Alcoholism - Addiction or Illness?

Alcoholism - Addiction or Illness?

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Discussion

Dave Angel

Original Poster:

3,091 posts

183 months

Saturday 30th January 2010
quotequote all
Following a discussion I had recently, it seems that many people who are alcoholic are now considered to be ill rather than addicted to a drug, no different to any other substance dependence such as heroin or tobacco IMHO.

Is it just a sign of the bleeding heart times where an alcoholic is told that he suffers from an illness rather than a self-inflicted addiction?

What do you think?

Mojooo

13,017 posts

187 months

Saturday 30th January 2010
quotequote all
Is an addiction not an illness?

taldo

1,357 posts

201 months

Saturday 30th January 2010
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in my experience its a selfish self inflicted condtition. not an illness. this is of course in my opinion.

singlecoil

34,241 posts

253 months

Saturday 30th January 2010
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Indeed it is an illness inasmuch as the person who has it is unable to control their craving for alcohol. It's often linked with depression, the only thing that makes them feel better is a drink.

Treatment is the same as other addictions, leave them alone, don't enable them to continue, wait til they've sunk as far as they can, with any luck they will want to get better then and either they will or they won't.

A oerson very close to me had this problem for quite a long time. Better now though, thank goodness.

tank slapper

7,949 posts

290 months

Saturday 30th January 2010
quotequote all
taldo said:
in my experience its a selfish self inflicted condtition. not an illness. this is of course in my opinion.
I would suggest that very few people become addicted to something by choice - perhaps tobacco being the obvious exception. Alcohol and many other drugs can be taken without addiction, but there are other factors that can cause a person to become addicted to something. It need not be that the something in question has to have physically addictive properties, as the psychological effect can be just as strong.

Where someone is addicted to something such that it is beyond their control I would say that it is very definitely in the realms of illness, and should be treated as such.

Zod

35,295 posts

265 months

Saturday 30th January 2010
quotequote all
taldo said:
in my experience its a selfish self inflicted condtition. not an illness. this is of course in my opinion.
Do you have experience? I have extensive experience of it. It starts off as a selfish, self-inflicted condition and there is a period during which the proto-alcoholic could stop, but is too selfish to do so. If he doesn't stop, then it becomes an illness that cannot be cured. The only way to relieve the symptoms is never to drink again. Fortunately, the two people I have seen succumb both managed after several horrible years during which they were nasty, people I would not have ever wanted to know, to stop drinking.

taldo

1,357 posts

201 months

Saturday 30th January 2010
quotequote all
tank slapper said:
taldo said:
in my experience its a selfish self inflicted condtition. not an illness. this is of course in my opinion.
I would suggest that very few people become addicted to something by choice - perhaps tobacco being the obvious exception. Alcohol and many other drugs can be taken without addiction, but there are other factors that can cause a person to become addicted to something. It need not be that the something in question has to have physically addictive properties, as the psychological effect can be just as strong.

Where someone is addicted to something such that it is beyond their control I would say that it is very definitely in the realms of illness, and should be treated as such.
having watched one of my immediate family drink herself close to death when i was a teenager i find it hard to beleive that alcoholism is an illness. i may accept it in time, but for now the memories of why and how it happened are just to vivid to be honest. however i must mention my younger brother is of the mind-set that it is an illness.

chimera40

7,259 posts

184 months

Saturday 30th January 2010
quotequote all
Ok, dumb question coming. Why is Alcohol addictive, what properties in it cause this. Is it a specific chemical or is it a chemical that is released by the brain on consumption of Alcohol. Never quite understood this, with any other ingested drug, nicotine, heroin etc the effects are universal and 90+% of users will become addicted but with alcohol it is only a small number of drinkers that become addicted.

Answer on a postcard please or alternatively just rely to the post smile

taldo

1,357 posts

201 months

Saturday 30th January 2010
quotequote all
Zod said:
taldo said:
in my experience its a selfish self inflicted condtition. not an illness. this is of course in my opinion.
Do you have experience? I have extensive experience of it. It starts off as a selfish, self-inflicted condition and there is a period during which the proto-alcoholic could stop, but is too selfish to do so. If he doesn't stop, then it becomes an illness that cannot be cured. The only way to relieve the symptoms is never to drink again. Fortunately, the two people I have seen succumb both managed after several horrible years during which they were nasty, people I would not have ever wanted to know, to stop drinking.
im dissapointed to say i do have experience, im even more dissapointed to say that it was my mother who is/was an alcoholic.

