“Addiction and Alcoholism: Beyond 12 Steps”

The MSN website carried an article by Maia Szalavitz recently that should be of great interest to those seeking an overview of addiction that looks deeper than “spiritual weakness.” It’s a bit long, but worth the effort. Here it is:

Although addiction and alcoholism treatment research has advanced tremendously since Alcoholics Anonymous was founded in 1935, many people do not know that equally effective alternatives to 12-step programs exist—nor do they know how to find them.  In popular culture, AA is often portrayed as the only way.

Worse, while reality TV spotlights tough family “interventions” as a way of getting people to enter treatment and often shows rehab as a “boot camp” or exercise in humiliation, research finds that both these approaches have significant risks, and other less risky tactics have equivalent or superior benefits.

So, how can you find evidence-based addiction and alcoholism treatment for yourself or a loved one instead of—or as an addition to—12-step approaches? Continue reading

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New LifeRing Website in Ireland


LifeRing Ireland has gone through some changes in the past several months and now have a new website. liferingdublin.com is now up, replacing the old liferingireland site. It shares a design, and some content, with the liferingCork.com site. The new site has a very nice look to it and may provide some ideas for this site, which is pondering some changes in design to make it more useful.

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Nicotine really is a “Gateway Drug” Says New Study

The idea of “gateway drugs” has been a subject of controversy and ridicule for decades. It’s an argument aimed often at people who use marijuana and are told that pot leads to the use of “harder” drugs. It has also been a handy weapon to aim at teenagers who smoke tobacco. A new study suggests that researchers have found the first chemical evidence that there may be something to the theory.  An epidemiologist and a neurobiologist at Columbia University led a team that found “epigenetic” changes in mice plied with nicotine. Those mice were far more likely to exhibit addictive behavior when given cocaine than were those not exposed to nicotine.

As is often the case with these sorts of study, the article does not make clear how much nicotine the mice were exposed to — were they massive doses or proportionate to a human smoker? Still, the article — from Nature.com — makes for interesting reading.

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“Why I Can’t Drink”

One of the hardest things in recovery is simply to remember how bad life was when drinking. Time passes and the painful memories become blurred and they disconnect themselves from the act that brought them about. In a recent note, an e-mail pal sent me a list she had made of why she can’t drink. She wants to remember. I thought I’d share it:

I cannot drink like other people
Once I start I cannot stop until the bottle is empty no matter how drunk I am
Drinking makes me do things destructive and dangerous like drunk driving
I have serious blackouts and cant remember putting kids to bed or what I did, who I spoke to, even what I ate.
I am incapable the next morning of functioning normally
I lose the power to achieve anything unless I can drink thru it
I emotionally neglect my children
I wake up thinking “how little can I get away with doing today”
Drinking makes me depressed, irritable, anxious, scared, paranoid and very guilty…those feelings make me want to drink more
I embarrass my self in front of friends, family and my husband’s work colleagues and even worse my children.
Drinking makes me bloated, tired and unattractive; I eat badly and smoke too much
I lose interest in all the things i used to enjoy and stop growing as a person
I am incapable of forming friendships for fear of being found out so I isolate myself
I am increasing my risk of cancer and heart disease by drinking
I know from the bottom of my very soul that if I carry on drinking I will die very soon.
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Posted in Essays, Keepers | 2 Comments

New Study: “Moderate” Drinking Causes Cancer

An article in the Wall Street Journal provides a good response to those who insist that “moderate” alcohol consumption is good for you. See the article here . While the article acknowledge some health benefits, a new study points out that there are also negative effects, including an increased chance of cancer of the breast, liver, colon, pancreas, mouth, larynx and esophagus. Even lung cancer risks are increased whether you smoke or not. Among the findings: the risk of breast cancer starts to rise with as few as 3 drinks a week.

“The situation is somewhat similar to tobacco a few decades ago,” with drinking deeply rooted in social habits and promoted in advertising and movies, says Paolo Boffetta, director of the Institute for Translational Epidemiology at Mount Sinai School of Medicine in New York.

The whole article is worth a read.

