Twelve steps backward

Say you’ve been diagnosed with a serious, life-altering illness or psychological condition. In lieu of medication, psychotherapy, or a combination thereof, your doctor prescribes nightly meetings with a group of similarly afflicted individuals, and a set of 12 non-medical guidelines for recovery, half of which require direct appeals to God. What would you do?imgres-1

Writing in The Atlantic, Jake Flanagan states that “Especially to nontheists, the concept of “asking God to remove defects of character” can feel anachronistic. But it is the sixth step in the 12 Steps of Alcoholics Anonymous—the prototype of 12-step facilitation (TSF), the almost universally accepted standard for addiction-recovery in America today. “From its origins in the treatment of alcoholism, TSF is now applied to over 300 addictions and psychological disorders: drug-use, of course (Narcotics Anonymous), but also smoking, sex and pornography addictions, social anxiety, kleptomania, overeating, compulsive spending, problem-gambling, even “workaholism.”

“Although AA does not keep membership records—the idea being pretty antithetical to the whole “anonymity” thing—the organization estimates that as of January 2013, more than 1 million Americans regularly attended meetings with one of roughly 60,000 groups. Dr. Lance Dodes, a recently retired professor of psychiatry at Harvard Medical School, estimates about 5 million individuals attend one or more meetings in a given year. Indeed the 12-step empire is vast, but Dodes thinks it’s an empire built on shaky foundations. In his new book, released today, The Sober Truth: Debunking the Bad Science Behind 12-Step Programs and the Rehab Industry (co-written with Zachary Dodes), he casts a critical eye on 12-step hegemony; dissecting the history, philosophy, and ultimate efficacy of TSF, lending special scrutiny to its flagship program. “Peer reviewed studies peg the success rate of AA somewhere between five and 10 percent,” writes Dodes.

“About one of every 15 people who enter these programs is able to become and stay sober.” This contrasts with AA’s self-reported figures: A 2007 internal survey found that 33 percent of members said they had been sober for more than a decade. Twelve percent claimed sobriety for five to 10 years, 24 percent were sober for one to five years, and 31 percent were sober for under a year. Of course, those don’t take into account the large number of alcoholics who never make it through their first year of meetings, subsequently never completing the 12 steps (the definition of success, by AA’s standards). Continue reading “Twelve steps backward”

Cooking wine and kids

images-1Cooking wine has about double the alcohol as regular wine and can be bought by grocery store customers of any age.

 

Anyone have a problem with that?

According to the CBS Philadelphia, “Some teens are turning to the grocery store to get drunk, buying cooking wine. Cooking wine is readily available on most Pennsylvania grocery store shelves even though the alcohol-by-volume can be as high as 17 percent. It’s not regulated by the state liquor control board because it’s considered non-potable, loaded with so much salt that most people wouldn’t consider drinking it.

“A whole bottle of cooking wine is equivalent to three or four beers,” says Emily Rubin, a registered dietician with Jefferson University Hospital. Rubin says although the alcohol is the major concern among teens, a 12-ounce bottle of cooking wine carries nearly 1½ times the recommended daily allowance of sodium. “It is very high in sodium, so consuming that in conjunction with, if they’re eating a fast-food meal or pretzels or popcorn or snack food, they are eating close to 10,000 milligrams of sodium per day.” Which, she warns, could be a problem in the long term, especially if there’s a family history of high blood pressure, kidney disease, or liver disease.

 

More at: http://philadelphia.cbslocal.com/2013/12/02/local-expert-warns-of-underage-drinkers-consuming-cooking-wine/

College women drinking

imagesYesterday, Slate writer Emily Yoffe published a story on the importance of teaching college women that binge drinking raises their risk of being raped. It was a story your mom probably would have approved of—prescriptive, groaningly fuddy-duddyish (“it’s possible to have fun without being drunk”), with the cadences of a health education video, writes Emily Matchar in today’s edition of The Atlantic:

“But the basic point seemed to me indisputably sensible: College-aged women should be taught that moderating their alcohol use is an important tool in staying safe from sexual assault. In this age of beer pong and Jäger bombs, when 64 percent of college women drink more than the recommended weekly amount, this seems well worth repeating.

