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According to the World Health
Organization's directives, based on professor
E.M. Jellinek researches (conducted on more than
2,000 patients), the behavior of various
social groups towards alcohol can be
classified as follows:
For those that are not familiar
with the alcohol addiction, the category marked
with a red arrow might rise questions. This
category includes abusive alcohol consumers that
despite their drinking habit did not lose the
control over the amount of alcohol they drink,
but suffer from similar physical injuries like
the alcoholics.
There is a big distinction between habit drinkers
and alcoholics. A habit drinker maintaines intact
his/her capacity to control the amount of alcohol
he drinks being able to go back to a normal
alcohol consumption. An alcoholic lost the
control over the alcohol and he is not able to go
back to a normal alcohol consumption.
An alcoholic is the
drinker who
cannot stop the alcohol
consumption
without displaying unpleasant physical or
psychological manifestations
(delta type alcoholics, individuals addicted to
small amounts of alcohol)
or
frequently drinks big amounts
of alcohol
that harm himself and those
around him
(gamma and epsilon type alcoholics).
One
of the main characteristics of the alcohol
addiction is a irresistible, permanent or
temporary desire to secure and drink alcohol,
followed by the need to increase the amount of
alcohol consumed.
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around the alcoholic knows that he is
sick and need help, except the alcoholic.
For a long time, an alcoholic will
believe that he acts normally like
everybody around him and blames others
for his alcohol problem. When the
alcoholic does not accept help even if
the health problems are obvious, this is
a sign of the disease. Only
few alcoholics match the preconceved
stereotype image of a decayed and shabby
drunker.
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In many cases, the alcoholic is a
man or a woman with family, job and
responsibilities.
These are the people that are
physical and/or psychological addicted to
alcohol. A constant alcohol consumption causes
the alcoholic to lose control over the alcohol
amount they drink and impedes them to see the
real behavior they display when are drunk. They,
temporary or permanent, feel the need to drink.
In time, this desire becomes extremly important
for the alcoholic until it dominates him/her.
Some people start drinking just like everybody
does, but in time the alcohol need turns into an
obsession.
However, there is no behavioral
pattern that perfectly describes an alcoholic.
Each person displays different behavioral
manifestations followed by different
consequences. Some alcoholics drink daily, others
after certain period of time, some drink massive
amounts of alcohol, other only small amounts.
Some alcoholics only drink beer, others only wine
or strong drinks. While some people become
addicted to alcohol during their youth age,
others request a longer time until they become
alcoholics. There are few types of
alcoholism, each characterised by
different symptoms.
Alcohol addiction is part of the
main category of substance addiction, but is
characteries by few particularities.
It general, we talk about a
physical addiction when the alcoholic dipslays
withdrawl syndrome. However, an addiction causes
metabolic and cerebral biochemical changes that
make the delimitation between the physical and
psychological addiction difficult.
The physical addiction is
caused by a constant alcohol consumption when the
body gradually adjust to the alcohol (resulting
an increased alcohol tolerance).
A person is physical
addicted to alcohol when his/her body needs
alcohol in order to function normally.
A normal body sensation sets up only when the
body receives alcohol. Without alcohol, an
alcoholic feels like something is missing.
If the alcoholemy - blood alcohol's concentration
- is not restored when the alcohol is
metabolized, the body cannot re-adjust to the
alcohol absence and the withdrawl syndrome
occurs. The withdrawl syndrome includes:
trembling, vomiting, abundant sweat, sleeping
disturbance, and anxiety. The intensity of this
syndrome extends from an common weakness state
with digestive problems to serious
manifestations, sometimes lethal, like delirium
or epileptic convulsions.
Epileptic convulsions occur
during drinking breaks or during detoxification
treatment. Around 5 to 10 percent of the
alcoholics displays withdrawl syndrome in the
first 48 hours, more frequent between 13 and 24
hours of sobriety.
The psychological
addiction includes first the desire,
then the obsessive need to use alcohol as a
coping strategy. Alcohol creates the illusion
that problems can be solved, the day to day
situations and conflicts become more pleasant or
bearable. This type of addiction develops slow,
unnoticed being caused by insignificant reasons
(like alcohol consumption caused by a bad mood,
apathy, or because sometimes it takes only a
glass to feel happy).
A
psychological addected person uses alcohol to
obtain the desired, psychological comfort state,
and to solve stressful situation or
indispositions.
When too many life's circumstances
are felt stressful, boring or frustrated, the
alcohol becomes the only remedy of a
psychological balance. Every time the alcoholic
loses control over the alcohol consumption, he
loses territory in his fight with the alcohol,
and more psychological energy is wasted in the
effort to restore this control.
When the alcoholic cannot drink, he/she feels discomfort
or even fear. In order to avoid
this feelings, the alcoholic will try to build up
a safe supply of booze and to organize his entire
life around the alcohol. The alcoholic bonds with
the alcohol, an emotional connection that will
surviave long time after the physical addiction
was overcame.
In general, alcohol
detoxification,
(to eliminate the physical addiction),
lasts between 5 to 15 days.
In general, breaking down the
alcohol consumption habit,
(to overcome the psycholigical addiction)
stabilize after two years.
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