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Published every week in The Listowel Banner, The Wingham Advance -Times
and The MOUnt Forest Confederate by Wenger Bros. Limited.
—crossroads—January 23, 1975—
• her facing a problem
... there is a way back
Invited for whiff of a drug, most people will .flare up
in anger, flinch in embarrassment, abandon a friendship
or an acquaintanceship and, in some cases, call the
police.
Taking mostdrugs is not socially acceptable (unless
they are prescribed by a doctor). in most cases it Els ille-
gal. Those who take drugs are so s� i often to be avoided.
Some of them are criminals, sought by the police and
when caught, jailed by judges.
Ironically, 86 per cent of all males and 75 per cent of
all females in Ontario, using the latest figures available,
sip, sip, sip a drug.
That includes everyone over the age of 15: fathers,
mothers, singles, teachers, doctors, engineers, business-
men, policemen, judges, politicians, farmers, school-
children and even, yes, preachers.
Of those who sip, sip, sip this drug, 300,000 sip enough
of it to increase-their-r-ksk-gfcontacteng organic disease5
such as liver cirrhosis (dying of liver tissue).
Of this number, 145,000 are really hooked, and
hooked badly. They are -alcoholic. They take the drug in
form of beer, whisky and wines. And the drug is -legal for
anyone 18 years of age and over.
s
••
Drinking is very, very socially 'acceptable i even
ophisticated. :
Yetdrinking breeds a disease (alcoholism) so seri-
ous that it has wrecked homes, ruined careers, killed
people or contributed to their death and cost the public in
general millions of dollars in Ontario.
In 1969, for example, 38 percent of deaths due to liver
cirrhosis were connected with alcohol usage.
Alcohol was implicated in the 22 per cent of those
'viihci-died of peptic;uicers, in 18 per cent of suicides, 15 per
cent of pneumonia deaths, 16 per cent of cancer of upper
digestive and respiratory tracts and five per cent of
deaths due to heart and artery diseases.
Alcohol was also involved in the 45 per cent of deaths
due to poisoning, 43 per cent of accidental fire deaths, 25
per cent of deaths due to falls and other physical trauma
and 11 per cent of all deaths were alcoholics.
Commenting on those figures, H. David Archibald,'
executive director of the Ontario Addiction 'Research
Foundation, noted that an alcoholic has twice the chance
of premature death than the non-alcoholic.
More staggering is the amount of taxpayers' money
(including alcoholics') that was spent on problems re-
lated to alcohol by the provincial government in 1971.
In terms of dollars, $89 million went through the
Ontario Hospital Insurance Plan, $17 million through the
mental hospitals, $9 million through the Family Benefits
Act and $11 million through the Children's Aid Society.
Of the more than $1 billion spent by the provincial
government on retearch, $134 million was on illnesses
and disruption attributed directly to alcohol.
And these figures do not include physicians' fees,
Feature by
Chege
• Mbitiru
municipal welfare payments, cost to business and indus-
try through loss of productivity, nor do they reflect
damages resulting from traffic accidents involving alco-
hol, which accounted for 50 per cent .of traffic death.
FACILITIES FOR CURE
It is, therefore, evident that alcoholism is as danger-
ous a disease as any other and more costly than most dis-
eases in modern times. It can also be cured and there are
facilities and methods of curing it.
• Such a facility in Wellington County is the Welling-
ton-Dufferin-Guelph Health Unit, which operates an Ad-
diction Services Unit. Its representatives frequent such
locations as Fergus, Arthur, Mount Forest, Palmerston
and Clifford.
Before discussing the activities of the unit in Welling-
ton County, it is appropriate to note that of all those
treated for addiction, the largest number involves
alcohol. • •
Sip, sip, sip sometimes and, indeed often; begins
innocently. The use ofalcohol has been around as long as
mankind.
Sometimes it's on ceremonial occasions, sometimes
on social odcasions, sometimes out of curiosity (particu-
larly in youth) and sometimes just to "go along" with a
group that uses alcohol frequently.
In general, though, most people sip, sip, sip to enjoy
a "high feeling", to overtome "low" feelings, to relax or
promote sleep, to relieve social or physical discomfort, to
quench thirst, to increase appetite or to make a get-to-
gether more enjoyable.
What they take into their bloodstream immediately
is ethyl alcohol. It needsno digestion.
