people have higher depression than the non-alcoholics. The TABLE-1 also shows the results of the comparison of alcoholic and non-alcoholic people on anxiety. The mean anxiety scores (M=38.0800) of alcoholics is found very much higher than the mean anxiety scores (M=18.3200) of the non-alcoholics and the two means difference (t=10.662) is statistically significant at .01 level of confidence. It indicates that alcoholic people have higher anxiety than the non-alcoholic people. Discussion: The basis of the above results may safely be concluded that the alcoholics are highly depressed and extremely anxious than the non-alcoholic people. However, the high prevalence of these anxiety and depressives’ symptoms does not necessarily mean that these alcoholic individuals will demonstrate the long term course or require the long term treatments associated with DSM-III-R major depressive and anxiety disorders. The temporal nature of the association between Depression Anxiety and alcohol is difficult to determine from studies, which uncertainty arising as to whether alcohol is a risk factor or a form of self –medication. The finding of the present study support the findings of Hartka et al, (1991) that reported a significant correlation between baseline consumption of alcohol and depression at follow-up based on data from eight longitudinal studies. However, in this analysis control of confounders was limited to age, gender and interval between measurements. Overall, our findings are contradictory with those of Wang Patten (2001) who observed no excess morbidity among those who drank daily, those who drank in binges (more than five drinks), those who had more than one drink daily, and among drinkers in general. Alcohol dependence was not considered. Similarly, in a randomly selected community cohort with follow-up at 3 and 7 years, Moscato et al (1997) found no excess incidence of depressive symptoms among those with ‘alcohol problems’ (defined as a DSM–IV diagnosis of alcohol dependence or abuse or drinking more than five drinks a day on one or more occasions per week). It may safely be concluded on the bases of previous literature and result of the present study that there is no clear cut casual relationship between depressive and anxiety disorder and alcoholism. In the similar way our findings of the study show that the alcoholics are more depressive and anxious than the non alcoholics. Though it does not show any clear cut picture either alcohol is risk factor for depression and anxiety or depression and anxiety is a risk factor for alcoholism. References Babor, T., Wolfson, A., Boivin, D., Radouco-Thomas, S., Clark, W. (1992). Alcoholism, culture, and psychopathology: A comparative study of French, French Canadian, and American alcoholics. In: Helzer, J., Canino, G. (eds): Alcoholism in North America, Europe, and Asia. New York, NY: Oxford University Press; 182-195. Beck, A.T., Epstein, N., Brown, G., Steer, R.A. (1988). â€Å"An inventory for measuring clinical anxiety: Psychometric Properties, Journal of Consulting and clinical Psychology; 56:893-897 Beck, A.T., Steer, R.A., Brown, B.K. (1996). Beck Depression Inventory 2nd Ed.). San Antonio. Tx; Psychological Corporation. Chambless, D., Cherney, J., Caputo, G., Rheinstein, B. (1987). Anxiety disorders and alcoholism: A study with inpatient alcoholics. J Anxiety Disord; 1:29-40. Cloninger, C.R., Martin, R.L., Clayton, P., Guze, S.B. (1981). A blind follow-up and family study of anxiety neurosis: preliminary analysis of the St Louis 500, in Anxiety: New Research and changing Concepts, Edited by Klein, D.F., Rabkin, J. New York, Raven Press, Hartka, E., Johnstone, B., Leino,V. (1991). A meta-analysis of depressive symptomatology and alcohol consumption over time. British Journal of Addiction; 86: 1283-1298. Hasegawa, K., Mukasa, H., Nakazawa, Y., HK., Nakamura, K. (1991). Primary and secondary depression in alcoholism-clinical features and family history. Drug Alcohol Depend; 27:275-281. Helzer, J., Pryzbeck, T. (1988). The co-occurrence of