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Heavy Drinking: The Myth of Alcoholism as a Disease, by Herbert Fingarette
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Heavy Drinking informs the general public for the first time how recent research has discredited almost every widely held belief about alcoholism, including the very concept of alcoholism as a single disease with a unique cause. Herbert Fingarette presents constructive approaches to heavy drinking, including new methods of helping heavy drinkers and social policies for preventing heavy drinking and the harms associated with it.
- Sales Rank: #941088 in Books
- Published on: 1989-06-21
- Original language: English
- Number of items: 1
- Dimensions: 7.99" h x .41" w x 5.24" l, .46 pounds
- Binding: Paperback
- 166 pages
From Library Journal
Fingarette aims to refute evidence that alcoholism is a disease. Rejecting the terms alcoholic and disease, he points out that many "heavy drinkers" do not experience craving and/or loss of control, can engage in controlled drinking, and have spontaneous recovery. He also notes the variable success rates of medical treatment programs. Ultimately, Fingarette states that heavy drinking is dependent upon a host of situational factors. The heavy drinker is not "a passive patient who will be treated by an expert . . ." but an individual capable of exercising control and assuming responsibility. The weakness here is that alcoholism and heavy drinking are in fact different entities; in discussing alcoholism there is room for both a disease and a situational model. Barbara J. Powell, Veterans Administration Medical Ctr., Kansas City, Mo.
Copyright 1988 Reed Business Information, Inc.
Review
"This enlightening and challenging book is a call to compassion for heavy drinkers. . . . Given the brevity of this clearly reasoned and well-researched book, and the ease with which both professionals and laypeople are able to grasp the issues presented, "Heavy Drinking will no doubt become a seminal volume in the field of alcohol treatment."--James Alsdurf, "Christianity Today
About the Author
Herbert Fingarette, a distinguished professor at the University of California, has been a consultant on alcoholism and addiction to the World Health Organization, and a Fellow of the Stanford Center for Advanced Studies in the Behavioral Sciences. His work has had a significant influence on the U.S. Supreme Court, state supreme courts, and current national policy makers on substance abuse.
Most helpful customer reviews
17 of 21 people found the following review helpful.
Courageous
By Konrad Baumeister
Fingarette's book assults basically all of the central tenets of the alcoholism-as-disease industry, including the causes of alcoholism, the lack of self-control of an alcoholic, the efficacy of treatments, and the chances of recovery. The idea that somehow a person can't help but be an alcoholic, can't control his own behavior as one, and can't get better without specialized treatment administered by self-appointed experts, is simply demolished by the evidence, presented in hard numbers quoting study after study. It becomes clear that alcoholism or what we call alcoholism is in fact not one 'disease' that can be 'treated', certainly not in the way they have been over the last few decades.
The book skewers the logical inconsistences regarding the treatment of people supposedly unable to control their drinking in any way by insisting that prior to beginning treatment they voluntarily stop drinking. It analyses the success/failure ratios of various in- and out-patient treatment and arrives at the conclusion that no treatment does anything much more for the patient than would an hour in front of a competant shrink. He refutes the argument that alcoholics not in some kind of program are doomed by showing that fully 30% seem to recover completely on their own, regardless of circumstances of treatment or cause.
The problem is that people have made decisions over a period of time in which for them drinking has become the 'central activity' in their lives, around which almost all revolves. This can be replaced with another less destructive choice but it takes time and effort. And here is the frustratingly sad part because while it is doable many choose not to do it. Much as society would like to help, and Fingarette has some suggestions (unfortunately most of them involving Big Brother state-imposed solutions), in the end the choice is that of the problem drinker. There is as yet no pill or injection or psychological treatment available to make imprudent and self-destructive people prudent and self-affirming.
Bucking the vast industry that benefits from the current dominant approach taken to deal with alcoholics is not easy. Fingarette's classic of scholarship and common sense was a brave and fundamentally positive contribution to helping people with serious problems.
11 of 14 people found the following review helpful.
Finally, someone gutsy enough to take on the Myth
By L. Callen
This book is brilliant in its simplicity. It shows very clearly how well intentioned half truths can take on a life of their own. And it is done in a very orderly fashion. It can be argued that many people cannot handle the truth and that lying to them is an act of kindness, but someone needs to tell the truth to the rest of us who can handle it. That is this book in a nutshell.
The author takes apart the doctrine of Alcoholism bit by bit. The progression of the chapters is done very well. The examples are not excessive and even though there are a lot of scientific references in the text, the book is written for easy access to the layperson. And for anyone who has had the Doctrine of Alcoholism forced upon them, this book is not only a page turner, it is delightful revenge. There is very little truth in the modern American view of excessive drinking, and this book exposes the anti-drinking fanatics for what they are.
I was very pleasantly surprised to see the lack of negative reviews of this book. It does indeed hint that there are many people out there who would rather handle an inconvenient reality than to cling to a comfortable lie.
17 of 21 people found the following review helpful.
Loved One With Drinking Problem? Read This Book.
By Kenneth Martin
All I can say is "wow"!! This book changed my life and the way I view the world. If you've ever been close to an "alcoholic", you KNOW inherently that there is something missing in the conventional thought and explanations presented by AA and the Rehab industry. How is it possible, for example, that a helpless victim of "the disease of alcoholism" can EVER exhibit control over their drinking, which they invariably can and do in specific instances? This book explains it and the answer will blow you away. Everything you thought you knew about alcoholism is probably wrong. As you read this book, this inescapable truth will amaze and bewilder you. Most shocking, the research community has known for DECADES that there is no such thing as "the disease of alcoholism", but has withered in the face of the powerful (and supposedly useful) "disease" culture firmly engrained in our contemporary society. If you are not moved by the large body of research and near uniform agreement among serious researchers referenced throughout this book, you'll be hard-pressed to deny the simple logic by which the disease concept of alcoholism is systematically destroyed.
Why is it important to expose the myth of alcoholism as a disease? If your ailment is incorrectly diagnosed, what are the chances you will receive the right treatment for recovery? Not good. In this book, you will read about numerous research studies that strongly support the argument that our current methods of treatment are almost worthless. Herbert Fingarette provides an invaluable service to all of us who really want to understand the problem and help those who suffer from problem drinking. This can only happen if we are realistic about the nature of the problem. When you read this book, it will be clear to you that, as a society, we have a long way to go. But, what YOU can learn form this book can improve your life and the life of those you have a much better chance of understanding and assisting. Read it.
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