In Ontario beer contains 5 per cent alcohol, most
table wines between 10 and 14 per cent, fortified wines
(sherry, port and vermouth) between 16 and 20 per cent
and•distilled spirits (whiskey, gin, rum) 40 per cent.
Comparatively, a 12 -ounce bottle of beercontaini the
same amount of alcohol as a drink containing an ounce
and a half of spirits. The same amount is contained in a
five -ounce glass of table wine or a three -ounce glass of
fortified wine.
Although alcohol contains none of the vital nutritious
elements, such as vitamins, it has Aplenty of calories.
Hence, "beer bellies".
Comparatively, two glasses of beer contain more
calories than a piece of pie or a cream puff.
The short term effects of alcohol depend on the
amount taken, the period of time in which it is taken, the
body size of the individual, the mood of the individual and
the amount and type of food in the stomach, (food slows
the 'rate at which alcohol enters the blood stream).
Generally, however, alcohol decreases the activity of
the brain; there is a feeling of cheerfulness and well-
being, dizziness and poor co-ordination with alcohol
equivalent to three or four drinks.
Wittr, between six and eight drinks, staggering,
double vision and loss of balance begin.
• Large doses can result in death by knocking out the
brain's control over breathing. This, however, rarely
happens since most people "pass out" before taking the
fatal dose.
WARNING SIGNS
People; some with a great deal of profundity and
backed with exhaustive studies, have attempted to
determine when drinking becomes a problem.
It is enough to say, though, that as a person slips into
the habit of drinking more, his tolerance increases. That
is, he needs more alcohol to get the same effect.
Warning signs that sip, sip, sip is becoming a
problem begin with frequent hangovers, blackouts, loss
of interest in work, hobbies, friends and having alcohol-
related incidents that one normally wouldn't take part
in
For treatment purposes, says Mrs. Sybil Gordon, the
co-ordinator of the Wellington - Dufferin-Guelph Health
Unit Addiction Services, drinking is considered a prob-
lem when it begins to interfere with a "major aspect of
one's life,"
These are financial, budgeting, dmployment, health,
relationships With other people (particularly members of
family and spouses) and legal: police charges for inci-
dences related to alcohol.
Inevitably, the family is one unit that is eventually
adversely affected by alcoholism and, for that matter,
heavy drinking.
Lack of self-discipline shows up in impulsive, incon-
sistent and indulgent behaviour to other people. There
develops an over -dependency which can't be accepted
and responded to by other people.
Moreover, this over -dependency makes it difficult, if
not impossible, for the alcoholic to meet the normal de-
pendency of others, and particularly children, in a
family. The alcoholic develops pre -occupation with him-
self or herself and personal suffering that makes it
impossible to accept or recognize the normal needs and
pains of others.
There is an unre'alistic, immature approach to the
ordinary business of living and such irresponsible ac-
tions like exaggerated buying and accumulation of un-
necessary debts.
The alcoholic's limited interest in others tends to iso-
late him or her from other people and particular
members of -the family leading to dedication_ in activities
which demand very little of him or her.
The cumulative effect of such behaviour is to disrupt
normal relationships with other people and this leads to
very damaging results in a family, affecting not only the
spousg but also the children.
• Relationships become shallow and often the
alcoholic cannot communicate or demonstrate the love
and affection necessary to the growth of hurnan relation.
ship and particularly family life.
-Children may learn to hate and resent people and
their opportunity to grow into outgoing and understand.
ing individuals may be curtailed. Spouses lead the chil-
dren into a tug-of-war in their battles, and quarrels
resulting from drinking episodes.
CONTROL SUGGESTIONS
Various ways of controlling alcoholism have been
suggested and put into practice. They range from ban-
ning alcohol completely and, by legislation, controlling
the outlets and the hojrs of sale or drinking in public
places and even heavy taxation of spirits.
While there is evidence that total overall consump-
tion of alcohol is related to the number of alcoholic
related diseases and deaths, there is no evidence that
changing of drinking hours or controlling outlets or even
high taxation affect the consumption. People simply de-
velop new drinking customs.
Consequently, emphasis has been placed on edu-
cating individuals and entire populations, for that
matter, about alcohol: counselling, therapy (individually
or involving all members of a family) ancHn provision of
anti -drinking medicine.
