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Post Info TOPIC: MIPBB Study: The Doctor's Opinion


MIP Old Timer

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MIPBB Study: The Doctor's Opinion
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http://anonpress.org/bb/docsopin.htm

WE OF Alcoholics Anonymous believe that the reader will be interested in the medical estimate of the plan of recovery described in this book. Convincing testimony must surely come from medical men who have had experience with the sufferings of our members and have witnessed our return to health. A well-known doctor, chief physician at a nationally prominent hospital specializing in alcoholic and drug addiction, gave Alcoholics Anonymous this letter:

To Whom It May Concern:
I have specialized in the treatment of alcoholism for many years.
In late 1934 I attended a patient who, though he had been a competent businessman of good earning capacity, was an alcoholic of a type I had come to regard as hopeless.
In the course of his third treatment he acquired certain ideas concerning a possible means of recovery. As part of his rehabilitation he commenced to present his conceptions to other alcoholics, impressing upon them that they must do likewise with still others. This has become the basis of a rapidly growing fellowship of these men and their families. This man and over one hundred others appear to have recovered.
I personally know scores of cases who were of the type with whom other methods had failed completely.
These facts appear to be of extreme medical importance; because of the extraordinary possibilities of rapid growth inherent in this group they may mark a new epoch in the annals of alcoholism. These men may well have a remedy for thousands of such situations.
You may rely absolutely on anything they say about themselves.
Very truly yours,
William D. Silkworth, M.D.

They wanted to have testimony from a credible doctor who had treated alcoholics for years. Dr. Silkworth was the Medical Director at the Charles B. Towns Hospital in New York. His specialty...Alcoholics and drug addicts. The patient he attended to in 1934....Was Bill W. I like the fact that he refers to him as a competent businessman of good earning capacity...Alcoholism isn't choosy about who it affects...From Park Avenue to park bench....It can grab anyone.

 

 



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MIP Old Timer

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I certainly believe this was a 'key' addition to the BB ... ... ... An honorable doctor who made it his mission to cure these hopeless people ... it showed he had little ability to effect a cure ... and yet his experience allowed him to pause and reflect on the miracle of recovery in front of him ... Yes, this was and is a definite attraction to those seeking recovery to read the BB, if they feel 'hopeless' and want a solution to their drinking problem ... ...



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MIP Old Timer

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I love the Dr.'s Opinion! It is truly a message of hope that he states where other methods have failed that these people may have a remedy based on the facts he has witnessed. It gave credibility to the program and acts as an invitation to learn more about it. It also gives the sense that he truly cares about the alcoholic and is passionate about conveying what he had seen happen through the work of Bill W.

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MIP Old Timer

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I never understood what was wrong with me, until I studied this section of the book. This taught why I could not drink. I found out that alcoholism was not a moral problem only but a physical biological problem, in my body and it's chemistry, that compelled me to drink, beyond my body's own natural defence mechanisms.
Thanks for the post, Stepchild. We need more of these on the board. Please keep posting them.

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MIP Old Timer

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gonee wrote:

I never understood what was wrong with me, until I studied this section of the book. This taught why I could not drink. I found out that alcoholism was not a moral problem only but a physical biological problem, in my body and it's chemistry, that compelled me to drink, beyond my body's own natural defence mechanisms.
Thanks for the post, Stepchild. We need more of these on the board. Please keep posting them.


 I want to go through the book gonee.....Maybe a chapter a week. In my short time in AA.....I've seen a lot of people come and go....It's my humble opinion....Too many of them don't take the time to study this book. Maybe one guest that reads here....Will get it. How cool would that be?



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The doctor's Opinion made an impression on me as well. Answered a question I didn't know I wanted to ask?

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MIP Old Timer

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PhotoPhreak wrote:

The doctor's Opinion made an impression on me as well. Answered a question I didn't know I wanted to ask?


This answered a major one for me.

Men and women drink essentially because they like the effect produced by alcohol. The sensation is so elusive that, while they admit it is injurious, they cannot after a time differentiate the true from the false. To them, their alcoholic life seems the only normal one. They are restless, irritable and discontented, unless they can again experience the sense of ease and comfort which comes at once by taking a few drinks-drinks which they see others taking with impunity. After they have succumbed to the desire again, as so many do, and the phenomenon of craving develops, they pass through the well-known stages of a spree, emerging remorseful, with a firm resolution not to drink again. This is repeated over and over, and unless this person can experience an entire psychic change there is very little hope of his recovery.

