(A message I sent family on 26 April 2006.)

Disease, or sin?

To the best of my knowledge, the “disease theory of alcoholism” began with Dr. Robert Silkworth, at the time of St. Thomas Hospital in Akron, Ohio, coincident with the beginnings of A.A. “Dr. Bob” referred to the condition as an “allergy”; for whatever reason, these folks’ bodies respond to this substance differently than others’ do.

This theory and its ramifications are, today, largely taken for granted throughout the scientific world. Whatever the disease’s cause, behavioral strategies are needed, too, if the subject is to manage the disease and live a normal life. The same is just as true of diabetes or near-sightedness or hay fever.

The competing view, that drinking problems reflect sin or some kind of moral deficiency, still has its grip on the popular mind. The predicaments that problem drinkers create for themselves and for others, are bad enough in and of themselves without the added burden of this stigma. My late father insisted until his last lucid day, that it was all a question of “will power.” I remember visiting Mom at home sometime prior to 1990, and finding on the bookshelf different books by Hazen G. Werner, an Ohio Methodist bishop whom my father fervently admired, and finding certain passages that my father had marked wherein the author discounted the disease theory and blamed it all instead on, as it were, sin. I shook my head at the untold, needless damage such words do.
Continue reading Alcoholism basics →