“The Internet, apparently, did not agree. Within hours of publication, the story was generating furious responses. The popular blog Feministing called the piece a “rape denialism manifesto,” and accused Yoffe of “blaming women for their own rapes.” Salon called the piece “rape apologia,” and said Yoffe was helping promote “rape culture.” Writer Jessica Valenti tweeted, “I hope Emily Yoffe can sleep well tonight knowing she made the world a little bit safer for rapists.” These responses are distressing. The link between drinking and the risk of sexual assault is indisputable. And teaching women this fact should be seen as empowering, not victim-blaming.

“As Yoffe wrote, sexual assault is horrifyingly common on college campuses. A full 20 percent of college women will be sexually assaulted before graduation (men are not immune either; 1 in 10 rape victims are male). Eighty percent of the time, alcohol will be involved. “Most sexual assaults occurred after women voluntarily consumed alcohol,” reported a study in theAmerican Journal of College Health. Another study published in the Journal of Studies on Alcohol and Drugs showed that colleges with the most drinking had the highest rates of sexual assault. Continue reading “College women drinking”

Stunning findings about addiction treatment

Intensive drug and alcohol treatment may be no more effective than a single appointment, according to a new study reported today in Journal of the American Medical Association.

WebMD reports that “Results of the year-long study are likely to disappoint those who believe treating addiction more like a chronic disease — with a systematic approach and follow-up — is the better way to go.

“We were completely surprised by the result,” said lead researcher Dr. Richard Saitz, a Boston University professor of medicine and epidemiology. “We put everything into this, and we were surprised that even doing that didn’t lead to differences compared to not doing any of it.”

“In the study of nearly 600 adult substance abusers, those receiving chronic care management got intensive medical care at a primary-care clinic plus relapse-prevention counseling and addiction and psychiatric treatment. Others in the study had one medical visit at which they received a list of addiction-treatment resources.

“After 12 months, 44 percent of those in the chronic care management group had stopped drinking or using drugs, as did 42 percent of those not receiving intensive care, the researchers said. Despite these similar findings, Saitz said he still believes chronic care management can be useful for some addictions. However, “we don’t want people to assume that it’s going to be effective when applied everywhere for every person,” he said. More work is needed to determine the best way to use chronic care management and to identify those who will benefit most from the approach, he said.

“We have to recognize that people with drug or alcohol addictions may be different and it’s not one monolithic disorder,” Saitz said. “I do think that integrated chronic care management, in the future, is going to be efficacious for people with addictions.”The report was published in the Sept. 18 issue of the Journal of the American Medical Association. Advocates of chronic care management point out that many substance abusers suffer serious health consequences but receive poor care. By addressing medical, emotional and dependence issues in a coordinated manner, patients would achieve better results, the thinking goes. One expert thinks motivation is the key to any program to treat addiction. People who are motivated are most likely to start and stick with a program or join a clinical trial, said Dr. James Garbutt, a professor of psychiatry at the University of North Carolina at Chapel Hill. “That’s an important point because that’s saying they already wanted to make some changes,” Garbutt said. “That’s a huge step in substance-abuse treatment.” Continue reading “Stunning findings about addiction treatment”

Hangovers lessen with age

Here’s some good news for anyone who’s ever woken up fuzzy-headed and bleary-eyed after a night of heavy boozing: imgresNew research suggests that hangovers fade with age, reports WebMD:

“A large study of Danish people finds that hangover symptoms are much less likely to strike people aged 60 and older compared to their younger counterparts.

“But don’t start dreaming of post-retirement pub-crawling without pesky consequences the day after. It’s unclear why older people might suffer from fewer hangovers. They might be savvier about how to avoid them, or they might simply be more tolerant of alcohol consumption. A combination of factors could also be at play.

“Whatever the case, the research is important for more than what it says about the effects of drinking over a lifetime, said study co-author Richard Stephens, a senior lecturer in psychology at Keele University, in England. Scientists know that people who get the worst hangovers are more likely to become alcoholics, he said, possibly because drinkers who get them try the “hair-of-the-dog” approach and drink more the day after.

” If people become less likely to develop alcoholism as they age, they should have fewer hangovers too, Stephens said, “and that is what we found.”Although scientists seem to be fascinated by alcohol and its effects on the body, they haven’t spent much time studying hangovers. Never mind that they’re very common, affecting an estimated half of people when their blood alcohol level reaches 0.11 percent, which is too drunk to drive legally in the United States. For reasons that aren’t clear, an estimated 20 percent to 25 percent of people are immune to hangovers. Research suggests that smoking, on the other hand, makes hangovers worse. In the new study, researchers examined the results of surveys of nearly 52,000 people aged 18 to 94 in Denmark. Continue reading “Hangovers lessen with age”

The kids may not be all right

Despite recent gains against substance abuse by American teens, hundreds of thousands of them use marijuana and alcohol on a given day, U.S. health officials reported Thursday.images

On a typical day, WebMD reports, “an estimated 881,684 kids aged 12 to 17 smoke cigarettes, 646,707 use marijuana and 457,672 drink alcohol, according to a report by the U.S. Substance Abuse and Mental Health Services Administration (SAMHSA).