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More on addiction is in the brain

The New York Times’ Nick Kristof has a good new column about the biochemical nature of addiction, based on its influence on dopamine and other brain chemicals. He’s writing about DavidLinden’s new book, “The Compass of Pleasure,” which I am now reading.

Kristof notes that things like altruism and acts of charity, not just chemical addictions or “process” compulsions/addictions, can light up the pleasure centers of our brain, as can things like exercise. (And yes, the research that Linden notes says that “processes,” i.e., gambling, overeating, and extreme sexual behavior, can become addictive in the same way as chemicals.

More on this below the fold: Continue reading

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Posted in Books, Food & Bev, Science | Tagged , , , , , | 1 Comment

Alcohol Marketers Target Youth

Here’s part of a piece from an HIV/AIDS blog with information that we’re all probably vaguely aware of, but which bears repeating:

While the popularity of various illegal substances rises and falls, alcohol consistently remains the granddaddy of recreational drugs. New forms of alcoholic drinks began appearing in the 1980s, first with wine coolers and then flavored alcoholic beverages (that’s FAB, for short) and energy drinks. They have gained popularity, especially among youth. Now, just months after the FDA urged the removal of caffeine from alcoholic drinks such as Four Loko, beverage companies are once again shape-shifting their fruity-tasting concoctions and they’re literally bigger than ever: they’ve been supersized. The new packaging, still largely targeting young (and often underage) drinkers, features a 23.5 ounce can with a 12% alcohol content. That’s equivalent to four or five beers (a fact that marketers of the product recently agreed to change Four Loko’s label to reflect). They’re cheap, accessible, and highly potent.

Why is this a concern? The numbers tell the story. 10.7 million underage youth drink alcohol, and about 70% of those youth binge drink, resulting in harmful physical consequences, poor judgment, lower inhibitions, and an abundance of high-risk sexual behaviors. And the concerns extend beyond youth. Excessive consumption of alcohol is a significant health concern for everyone,

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A LifeRing Keeper: When Relapses Keep Happening

Here’s a recent posting from LSRmail, the first and largest email group in LifeRing. It’s a response to a member who wrote in after experiencing another in a series of brief relapses. It’s a fine example of the type of response that comes from our online venues.

Hi xxxxx,

It’s good to ‘see’ you again, even if the circumstances could be happier. I’m encouraged to see that you are doing something about the problem. That’s what stops most people. They suffer, but they don’t do anything. You are doing something, which is infinitely better than doing nothing, but it would seem that you are either not doing quite the right thing, or you are not doing enough of it.

You know, people often like to say that the definition of insanity is doing the same thing and expecting different results. I don’t think that is true. I think that is, in fact, the definition of practice. When we practice something, we get good at it. So it’s likely that you are good at quitting, but you may also be getting good at slipping. If I were going to look somewhere, that is where I would look: not so much at the depression itself, and certainly not at the escalation of the drinking when it starts, but more at what immediately precedes the slip. Do you plan? Do you debate with yourself? How long between the decision to drink and the purchase? Continue reading

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Posted in Keepers | 6 Comments

The economy and drinking

It should be of no surprise to anybody that people who are unemployed, especially for longer periods, struggle with drinking. However, according to Live Science, a new study shows that people who have jobs are also more likely to drink problematically, including binge drinking and driving while intoxicated, during recessionary times. A possible explainer:

“The way we explain this, is even though employed individuals have a job, they could be affected psychologically (e.g., fear of losing their job) from an economic downturn, leading them to have more drinking days and driving under the influence episodes as the state-level unemployment rate increases,” French said.

So, if you are sober, even if you have plenty of time being sober, if you have any worries about your job, your career field, etc., the obvious advice is: Be open about your fears, talk to others, be proactive with sobriety support.

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Medicare, Medicaid to Cover Screening for Alcoholism, Depression

Here is news that may be of interest both to older readers and ones with older relatives and friends. It’s from the medpagetoday.com website. The article does assume that alcohol abuse is a “disease,” which some may find off-putting.

WASHINGTON — Medicare will pay for annual screenings for alcohol misuse and depression, the Centers for Medicare and Medicaid Services (CMS) announced.

The new services will be added to other covered preventive services at no additional cost to beneficiaries. Continue reading

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