1938 Original Manuscript for 1939 1st Edition BigBook Searchable 1976 3rd Edition BigBook On-Line
The Prescription
Click The Images To Go To Page Indicated

The Phenomenon of Craving
By Barefoot Bill L. from Upper Darby, PA

The Big Book on page xxiv (The Doctor's Opinion) says that an alcoholic has an "allergy to alcohol". An allergy is an abnormal reaction to any food, liquid or substance. If nine out of ten people have one reaction and one out of ten people have a different reaction, then the reaction of the one out of ten is abnormal. It also says on page xxvi that "the action of alcohol on an alcoholic is a manifestation of an allergy; that the phenomenon of craving is LIMITED to this class and NEVER occurs in the average temperate drinker." (A phenomenon is something that you can see but can't explain). "These allergic types can NEVER safely use alcohol in ANY FORM AT ALL".

Then on page 22, "We know that while the alcoholic keeps away from drink, as he may do for months or years, he reacts much like other men. We are equally positive that once he takes ANY ALCOHOL WHATEVER into his system, something happens, both in the bodily and mental sense, which makes it virtually impossible for him to stop." This includes substances that contain alcohol like mouthwash, cold remedies, some chocolates, food prepared with alcohol, etc.). Your body doesn't know if you are having a drink or taking Nyquil for a cold, it only senses alcohol and begins to process it.

It also says on page xxviii that, "all the different classifications of alcoholics have ONE symptom in common: they CANNOT start drinking without developing the phenomenon of craving. This phenomenon may be the manifestation of an allergy which differentiates these people, and sets them apart as a distinct entity." Dr. William D. Silkworth, M.D. who at that time had nine years experience specializing in the treatment of alcoholics and drug addicts, wrote this in the late 1930's. He called it a "phenomenon of craving" because at that time there was no way to study metabolism. Since then, science has proven his theory as correct.

The following is an explanation of what happens when alcoholics put alcohol into their bodies, and how it is a completely different experience compared to non-alcoholics. No wonder why non-alcoholics can't relate, and make statements like, "Can't you just stop after one or two drinks?" It shows why alcoholics can use their willpower against everything EXCEPT alcohol.

Alcoholics make up about 12% of the population. The body of the alcoholic is physically different. The liver and pancreas of the alcoholic process alcohol at one-third to one-tenth the rate of a normal pancreas and liver. Now as alcohol enters the body, it breaks down into various components, one of which is acetate. We know now that acetate triggers a craving for more acetate. In a normal drinker, the acetate moves through the system quickly and exits. But that doesn't happen in an alcoholic. In alcoholics, the acetate of the first drink is barely processed out, so by staying in their body, it triggers a craving for more acetate. The alcoholic then has a second drink, now adding to most of the acetate of the first drink, and that makes them want a drink twice as much as the normal drinker. So they have another. Then, having almost three times the craving as a normal drinker, they have another.

You can see from that point how alcoholics have no control over how much they drink. The craving cycle has begun and they have no choice but to keep drinking. Once the acetate accumulates in their body, and that begins to happen with only ONE drink, they will crave another. And how many times does an alcoholic think it would be nice to have JUST ONE drink to relax, but has many more? Now you see why. AND THIS CAN NEVER CHANGE!

On top of THAT (like so far it's not bad enough), alcohol is a poison because it destroys human tissue. The two organs that alcohol damages the most are the liver and the pancreas. So the more the alcoholic drinks as time passes (or doesn't drink, because the liver and pancreas also deteriorate naturally as we age), the less their body is able to processes the acetate. THAT is why alcoholism is a progressive, fatal illness. Bill W. says on page 30, "We are convinced to a man that alcoholics of our type are in the grip of a progressive illness. Over any considerable period we get worse, never better." Pretty revealing, huh. It explains many things I never before understood.

But if you think about it, we never have to deal with ANY of this if we DON'T put alcohol into our bodies in the first place. So the MAIN problem of the alcoholic centers in their mind and in their spiritual condition. My mind tells me it's okay to TAKE the first drink and doesn't see that what I'm about to do is harmful (otherwise known as the obsession or powerlessness), and if I'm NOT spiritually fit I can't STAND being sober because it's too uncomfortable (otherwise known as unmanageability). Coincidentally, the Steps deal DIRECTLY and EFFECTIVELY with both.

So that's what it means to be an alcoholic - I can't handle drinking and I can't handle not drinking.

Barefoot Bill
from Upper Darby, PA

Index of AA History Pages on Barefoot's Domain

As in so many things, especially with we alcoholics, our History is our Greatest Asset!.. We each arrived at the doors of AA with an intensive and lengthy "History of Things That Do Not Work" .. Today, In AA and In Recovery, Our History has added an intensive and lengthy "History of Things That DO Work!!" and We will not regret the past nor wish to shut the door on it!!

ABC Page 60 from the Big Book



Click for my wish for you this day
Click for a Message From Barefoot
Barefoot's World
Email Barefoot
On the Web August 28, 2001 in the Spirit of Cooperation

Three mighty important things, Pardn'r, LOVE And PEACE and SOBRIETY