Zod

35,295 posts

265 months

Saturday 30th January 2010
quotequote all
taldo said:
Zod said:
taldo said:
in my experience its a selfish self inflicted condtition. not an illness. this is of course in my opinion.
Do you have experience? I have extensive experience of it. It starts off as a selfish, self-inflicted condition and there is a period during which the proto-alcoholic could stop, but is too selfish to do so. If he doesn't stop, then it becomes an illness that cannot be cured. The only way to relieve the symptoms is never to drink again. Fortunately, the two people I have seen succumb both managed after several horrible years during which they were nasty, people I would not have ever wanted to know, to stop drinking.
im dissapointed to say i do have experience, im even more dissapointed to say that it was my mother who is/was an alcoholic.
I too have close family experience - sibling. Dreadful experience.

taldo

1,357 posts

201 months

Saturday 30th January 2010
quotequote all
indeed it is.

tank slapper

7,949 posts

290 months

Saturday 30th January 2010
quotequote all
chimera40 said:
Ok, dumb question coming. Why is Alcohol addictive, what properties in it cause this. Is it a specific chemical or is it a chemical that is released by the brain on consumption of Alcohol. Never quite understood this, with any other ingested drug, nicotine, heroin etc the effects are universal and 90+% of users will become addicted but with alcohol it is only a small number of drinkers that become addicted.

Answer on a postcard please or alternatively just rely to the post smile
The short answer is that it alters the way your brain chemistry works. A longer answer is here (pdf).

Blib

45,435 posts

204 months

Saturday 30th January 2010
quotequote all
There is a theory that alcoholics have an allergy to alcohol. They have an unusual physical reaction which is triggered by that first drink.

A craving for more develops.

A normal person reacts to alcohol as he does to broccoli. He can take it or leave it. An alcoholics' life revolves around when he is going to get his next drink. Anything and everyone else is secondary to this obsession.

Dave Angel

Original Poster:

3,091 posts

183 months

Saturday 30th January 2010
quotequote all
WHy has this been moved here??

It was a topic for general discussion, not a medical seminar.

FFS!

dudleybloke

20,471 posts

193 months

Sunday 31st January 2010
quotequote all
they drink because they like being drunk.

its as simple as that.

drivin_me_nuts

17,949 posts

218 months

Sunday 31st January 2010
quotequote all
Depends on your point of view.

Having had close proximity to family who died through stromach cancer due to heavy years of prolonged drinking and another with alcohol induced alzheimers I would tend to think that alcoholism is an illness.

Yes it has a massive addictive component but what lies underneath is often deep rooted messed up psychological illness and very poor coping mechanisms trigged by a raft of different things.

And in response to the comment that you cannot stop being an alcoholic...

It is quite simply untrue and perpetuates a myth and falacy that destroys any hope of escape. People stop becoming alcoholics every single day - not in the 'I'm Dave it it's been 10,000 days since I've had a drink' way, but actually stopped thinking about and needed drink in the first place. i.e. they move away from 'managing' their illness to being rid of it once and for all.

As with many addictions, once you overcome the chemical dependence, there is no reason to be an addict - it's the psychological dependance that needs to be then addressed and once the psychological triggers are addressed and resolved the addicion stops.


TIPPER

2,955 posts

226 months

Sunday 31st January 2010
quotequote all
drivin_me_nuts said:
Depends on your point of view.

Having had close proximity to family who died through stromach cancer due to heavy years of prolonged drinking and another with alcohol induced alzheimers I would tend to think that alcoholism is an illness.

Yes it has a massive addictive component but what lies underneath is often deep rooted messed up psychological illness and very poor coping mechanisms trigged by a raft of different things.

And in response to the comment that you cannot stop being an alcoholic...

