Is Alcoholism A Disease?
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Is
alcoholism a disease? Perhaps to those who ascribe to self-control, will-power, and self determination,
alcoholism is seen more as a weakness or a character flaw than a disease. Certainly a person has
control over whether or not he or she will start to drink alcohol.
Once, however, a person starts to abuse alcohol and eventually becomes dependent on alcohol,
that person is caught in the grips of a disease that is uncontrollable, debilitating, and potentially fatal without
the appropriate treatment.
The Pleasant Experience of Drinking Alcohol
For most individuals who drink, alcohol is an enjoyable experience, especially when they
drink in moderation and are engaged in social and recreational activities.
Not only
this, but in most situations, drinking in moderation is not harmful for most adults.
A significant number of individuals, nonetheless, cannot consume any alcoholic drinks because of the many
problems and difficulties they encounter when they ingest alcohol.
Just how many people should not or can not drink alcoholic beverages? According to current research
findings, approximately 14 million Americans abuse alcohol or are alcohol dependent.
Not only this, but according to the alcoholism research literature, approximately 53 per cent of adults in the
United States have claimed that one or more of their close relatives has a drinking problem.
The Debilitating and Unhealthy Effects of Alcoholism
The consequences of alcoholism are not only serious, but in many instances, fatal. For instance, excessive
drinking can increase the risk for certain cancers, such as cancer of the kidneys, esophagus, liver, rectum,
larynx, colon, and throat.
Moreover, heavy, chronic drinking can also lead to harm to the fetus while the mother is pregnant, problems with
the immune system, brain damage, and cirrhosis of the liver.
| The incidence of intoxication (BAC of 0.08 or greater) for drivers in fatal crashes
in 2003 was highest for motorcycle operators (29% ) and lowest for drivers of large trucks (1%).
The incidence of intoxication for drivers of light trucks and passenger car drivers was the same
(22%). |
In addition, drinking alcohol increases the risk of death from motor vehicle accidents and
alcohol-related injuries and accidents in recreational activities and in the workplace.
Finally, research studies have verified that homicides and suicides are more likely to committed by
individuals who have been drinking.
| Twenty one percent of workers reported being injured or put in danger, having to
re-do work or to cover for a co-worker or needing to work harder due to others’ drinking. |
In basic economic terms, alcohol-related issues and problems cost the people in the United States
approximately $200 billion per year.
In human terms, however, the cost of the following alcohol-related issues cannot be measured or
calculated: destroyed lives, illnesses, traffic fatalities, wife battering, broken homes, child abuse, failed
health, and injuries
| In the second stage of alcoholism, tolerance increases and the person drinks because
of dependence on alcohol, rather than because of psychological stress relief. |
Alcoholism and Alcohol Abuse
Many
individuals mistakenly think that alcoholism and alcohol abuse are the same. This probably stems form the
fact that the two concepts are relatively similar.
Alcohol abuse, unlike alcoholism, however, does not include an extremely strong desire for alcohol,
the loss of control due to drinking, or physical dependence.
Alcohol abuse is defined as a pattern of drinking that results in one or more of the following
within a twelve-month time period:
| Since some women remain unaware of their pregnancy, sometimes for 2 or more months,
women who are pregnant or those who are trying to become pregnant should abstain from all alcoholic
beverages, according to the March of Dimes. |
A Definition of Alcoholism
Also known as alcohol addiction or alcohol dependence, alcoholism is a progressive degenerative disease that
includes the following symptoms:
- Tolerance: The need to drink increasing amounts of alcohol in order to "feel the buzz" or
to "get high."
- Physical dependence: Withdrawal symptoms when a person quits drinking after a period of
heavy drinking. Such symptoms include: nausea, "the shakes," sweating, and anxiety.
- Craving: A strong and continuing need or compulsion to drink.
- Loss of control: The inability to limit one's drinking over time or during a particular
event or occasion.
| We must raise awareness about depression and alcoholism as a problem for older
adults. As clinicians, we should not confuse these disorders with “normal aging.” |
Alcohol Withdrawal
Perhaps the best way
of focusing on alcoholism as a disease is to examine the withdrawal symptoms that occur when a heavy drinker
stops drinking.
Alcohol withdrawal syndrome is a collection of symptoms manifested by individuals who suddenly quit drinking
alcohol after a pattern of excessive and repetitive consumption.
These symptoms can range from mild to moderate to severe and include both behavioral and psychological
components.
| In Canada, an estimated 4% of the population over the age of 15 is dependent on
alcohol and there are twice as many male alcoholics as female alcoholics. The highest rate of
alcoholism in Canadians occurs between the ages of 20 and 24. In Canadian surveys, about 20%
of the current and former drinkers stated that their alcoholic drinking negatively affected them,
usually affecting their finances or their jobs. |
Mild to Moderate Withdrawal Symptoms
The following list represents mild to moderate physical symptoms that typically take place within 6 to 48
hours after the last alcoholic drink:
- Rapid heart rate Looking pale, without color
- Loss of appetite
- Eyes or pupils different size (enlarged, dilated pupils)
- Headaches (especially those that pulsate)
- Clammy skin
- Sweating (especially on the face or the palms of the hands)
- Abnormal movements
- Nausea
- Insomnia, sleeping difficulties
- Tremor of the hands
- Involuntary, abnormal movements of the eyelids
- Vomiting
| In addition to alcohol-related pancreatitis, heart disease, cancer, and liver
disease, excessive drinking over time is also associated with the following health
conditions: infertility, irritated stomach lining and bleeding from stomach ulcers, obesity,
nerve damage, vitamin deficiency, skin problems, muscle disease, sexual problems, epilepsy, and
loss of brain cells. |
Severe Withdrawal Symptoms
The following features a list of severe symptoms that usually occur within 48 to 96 hours after the last
alcoholic drink:
- Severe autonomic nervous system overactivity
- Visual hallucinations
- Fever
- Black outs
- Delirium tremens (DTs)
- Convulsions
- Seizures
- Muscle tremors
| There are basically four different types of alcohol tests: breathalyzer tests, blood
alcohol tests, urine tests, and saliva alcohol tests. It can be pointed out that hair tests
cannot detect alcohol. |
What To Do When Experiencing Withdrawal Symptoms
The first concern when experiencing alcohol withdrawal should be who you should contact about the alcohol
withdrawal symptoms. Stated differently, when experiencing alcohol withdrawal symptoms, always see your
doctor or healthcare provider immediately so that he or she can evaluate the seriousness of your situation and
recommend the most effective treatment for your particular circumstance.
| Does drinking strong coffee or taking a cold shower have an effect on the person who
is drunk? The answer is yes — the result being an alert, cold, and wet drunk. Time, and only time
can sober a person up. |
Is Alcoholism A Disease: Conclusion
Is alcoholism a
disease or is it a character flaw or a weakness? Clearly, an individual has control over whether or not
he or she will start to drink alcohol.
Once, however, an individual starts to abuse alcohol and eventually becomes alcohol dependent, he
or she is caught in the grips of a disease that is extremely unhealthy, damaging, and potentially fatal without
treatment.
Indeed, an examination of the withdrawal symptoms that result when a heavy drinker abruptly stops
drinking reinforces the assertion that alcoholism is, in fact, a disease.
| Research has shown that people who start drinking at an early age, for instance at
13 years old or younger, significantly increases the likelihood that they will experience alcohol
problems later in life. |
| About three out of every 10 Americans will be involved in an alcohol-related crash
at some point in their lives. |
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