The Washingtonians — the light that failed

From the AA Grapevine Digital Archive:

ONE THURSDAY evening, April 2, 1840, nearly 100 years before the advent of Alcoholics Anonymous, six good drinking buddies were gathered at Chase’s Tavern on Liberty Street in Baltimore, Md.

The more they drank, the more their discussion centered on temperance, which was one of the most popular topics of the day. This meeting and subsequent discussions led to the formation and brief, spectacular life of the Washingtonian movement, which grew in membership to over 400,000 “reformed drunkards” and then destroyed itself overnight and dropped out of sight.

The story of the Washingtonian movement brings sharply into focus the importance of the Twelve Traditions of Alcoholics Anonymous as guidelines of group behavior designed to protect us against a similar fate. To take our Traditions for granted or to ignore them should at least justify a check mark on the debit side of our inventory charts.  AA Grapevine

Email Subscriptions Now Available

For the three of you who might like to keep track of this blog, in case any of you don’t use feed readers, I’ve added an option to subscribe via email.  You will see the link at the top of the sidebar, just below the feed link.

Subscribing will get you an email in the morning around 7:00 AM, so that you can have blog goodness with your Wheaties.  It contains links to each post from the last 24 hours, along with a short blurb extracted from each first paragraph. 

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Jere H. — An Appreciation

My friend Jere is dying. He may even be dead by now. We just heard about the cancer a couple of days ago. Someone told Michele at a meeting. And now he’s probably gone.

Jere’s no kid. I’d guess him to be closer to 80 than 70. You know how it is with people you’ve known, seemingly, forever. They age, but you don’t notice until one day you look and realize that you’ve both suddenly grown a lot older. It was that way with Jere. He was the soul of vitality, one of those people who radiated energy even when standing still and just listening. He was also part of the soul of recovery in this part of South Florida. I don’t know how much time he had, and it doesn’t matter, but he was an old timer when I first got to the rooms.

My wife was saying yesterday that early in her recovery (19 years tomorrow — congratulations, Honey!) she used to go to particular meetings because she knew Jere was often there and she loved to hear him share. And share he could, in that profound, simple, sincere and yet humorous way that marks people with good sobriety and a firm grasp of Rule 62. He was popular with the ex-cons in the rooms, and a much sought institutions speaker because of his own history of incarceration (for attempted bank robbery — a hilarious story that he delighted in telling at the least prodding) and for his appreciation of the burdens that prisoners and ex-prisoners bear in addition to their recovery issues.

Jere was a small, compact man, and he always surprised me because he seemed so much larger than life. We’d be talking, and I’d suddenly realize that he was dwarfed by my 6’3″ and 200+ pounds. Then, a few seconds later, the spell would descend again and he’d morph back into the giant we all knew and loved.

An ordained minister, for many years Jere worked as an anger specialist for the many treatment centers in this area. More than once I’ve seen tough Philadelphia street kids reduced to sobs — and, later, gratitude — by his gentle but effective approach. There is no doubt in my mind that he was responsible in large part for the successful entries into recovery of many dozens of newcomers, not only because of his therapeutic skills but also his sharing, abundant kindness, and wonderful example.

I last saw him at an AA wedding on the beach at Lantana. Jere didn’t officiate at that one, as he did at so many, but he was an honored guest just the same. We chatted a bit, then parted with a hug — unexpectedly the last of many. The beach is almost gone now, eroded away, and Jere is going with it. His vibrant voice is now stilled by his tracheotomy, his esophageal cancer has spread throughout his body, and his departure is overdue.

There’s a benefit being held for Jere in a couple of weeks at one of the clubs, but it will almost certainly be a memorial service instead — one of those where all the folks who knew him will talk about what he meant to them and to their recoveries. I’ll be there, and theres a lot I could say, but I don’t expect to be able to say very much. In fact, I may not be able to talk at all.

