Moonwood the Hare wrote:I know some drug and alcohol workers who dislike the approach. This seems to be because of people saying things like I am an alcoholic but have not had a drink for 30 years. Eric Berne the founder of transactional analysis says that if you say something like that you have never escaped the alcoholic game and that the alcoholic who devotes his life to telling others is still trapped in the same game.
Alcoholics who identify themselves as alcoholic after 30 years of sobriety are aligning themselves with the medical and AA model that would say they still have the disease, but are in remission as long as they don't drink. It would be similar to a diabetic who still identifies as diabetic after successfully maintaining normal blood-sugar levels for 30 years by a combination of diet, exercise, and medication. Their diabetes doesn't go away, even though they no longer have any of the symptoms that earned them the diagnosis. When long-time-sober alcoholics resume drinking, they quickly return to the symptoms they experienced before they stopped drinking, in the same way a diabetic's symptoms would return if he/she stopped doing the things that maintained normal glucose levels.
There are many treatment professionals who haven't bought into the medical model for substance dependence. The medical model is so widely accepted in the treatment business because it facilitates insurance coverage for treatment and rehabilitation. If it wasn't a disease (it's classified as a mental health disorder in the DSM), insurance companies wouldn't pay for treatment. And it seems to work well for a lot of people.
Personally, I found the most effective treatment was a "what works, works" approach. For those who responded well to a medical model approach and fit well into the Alcoholics Anonymous scheme of things, more power to them! To those who didn't, other approaches worked just as well. Reality Therapy (
a la William Glasser) has been used with great success with alcoholics and other drug addicts, for example. Transactional Analysis has been valuable in helping people see how they got where they are and why it's so hard to escape their 'programming', but it's not really of much value in helping them to change their behavior, which is what really matters. Knowing
why they drink abusively doesn't usually help them
stop drinking.
KTR: Thanks for the SOS plug. It's like AA without the religious connotations.
Anyhow, this is a little off the track, I think.
Jim