Is Alcoholism/Addiction a Disease? You Might be Surprised...

Asking “is alcoholism a disease” to most people we bump into on the street will get you an answer of yes. Asking a doctor and many other professionals about the disease concept of addiction will result in something quite different. Who Says It Is A Disease? o Most members of 12 step programs (based on AA) follow the disease model of alcoholismrno Television, the movies and the news generally agree that alcoholism is a disease.rno Where TV goes, the American public follows.rnThis makes it look like no one with credentials follows the disease model. Below are some heavy hitters who do:rno The American Society of Addiction Medicinerno American Medical Association both maintain extensive policy regarding alcoholismrno National Institute on Alcohol Abuse and Alcoholism (NIAAA) It funds approximately 90 percent of all alcoholism related research in the United States. Who Says Alcoholism Is Not A Disease One study found that only 25 percent of physicians believed that alcoholism is a disease. The majority believed alcoholism to be a social or psychological problem instead of a disease. (S.I. Mignon. Physicians’ Perceptions of Alcoholics: The Disease Concept Reconsidered. Alcoholism Treatment Quarterly, 1996, v. 14, no. 4, pp. 33–45)rnA survey of over 88,000 physicians in the U.S. found that “Only 49% of the physicians characterized alcoholism as a disease.” Over 75% believed that the major causes of alcoholism are “personality and emotional problems.rnPotsdam.edu Meanwhile, findings continue to accumulate to challenge past perceptions of the nature, course, and outcome of alcoholism. Among those findings: rnTwenty years after onset of alcohol dependence, about three-fourths of individuals are in full recovery; more than half of those who have fully recovered drink at low-risk levels without symptoms of alcohol dependence. About 80 percent of persons who recover from alcohol dependence do so without seeking any kind of help, including specialty alcohol (rehab) programs and AA. Only 13 percent of people with alcohol dependence ever receive specialty alcohol treatment. This goes against the disease model and AA approach. Many can moderate their drinking successfully or quit successfully altogether. Research also shows that once addicted DOES NOT MEAN ALWAYS ADDICTED. Unless, of course, one has bought into the AA philosophy and has now accepted that they are permanently sick and out of control. This is the crux of this argument. “These and other recent findings turn on its head much of what we thought we knew about alcoholism,” according to Mark Willenbring, M.D., director of NIAAA’s Division of Treatment and Recovery Research. “As is so often true in medicine, researchers have studied the patients seen in hospitals and clinics most intensively. This can greatly skew understanding of a disorder, especially in the alcohol field, where most people neither seek nor receive treatment. So now it’s your turn to chime in! What do you think…IS alcoholism a disease? I can’t wait to hear what you have to say. It should be obvious what I think…but if not, I’ll make it clear. Nope, not a disease. Agree? Disagree?