“The number of teens smoking pot on a given day could almost fill the 250,000-seat Indianapolis Speedway two and a half times, the report pointed out.

“This data about adolescents sheds new light on how deeply substance use pervades the lives of many young people and their families,” SAMHSA administrator Pamela Hyde said in an agency news release. “While other studies indicate that significant progress has been made in lowering the levels of some forms of substance use among adolescents in the past decade, this report shows that far too many young people are still at risk.”

“The report also said that on an average day:

  • 7,639 kids aged 12 to 17 drink alcohol for the first time,
  • 4,594 use an illicit drug for the first time,
  • 4,000 use marijuana for the first time,
  • 3,701 smoke cigarettes for the first time,
  • 2,151 misuse prescription pain relievers for the first time. Continue reading “The kids may not be all right”

Cigarette taxes reduce drinking

Higher cigarette taxes help reduce drinking among certain groups of people, reports WebMD..

“To assess the impact that increases in cigarette taxes between 2001-02 and 2004-05 had on drinking behavior, researchers analyzed data from more than 21,000 drinkers who took part in a survey from the National Institute on Alcohol Abuse and Alcoholism.images

The cigarette tax increases were associated with modest to moderate reductions in drinking among “vulnerable groups,” according to the study, which was published in the journal Alcoholism: Clinical & Experimental Research.

“Results suggest that increases in cigarette taxes were associated with reductions in alcohol consumption over time among male smokers,” corresponding author Sherry McKee, an associate professor of psychiatry at Yale University School of Medicine, said in a journal news release. “The protective effects were most pronounced among subgroups who are most at risk for adverse alcohol-related consequences, including male heavy drinkers, young adults and those with the lowest income.”

“Smoking and heavy drinking occur together at very high rates, McKee said, noting that tobacco can enhance the subjective effects of alcohol and has been shown to increase the risk for heavy and problematic drinking. Cigarette taxes, meanwhile, have been recognized as one of the most significant policy instruments to reduce smoking, McKee said. “By increasing the price of cigarettes, taxes are thought to encourage smokers to reduce their use of cigarettes or quit altogether, and discourage non-smokers from starting to smoke,” she said. Continue reading “Cigarette taxes reduce drinking”

Male and female alcohol recovery differences

Alcohol abuse does its neurological damage more quickly in women than in men, new research reported in Scientific American suggests.

“The finding adds to a growing body of evidence that is prompting researchers to consider whether the time is ripe for single-gender treatment programs for alcohol-dependent women and men.

“Over the past few decades scientists have observed a narrowing of the gender gap in alcohol dependence. In the 1980s the ratio of male to female alcohol dependence stood at roughly five males for every female, according to figures compiled by Shelly Greenfield, a professor of psychiatry at Harvard Medical School. By 2002 the “dependence difference” had dropped to about 2.5 men for every woman. But although the gender gap in dependence may be closing, differences in the ways men and women respond to alcohol are emerging. Writing in the January 2012 issue ofAlcoholism: Clinical and Experimental Research, principal investigator Claudia Fahlke from the Department of Psychology at the University of Gothenburg in Sweden and her colleagues found that alcohol’s ability to reduce serotonin neurotransmission, was “telescoped” in alcoholic women compared with their male counterparts. Continue reading “Male and female alcohol recovery differences”

Alcoholism as disability

If alcoholism is a disease, as most professionals in the treatment industry assert – then shouldn’t those who get in trouble with the law for alcohol-related reasons be treated as “ill” rather than “criminal.”?

LifeHealth reports that “A police officer fired for driving drunk in an unmarked police car while off-duty has filed a $6 million lawsuit against the city of Gresham, the police chief and others, alleging his rights were violated under the Americans with Disabilities Act (ADA).imgres-1

“The lawsuit filed in Portland alleged the officer, Jason Servo, was suffering from alcoholism, a recognized disability under the act, and shouldn’t have been dismissed.The suit also alleged Servo was denied due process, and the police union failed to represent him adequately. Continue reading “Alcoholism as disability”

Raising drinking costs saves lives

imgres-3Research published in Canada has linked the introduction of minimum pricing with a significant drop in alcohol-related deaths.

