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Understanding Addiction as Self Medication

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<strong>Addiction</strong>: Dise<strong>as</strong>e or Disorder<br />

Scientists and clinicians are guided by theories to help them better understand<br />

the nature of problems, and therefore solve them. As we noted in<br />

the introduction, Einstein said our theories help us to identify the facts, a<br />

point of view which runs counter to the more common belief that facts are<br />

the foundation for theories. In the c<strong>as</strong>e of a condition such <strong>as</strong> addiction, a<br />

model or theory for understanding it is especially important because the<br />

way the condition affects those who suffer with it and those who witness<br />

it is subject to horrible misunderstanding and moralistic judgments. Addicted<br />

individuals also need a b<strong>as</strong>is to understand how and why they succumbed<br />

to and recovered from their disorder, a condition that is derailing<br />

and bewildering. We trust this book will provide a b<strong>as</strong>is to appreciate and<br />

deal with the intolerance and confusion that addictive illness evokes in<br />

those who experience it directly and family and friends who endure it indirectly.<br />

Although addictive disorders have complicated medical and psychiatric<br />

<strong>as</strong>pects, a natural experiment which began in the mid 1930s without<br />

considering such complexities began to offer hope and a more sympathetic<br />

perspective for understanding alcoholism. An unsuccessful stock broker<br />

and a surgeon, both alcoholics, joined together to talk with each other<br />

about their inability to not drink and the tragic consequences that resulted.<br />

They quickly realized that it would help them and others if they<br />

could recruit others to join them in the discussions about how they were<br />

powerless over their addictions and needed each other to refrain completely<br />

from alcohol. With these humble beginnings Alcoholics Anonymous<br />

(AA) w<strong>as</strong> born. Bill W. and Dr. Bob, the founders of AA, provided<br />

7

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