When I’m Sixty-Four

In honor of my birthday today, I’m publishing the lyrics to a pertinent song.  I’m happy to report that she still needs me, and still feeds me, and she sent me a valentine and birthday greeting.  (We skipped the bottle of wine.)  The Isle of Wight will have to wait a bit longer.

When I’m Sixty-Four
McCartney/Lennon

When I get older losing my hair

Many years from now

Will you still be sending me a valentine

Birthday greetings, bottle of wine?

If I’d been out till quarter to three

Would you lock the door?

Will you still need me, will you still feed me

When I’m sixty-four?

Every summer we can rent a cottage in the Isle of Wight

You’ll be older too

And if you say the word

I could stay with you

I could be handy, mending a fuse

When your lights have gone

You can knit a sweater by the fireside

Sunday mornings go for a ride

Doing the garden, digging the weeds

Who could ask for more?

Will you still need me, will you still feed me

When I’m sixty-four?

Every summer we can rent a cottage in the Isle of Wight

If it’s not too dear

We shall scrimp and save

Grandchildren on your knee

Vera, Chuck & Dave

Send me a postcard, drop me a line

Stating point of view

Indicate precisely what you mean to say

Yours sincerely, wasting away

Give me your answer, fill in a form

Mine for evermore

Will you still need me, will you still feed me

When I’m sixty-four?

A Few Words About This Blog

Some folks may have wondered why I don’t post more to this site.  There are actually several reasons. 

It’s hard to find high-quality material about addiction and recovery online.  I avoid posting links to commercial sites like treatment centers and halfway houses because (a) they don’t usually have anything new to say and (b) I don’t want to give the impression that I’m recommending a particular establishment.  I will not do that unless I know that they offer a program that meets my personal opinion of the way treatment ought to be run.  That is in line both with only writing about what I know and with giving my readers the best possible advice, both of which I try to adhere to at all times.

The same is true of blogs.  There are a lot of really good recovery-related blogs out there, but I can’t track down and read them all.  If you have suggestions, by all means, please make them in a comment — your site or others.  I’ll load the feed into a reader and keep track of it for a while, and consider linking to individual entries and possibly providing a sidebar link.  I do not trade links.  I only publish links to sites I consider useful and that exhibit good recovery, and I don’t want obligations — real or implied.

Finally, there is the issue of articles in the media.  Some of them are well-written, do not draw unwarranted conclusions, and are obviously by knowledgeable people writing about a subject that they at least researched with some care, if not one that they understand personally.  That covers about 5% of what’s available.  The rest are usually rushed to publication, report mainly what is obtained from press releases — often overlaid with the writer’s personal prejudices or misconceptions — and are of questionable value.

The same is true of articles about breakthroughs in the field.  There are literally thousands of studies in progress at any given time, and every one of them is likely to be a product of one of two systems: the publish or perish academic model, or the funded- by-a-drug-company-model.  That is understandable.  Someone has to pay for the research.  These studies are often excellent.  Taken out of context, however, they are also open to interpretations that are not necessarily within the parameters of the study, so one has to be careful, especially if not trained in statistics, research and the field in question.

In addition to the above, studies tend to be restricted to small populations and, when they are not, almost always have political implications that — again — make careful reading and interpretation important.

So, to put it as succinctly as I ever do, I don’t publish things I’m not sure of.  My purpose here is to be a source of information and support for other recovering alcoholics and addicts.  It is not site promotion, site hits, or volume of material.
Please check back from time to time or subscribe to one of the feeds.  When I find something useful or think of an idea I believe useful, you’ll see it here. 

And don’t forget to recommend good sites and blogs.  I will check ‘em out, I promise!

By the way, thanks for stopping by.