That sums me up to a tee. It's funny...When I got out of rehab I gave this book to my mother to take a look at it...I was going through it for the 3rd time. She was looking at it and I walked into the room....And she blurts out...."That's what you need...An entire psychic change!"...Bingo....Right again Mom.



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So very true.

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MIP Old Timer

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Amen, Stepchild ... ... ... Amen!



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MIP Old Timer

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@ Stepchild: The group that I attended on my re-entry into AA, never bothered with sobriety count. The convener would would teach us for 1 hour every week on each step. We did a preview study on AACA and the family disease before we started on step1 proper. The result was permanent sobriety from that day, despite many difficulties, mostly from my own defects of character. Most of that class of 1988 who listened to our common sponsor and did what the book asked for are still sober. The book tells us, that no further authentication is needed, which means that it is very accurate in it's presentation of the subject matter at hand.

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MIP Old Timer

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Then I look forward to your input gonee...The only thing I can say about this book is I can't get enough of it.....I'd never read a book that saved my life before.

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MIP Old Timer

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I wish I'd got the message that I should study the book much sooner than I did. I was told to read the book which I did, and when I reutrned it the lady asked me what I thought. I said it's very interesting but a bit too American for me. Perhaps they could rewrite it in a more New Zealand way! I missed the point completely because I read it like a novel.

In those days there were no literature based meetings at all, no speaker meetings, just 50 to 60 discussion meetings each week. Some of the true oldtimers would point out the solution was in the book, but they were thought to be a bit past it, many expressed the view that the book was outdated. Somehow my sponsor rescued me from that and took me through the steps and seems to have taught me an AA that would be similar to Clarence S - very simple. Nearly everyone in those days went through the same treatment centre which had its own language and culture (it was known to be a very good treatment) and I felt somewhat the odd man out getting sober in AA. Many, even the centre itself told me I would never get sober unless I went there. As it turned out, it would be truer to say the opposiote was the case. Many of those folks fell by the wayside, and generally our fellowship reduced in size.

Then last year our top medical dude in alcoholism addressed an AA public meeting and confirmed everything Silkworth said as established medical fact. Not so outdated after all.


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MIP Old Timer

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The Doctor's Opinion really simplifies things for me. Alcoholism = physical allergy + spiritual malady. I think it's so important to know what is happening in our minds and bodies, to know what we are dealing with.

It was brave of Dr Silkworth to speak out like this, too. Imagine how revolutionary his opinion must have seemed at the time. After all, we are STILL not over the stigma of alcoholism in society.

Other bits that stand out to me:
- It is all about following a few simple rules
- craving once we have started to drink is beyond our control
- Alcoholics, if we continue to drink, are doomed BUT there is a simple solution!

Thanks for this, Stepchild!

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MIP Old Timer

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Good stuff F.S. and Ruby.

I missed the point completely because I read it like a novel.

I think this is something that is very common. You start reading Bill's Story and you think you are reading a novel. One message I try and carry in meetings is that it is a text book....And should be treated as such....Study it...And DO it. Quite a bit of ACTION in it.

A couple things that I didn't get the first time through. When I saw the word ALLERGY....I immediately think of puffy eyes and sneezing....But when you take the definition: An abnormal reaction to...It was a little clearer for me...Once I ingest it....My body craves more. Craving was another word I always associated with the mind...I'm craving a steak tonight. The concept of a physical craving was new to me....But I had many a night that I'd keep drinking....Sometimes when I didn't even want any more. That's an abnormal reaction to something.

A friend of mine shared in a meeting once...That he always drank to get to that point of euphoria....But everytime he got close to it....He passed out. God love him.



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" Of course an alcoholic ought to be freed from his physical craving for liquor, and this often requires a definite hospital procedure, before psychological measures can be of maximum benefit."

Hospitalisation removes the physical craving, because the body is removed of all alcohol and therefore no craving [completely dry]. The mental obsession still remains and for me that's where my relapse began. The working of the steps on my re-entry into AA, completely removed my obsession for alcohol. And that's how I remain, provided I keep in fit spiritual condition.



