For the past several issues of The Waynedale News in an article titled "Here's To Your Health," we have discussed the history of and a solution to chronic alcoholism. In the last issue we promised to publish the Doctors Opinion, as its written in the book titled Alcoholics Anonymous:
Men and women drink essentially because they like the effect produced by alcohol. The sensation is so elusive that, while they admit it is injurious, they cannot after a time differentiate the true from the false. To them, their alcoholic life seems the only normal one. They are restless, irritable and discontented, unless they can again experience the sense of ease and comfort which comes at once by taking a few drinks-drinks which they see others taking with impunity. After they have succumbed to the desire again, as so many do, and the phenomenon of craving develops, they pass through the well-known stages of a spree, emerging remorseful, with a firm resolution not to drink again. This is repeated over and over, and unless this person can experience an entire psychic change there is little hope of their recovery.
On the other hand-and strange as this may seem to those who do not understand-once a psychic change has occurred, the very same person who seemed doomed, who had so many problems they despaired of ever solving them, suddenly finds themselves easily able to control their desire for alcohol, the only effort necessary, being that required to follow a few simple rules.
Men and women have cried out to me in sincere and despairing appeal: "Doctor, I cannot go on like this! I have everything to live for! I must stop but I cannot! You must help me!"
Faced with this problem, if a doctor is honest with himself, he must sometimes feel his own inadequacy. Although he gives all that is in him, it often is not enough. One feels that something more than human power is needed to produce the essential psychic change. We physicians must admit we have made little impression upon the problem as a whole. Many types do not respond to the ordinary psychological approach.
I do not hold with those who believe that alcoholism is entirely a problem of mental control. I have had many people who had, for example, worked a period of months on some problem or business deal, which was to be settled on a certain date, favorably to them. They took a drink a day or so prior to the date, and then the phenomenon of craving at once became paramount to all other interests so that the important appointment was not met. These men were not drinking to escape; they were drinking to overcome a craving beyond their control.
There are many situations, which arise out of the phenomenon of craving, which cause people to make the supreme sacrifice rather than continue to fight. The classification of alcoholics seems most difficult, and in detail is outside the scope of this opinion. There are of course the psychopaths who are emotionally unstable. We are familiar with this type. They are always "going on the wagon for keeps." They are over-remorseful and make many resolutions, but never a decision.
There is the type of person who is unwilling to admit that they cannot take a drink. They plan various ways of drinking. They change their brand or environment. There is the type who always believes that after being entirely free from alcohol for a period of time they can take a drink without danger. There is the manic depressive type, who is, perhaps, the least understood by their friends, and about whom a whole chapter could be written.
Then there are the types entirely normal in every respect except in the effect of alcohol has upon them. They are often able, intelligent, friendly people.
All these, and many others have one symptom in common: they cannot start drinking without developing the phenomenon of craving. This phenomenon, as we have suggested, may be the manifestation of an allergy, which differentiates these people, and sets them apart as a distinct entity. It has never been, by any treatment with which we are familiar, permanently eradicated. The only relief we have to suggest is entire abstinence.
This immediately precipitates us into a caldron of debate. Much has been written pro and con, but the general opinion seems to be that most chronic alcoholics are doomed.
What is the solution? Perhaps I can best answer this by relating one of my experiences.
About a year prior to this experience, a man was brought in to be treated for chronic alcoholism. He had but partially recovered from a gastric hemorrhage and seemed to be a case of pathological mental deterioration. He had lost everything worthwhile in life and was only living, one might say, to drink. He frankly admitted and believed that for him there was no hope. Following the elimination of alcohol, there was found to be no permanent brain injury. He accepted the plan outlined in the book Alcoholics Anonymous. One year later he called to see me, and I experienced a very strange sensation. I knew the man by name, and partly recognized his features, but there all resemblance ended. From a trembling, despairing, nervous wreck had emerged a man brimming over with self-reliance and contentment. I talked to him for some time, but was not able to bring myself to feel that I had known him before. To me he was a stranger, and so he left me. A long time has passed with no return to alcohol.
I often think of another case brought in by a physician prominent in NY. The patient had made his own diagnosis, and deciding his situation hopeless, had hidden in a deserted barn determined to die. He was rescued by a searching party, and, in desperate condition, brought to me. Following his physical rehabilitation, he had a talk with me in which he frankly stated he thought the treatment a waste of effort, unless I could assure him, which no one ever had, that in the future he would have the "will power" to resist the impulse to drink.
His alcoholic problem was so complex, and his depression so great, that we felt his only hope would be through what we called "moral psychology," and we doubted if even that would have any effect.
However, he did become "sold" on the ideas contained in the book Alcoholic Anonymous. He has not had a drink for a great many years. I see him now and then and he is as fine a specimen of manhood as one could wish to meet. I earnestly advise every alcoholic to read the book Alcoholics Anonymous, and though perhaps they came to scoff, they may remain to pray.
William D. Silkworth, M.D.