people do act like any use of nearly any addictive substance is full evidence of addiction. Go ahead tell your co workers you tried cocaine this weekend and see how many of them worry about you. Additionally there isn't a very solid definition of addiction medically speaking. The definition is very flexible and that's the first question you have to ask someone is what is their definition of addiction. Mine is that if without the drug taken regularly it would significantly effect daily activities outside of the drugs primary effects (if you have panic attacks and sometimes use a tranquilizer or something similar that doesn't count as an addiction though doesn't preclude such either). I can't function properly without nicotine or caffeine and I hear it's hard to get things done during herion withdraw.Personally, I would not want nicotine-free tobacco because I desire the effects of nicotine. The assertion is frequently made though that if someone desires nicotine that automatically equates to addiction.
Again I would ask, is this standard applied to anything else? If someone desires the effect of alcohol does that automatically make them an alcoholic? I desire the effect of alcohol when I imbibe, but I almost never have more than one drink in the same day, and literally never more than 2 (and I'm defining "drink" as one ounce of hard liquor or 1 beer or about 8 oz of wine. And I can abstain for any period of time with no trouble whatsoever...so I certainly would not say that I'm addicted to alcohol.
A major component of the relentless and absurd anti-tobacco propaganda is the above assertion...that ANY tobacco use at all is an addiction. This is obviously not true, yet it is often stated even here on this forum...which, IMO, reflects the results of that propaganda. Because it certainly does not reflect objective reality.
In every conversation I have had with someone in the medical field, if you drink, you're an alcoholic. Do I believe that? What does it matter? Does being an alcoholic mean something negative? Of course not. Just like having an addiction is not necessarily a bad thing. It gets bad when it interferes with your quality of life, or the life of others around you.Again I would ask, is this standard applied to anything else? If someone desires the effect of alcohol does that automatically make them an alcoholic?
Also people lie to doctors. It's amazing how many medical reports I've read where the patient claims to smoke 3 to five cigs a day. Or only drinks socially and has two or three drinks during the rare drinking evenings. How many people have you known who smoke three cigs a day? Makes me wonder if my doctors thought I smoked five cigs a day cause I was honest about my pack to two pack a day habit.In every conversation I have had with someone in the medical field, if you drink, you're an alcoholic. Do I believe that? What does it matter? Does being an alcoholic mean something negative? Of course not. Just like having an addiction is not necessarily a bad thing. It gets bad when it interferes with your quality of life, or the life of others around you.
people do act like any use of nearly any addictive substance is full evidence of addiction. Go ahead tell your co workers you tried cocaine this weekend and see how many of them worry about you. Additionally there isn't a very solid definition of addiction medically speaking. The definition is very flexible and that's the first question you have to ask someone is what is their definition of addiction. Mine is that if without the drug taken regularly it would significantly effect daily activities outside of the drugs primary effects (if you have panic attacks and sometimes use a tranquilizer or something similar that doesn't count as an addiction though doesn't preclude such either). I can't function properly without nicotine or caffeine and I hear it's hard to get things done during herion withdraw.
In every conversation I have had with someone in the medical field, if you drink, you're an alcoholic.
I have known so many functional alcoholics that no one ever even suspected were alcoholics. You can be an alcoholic and still drink responsibly. There was a family friend that was a coke head, but he never sniffed enough coke to be high off of it. But, he had it on him all the time, and kept it hid from everyone in his life."drink responsibly" which is an acknowledgment that there is such a thing.
You can be an alcoholic and still drink responsibly.
If you gents would like to see the definition of alcohol dependence or abuse (now lumped into one DSM category of Alcohol Use Disorder) it is readily available:Ok, we'll have to agree to disagree then. A "functional alcoholic" is not the same thing as drinking responsibly.
And your previous assertion that ANY amount of alcohol use makes you an alcoholic is absurd...IMO.
If you gents would like to see the definition of alcohol dependence or abuse (now lumped into one DSM category of Alcohol Use Disorder) it is readily available:
Alcoholism Clinical Presentation: History, Physical, Causes
Alcoholism is common, serious, and expensive. Physicians encounter alcohol-related cirrhosis, cardiomyopathy, pancreatitis, and gastrointestinal bleeding, as well as intoxication and alcohol addiction, on a daily basis.www.medscape.com
They still are in the ICD, yes, in fact they have a ridiculous amount of codes for alcohol related diagnosis. I personally think it was a mistake for the DSM 5 to combine them, but the ICD is on the other end of the spectrum and takes it way over the top.The diagnoses of use, abuse, and dependence for any substance are all separate diagnoses from a medical standpoint. That I already know.
But more important than any technical medical stance/definition is common sense and the real world. And in the real world, common sense is no longer common at all unfortunately.
That's nothing... Wait! I define one drink as 4 ounces of gin. Are you calling me an alcoholic??I'm defining "drink" as one ounce of hard liquor or 1 beer or about 8 oz of wine
No wonder the current bio-medical establishment can't cure the ill, when such medicasters populate the halls of clinics and hospitals.In every conversation I have had with someone in the medical field, if you drink, you're an alcoholic.
That's nothing... Wait! I define one drink as 4 ounces of gin. Are you calling me an alcoholic??
Eine ist keine.
You niccie!No, but Cosmic definitely is.
You may be pushing the envelope a bit though. But I wouldn't worry about it, because apparently it doesn't matter if you have one drink or the whole bottle...it's now been declared all the same...so you may as well start chuggin' because you're now officially an alci on the first sip.
so you may as well start chuggin' because you're now officially an alci on the first sip.