The Fatal Sickness Of Mind And Body
But insist that if he is severely afflicted, there may be little chance he can recover by himself.
Continue to speak of alcoholism as an illness, a fatal malady. Talk about the conditions of body and mind which accompany it. Keep his attention focused mainly on your personal experience. Explain that many are doomed who never realize their predicament. (Alcoholics Anonymous pg. 92)
The chapter containing this passage is the chapter focused on helping us to understand how to work with others in recovery (Working With Others). In speaking of alcoholism/addiction as a fatal sickness of the mind and body we have already started to look at this in the previous post (The Crux of the Problem: Obviously) with a discussion of the mind as the crux of the problem.
As far as talking about the body, there has been much by way of research to show how the body and the actual physical traits of the human brain are altered by using and how some of those alterations actually create a deep craving for alcohol or other drugs of choice, in some cases for any kind of intoxication or in some other cases for any imbalance in life that might create a feeling that is even similar.
Prior to much of this research that we now have a Doctor by the name of William D. Silkworth M.D. who was; “A well-known doctor, chief physician at a nationally prominent hospital specializing in alcoholic and drug addiction” (Alcoholics Anonymous pg. XXV – 4th Edition) describes these bodily changes as being similar to an allergy:
We believe, and so suggested a few years ago, that the action of alcohol on these chronic alcoholics is a manifestation of an allergy; that the phenomenon of craving is limited to this class and never occurs in the average temperate drinker. These allergic types can never safely use alcohol in any form at all; and once having formed the habit and found they cannot break it, once having lost their self-confidence, their reliance upon things human, their problems pile up on them and become astonishingly difficult to solve. (Alcoholics Anonymous pg. XXV – 4th Edition)
Simply put, the doctor observed that using seems to make some alcoholics/addicts develop a response to possibly intoxicating substances that is different from the majority of other people on earth. He is even implying that this is only the most advanced levels of addiction and alcoholism and that other types do not have this response or at least have yet to develop it yet.
Though the aggregate of recoveries resulting from psychiatric effort is considerable, 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. (Alcoholics Anonymous pg. XXV – 4th Edition)
The type that have this abnormal response to intoxicating substances (which relates to the idea of having an allergy) are described as being bodily different than even other alcoholics/addicts. Without all of the details we have today, the doctor knew that the body was altered in such a way in some of us that if we get any possibly intoxicating substance into our system we were going to suddenly have a desperate feeling of need to get intoxicated (if not on whatever possibly intoxicating substance triggered it we would take in that substance and get a desire for alcohol or our drug of choice). This is his basic explanation of what is going on with our body. He called it the “Phenomenon of Craving.”
If I get near to the feeling of a buzz, I am going to experience a bodily and mental craving to get intoxicated.
This may seem like an overly simplistic view to those who read research and study things about recovery and all of the scientific details, but it is a basic overarching concept. That is the condition of the “body” that is to be described in working with others. Simple and easy to understand is key.
Now back to the conversation we were to have with the person just starting in recovery:
Explain that many are doomed who never realize their predicament. (Alcoholics Anonymous pg. 92)
The idea of being doomed is centered here on the idea that if you are at a very advanced level of alcoholism/addiction your body has developed this terrible quirk that if you get anything into your system that seems like it could get you intoxicated you are going to have a deep desire to get intoxicated (Allergy, Phenomenon of Craving). The deeper part of the problem is not that if you get any you are going to want more, the deeper part of the problem is that in sobriety, even with a desperate desire to remain abstinent, your own brain will both fail to stop you from using something potentially intoxicating (Strange Mental Blank Spots) and will in fact be trying to find a way to use safely even though other parts of your mind will know that any using means having relapsed (The Great Obsession).
The basic idea is that your body will drive you to destroy yourself if a certain thing happens (encounter something possibly intoxicating) and that not only will your mind not stop from that certain thing, but a part of your own mind will secretly be trying to trick you into making that certain thing happen then you cannot trust your own mind or body no matter what you learn or stop doing for now.
Now to the stories of “personal experience” that are included in the book to help us all process this information. Look at this part of an included example of all of this:
We asked him to tell us exactly how it happened. This is his story: “I came to work on Tuesday morning. I remember I felt irritated that I had to be a salesman for a concern I once owned. I had a few words with the boss, but nothing serious. Then I decided to drive into the country and see one of my prospects for a car. On the way I felt hungry so I stopped at a roadside place where they have a bar. I had no intention of drinking. I just thought I would get a sandwich. I also had the notion that I might find a customer for a car at this place, which was familiar for I had been going to it for years. I had eaten there many times during the months I was sober. I sat down at a table and ordered a sandwich and a glass of milk. Still no thought of drinking. I ordered another sandwich and decided to have another glass of milk.
“Suddenly the thought crossed my mind that if I were to put an ounce of whiskey in my milk it couldn’t hurt me on a full stomach. I ordered a whiskey and poured it into the milk. I vaguely sensed I was not being any too smart, but felt reassured as I was taking the whiskey on a full stomach. The experiment went so well that I ordered another whiskey and poured it into more milk. That didn’t seem to bother me so I tried another.” (Alcoholics Anonymous pg. 36)
All of what we just discussed is contained in this story. He went to a bar (one that he had been going to for years – clearly to drink for some of those years) with no thought of drinking then suddenly thinks it’s okay to drink if milk is involved (The Great Obsession). Then the mindset that normally would stop him was reduced to: I vaguely sensed I was not being any too smart, but felt reassured as I was taking the whiskey on a full stomach. (Alcoholics Anonymous pg. 36). That is an excellent description of the Strange Mental Blank Spots in action.
Then come the Allergy and the Phenomenon of Craving. The experiment went so well that I ordered another whiskey and poured it into more milk. That didn’t seem to bother me so I tried another (Alcoholics Anonymous pg. 36).
Think about it, he felt it would be okay to take a little bit with certain circumstances in place. Then, he decides that that little bit did nothing so a little bit more would be okay. How does all of this end:
Thus started one more journey to the asylum for Jim. Here was the threat of commitment, the loss of family and position, to say nothing of that intense mental and physical suffering which drinking always caused him. He had much knowledge about himself as an alcoholic. Yet all reasons for not drinking were easily pushed aside in favor of the foolish idea that he could take whiskey if only he mixed it with milk!
Whatever the precise definition of the word may be, we call this plain insanity. How can such a lack of proportion, of the ability to think straight, be called anything else?
And there you have the fatal sickness of mind and body that many of those who suffer from it have no idea they have. This is a major part of understanding and admitting the powerlessness that we are working out in Step 1. If you are trying to get the through Steps One or Two or think you already have passed them, here is the point:
Once more: The alcoholic at certain times has no effective mental defense against the first drink. Except in a few rare cases, neither he nor any other human being can provide such a defense. His defense must come from a Higher Power. (Alcoholics Anonymous pg. 43)
Stay sober my friends,