WHAT IS ALCOHOLISM / ADDICTION?

BIBLICAL DEFINITION : Proverbs 23:29-35 NIV

29 Who has woe? Who has sorrow? Who has strife? Who has complaints? Who has needless bruises? Who has bloodshot eyes?	Questions
30 Those who linger over wine, who go to sample bowls of mixed wine.	Answer: Those PREOCCUPIED WITH ALCOHOL
31 Do not gaze at wine when it is red, when it sparkles in the cup, when it goes down smoothly! 32 In the end it bites like a snake and poisons like a viper.	WARNING!
33 Your eyes will see strange sights and your mind imagine confusing things.	Hallucinations and confusion Alcohol withdrawal delirium
34 You will be like one sleeping on the high seas, lying on the top of the rigging.	Dizziness, Confusion
35 "They hit me" you will say, "but I'm not hurt!	Analgesia - unable to feel pain
They beat me, but I don't feel it!	DENIAL
When will I wake up so I can find another DRINK?	IMPAIRED CONTROL

CURRENT DEFINITION: AMERICAN SOC.OF ADDICTION MEDICINE

"ALCOHOLISM is a DISEASE	Proverbs 23:29-35
characterized by CONTINUOUS or PERIODIC	Gal 5:21, ICor.6:10
IMPAIRED CONTROL over drinking,	Romans 7:18
PREOCCUPATION with the drug alcohol	Matt.22:37, Matt. 6:24 (Idolatry)
use of alcohol despite ADVERSE CONSEQUENCES,	Prov 23:20,21; Prov 23:32
and distortions of thinking most notably DENIAL"	Eph 4:17-19, Matt 23:25-28

DICTIONARY DEFINITION:

(Latin) Addictus, Devoting or surrendering one's life, giving self to some habit or substance, loosing one's soul,being caught or hooked.

CAGE QUESTIONNAIRE: Developed by Dr. John Ewing

1. Have you ever felt like you ought to CUT down on your drinking?

2. Have people ANNOYED you by criticizing your drinking?

3. Have you ever felt bad or GUILTY about your drinking?

4. Have you ever had a drink first thing in the morning to steady your nerves or get rid of a hangover? (EYE-OPENER)

One Yes: Suspicion of Alcohol Abuse Two or more: Alcohol Abuse Yes for #4:Alcohol Dependence

YOU MAY BE AN ALCOHOLIC IF......

1. If on the way to the bathroom someone steps on your hand.

2. If the first thing you do in the morning is to check your car for new dents (once you can find it).

3. If you lose arguments with inanimate objects.

4. If you have to hold onto the lawn to keep from falling off the earth.

5. If your doctor finds traces of blood in your alcohol stream.

6. If the back of your head keeps getting hit by the toilet seat.

7. If the parking lot seems to have moved while you were in the bar.

8. If your job keeps interferring with your drinking.

9. If you go to donate blood and they ask you what proof you are.

10. If you keep falling off the floor.

11. If your only friends are Jack, Johnnie, and Jose.

12. If vomiting becomes a relief.

13. If you come to and find out your new best friend is a statue in the park.

14. If your garage looks like a recycling center.

15. If you are laughing at this.

CRITERIA FOR DIAGNOSIS OF SUBSTANCE DEPENDENCE: DSM-IV VS ICD

DSM-IV	ICD
1. TOLERANCE - need more for same effect	Same (4)
2. WITHDRAWAL SYNDROME	Same (3)
3. Taken in larger amounts or over a longer time than planned.	Difficulty in controlling use onset,level,or end (2)
4. Persistent desire / compulsive use, unsuccessful control of use	Strong desire or compulsion to use (1)
5. Much time spent in obtaining, using, or recovering from use.	No similar criteria here
6. Important social,occupational,recreational activities given up.	Neglect of alternative pleasures or interests (5)
7. Continued use despite adverse physical and/or psychological problems	Persistant use with clear harmful consequences (6)

CRITERIA FOR SUBSTANCE USE DEPENDENCE ICD-10
INTERNATIONAL CLASSIFICATION OF DISEASES (WORLD HEALTH ORGANIZATION)

1. A strong desire or sense of compulsion to take the substance

2. Difficulties in controlling substance-taking behavior in terms of its onset, termination, or level of use

3. A physiological WITHDRAWAL state when substance use has ceased or been reduced, as evidenced by the characteristic withdrawal syndrome for the substanceor use of the same (or closely related) substance with the intention of relieving or avoiding withdrawal symptoms

4. Evidence of TOLERANCE that requires increased doses of the psychoactive substances in order to achieve effects originally produced by lower doses

5. Progressive neglect of alternative pleasures or interests because of psychoactive substance use, or increased amounts of time necessary to obtain, take, or recover from the substance's effects

6. Persistance in the use of the substance despite clear evidence of harmful consequences, such as harm to the liver through excessive drinking, depresssive mood states consequent to periods of heavy substance use, or drug-related impairment of cognitive functioning