Dear richard,
you write:
“but jurriaan, it would be hard for any person who has worked in this field for any length of time at all to overlook the fact that most alcoholics die wet. They die wet after being subject to the finest medical care available.”
i, too, have spent my professional career for at least thirty years in the addiction recovery industry. I fully understand the frustration that drug counsellors have, when they see their clients go off the rail after many years of sobriety.
I can assure you that most members of the the medical profession have no clue as to what causes addiction. Doctors are drug oriented and look for pharmaceutical solutions to mental problems. Thus there is no such thing as “the finest medical care”.
“a man, having seemingly beaten this disease, been the beneficiary of all you or I have to offer, having gotten his life back, and having no apparent reason to resume drinking, hasn’t had a drink in weeks, months, or years, will take that first drink.
Why would he do that? When he knows that to drink or drug is to throw”
the reason why he would do that is because a dry alcoholic has problems producing serotonin, and this makes him feel depressed without knowing why. By drinking alcohol and providing the biological energy derived from alcohol he will experience a fleeting moment of sanity and happiness once again.
“the figures I have heard state that approximately 5% to 8% of the general population, give or take a point or two have a unique reaction to alcohol. It sets us free.’
i am not sure about these statistics but is true that alcoholics metabolize alcohol in a different way from non-alcoholics. Please search our web site for “thiq” for more information.
The reason why there is such a low recovery rate among addicts is that professionals in the field have a poor understanding of the biochemistry of addiction.
I have explained why alcoholics choose alcohol as their source of energy in:
“why hypoglycemics choose alcohol as their preferred source of energy”
at our web site.
I agree that nutritional biochemistry or human biochemistry is a very complex matter, but we could possibly simplify it by claiming that depression - and for that matter many form of mental illness including addiction - is a disease of energy production.
Thus we could reduce the whole problem of mental illness to the fact that the victim of mental illness has problems synthesizing the ‘feel-good’ neurotransmitters such as serotonin and dopamine and others.
Thus unless we can restore a person’s capacity to produce these neurotransmitters from normal food sources, that person will be depressed and is likely resort to other chemical sources to produce these essential neurotransmitters to give him a sense of normality.
The key concept is biological energy. The brain, although 2 per cent of the body, requires about 80 per cent of that energy to carry out the multitude of biochemical reactions for a healthy brain to convert one molecule to another; for instance convert the protein unit of tryptophan to the neurotransmitter, serotonin. Many other nutrients are also required to complete that task. This energy is required at any time, whether we are asleep or awake.
Thus a person who has problems absorbing and metabolizing glucose, as the universal source of biological energy, will inevitably produce inadequate amounts of energy to the brain.
The major reason for this obstruction in glucose absorption is insulin resistance - also called hypoglycemic syndrome. Insulin resistance means that the receptors for insulin fail to push glucose (and other nutrients) across cell membranes and thus prevents the conversion of glucose to biological energy. This has quite a few biochemical consequences that have been explained at the web site. But the end result is that the brain will be subjected to unstable blood sugar levels, with glucose concentrations going up and down.
Whenever the brain senses an energy starvation following a hypoglycemic dip - threatening the very survival of brain tissues in a matter of minutes - the brain will trigger the release of stress hormones - mainly adrenaline and cortisol. These hormones function to increase glucose from sugar stores in the body, so as to feed the brain again. But they also may cause the symptoms of mental illness
thus we may see how a dry drunk, sober, but extremely unhappy and depressed, suffering unexplainable mood swings (due to starvation of serotonin and excess adrenaline) dreams of the good old days when he felt happy and carefree during his drinking days.
It is no wonder that he is bound to relapse. No amount of talk therapy or ‘spirituality’ can overrule his underlying biochemical needs for serotonin and dopamine. His faulty biochemistry is his “power greater than himself”.
Thus the main reason why so many addicts fail to respond to treatment is that most mainstream doctors, psychologists and drug counsellors have no clue as to the underlying biochemical forces that control the addict’s personality and therefore cannot help him when they are most needed - after initial detoxification!
One explanation for this sorry state of affairs is that the prevailing view among counsellors and addicts is that the cause of of drug addiction is the drug. Thus if an addict stops using his drug he is cured!
Most drug counsellors do not fully understand that the hypoglycemic diet is not just a healthy diet, but a special diet, specifically aimed at overcoming hypoglycemia - a common feature of addicts - and that it helps to normalize blood sugar levels and stress hormones. It also supplies missing nutrients and coenzymes, such as zinc, magnesium, vitamin c, b6, omega-3 fatty acids, that are known to be deficient in addicts.
It is difficult to get the message across that if we have an abnormal biochemistry, it will produce ‘abnormal psychological’ experiences, that should not be confused with the causes of mental illness. The causes of mental illness is biochemical - not mental, not psychological, not spiritual.
We can only consider the mental and spiritual aspects of life when we have a healthy brain capable of providing the right neurotransmitters that gives us the ‘free will’ to decide and choose what we want to believe in.
(it is very annoying to see that this forum does not recognize standard english; i.E., no capitals when needed etc.)
jurriaan plesman, ba(psych), post grad. Dip. Clin. Nutr.