Authors Note: - Zero Alcohol Drink – Alcohol Detoxification Clinical Therapy (ZAD-ADCT) is the most important Document so far in my ZAD venture. It was first published in 2005. In this blog publication, I divide it into its several small “subtitle” sections and post it one by one so to make it more appropriate to the blog reading.
This is its Twenty Fourth section.
ZAD-ADCT Cognitive Motivational Therapy (CMT) (f)
Another important topic that should be taken into study during this ZAD-ADCT motivational sessions is; the dogmatic argument of some of those so called recovering alcoholics proclamations of their intense or overwhelming drug desire that sets on their “loss of (impaired) control”! They may strongly argue that theirs is a genetic malfunction or a behavioral disorder therefore their biological drink desire satiety (LAB) never going to subdue or dampen their drug desire and stop their loss of control! They may further argue that: ‘taking to the lower-alcohol beverage will be simply a waste of time and money that they would rather prefer to consume some more of the alcohol drinks than spending it on making their alcohol drink appetizing, delicious and lowering its alcohol content! It is very difficult to convince those people having such rigid mindsets. Suppose, if they are sick and prescribed to take some medicine to come out of their sickness would they argue that it is simply waste of time and money to spend on the medicine instead they are happy with carrying on more with their disease! Analogically, LAB drinking is like a person who wants to enjoy the pleasures and the benefits of driving vehicles but at the same time realizing the extreme dangers involved in his/her driving therefore takes up all the safety precaution wears the safety belt and fits some mechanical technique in his vehicle that limits or controls (breaks) its speed as an insurance policy! Of course he or she needs to pay for the product that protects him/her from all those risks or dangers instead of totally abandoning (abstinence) the pleasures or benefits of the driving! However some people may adamantly argue I don’t wont seat belt or the speed limit “control” mechanism and the insurance cover, to the vehicle, instead I will totally give up driving any vehicle for life because it is extremely dangerous for me and I am simply “powerless” over it! It will be almost impossible to convince these people and we only wish good luck to them. Nevertheless one can just imagine the consequences of their decision when these people encounter the need of driving a vehicle for whatever reasons! Of course they may have their own rational to defend their position so we don’t argue with it any further!
However the above critique somehow seems to have some valid reason as they basically question the effectiveness of the LAB drinking in the prevention and treatment of alcoholism! Their argument perhaps, is that the alcoholics alcohol drug desire its craving, and the “loss of control” never will subside, or get mitigated by whatever quantities of the LAB they may consume, with all its maximum amounts of drink satiety they may experience! For example even after consuming lots of the LAB in a drinking session (say, in a 3 to 4 hours drinking around 200 ounces or 6.6 liters which in itself accounts for more than 8 standard drink in the 2.5% low-alcohol beverage in volume!) the alcoholics “loss of control” over the alcohol consumption will not subside. Perhaps the alcoholic may not drink one more of this LAB drink however if they were presented with the opportunity of a distilled spirit drink (perhaps they will actively seek to it) then they will immediately drink it to satisfy their drug desire! This argument seems to have some valid points on its surface but what it essentially lacks is the commonsense! -- Now let us take two similar kind of alcohol dependent persons, give the first dependent the amount of two standard alcohol drink in the form of around 40% alcohol content (distilled spirit) beverage (3 ounce in total) with little or no titration; to the second dependent give the same two standard alcohol drink (distilled spirit) but mix it with a total of 48 ounce delicious alcohol beverages in which the alcohol content get lowered to the 2.5% by volume! To cut it all short; the alcohol drink desire, its craving and the “impaired (loss of) control” of the first dependent who drinks this two standard alcohol drink in the form of the distilled spirit with little or no titration will be significantly more, still get aggravated by the alcohols combined diuretic thirst effect! On the other hand the second dependent persons alcohol drink desire will get significantly reduced or mitigated as the result the two standard alcohol drinks mixed in a total of 48 ounce (11320 ml) of the delicious beverage that together provides the overall biological drink desire satiety! Finally here it is not the question, whether the alcoholic still has the physical, biological or the stomach capacity ability to drink the high alcohol content drink after obtaining the drink satiety with the LAB, the question here is whether enough amount of the LAB could effectively reduce or dissipate the alcohol dependents immediate drug desire, craving and the “impaired control” while he/she is trying or attempting to cut down (ICD-10, DSM-IV, CAGE, etc. diagnostic criteria) their overall alcohol consumption, or not!
There are many such fundamental ZAD cognitive motivational topics that need to be addressed in this first week’s therapy session. Besides that a discussion on the ZAD book its perspective papers and some of its other literatures which are available in the Alcoholics Curewell website[10]. Most importunately the preceding the ZAD Alcoholism Research Papers[1, 2] may be taken for discussion on this CMT. However the scope and limitation of this (its sequel) paper does not allow me to enter into those topics in here. By the way in the ZAD-ADCT one-week inpatient stay there will be ample time and opportunities to explore into these topics at its CMT sessions! Apart from the above motivational topics, one may also successfully use the “positive-reinforcement” motivational approaches or techniques like the “Contingency Management”[52] in these three weeks ZAD-ADCT and even beyond this therapy.
(See its following part in the next post.)
Valerian Texeira.
http://www.geocities.com/scientific_misconduct
http://www.geocities.com/alcoholics_curewell
http://alcohol-research-misconduct.blogspot.com
http://alcoholicscurewell.blogspot.com
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