The findings, in the journal Addiction, were welcomed by health campaigners but they have been criticised as “misleading and inaccurate” by the drinks industry, which has questioned the statistical basis of the research, reports the BBC today

“The Scottish government’s plans to introduce a minimum unit price are on hold pending a court challenge. The researchers said a rise in alcohol prices of 10% had led to a 32% reduction in alcohol-related deaths. The Canadian study was carried out between 2002 and 2009 in British Columbia, where alcohol could only be sold directly to the public in government-owned stores. It suggests that, when drink prices rose, there were “immediate, substantial and significant reductions” in deaths wholly attributable to alcohol abuse. The authors suggest increasing the price of cheaper drinks reduces the consumption of heavier drinkers who prefer them.

“Dr Tim Stockwell, director of the University of Victoria’s Centre for Addictions Research of British Columbia, said: ‘This study adds to the scientific evidence that, despite popular opinion to the contrary, even the heaviest drinkers reduce their consumption when minimum alcohol prices increase. “It is hard otherwise to explain the significant changes in alcohol-related deaths observed in British Columbia.’ During the period under study, the law changed in Canada, permitting private liquor stores to open. A 10% growth in the number of such outlets was associated with an increase (2%) in all alcohol-related deaths. This is the first study to highlight the effects on mortality of alcohol minimum pricing, although the Scottish government has used previous research from the University of Sheffield to claim consumption of alcohol would be reduced if prices rose.”

 

Full story at BBC: http://www.bbc.co.uk/news/uk-scotland-21358995

 

 

Diet soda + booze = drunk

Looking to cut back on the calories in your cocktail by mixing, say, diet soda and rum? Well, get ready for the buzz.

“According to the results of a new study, this combination will leave you drunker than if you’d mixed the liquor with a sugary, caloric mixer,” reports NPR today

“’Alcohol, consumed with a diet mixer, results in higher (BrAC) Breath Alcohol Concentrations as compared to the same amount of alcohol consumed with a sugar-sweetened mixer,’ says Cecile Marczinski, a cognitive psychologist who authored the new study.imgres-2

Why? Turns out that sugar slows down the absorption of alcohol from the stomach to the bloodstream. Continue reading “Diet soda + booze = drunk”

Bad habits cause more cancer in men

These days men die five years younger than women, typically expiring at 76  as women live to 81. For the longest time the leading reason was heart disease. But now things are changing. As todays’ Guarding reports:

“Men are 35% more likely to die

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from cancer than women, with men’s drinking and eating habits, late diagnosis and advances in breast cancer treatment cited for the stark differential.

An analysis of the most recent UK deaths from cancer found that 202 out of every 100,000 men died from cancer in 2010 compared with 147 per 100,000 women.

“When sex-specific forms of the disease are excluded, such as prostate, testicular and ovarian cancer, the gender gap is even wider, with men 67% more likely to die. And when only working age people are looked at men under 65 have a 58% greater chance of dying than women of the same age. The sexes’ respective likelihood of death varies depending on the type of cancer. Men are almost three times as likely as women to die of oesophageal cancer and almost twice as likely to die from liver cancer.

The figures come from a new report produced by Cancer Research UK (CRUK), the Men’s Health Forum (MHF) and the National Cancer Intelligence Network, called “Excess cancer burden in men”, which is published on Tuesday at an MHF conference. It has prompted calls for men to adopt healthier lifestyles and the NHS to do more to spot cancer in men earlier.

“There are a variety of potential explanations for the difference. “The reasons for the increased risk of cancer in men versus women are not completely understood but experts believe that lifestyle is important. Men are more likely to drink alcohol and be overweight, and in the past they were more likely to smoke. All three are significant risk factors for a range of cancer types,” said a separate men’s cancer briefing, produced by CRUK and also released on Tuesday.

“Ciaran Devane, chief executive of Macmillan Cancer Support, said the stark difference was alarming. He highlighted late diagnosis as a key factor and cited the fact that 24% of men with prostate cancer visited their GP at least three times before their disease was identified, compared with 8% of women with breast cancer, according to the National Cancer Experience Survey. In 2011 CRUK estimated that 45% of all cancers in men could be prevented if men stopped smoking, ate a healthier diet, drank less and weighed less.”