.41
The treatment for an alcoholic hinges on the fact that
the individual must recognize that there is a problem,
which is not always easy.
Part of the reason in this refusal to admit that one
has a drinking problem is attributed to a sense of failure
most alcoholics feel in not being able to control their own
drinking.
Contributing to this is an over -emphasis in society
that drinking is more of a moral than a physical illness.
This, it has been argued, encourage S people with
drinking problems to harden and often not to seek help.
The admission of having a drinking problem has
been compared with acceptance that one has a serious
and maybe incurable disease. It is that trauniatic.
Mrs. Gordon says that most people come to the at-
tention of the •Addiction Services workers through
members of family, family doctors, police, ministers,
friends, kinds of people."
Sometimes people will' refer their friends to the six
Addiction Services workers but would prefer not to have
their names mentioned, which is another example of
emotional complications that go along with heavy drink;
ing.
• In such cases, the family doctor or a minister is used
as a go-between. "And we have used ministers and
family doctors very often," Mrs. Gordon says
But most often 4I -ie problem is brought to the atten-
• tion of the workers,by frantic family members who want
the workers to "sto6" someone from drinking.
"The first thing we tell such persons," says Mrs.
Gordon, "is that we tan't stop anyone from drinking.
-Each individual must want to do something about it."
However, there is help open to, family members, and
it is usually wives who draw the attention of the problem
to the Addiction Services workers.
"We do not tell them what to do," Mrs. Gordon notes.
"We help their accept the situation and then help them
handle it."
• This heip comes ;i11 the formoftanaflonas to'
• what different ways there are to handle the situation and
leaving the choice of action to the persons concerned.
For some married people, it may be permanent or
temporary separation; taking a job instead of sitting
around at home (for wives) worrying about the alcoholic
\and his problems; social activities and exercise groups
so that "they can start living again" and paying more at-
tention to the children's needs instead of those of the al-
coholic.
VERY DEPENDENT
Ironically, alcoholics are very ,dependent persons.
Yet, they go around acting as if they are not.
Once the alcoholic has admitted that he has a drink-
ing problem and is willing to seek help, the first thing is
to get him to stop drinking. "From there we can then
start working with his other problems," Mrs. Gordon
says.
She notes' that most people the Addiction Services
workers come in contact with have never had a family
doctor and says, "We. encourage them to have one."
There are anti -drinking medicines, known as preven-
tive medicines, that sell under various trade name.
These make the drinking of alcohol result in sickness.
"They do not in any way stop a man from drinking,"
Mrs. Gordon says. "However, the knowledge that one
may become ill after drinking may increase his determi-
nation not to drink."
• Treatment for alcoholics and their families, Mrs.
Gordon explains, depends to a large extent on the indivi-
duals and their families because personal and family
adjustment before and after the problem begins plays a
major role in the way they will respond to' treatment.
•_Consequently, the relationship between the thera-
pist, the alcoholic and the family members varies from
one case to another.
But the aim is always the same. To deal with all the
problems that contribute to the disease that is -alcohol-
ism.
14
It has been argued that members of a family, for
example, encourage the alcoholic to continue with his in-
dulgence.
Wives, in particular, do contribute to the continued
drinking since while they may nag and complain, they
continually adjust to the situation, thus depriving the
alcoholic of an opPortunity to deal with the problem. It is
such factors that fail to deter an alcoholic from having to
deal with, or face up to, his plight.
While there are no figures related to those seeking
.help from the Addiction Services for alcohol in Welling-
ton County, it is clear that there is a drinking problem
and that most people can be helped• .
Figures for those who have been treated indicate an
increasing number of persons who have, in the past six
years, kept away from alcohol and resumed a normal
life.
The Addiction Services are experimenting with a
process Mrs. Gordon calls "controlled drinking". It is a
new concept still in experimental stages. It is meant for
those who have a drinking problem but don't want to stop
drinking. It's meant to determine how much to drink and
when to stop.
There is ample evidence' that alcohol has serious
consequences for society, families and individuals,
There is ample evidence also that It can be remedied.
Ultimately, though, the extent to which it can be
remedied depends on the Individual. Nearly every
method of controlling alcohol consumption has failed.
Consquently, only by exploring the effects of alcohol
on an individual level (and there is literature avallabli)
before the problem begins and by seeking treatment once
it has, can the detrimental results be avoided.