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A Scientist Speaks Out

DISCLAIMER: Cogniventus.com has neither been approved or endorsed by, and is not affiliated with, Alcoholics Anonymous World Services, Inc. or any service entity of A.A.W.S., Inc. This website’s currently Featured Project, “100 Years of Extravagant Promises,” is not AA Conference-Approved Literature; it is non-fiction commentary submitted here as single-use, not to be used commercially, and cites, for educational purposes, limited sections of the 1955 2nd Edition of Alcoholics Anonymous which has been in Public Domain since 1983.

Sponsor’s Note: Much has passed in the 80 years since The Doctor gave his Opinion, and between my Sponsor and I, we have witnessed all 80 years of that history. Since Aristotle weighed in over 2000 years ago, the discussion about what alcoholism is has been in constant flux, with the labels of “disease,” “choice,” and “sin” always jockeying for top position. In trading a moral model for a medical model, we have just traded one shame for another—a stigma remains. If alcoholism is delusion rather than disease, accident rather than choice, spiritual quest rather than sin, then alcoholism is the drunken canary in the coal mine that is sending humanity a frightening message. And no one seems to be listening.

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The Doctor’s Opinion

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

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WE OF the New Founders Movement of Alcoholics Anonymous know that the reader will benefit from a scientific evaluation of the “medical estimate of the plan of recovery” given in on “The Doctor’s Opinion” in the Big Book. In the Scientist’s own words:

Why a Scientist’s opinion instead of a Doctor’s? As of this writing, the “brain disease” model of alcoholism holds ascendancy within the community of treatment professionals, and it has for several years. Whether some other version of the disease model supplants the current one by the time this goes to press is of no concern. What characterizes proselytizers of the disease model—past, present, and future—is their need to claim authority for their position, and for that they turn to Science. The errant mantra “Science has proven that alcoholism is a disease” has become an unfortunate discussion stopper for those who do not understand what Science really is or what Science really does. It is to the misguided use of science as support for the disease model that a Scientist can, and should, speak out.

But do not take as authoritative anything I say. An undergraduate degree in Biology and a graduate degree in Chemistry does not make me a scientist. Twenty-five years of professional experience at solving scientific problems do not make me a Scientist. I am a Scientist because my heart and my mind burn with the Francis Bacon’s divine fire to resolve and separate nature—to understand the difference between what is real and what is appearance. And I bring that same sense of exploratory optimism to a personal life that

© 2019 Michael V. Cossette

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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.

The physician who, at our request, gave us this letter, has been kind enough to enlarge upon his views in another statement which follows. In this statement he confirms what we who have suffered alcoholic torture must believe-that the body of the alcoholic is quite as abnormal as his mind. It did not satisfy us to be told that we could not control our drinking just because we were maladjusted to life, that we were in full flight from reality, or were outright mental defectives. These things were true to some extent, in fact, to a considerable extent with some of us. But we are sure that our bodies were sickened as well. In our belief, any picture of the alcoholic which leaves out this physical factor is incomplete.

The doctor’s theory that we have an allergy to alcohol interests us. As laymen, our opinion as to its soundness may, of course, mean little. But as ex-problem drinkers, we can say that his explanation makes good sense. It explains many things for which we cannot otherwise account.

Though we work out our solution on the spiritual as well as an altruistic plane, we favor hospitalization for the alcoholic who is very jittery or befogged. More often than not, it is imperative that a man’s brain be cleared before he is approached, as he has then a better

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includes a bells-and-whistles, white-light, shout-it-from-the rooftops, instantaneous and permanent removal of a constant impulse to drink that plagued my early adulthood.

Any Scientist looking at the medical model of addiction must also be willing to look at its existential dimension, without which no picture of addiction is complete. The same insatiable thirst to ask questions, to look for causes, to propose solutions, and to test those solutions in the laboratory, must persist when that laboratory is daily life.

…transcription to be continued…MVC

© 2019 Michael V. Cossette

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chance of understanding and accepting what we have to offer.

The doctor writes:

The subject presented in this book seems to me to be of paramount importance to those afflicted with alcoholic addiction.

I say this after many years’ experience as Medical Director of one of the oldest hospitals in the country treating alcoholic and drug addiction.

There was, therefore, a sense of real satisfaction when I was asked to contribute a few words on a subject which is covered in such masterly detail in these pages.

We doctors have realized for a long time that some form of moral psychology was of urgent importance to alcoholics, but its application presented difficulties beyond our conception. What with our ultra-modern standards, our scientific approach to everything, we are perhaps not well equipped to apply the powers of good that lie outside our synthetic knowledge.

Many years ago one of the leading contributors to this book came under our care in this hospital and while here he acquired some ideas which he put into practical application at once.

Later, he requested the privilege of being allowed to tell his story to other patients here and with some misgiving, we consented. The cases we have followed through have been most interesting; in fact, many of them are amazing. The unselfishness of these men as we have come to know them, the entire absence of profit motive, and their community spirit, is indeed inspiring to one who has labored long and wearily in this alcoholic field. They believe in themselves, and still more in the Power which pulls chronic alcoholics back from the gates of death.

Of course an alcoholic ought to be freed from his physical

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© 2019 Michael V. Cossette

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craving for liquor, and this often requires a definite hospital procedure, before psychological measures can be of maximum benefit.

We believe, and so suggested a few years ago, that the action of alcohol on these chronic alcoholics is a manifestation of an allergy; that the phenomenon of craving is limited to this class and never occurs in the average temperate drinker. These allergic types can never safely use alcohol in any form at all; and once having formed the habit and found they cannot break it, once having lost their self-confidence, their reliance upon things human, their problems pile up on them and become astonishingly difficult to solve.

Frothy emotional appeal seldom suffices. The message which can interest and hold these alcoholic people must have depth and weight. In nearly all cases, their ideals must be grounded in a power greater than themselves, if they are to re-create their lives.

If any feel that as psychiatrists directing a hospital for alcoholics we appear somewhat sentimental, let them stand with us a while on the firing line, see the tragedies, the despairing wives, the little children; let the solving of these problems become a part of their daily work, and even of their sleeping moments, and the most cynical will not wonder that we have accepted and encouraged this movement. We feel, after many years of experience, that we have found nothing which has contributed more to the rehabilitation of these men than the altruistic movement now growing up among them.

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

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© 2019 Michael V. Cossette

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© 2019 Michael V. Cossette

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