alcoholism with other psychiatric disorders in the general population and its impact on treatment. J Stud Alcohol; 49:219-224. Hesselbrock, M., Meyer, R., Keener, J. (1985). Psychopathology in hospitalized alcoholics. Arch Gen Psychiatry; 42:1050- 1055. Keller, M. (1994). Dysthymia in clinical practice: Course, outcome and impact on the community. Acta Psychiatr Scand; 383(Suppl):24-34. Kendler, K., Waiters, E., Neale, M., Kessler, R., Heath, A., Eaves, L. The structure of the genetic and environmental risk factors for six major psychiatric disorders in women. Arch Gen Psychiatry 1995; 52:374-383. Lader, M. (1972). The nature of anxiety. Br J Psychiatry; 121: 481-491. Mendelson, J., Mello, N. (1979). Medical progress: Biologic concomitants of alcoholism. N Engl J Med; 301:912-921. Mendelssohn, V.P. (1963). Depression in incyclopedia of mental health. Vol.II, Franklin Walts, Inc. Merikangas, K., Leckman, J., Prusoff, B., Pauls, D., Weissman, M. (1985). Familial transmission of depression and alcoholism. Arch Gen Psychiatry ; 42:367-372. Meyer, R., Kranzler, H. (1990). Alcohol abuse/dependence and co-morbid anxiety and depression. In: Maser J, Cloninger C (eds): Comorbidity of Mood and Anxiety Disorders. Washington, DC: American Psychiatric Press: 283-292. Moscato, B., Russell, M., Zielezny, M. (1997). Gender differences in the relation between depressive symptoms and alcohol problems: a longitudinal perspective. American Journal of Epidemiology; 146: 966-974. Nathan, P., OBrien, J., Lowenstein, L. (1971). Operant studies of chronic alcoholism: Interaction of alcohol and alcoholics. In: Roach, P., Mclssac, W., Creaven, P. (eds): Biological Aspects of Alcohol. Austin, TX: University of Texas Press;. Nijhawan, H. K. (1972). Anxiety in school children. New Delhi : Wiley Eastern Private Limited. Nunes, E., Quitkin, F., Berman, C. (1988). Panic disorder and depression in female alcoholics. Journal of Clinical Psychiatry; 49:441- 443. Penick, E., Powell, B., Nickel, E., Bingham, S., Riesenmy, K., Read, M. (1994). Comorbidity of lifetime psychiatric disorder among male alcoholic patients. Alcohol Clin Exp Res; 18:1289-1293. Regier, D., Farmer, M., Rae, D., Locke, B., Keith, S., Judd, L. (1990). Comorbidity of mental disorders with alcohol and other drug abuse: Results from the Epidemiologic Catchment Area (ECA) study. JAMA; 264:2511-2518. Schuckit, M. (1983). Alcoholic patients with secondary depression. American Journal of Psychiatry, 140: 711-714. Schuckit, M., Hesselbrock, V. (1994). Alcohol dependence and anxiety disorders: What is the relationship? Am J Psychiatry, 151:1723-1734. Schuckit, M., Irwin, M., Brown, S. (1990) .The history of anxiety symptoms among 171 primary alcoholics. J Stud Alcohol; 51:34-41. Schuckit, M., Irwin, M., Smith, T. (1994). One-year incidence rate of major depression and other psychiatric disorders in 239 alcoholic men. Addiction ; 89:441-445. Schuckit, M., Tipp, J., Bergman, M., Reich, W., Hesselbrock, V., Smith, T. (1997). Comparison of induced and independent major depressive disorder in 2,945 alcoholics. Am J Psychiatry; 154:948-957. Singleton, N. Lewis, G. (2003). Better or Worse: A Longitudinal Study of the Mental Health of Adults Living in Private Households in Great Britain. London: Stationery Office. . Stockwell, T., Hodgson, R., Rankin, H. (1982). Tension reduction and the effects of prolonged alcohol consumption. Br J Addict; 77:65-73. Stockwell, T., Smail, P., Hodgson, R., Canter, S. (1984). Alcohol dependence and phobic anxiety states. II. A retrospective study. Br J Psychiatry; 144:58-63. Swendsen, J., Merikangas, K., Canino,G. (1998). The comorbidity of alcoholism with anxiety and depressive disorders in four geographic communities. Comprehensive Psychiatry; 39:176-184. Torgersen, S. (1986). Childhood and family characteristics in panic and generalized anxiety disorders. Am J Psychiatry; 143:630-632 Wang, J. Patten, S. B. (2001). Alcohol consumption and major depression: findings from a follow-up study. Canadian Journal of Psychiatry; 46: 632-638.

