For some, it may manifest as a feeling of being disconnected from others or as a sense of emptiness. For others, it may manifest as anger, anxiety, or depression. The thoughts we have as alcoholics are often insidious in such a way that we can’t tell what is true or false. The AA Big Book talks about this delusion we develop in active addiction. Thoughts like we can eventually manage our lives while in active addiction. Basically, the alcoholic, once they start they cannot control the amount they take.

What is the 3 Fold Disease of Alcoholism & Addiction
I could not recover for anyone else, and no one else could do it for me. If I could have stopped drinking on my own, I would have done it long ago. I needed the support of a recovery community, the shared understanding of others, and a daily commitment to do the work. Taking responsibility means more than admitting I have a problem; it means taking consistent action by working the 12 Steps with honesty, open mindedness, and willingness. Through that process, I’ve had a spiritual awakening that has become the foundation of aa big book spiritual malady recovery.
No Power, No Choice
While AA’s model aligns somewhat with scientific understanding, calling it a spiritual malady oversimplifies complex neurochemical and psychological processes. Scientifically, issues like dependence and withdrawal are linked to how alcohol affects brain chemistry, such as dopamine levels and neurotransmitter activity. For a long time I thought my life was unmanageable because of all the crazy insane things I did while drinking — like the car accidents, hurting people when I didn’t mean to, failed relationships, loss of jobs, family dysfunction, jails, asylums, etc. Once the THIQ has been deposited, there seems to be no known way to remove it from the brain of its victims.
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Our daily research-backed readings teach you the neuroscience of alcohol, and our in-app Toolkit provides the resources and activities you need to navigate each challenge. The 164 and More book is sold on this website at the Publisher List Price of $20.00 plus postage. The book may also be sold by Intergroup/Central Offices or recovery book stores at List Price or slightly higher.
There’s a lot of talk of “character defects” and “resentments” that contribute to the spiritual malady and drive us to drink. If we stick around long enough we’ll probably certainly hear that our moral compass is on the fritz, that our thoughts are a “dangerous neighborhood,” and that our natural inclination is to lie (“We’re alcoholics, that’s what we do!”). In short, it’s the inner turmoil, restlessness, and disconnection that many people struggling with addiction experience.
It can also lead to other problems, such as alcohol abuse or other addictions. You are merely instructed to be open to the idea that you are not the end all be all, that there exists out in the universe something that is greater or more powerful than yourself. However, you choose to interact with that higher power is also up to you.

- On page 62 the text explains that “Selfishness-self-centeredness!
- The important thing is that you stay committed to your sobriety and continue working the program – eventually, everything else will fall into place.
- Once you’ve found something that you can believe in, it’s important to remember that your Higher Power is there for you when you need it.
- Our daily research-backed readings teach you the neuroscience of alcohol, and our in-app Toolkit provides the resources and activities you need to navigate each challenge.
- The program will not work, they add, with those who only “want to want to quit,” or who want to quit because they are afraid of losing their families or their jobs.
- That way, they’ll be able to relate to your experience and offer advice from a place of understanding.
The chemical decomposition of the ETOH through the alcoholic’s body follows the same process until it reaches the “acetate” compound and then the liver and pancreas fail to produce sufficient enzymes to complete the decomposition process. The “acetate” produces the “craving” that deprives the alcoholic of the ability to control the amount they drink. The “craving” exceeds the alcoholic’s will power to stop once they have commenced to drink. Practicing prayer and meditation helps us be mindful of our surroundings and gain consciousness of our spirituality by bringing us closer to our higher power.
- Once we are aware of these feelings, we can begin the real work on ourselves.
- One must remain vigilant of their thoughts and actions, embracing change, and practicing selflessness.
- Also in theparagraph we just read, the “Big Book” authors immediately tell us that thepurpose of this book is to show us how to recover from alcoholism.
- It has also spawned the further rise of “Big Pharma” and their plethora of pharmaceutical interventions to augment the addict’s plight.
- For a while, that seemed to work for us but once we stopped using substances the discontentedness came back to the surface in sobriety.
Furthermore, it is significant to note that spiritual maladies don’t limit themselves to personal turmoil. This spiritual malady, or spiritual disconnection, is the driving force behind our addiction and self-destructive behaviors. Without addressing this spiritual malady, we have absolutely no hope for intrinsic change or recovery. It is this notion that the fellowship of AA Sober living house was founded upon, and how millions of recovered alcoholics equate their success in overcoming a seemingly hopeless situation. The only solution to a spiritual malady is a spiritual awakening.

These core beliefs make it harder for us to connect with a god of our understanding. We become so fixated on it that almost everything we do leads us to think about getting intoxicated. The mind and alcoholism are so cunning, baffling, and powerful that we often cannot fathom how we ended up intoxicated when relying on our strong willpower to stay sober.
