I get asked often enough "How do I know if I am an alcoholic?" It depends on whose description you want to use. It seems there is no shortage of differing opinions and descriptions of alcoholism out here in the trenches. If you want to adopt Dr. Phil's description or Oprah's description or Dr. Drew's description or even my family doctor's description we may or may not end up on the same page as the grand-daddy of ALL descriptions and the one for which a Twelve Step Program for recovery is taught and practiced by the wonderful Fellowship called Alcoholics Anonymous.
AA's "Our description of the alcoholic" which they painstakingly delineate in the first forty three pages of their book tells us that alcoholism has nothing to do with how many or when you drink. Too bad- because that means that we have no way of telling whether or not someone is alcoholic simply based upon our casual judgement of their drinking habits. What it does have to do with how someone’s body reacts to alcohol and then if that is an abnormal reaction, whether or not they drink anyway - despite it - and that means a deeper look into the history and experience of the problem drinker than even most doctors or so-called "Addictions" counselors are capable of - let alone family, clergymen, friends or employers.
There are plenty of real alcoholics who drink less than you or I and plenty who drink more - so a diagnosis cannot be made by comparing quantity or frequency. Bill W one of the co-founders of AA used to approach candidates for the Twelve Step 'treatment' by walking up to them outside of AA meetings and asking them "So . . . you think you're 'one of us', eh?"
Then he would let them tell him what their description of their alcoholism was. Guess what? Not everyone qualified.
I do the same thing - and I have to tell you that it took a while to get over the shock of learning that so many folks have absolutly no idea what AA's "our description of the alcoholic" is - a description for which they proposes a solution - a common solution for a common problem. It just blew my mind that so many people would be willing to raise their hands in an AA meeting and chant, "I am an alcoholic" yet have absolutely no idea what it was that they were admitting to.
Drinking a lot and often, more often than not, is an indication of "Problem" with alcohol - but this alone does not describe a real alcoholic.
A real alcoholic must have these two conditions present simultaneously:
1) Obsession of the mind - Cannot resist taking a drink even though he/she knows once they start they cannot stop.
PLUS
2) Allergy of the body - Once any alcohol whatever is taken into his/her system, something happens in a physical sense that is without comparable effect on the average individual - a physical phenomenon of "Craving" develops - which makes it virtually impossible for him to stop, even if he/she wants and/or needs to stop.
This is an abnormal reaction and hence sometimes refered to as an "allergic" reaction. Call it what you will - allergy or not - it is abnormal and only real alcoholics experience it once they ingest alcohol.
The existence of neither or only ONE of the above may result in problem drinking (Drinking too much - too often - even to the point of damage to one's health and livelihood) BUT does not qualify as a real alcoholic.
I am sorry but I just have to say it again - both conditions must be present – and only ten percent of the world’s population has both of these conditions simultaneously. Do you see the vicious cycle?
"If, when you honestly want to, you find you cannot quit entirely, or if when drinking, you have little control over the amount you take, you are probably alcoholic." (Alcoholics Anonymous, 44:1)
Some people erroneously think that alcoholism is a Three-Fold disease. They even think that this is an AA principle. It is not. It is is an idea foreign to AA's "description of the alcoholic" that has somehow leached into the meeting rooms from treatment centers - which do not teach or embrace AA's solution. Unpopularly, according to the book "Alcoholic’s Anonymous" alcoholism not actually a disease but a malady and it is only Two-Fold: mental AND physical - cha
racterized by (i) an obsession of the mind coupled with (ii) an allergy of the body.
The obsession - a strange insanity that occurs as a “mental blank spot” immediately preceding the taking of a drink, guarantees that the person afflicted will take the drink even with the full knowledge that it will result in a craving for more (allergy) or even though he may not have intended to drink.
This is strangely supplanted for the idea that it is safe to drink despite experience that it may not be safe to drink without experiencing the phenomenon of craving (allergy).
"No matter how intelligent we alcoholics may have been in other areas of our lives, where alcohol has been involved, we have been strangely insane. We allergic types can never safely use alcohol in any form at all; and once having formed the habit and found we cannot break it, once having lost our self-confidence, our reliance upon things human, our problems pile up on us and become astonishingly difficult to solve." ("Alcoholics Anonymous - The Doctor's Opinion)
Recovery from the obsession (mental) component is possible but there is no known cure for the physical allergy portion. However breaking that one aspect is enough to sever the vicious cycle and allow us to live normal lives – as long as we never put alcohol into out bodies thereby setting off the physical allergy (craving). Alcoholism is distinct from "hard", "heavy" or "problem" drinking or other "addictions" including "drug addiction" in that the two compon
ents of mental, alcoholic obsession and physical allergy to ETOH (ethyl alcohol) in some form must be simultaneously present in the individual.
I would never suggest to someone that they either ARE or ARE NOT alcoholic - only the individual knows their personal history well enough and so completely as to make that decision. Many people who abuse alcohol for entire lifetimes NEVER even become alkies – just heavy alcohol abusers - although both lifestyles suck!
Then some with a genetic predisposition start off slowly and eventually DO “cross the line”. Until they do, they are what is known as “potential alcoholics” and if they continue will eventually “cross the line” and develop the physical allergy due to the overtaxing of their pancreas and liver. Once that occurs, and we know not when it does, there is no going back.
For those who abhor the idea of being able to tell an alcoholic from a non-alcoholic, please don’t worry. Recovered alcoholics are supposed to be able to differentiate. If we couldn't do that how then could we be useful? By being "pals' ? We'd be working with anybody and anyone alcoholic or not, asking them to take steps and follow some rules that only an alcoholic would be desperate enough to take and to follow. Refusing to learn how to distinguish alcoholics from non-alcoholics is the reason that some many meeting going folks are not able to effectively sponsor others and why the AA meeting fellowship is so top-heavy with non-alcoholic albeit 'alcohol abusing' 'membership.
But fear not. Knowing the distinction - alcoholic vs non-alcoholic- is our job:
In the preceding chapters you have learned something of alcoholism. We hope we have made clear the distinction between the alcoholic and the nonalcoholic. (44:0)
Peace and Love,
Danny S
This Blog and its content is not in any way affiliated or associated with Alcoholics Anonymous World Services (AA) and content herein expresses the sole experience or opinions of the author. Anything posted here concerning alcoholism or recovery from alcoholism that cannot be reconciled with the AA book, "Alcoholics Anonymous" with regard to comments about AA or it's Twelve Step Program should be ignored. This blog is not a form of Twelve Step work for the author nor does the author claim to be a member of Alcoholics Anonymous since if he were a member of AA he would violate AAs traditions in saying so publicly and he would also be lying if he were a member and denied it. Accordingly in order to respect that organizations traditions he does not admit or deny membership in the Fellowship of Alcoholics Anonymous


