Thursday, January 23, 2020

Graduation Speech :: Graduation Speech, Commencement Address

Over the past four years, we have grown from insecure, immature freshmen to successful, focused and confident young adults. This incredible transformation has been the result of our entire high school experience. Everything from that first homecoming game, to late night cramming, to the last dance at prom. These experiences have pulled us together as a class and we have learned to love and respect our fellow classmates. As much as this class has grown together, every one of us has also grown as a unique individual. We have found our talents and interests. These interests have drawn us to different activities and in turn helped shape our lives. Some of us have excelled academically while others have helped improve Summer High School by participating in activities such as Link Crew or ASB. Some of us acted in plays while others shared their musical talents by singing in the choir or performing with our outstanding band. Many of us have preferred to be involved in community service with a group like KEY Club. In addition to these school activities, many of us have invested time in jobs and other community activities. These many choices have shaped who we are today: the people we met, the experiences we encountered, the lessons we learned. They have all made an impact on our lives and, in turn, we have also made a difference in the lives of others. The people sitting out in this audience tonight have also greatly impacted our lives. Every person in this enormous stadium has given us encouraging words, helpful advice or tough criticism. The support our family, friends and teachers have shared with us is invaluable. Their caring and dedication have helped us get here today.

Wednesday, January 15, 2020

Kantian Capitalism

Kantian capitalism focuses on the corporation as an individual with rights, the exercise of which is limited to the extent that the rights of others are affected. As such, the corporation and its managers are responsible for the consequences of their actions on others. A utilitarian perspective would present the argument that the liability of corporations in the effects of its actions depends largely on whether or not Kantian capitalism focuses on the corporation as an individual with rights, the exercise of which is limited to the extent that the rights of others are affected.As such, the corporation and its managers are responsible for the consequences of their actions on others. The Stakeholder Theory in Kantian capitalism focuses on a rights perspective however as there is no balancing of rights overstepped and benefits made. There is simply a remuneration of the said rights offended by the company’s acts, regardless of the number of people benefited or the extent of the g ood resulting from such act. A utilitarian perspective would present the argument that the liability of corporations for the effects of its actions depends largely on the extent to which the general public is benefited.The balance struck in this theory is between the rights of the stakeholders of the corporation with the consequences of corporate procedures. There is thus an acknowledgement that the corporation has a responsibility to those of the public disturbed by its actions, thereby placing value in each person and not merely justifying their losses as means to a greater good. The classical look at capitalism would not bother with the outside perspective as it would draw only into itself and its benefactors, in this case the stockholders. Management would then simply protect the claimant privileges of those contributing to the resources of the company, the stockholders and stakeholders. Kantian capitalism however looks beyond these assertive rights and places greater priority o n the rights of individuals outside the corporation yet still affected by its workings.The legal justification for the theory presents the corporation as a judicial person endowed with rights and duties of natural persons, yet not possessing the same characteristics. A judicial person in the form of a corporation begins its existence upon action of its component members yet its existence persists even after such members desist from their commitment, so long as one or more still remain or others should take the place of those who leave. However, being judicial persons, their existence is dictated and constrained by law. The laws clearly establish that the rights of stockholders from gathering their share from the company is secondary to the rights of customers, suppliers, local communities and the like to seek redress for grievances they might have incurred in relation to the company.Economic justification would bring in external factors affecting management capitalism. As the nature of the consumers, the effect upon the locality and the competition in the community converge to work upon the reality of running the company, the need to keep within the bounds of their duties surfaces. To state plainly, no matter the ideal management in capitalism prefers the benefiting of only their own management and patrons, the facts would prefer the practical giving back to clientele, distributors, and the like. There is then a greater benefit to the company’s longevity as result regardless to how such acts may translate to profits for the meantime.There is need to remember that there is a balance that must be sought. So far the playing field has been drawn so as to seem biased towards the rights of outsiders. The balance is struck in that Kantian capitalism permits the use of people as mere means to an end, when these people are conscious of the role that they play and give express permission to be used as such. The rights perspective stabilizes this situation by prov iding these persons must be active parts of decision-making regarding their participation in the company. The prevalent paradigm of respect for others and the preservation of rights will not be defeated then. It is then a joint future that the corporation seeks to address when they formulate plans.This theory, in law and in actual practice in the market substantiates reason. Efficient management would need to answer the company’s liabilities to the community. The externalities should be taken into account to further the progress of the company as ignorance of the same would result in long-term degradation of the quality of service produced. By following the theory of Kantian capitalism, the sting is taken out from the suppressive reign of corporations as costs are not passed onto outsiders but is accounted for by the persons causing them. There is then a redistribution of resources and a striking of market equilibrium.Ideally, markets operate to provide the best product or se rvice to consumers at the cost required by companies to produce such. The idyll of the market place requires the control of externalities not by the community but by the corporation. Thus long-term benefits are taken into account and not short-term profit. Kantian capitalism thus answers for an expanding and growing economy.A more stable economy would thus attract more investors, not just to mean that new corporations and more competitors are encouraged, but that more stockholders are encouraged to contribute to the growth of already existing corporations. The old goal of capitalism, to provide profits to stakeholders, is therefore still addressed. This time, even taking into account the distribution of such profit not just to the oligarchy or to a select few but to a more widely spread out class distribution. The arguments against capitalism and Rightist extremism is, in this way, buffered as the paradigm rotates closer to a central, or a right closer to center perspective.Works Ci tedEvan, W. and Freeman, R. (). â€Å"A stakeholder theory of the modern corporation: Kantian capitalism.† Ethical Theory and Business, 3rd ed. 1988.