Nicotine In Recovery — Revisited

     I posted the remarks below, about whether or not a person is really in recovery if they’re still using nicotine, on TheSecondRoad.org.  Many people agreed with me, but some were absolutely vehement in their defense of smoking — or of having smoked well after they had ceased using other drugs.  People got so emotional about their right to continue to poison themselves, and these are folks who read blogs on recovery sites.
     There’s something different about nicotine addiction and the way people view it as opposed to other drugs.  It almost has to be the lack of perception of immediate harm, the “this won’t be the one that kills me” factor — truly insidious denial.  Along with that, I believe, goes the knowledge that giving up nicotine is truly throwing away the last crutch.  When you put down the smokes, or the last chaw, you’d better be ready to take recovery seriously, because that’s about all there is left, or so it must seem.
     Of course there are all sorts of addictive behaviors left, and when we can no longer mood alter at will we have no choice but to address them.  In addition to those remnants, there are substitute addictions and behaviors.  I chewed toothpicks for a couple of years after I quit smoking cigarettes, and did considerable damage to my teeth.  I also found myself with a chronic cough due to tiny splinters (and perhaps some chemicals in the wood) but I had to have that oral relief.  There cropped up, in addition, other forms of addictive behavior — some of which remain with me to this day.
     Tobacco use, especially smoking, is instant gratification to the nth degree: drugs delivered through the lungs reach the brain faster than any others except for those that are injected, and it is known that the faster a chemical affects the brain (the quicker the behavior is rewarded) the more addictive the substance.  Therefore we have a physical habit and ritual, one of the most addictive substances known, certain social behaviors, and nicotine withdrawal — all in one package.
     Quitting nicotine is serious recovery.

Continuing Addiction

Tobacco products are the only products legally sold in the United States that are known to be deadly when used as directed .

That being the case, how can anyone who is still using them claim to be in recovery from addiction?  

Addiction is addiction, and denial is denial.  Get over it.  I’m not saying you have to quit everything all at once, but if you’ve been off the sauce or drugs for more than a couple of years and are still smoking, don’t be bragging about how you’re a “recovered” addict.  You ain’t there yet, my friend.

And just in case you think I don’t know what it’s about — I smoked two packs a day for 30+ years.

Facts on Binge Drinking — CDC

Binge drinking is a common pattern of excessive alcohol use in the United States. The National Institute of Alcohol Abuse and Alcoholism defines binge drinking as a pattern of drinking that brings a person’s blood alcohol concentration (BAC) to 0.08 grams percent or above. This typically happens when men consume 5 or more drinks, and when women consume 4 or more drinks, in about 2 hours.1

Most people who binge drink are not alcohol dependent.

According to national surveys

  • Approximately 92% of U.S. adults who drink excessively report binge drinking in the past 30 days.2
  • Although college students commonly binge drink, 70% of binge drinking episodes involve adults over age 25 years.3
  • The prevalence of binge drinking among men is 2 times the prevalence among women.4
  • Binge drinkers are 14 times more likely to report alcohol-impaired driving than non-binge drinkers.3
  • About 90% of the alcohol consumed by youth under the age of 21 years in the United States is in the form of binge drinks.5
  • About 75% of the alcohol consumed by adults in the United States is in the form of binge drinks.5
  • The proportion of current drinkers that binge is highest in the 18- to 20-year-old group (51%).3

Binge drinking is associated with many health problems, including but not limited to

  • Unintentional injuries (e.g., car crashes, falls, burns, drowning).
  • Intentional injuries (e.g., firearm injuries, sexual assault, domestic violence).
  • Alcohol poisoning.
  • Sexually transmitted diseases.
  • Unintended pregnancy.
  • Children born with Fetal Alcohol Spectrum Disorders.
  • High blood pressure, stroke, and other cardiovascular diseases.
  • Liver disease.
  • Neurological damage.
  • Sexual dysfunction.
  • Poor control of diabetes.

Evidence-based interventions to prevent binge drinking and related harms6,7,8,9,10 include

  • Increasing alcoholic beverage costs and excise taxes.
  • Limiting the number of retail alcohol outlets that sell alcoholic beverages in a given area.
  • Consistent enforcement of laws against underage drinking and alcohol-impaired driving.
  • Screening and counseling for alcohol misuse.

