Get Smart About Alcohol
By Publishing Hazelden and Gould Jodie
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Get Smart About Alcohol - Publishing Hazelden
Get Smart About Alcohol
A Hazelden Quick Guide
Hazelden Publishing
Center City, Minnesota 55012
800-328-9000
hazelden.org/bookstore
© 2013 by Hazelden Foundation
All rights reserved. Published 2013.
No part of this publication may be reproduced in any form or by any means without the express written permission of the publisher. Failure to comply with these terms may expose you to legal action and damages for copyright infringement.
eISBN: 978-1-61649-519-0
Editor’s notes:
The names, details, and circumstances may have been changed to protect the privacy of those mentioned in this publication.
This publication is not intended as a substitute for the advice of health care professionals.
Alcoholics Anonymous is a registered trademark of Alcoholics Anonymous World Services, Inc.
17 16 15 14 13 1 2 3 4 5 6
Cover design by Theresa Jaeger Gedig
Interior design and typesetting by BookMobile Design & Digital Publisher Services
Developmental editor: Peter Schletty
Production editor: Mindy Keskinen
About Hazelden Quick Guides
Hazelden Quick Guides are short, accessible e-books that draw on the original work and best practices of leading experts to help readers address common addiction recovery and emotional health issues. The Get Smart collection describes each of the major drugs, its historical, cultural, and legal context, its addictive qualities, and information on prevention and treatment.
Contents
Introduction
History
Alcohol Basics
How Alcohol Is Produced
A Standard Drink
Use, Abuse, and Addiction
Types of Use
Level of Risk
Risk Factors for Alcohol Disorders
Effects of Alcohol Use and Addiction
How Alcohol Works
Alcohol and the Brain
Alcohol and the Body
Alcohol and Society
Mary’s Story
Treatment for Alcoholism
Types of Treatment
The Role of Medications
Spontaneous Recovery
Technology and Treatment
Post-treatment—Continuing Care
Twelve Step Programs
Other Twelve Step and Mutual Aid Programs
Relapse
Mary’s Story, Continued
Prevention Practices
Risk and Protective Factors
Goals of Prevention
Types of Prevention Programs
What Parents Can Do
Notes
Introduction
It seems impossible to encounter an adult nowadays whose life has not been touched in some way by problematic alcohol use. For many, the connection is faint, found only in the rough sketches they’ve been told about a distant relative. Others may deal with an unruly neighbor who parties long, and loudly, into the wee hours, then displays a look of gloom as he trudges to the mailbox the next day. Still others may find themselves face-to-face with the ravaging power of alcohol on a regular basis, when a spouse, child, other loved one—or even themselves—repeatedly picks up a drink and initiates a familiar cycle that includes out-of-control use followed by extreme pain and heartache.
Alcohol is a legal, intoxicating drug currently available to anyone age twenty-one or older in the United States. Our country has a long history of problems related to this drug, including public drunkenness and inebriated driving, that has led to legislation restricting—and at one point outright prohibiting—alcohol use and its sales. Even so, problematic drinking persists in every segment of society, from underage youth and college students to senior citizens, from Ivy League–educated physicians, attorneys, and politicians to individuals living on the street, who are unsure of where they’ll find their next meal or drink. Alcohol consumption poses a danger not only to the drinker’s health, but also to public safety; it exacts a heavy cost from families, workplaces, and health care systems. Despite this, advertisers and much of society still suggest that alcoholic drinks should be part and parcel of nearly every celebration, holiday, and Sunday football game day ritual. Indeed, alcohol is a drug of contradictions: we defend our right to toast our accomplishments and unwind with friends over a drink, while at the same time we support widespread alcohol prevention programs aimed at our children. The paradox is not lost on our youth who often hear a do as I say, not as I do
message from the adults in their lives.
This e-booklet will provide a brief history of alcohol, outline the basics on how this central nervous system depressant is made and used, and discuss some of the consequences related to its use and abuse. We’ll also explore the nature of problematic alcohol use and dependence and how prevailing views of alcoholism are shifting, the numerous treatment options available today, and prevention efforts. The booklet will close by providing tips for parents whose children may be experimenting with or abusing alcohol.
Alcohol Addiction or Disorder?
In 2013, the American Psychiatric Association released the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5). Behavioral health professionals, such as psychiatrists and psychologists, use this manual as a guide to diagnose people with substance use and mental health disorders. In the latest edition, the terminology used for addiction disorders has changed. Instead of separating such problems into categories such as substance abuse, chemical dependency, or addiction, the manual now uses one term—substance use disorder—to include the full range of problematic drug use. To be officially diagnosed with an alcohol problem, then, someone would be classified as having an alcohol use disorder.