It is quite simply untrue and perpetuates a myth and falacy that destroys any hope of escape. People stop becoming alcoholics every single day - not in the 'I'm Dave it it's been 10,000 days since I've had a drink' way, but actually stopped thinking about and needed drink in the first place. i.e. they move away from 'managing' their illness to being rid of it once and for all.

As with many addictions, once you overcome the chemical dependence, there is no reason to be an addict - it's the psychological dependance that needs to be then addressed and once the psychological triggers are addressed and resolved the addicion stops.
Your comments are those that I can relate to the most of those posted on here.
I stopped drinking 9 years ago after a slow (20 year) decline into alcoholism.
I started as a regular drinker, developed into a heavy drinker but could still take it or leave it and eventually my life revolved around drink and the need to have one.
During the process of slowly waking up to my situation (during which I was drinking) I spoke at great length to my GP and also to a Psychiatrist and a physciatric nurse as I was also suffering from depression and this seemed to come and go and had been doing so for many of years.
Eventually it dawned on me that the booze was my way of self-medicating and I was trying to hide from the real issues. Meanwhile I was diagnosed as bi-polar. I stopped drinking and then the slow repair process started.
The good news is that my mental health is now considerably improved (pretty normal actually) and I don't drink as much as a lifestyle choice as a fear of retreating to my former dark days.
There's many a time I'd love to enjoy a drink or two but the potential price is too great and I've now got two beautiful young children who I intend will never see their Daddy drunk (and abusive). I'm also now enjoying cars, track days etc too much and could never do that when I was on the booze.

I envy those that are able to enjoy alcohol but please don't be-little those that can't.
Its not laziness, lack of moral fibre, or any suchlike. Its an awful, dark, lonely place and the sufferer is as ill as a person suffering from any 'traditional' illness you care to name. The link to physciatric/physcological illness is also common. Recovery is a slow and continuous process for most and unfortunately many take two steps forward and nearly two back.
I've been lucky and been able to get myself to a better place - if anyone else reading this is suffering then just don't give up and don't let ill-informed ignorance get you down.

Shay HTFC

3,588 posts

196 months

Sunday 31st January 2010
quotequote all
chimera40 said:
Never quite understood this, with any other ingested drug, nicotine, heroin etc the effects are universal and 90+% of users will become addicted
laughlaugh

chimera40

7,259 posts

184 months

Sunday 31st January 2010
quotequote all
Shay HTFC said:
chimera40 said:
Never quite understood this, with any other ingested drug, nicotine, heroin etc the effects are universal and 90+% of users will become addicted
laughlaugh
Funny, why?

al1991

4,552 posts

187 months

Sunday 31st January 2010
quotequote all
TIPPER said:
Your comments are those that I can relate to the most of those posted on here.
I stopped drinking 9 years ago after a slow (20 year) decline into alcoholism.
I started as a regular drinker, developed into a heavy drinker but could still take it or leave it and eventually my life revolved around drink and the need to have one.
During the process of slowly waking up to my situation (during which I was drinking) I spoke at great length to my GP and also to a Psychiatrist and a physciatric nurse as I was also suffering from depression and this seemed to come and go and had been doing so for many of years.
Eventually it dawned on me that the booze was my way of self-medicating and I was trying to hide from the real issues. Meanwhile I was diagnosed as bi-polar. I stopped drinking and then the slow repair process started.
The good news is that my mental health is now considerably improved (pretty normal actually) and I don't drink as much as a lifestyle choice as a fear of retreating to my former dark days.
There's many a time I'd love to enjoy a drink or two but the potential price is too great and I've now got two beautiful young children who I intend will never see their Daddy drunk (and abusive). I'm also now enjoying cars, track days etc too much and could never do that when I was on the booze.

I envy those that are able to enjoy alcohol but please don't be-little those that can't.
Its not laziness, lack of moral fibre, or any suchlike. Its an awful, dark, lonely place and the sufferer is as ill as a person suffering from any 'traditional' illness you care to name. The link to physciatric/physcological illness is also common. Recovery is a slow and continuous process for most and unfortunately many take two steps forward and nearly two back.
I've been lucky and been able to get myself to a better place - if anyone else reading this is suffering then just don't give up and don't let ill-informed ignorance get you down.
A very interesting read, thank you for sharing.