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I am living proof of the obsession to drink being removed - and I thank God every day for that - but i have a different obsession now that i have not been able to get past. I will try again to do what worked with the drinking, and surrender to the fact that i can't make my brothers and sisters talk to me about the death of our sister from alcoholism. it seems that it is just too horrible for them to acknowledge and its been almost 4 years of pain and hurt and anger, because those of us that need to talk it through have been censored at every turn by those that want to avoid the subject and that has been hell on earth. I always thought we would eventually talk about it, but i have been told in no uncertain terms that we have talked ad infinitum about it...how can that be when we've had a couple stilted talks with a quick change of subject in almost 4 years? the answer from my brothers and sisters from the beginning has been that those of us who need to talk are the problem in our family and should get professional help with our anger and questions, and spent much more time protecting her husbands feelings than be there for each other - so hard to understand and i obsess about it every day...will keep trying to surrender to the fact that i can't make them work it out with me....



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Hello yeller22, ... Welcome to MIP ... ... ... I had to laugh when I saw your site name ... 'yeller22' sounds like something they put in 'Twinkies' ... you sent my mind flying off to 'la-la' land ...

I need time to digest your issue above, ... and I think it may be more appropriate, by starting a new thread centering on that problem in recovery rather than under the 'Drs. Opinion' thread ... No big deal really, just less confusion on my part, that's all ...

Pappy



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This was a key part to the book, as well. I actually read most of the BB before going to my first meeting while I was getting myself detoxed at home (NOT recommended!!). I ordered the book to be overnighted through Amazon... It absolutely changed my life. I remember reading this and thinking "yup- THAT'S what's wrong with me- this is it'. The obsession began for me almost immediately. I remember being 12 years old obsessing about where I was going to get more booze. It wasn't even about the drink I had in my hand, but the next one- I needed it. I had no conception of being physically dependent on alcohol- I suffered through 'hangovers' that i knew were not normal gritting my teeth until work was over and I could drink. Before reading the BB I had no understanding of alcoholism- my parents didn't drink and I had no idea why I never drank like a normal person- I always felt very alone in how I drank until reading this. It got me into my first meeting, and hundreds after that :) thanks for posting this!

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" At the hospital I was separated from alcohol for the last time. Treatment seemed wise, for I showed signs of delirium tremens.
      There I humbly offered myself to God, as I then understood Him, to do with me as He would. I placed myself unreservedly under His care and direction. I admitted for the first time that of myself I was nothing; that without Him I was lost. I ruthlessly faced my sins and became willing to have my new-found Friend take them away, root and branch. I have not had a drink since."

So much emphasis is placed on detox, that we forget to present the steps to the newcomer. We float around with the aftermath of detox and a few meetings, and then suddenly life becomes unmanageable again. We relapse and then the same people who put us into detox, do not want to help anymore. Bill's story is a sequel to the doctor's opinion and we must study and understand it as well.



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Interesting point Gonee. I came across a document produced by our district health board recently, - we have free public health. In it the stated that no more than 1% of alcoholics require medically supervised detox, therefore they have allocated 6 beds for a population of abt 1.2 million. Part of the context of the report was that detox is not a solution in itself and provision of this service without an adequate long term care plan, was an exercise in futility. It represents a big change in the thinking of our medical professionals as they are now indicating that the best long term outcomes can be achieved in cooperation with organisations, such as AA , in the community. Bring it on ! :)

God bless,
MikeH.

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MIP Old Timer

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gonee wrote:

Bill's story is a sequel to the doctor's opinion and we must study and understand it as well.


I'm putting that up next....A chapter at a time...Great feedback on the Foreward and The Doctor's Opinion....I thank you all.



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And welcome yeller22...I hope you'll stick around and post here!

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thanks, i think i bottomed out on trying to force a solution with my family - i went to an al anon meeting tonight (i'm a double winner) and appreciate so much hearing what is going on inside people and being able to talk so freely - i guess i have been too hard on my brothers and sisters who have not had the benefit of sharing so much at AA meetings and Al Anon over the years - its been a huge difficult task to try to reconcile the world of my family and the world of recovery - somehow i've taken it really personally and been very hurt that they won't share with me all the deep stuff we do here - i am the youngest of 14 and at 55 years old i feel like i am still not taken seriously - it seemed SO IMPORTANT that i get the respect of them to listen to me talk about our sister and hear them talk - and its just not going to happen...but i'm thankful tonight that i have some peace about it - surrender to win

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oh i guess i should have posted this in a separate place - this is my first and second time sharing and i forgot to

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Don't sweat it yeller...Here is fine. I'm from a large family myself...8 of us....Not a normie in the bunch...Some worse than others. I have a younger brother drinking himself to death. I've reached the hand of AA out to him and he's not ready...Not done yet. I can't let that effect my serenity...I've worked too hard for it. I'm glad you're here...Welcome.

