Alcoholism: Disease or Choice

Is Alcoholism a Disease?

The theory that alcoholism is a disease is the accepted view within the medical and scientific communities. However, the disease concept does not rest quietly as there are many voices that do not agree that alcoholism is a disease. I presented some facts on the argument that surrounds alcoholism being a choice in the last article - Is Alcoholism a Choice. Now let’s have a look at the disease model for alcoholism.

Alcoholism is termed as a disease of the brain causes altered brain function. Is is said that alcoholism is genetic, however having a genetic predisposition is not necessary to develop alcoholism. The problem that alcoholism causes for those that are pre-disposed to it, are the cravings that one has for alcohol.

Genetic research into alcoholism suggests that an addiction stimulation (THIQ) is produced during the metabolism of alcohol. This stimulant stays in the system much longer than the alcohol does and triggers addictive cravings. Studies show that these abnormalities in the brain function are present in those with an alcohol dependence.

These cravings for alcohol can be as strong as the need for food or water. This is one of the reasons that an alcoholic drinks despite serious health, family, job, or legal problems. Compounding the problem is how progressive the disease is. In the beginning, one or two drinks will stop the cravings. But soon, one or two drinks aren’t enough and ultimately the problem drinker will continue to drink to satisfy the never ending cravings. All the while the alcoholic is unaware that the disease has progressed to the the point at which he lost control and alcohol has gained control.

Disease or no disease, the alcoholic must have the desire to stop drinking to gain back the control over their life. Treatment programs, support groups and reinforcement from family and friends can also play a large role in successful recovery.

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