Tuesday, January 7, 2020

Fact or Fiction Pocahontas Saves Captain John Smith

A picturesque story: Captain John Smith is innocently exploring the new territory when hes taken captive by the great Indian chief Powhatan. Smith is positioned on the ground, with his head on a stone, and Indian warriors are poised to club him to death. Suddenly, Powhatans young daughter, Pocahontas, appears and throws herself on Smith, placing her own head above his. Powhatan relents and allows Smith to go on his way. Pocahontas goes on to become fast friends with Smith and his fellow settlers, helping the English colony of Jamestown in Tidewater Virginia to survive its tenuous early years. Some Historians Believe the Story is Fiction Some historians believe that the story is simply not true. The earliest surviving account of the incident by Smith is quite different. Smith, who was known to go to great lengths to promote himself and his role in the early colony, only told the version of being saved by an Indian princess after she became famous. In 1612, Smith wrote of Pocahontas affection for him, but in his True Relation, he never mentions Pocahontas, nor does he describe any threat of execution when recounting the details of his expedition and meeting Powhatan. It was not until 1624 in his Generall Historie (Pocahontas died in 1617) that he wrote of the threatened execution and the dramatic, life-saving role Pocahontas played. Mock Execution Ceremony Some historians believe that the story reflects Smiths mistaken interpretation of the sacrifice. Apparently, there was a ceremony in which young Indian males underwent a mock execution, with a sponsor saving the victim. If Pocahontas was in the role of sponsor, it would go a long way toward explaining much of the special relationship she had with the colonists and Smith, helping in times of crisis and even warning them about a planned ambush by her fathers warriors. Some Historians Believe the Story is True Some historians believe the story happened largely as Smith reported it. Smith himself claimed to have written of the incident in a 1616 letter to Queen Anne, wife of King James I. This letter—if it ever existed—has neither been found or verified. So whats the truth? Well likely never know. We do know that Pocahontas was a real person whose help probably saved the colonists at Jamestown from starvation in the colonys first years. We have not only the story of her visit to England but also clear records of her genealogical ancestry to many of the First Families of Virginia, through her son, Thomas Rolfe. Pocahontas Age in Popular Images What is certain is that many Hollywood versions and depictions in popular art are embellishments even on the story as told by Smith. According to all contemporary accounts, although they are often depicted as young adults in love, Pocahontas was a child of 10 to 13 at the time she met Smith—who was 28. There is one charming report from another colonist, describing the young princess doing cartwheels through the marketplace with the boys of the colony—and causing more than a bit of consternation because she was naked. Was Pocahontas in Love with Captain John Smith? Some historians believe Pocahontas was in love with Smith. She was not present when Smith left the colony to return to England and was told he had died. These historians cite Pocahontas extreme reaction when she discovered Smith was still alive during a visit she made to England. Rather than romantic love, however, most historians believe the relationship was more along the lines of Pocahontas having a deep friendship and respect for Smith, whom she regarded as a father-figure. Another Pocahontas Mystery/Myth Another little possible myth having to do with Pocahontas is that she may have been married to an Indian man prior to marrying English colonist John Rolfe. A reference suggests that Pocahontas had previously married Kocoum, a captain of her fathers tribe, and even had a daughter with him, but the child died. As Pocahontas was absent from the colony for a few years, its entirely possible the story is true. Its just as possible though, that the girl who married Kocoum was another daughter of Powhatan who shared a nickname with Pocahontas (playful or willful one). The source identifies the girl as Pocahuntas...rightly called Amonate, so either Amonate was a sister to Pocahontas (whose real name was Mataoke), or Pocahontas had yet another name of her own.