References:

  1. National Institute of Alcohol Abuse and Alcoholism. NIAAA council approves definition of binge drinking. NIAAA Newsletter 2004; No. 3, p. 3. Available at http://pubs.niaaa.nih.gov/publications/Newsletter/winter2004/Newsletter_Number3.pdf (PDF). Accessed March 31, 2008.
  2. Town M, Naimi TS, Mokdad AH, Brewer RD. Health care access among U.S. adults who drink alcohol excessively: missed opportunities for prevention. Prev Chronic Dis [serial online] April 2006. Accessed March 31, 2008.
  3. Naimi TS, Brewer RD, Mokdad A, Clark D, Serdula MK, Marks JS. Binge drinking among US adults. JAMA 2003;289(1):70–75.
  4. Centers for Disease Control and Prevention. Behavioral Risk Factor Surveillance System prevalence data. Atlanta, GA: CDC. Available at www.cdc.gov/brfss. Accessed March 27, 2008.
  5. Office of Juvenile Justice and Delinquency Prevention. Drinking in America: Myths, Realities, and Prevention Policy. Washington, DC: U.S. Department of Justice, Office of Justice Programs, Office of Juvenile Justice and Delinquency Prevention, 2005. Available at http://www.udetc.org/documents/Drinking_in_America.pdf* (PDF). Accessed March 28, 2008.
  6. Babor TF, Caetano, R., Casswell S, et al. Alcohol and Public Policy: No Ordinary Commodity. New York: Oxford University Press; 2003
  7. The Community Guide. Alcohol Abuse and Misuse Prevention. Interventions Directed to the General Population. Atlanta, GA: Centers for Disease Control and Prevention, 2008. Available at http://www.thecommunityguide.org/alcohol/default.htm.* Date accessed: May 9, 2008.
  8. National Research Council and Institute of Medicine. Reducing Underage Drinking: A Collective Responsibility. Washington, DC: National Academies Press; 2004.
  9. U.S. Department of Health and Human Services. The Surgeon General’s Call to Action to Prevent and Reduce Underage Drinking. U.S. Department of Health and Human Services, Office of the Surgeon General; 2007. Available at http://www.surgeongeneral.gov/topics/underagedrinking/. Accessed May 9, 2008.
  10. U.S. Preventive Services Task Force. Screening and behavioral counseling interventions in primary care to reduce alcohol misuse: recommendation statement. Ann Intern Med 2004;140:554–556.

* Links to non-Federal organizations are provided solely as a service to our users. Links do not constitute an endorsement of any organization by CDC or the Federal Government, and none should be inferred. The CDC is not responsible for the content of the individual organization Web pages found at this link.

One or more documents on this Web page is available in Portable Document Format (PDF). You will need Acrobat Reader to view and print these documents.

Page last reviewed: August 6, 2008
Page last modified: August 6, 2008
Content source: Division of Adult and Community Health, National Center for Chronic Disease Prevention and Health Promotion

Addiction Doesn’t Discriminate? Wrong

An interesting take on the issue, even if you don’t completely agree.

The phrase “addiction doesn’t care” is not meant to remind us that addiction casts a long shadow — everyone knows that. Rather, it is supposed to suggest that any individual, no matter who, is vulnerable to the ravages of drugs and alcohol.

The same rhetoric has been applied to other problems, including child abuse, domestic violence, alcoholism — even suicide. Don’t stigmatize the afflicted, it cautions; you could be next. Be kind, don’t judge.

The democratization of addiction may be an appealing message, but it does not reflect reality. Teenagers with drug problems are not like those who never develop them. Adults whose problems persist for decades manifest different traits from those who get clean. …

Essay – Addiction Doesn’t Discriminate? Wrong – NYTimes.com