 

For more, see: http://www.guardian.co.uk/society/2013/jan/29/men-cancer-deaths-greater-women

 

Lacking love, bugs choose booze

imgres-3“A male, his affections spurned by a female that he’s attracted to, is driven to excessive alcohol consumption. The story may be familiar, but in this case, the lead characters aren’t humans — they’re fruit flies.”

In a study conducted by researchers at the University of California, San Francisco (UCSF), it appears that  “that like their Homo sapiens counterparts, male members of the species Drosophila melanogaster tend to, for lack of a better term, “get drunk” after being rejected by females, reports RedOrbit. “Fruit flies apparently self-medicate just like humans do, drowning their sorrows or frustrations for some of the same reasons,” Carey wrote on Thursday.

“Male fruit flies that were rejected “preferred food spiked with alcohol far more than male flies that were able to mate” and drank “significantly more alcohol” than those who successfully mated, leading researchers to believe that “alcohol stimulates the flies’ brains as a ‘reward’ in a similar way to sexual conquest,” he added. Continue reading “Lacking love, bugs choose booze”

Russia cuts back on beer

Few subjects prompt keener interest or deeper philosophical rumination in Russia than alcohol, and those that do are invariably discussed over drinks. Today’s New York Times reports that “In Russia, which has one of the world’s highest rates of alcoholism and alcohol-related illness, vodka remains the top choice.imgres-1 But beer is not far behind. The average Russian drinks more than four gallons of alcohol a year.” As the story continues:

“The new law, which took effect on Jan. 1, aims to reduce those numbers. It bans beer sales from kiosks entirely, and in other stores between 11 p.m. and 8 a.m. And as with increased taxes on alcohol in recent years, it aims to curb public drinking, particularly the casual drinking in city parks and snow-covered promenades that can begin before breakfast and end after midnight. Continue reading “Russia cuts back on beer”

On drinking oneself blind

To put aside one urban myth,  alcohol sold legally for drinking purpose will not cause blindness, although it can kill you in sufficient quantity. But blindness can and does occur from mythl alcohol and various ‘moonshine” concoctions. As Slate reports,

“A New Zealand man recently went blind after drinking lots of vodka while on diabetes medication. Thankfully, doctors were able to restore his sight by administering him Johnnie Walker Black Label whiskey. Can you really drink yourself blind? Continue reading “On drinking oneself blind”

Drinking patterns seem to be changing

Ace Metrix® today announced the Brand of the Year Watch List, a compilation of the leading TV brand advertisers in 2012 covering the automotive (luxury and non-luxury), beverages (alcoholic and non-alcoholic), candies & snacks, financial services, general business, household, insurance, packaged foods, personal care, restaurants, retail, technology (including computer hardware & software, mobile devices, and video games), and telecommunications industries.  The top five brands in each industry can be seen below and at acemetrix.com.

“This year’s race for Brand of the Year has been impacted by several factors, including the state of the economy, events like the Olympics, as well as just plain old clever marketing strategies that have boosted some brands significantly, particularly in the beverage, restaurant, technology, and general business sectors,” said Peter Daboll, CEO of Ace Metrix. “One key example of an economic influence on brand choice is in the restaurant sector, which has seen stellar performance this year with every advertiser in the Top 5 achieving an average Ace Score in the 600s.  Casual dining restaurants, which have seen the highest scores, represent a small luxury that Americans can indulge in, with many of the ads touting value as a key selling point.”

Other leading themes seen this year in the race for Brand of the Year include:

Beverages

  • Big U.S. beer brands like Budweiser, Miller and Coors are noticeably absent from the list of front-runners for alcoholic beverage Brand of the Year.  On the other hand, craft brewers such as Blue Moon and Samuel Adams have performed exceptionally well this year and are featured prominently on the Watch List.  This is a stark comparison to the beer brands that led the Most Effective list in 2011, including Budweiser, Bud Light, Miller Lite, and Coors Light.
  • Soda brands have faltered in 2012, with brands like Pepsi and Dr. Pepper falling out of Watch List contention.  Aside from the iconic Coca-Cola brand (also a Summer Olympic sponsor), three of the top five non-alcoholic brands thus far are non-soda drinks,­ including Ocean Spray, Tropicana and Gatorade.

 

For complete story, see: acemetrix.com.