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Hi Yeller22, ...

I don't think any progress can come from forcing your sibs to open up regarding your sister's death from alcohol right now ... in time they may chose to discuss it, but it seems obvious, to me anyway, the the pain is just too fresh, and it may be too deep ... and, they may be in denial to some degree about alcohol having that kind of power ... ... ...

If you've had some lengthy sobriety, they may come to see that you are a miracle, and again, in time, open up about the subject ... I guess what I question in my mind, is just what you hope to accomplish by discussing your sister's problems ? ... just getting everything out in the open ? ... we have to remember what it says in step 9 ... whether or not we are making an amends here, we do not want to push any situation forward which may injure them or others ... that would be very 'counter-productive' ... ... ... so much so in your situation that it may sever family ties for a long time to come ...

Another thing to consider, be sure your displeasure with your family is not because you are not seeing the results that you want ... try to be sure it's not a selfish thing that you're dealing with ... I'm speaking as an outsider here and I don't mean to imply that the problem is with you, just want you to view this from a different angle is all ... No judgement here ...


Love ya and God Bless,
Pappy



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i guess talking helps me to process something and i needed to talk to my brothers and sisters so badly after the shock of her unexpected death, and my brother who is in recovery and my sister who doesn't drink and i felt actually shunned when we tried to talk about and questioned how my sister could have withdrawn from us all in the middle of our close-knit family and loving marriage and died of cirrhosis when we didn't even know she was having that problem...we knew she liked to drink, but not that she was getting so sick from it. i think the not being able to talk about it comes from growing up with parents that also had drinking problems...(which is also denied by alot of them)...and them having their own drinking problems...Our parents provided alot of structure and care, and fun and love - i've always felt blessed to have my family, but, i guess i realize now how powerful alcoholism is that it can cripple us this much..we are all in our 50s, 60s and 70s and have never had trouble talking before about all kinds of subjects...i don't recognize us.. and yes, in my pain, i am selfish, because i couldn't find relief...

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Hey Yeller, ...

I don't know for sure, but it seems to me, that talking this out with your sibs is not going to solve any existing problem here ... perhaps none of your sibs want to admit they suspected something and did not make an effort to intervene ... then you have a whole new 'ball game' of pointing fingers ... not good .... not good for sobriety at all ... it could breed anger that will lead to the bottle ...

Nothing you're suggesting will bring your sister back of course ... and for the only reason I can see, it's to satisfy your curiosity for why ya'll didn't see it coming ... I've got a simple mind here, but I just fail to see any 'healing' benefits of coercing your sibs to talk about it ... Sorry ... your motives for wanting this are not clear to me ... Again, I'm not judging, but it almost sounds selfish ... I'm just trying to be honest here ... totally honest!



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i find it very strange, Pappy, that when i came here to talk about not being able to talk to a lot of my brothers and sisters about this huge crisis that has come between us in order to try to heal, that you suggested not once, but twice, that it is selfish. it seems to me you would understand that talking, like we do in AA is healing. i don't honestly know how to get through difficulties with people without talking about them....and it has been almost 4 years of pain and a lot of silence and pretending when are together that we are okay, but it doesn't feel real because we are "not allowed" to talk about the alcoholism in our family.

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Hey Yeller, ...

It is not my intention to get you to be 'self-conscious' about whether or not this is a 'selfish' issue ... ... ... in one of your previous posts, you admitted it was selfish ... and from what little I know of the ordeal, I agree ... to pressure your sibs to go back in time and analyze the 'hows and whys' of your sister's addiction leading to her death can have the opposite affect on them than it may have on you (meaning it could cause them great pain ...) ... you want questions to be answered in order for YOU to have relief ... why don't you consider what THEY want instead ???

I still fail to see how opening up old wounds will help them heal ... ... ... although, if you are the alcoholic and think that it was you that should have recognized the symptoms and saved your sister's life, then you are carrying around a big burden and perhaps a lot of guilt ... in which case I suggest working the AA program and making a 'graveside' amends ...


Love ya man and 'take care',
Pappy



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