The end of the three weeks “ZAD-ADCT” marks the beginning of the “ZAD practice”. --- Here, it would be more appropriate to call the former as the precursor or the vanguard of the latter, in the overall ZAD model. --- The essence of this ZAD “practice” or method, importantly summed up in the “principle key note” of this paper, which states: -- “WHENEVER TAKING TO DRINK ALCOHOL, ALWAYS MIX (OR SIMULTANEOUSLY CONSUME) ‘PROGRESSIVELY ADEQUATE PROPORTION’ OF APPETIZING NON-ALCOHOLIC BEVERAGES TO REDUCE ITS ALOCHOL CONTENT SUFFICIENTLY SAFE ENOUGH LOWER LEVELS AND DRINK IT STOMACHFUL, FOR SATIETY”. IN OTHER WORDS, PEOPLE WHILE IN THE ALCOHOL DEPENDENCE NEVER TO DRINK HIGH-ALCOHOL PERCENTAGE BEVERAGES INSTEAD ALWAYS TO CONSUME SUFFICIENTLY ENOUGH LOW-ALCOHOL BEVERAGES (“LAB”, HAVING 2% OR LESS ALCOHOL CONTENT BY VOLUME) WITH THE APPEALING, DELICIOUS TASTE AND FLAVOR THAT PRIMARILY FULFILLS ITS DRINKERS OVERALL DRINK SATIETY DESIRE.
By the way, most of all I should acknowledge in here that; while originally proposing and devising; ‘A Scientific Method to Minimize Alcohol: THE ZERO ALCOHOL DRINK THEORY”, seven years ago, it had never imagined about such three weeks ZAD alcohol detoxification clinical therapy. --- Only the ZAD method or the “practice” has been considered to be its sole prevention and treatment approach! The alcohol dependent alone had been assigned to conduct the entire alcohol detoxification by their own, by self-administrating the ZAD practice towards achieving its complete cure. --- Now the intriguing question that I face is; whether any of these alcohol dependents would have ever adapted to this ZAD practice without having the opportunity first to undergo into this three weeks ZAD-ADCT therapy.
In brief; the ZAD-ADCT follow-up is nothing but adapting to the simple “LAB drinking or the ZAD practice” at least for the forthcoming one year period. Maintaining a dairy of the daily drinking accounts perhaps may be the main hallmark of this follow up period. Here the person can continue to follow it in its various forms or modifications termed as; ZAD Flexible Practice[3]. However it is also very important to follow the ZAD practice basic principles through out their life. --- In this follow-up of the first three-months, the participants asked to meet once in a week evening preferably on Sunday. Thereafter once in every month in a Sunday evening, till the year. --- The association may continue to exist in the form of a general assembly conducted once in a year for as many years. Perhaps they have this life long mission to spread the ZAD message among the alcohol drinking population!
Finally, the limitations of this paper, my non-academic, non-professional underprivileged background, hard-pressed resources and my poor English language skills impose so many restrictions upon me from elaborating and exploring much deeper into this subject matter. --- Hence once again here I repeat that; basically the ZAD therapy/practice/policies are highly pragmatic and dynamic which could be modified to suit the particular environment. Therefore, it would be impossible to take accounts of all its possible spectrums. --- Its strategies can vary, as it needs to be applied prudently to suit the particular practical treatment situation. --- Here I have only laid down its principle guidelines, and the basic “therapy manual” structure as far as I can see it. --- Now I must leave it to the researchers including the alcoholism prevention and treatment administrators, therapist, counselors whoever interested and come forward to conduct this ZAD-ADCT therapy in the future.
Lack of LAB Drinking Research in the Prevention of Alcoholism
Before concluding this paper I have a very important grievance to put before the alcoholism prevention and the treatment establishments or concerns. It is mainly about the lack of the Lower Alcohol Beverage (LAB) drinking research particularly in the prevention and treatment of the “alcohol dependence”! In “The ZAD Evidence surveillance” section of my previous paper[2], I have pointed out many fundamental empirical evidences, which somehow endorse the validity of the ZAD model. People all over the world choosing to the low-alcohol beverages drinking; popularly assume that it would reduce their overall alcohol consumption. Enter the word “ how to reduce (or cut-down) drinking” in the Google search engine and you will be inundated with thousands of hits which prominently lists the low alcoholic or non-alcoholic drinks/beverages drinking among its advices! The NIAAA [64] and the WHO [65] also have their own share in them. Particularly that WHO sponsored website under its “How to reduce your drinking” banner advises alcohol drinkers to “have non-alcoholic drinks before each alcoholic drink, dilute your drinks, add soda to wine and mixers to spirits”. Nevertheless, almost all of these establishments controlled moderate drinking doctrines, which advices low-alcohol drinking as one of their tips, to reduce or cut down the general drinkers alcohol consumption, at the same time sternly warns; ‘this advice definitely not meant for those vulnerable people at risk and particularly to those having or predisposed to the alcohol dependence’.
However so far I could not find any alcoholism websites documents that provides any evidence that the people at risk particularly the alcohol dependents are not able to reduce their alcohol consumption by adopting or opting to the LAB drinking. I have extensively searched in the WHO, NIAAA and also other alcoholism prevention and treatment websites for any documents for any research evidence, which proves that the alcohol dependent people cannot reduce their overall alcohol consumption by opting for this LAB drinking but could not find any. If there are any chances of locating such research findings which prove that the alcohol dependent people cannot cut-down or reduces their alcohol consumption by drinking the low-alcohol beverages, then it would be mainly in the NIAAA Databases, Resources/ ETOH Archive! Here too, for my extensive search from top to bottom (“title” to “abstract”) for the words like, “low alcohol drink alcohol dependence treatment” or words of that sort, returns with absolutely nothing (Did I miss those very important research documents, which is some where else? I don’t know.). To get any thing nearer on the subject matter, one has to go down reducing the title search words finally to “low alcohol”. Suddenly one finds more than thirty hits but awfully most of them pertaining to the research or experiments on the Low Alcohol Preferring (LAP) or Drinking (LAD) animals (rats or mice) which has mostly nothing to do with the low-alcohol beverage drinking in the prevention and treatment of the alcohol dependent human subjects. Regrettably in my search I could not find any noteworthy research experiments conducted for the fast 10 years to find out the impact of the low-alcohol beverages on the human subjects overall alcohol consumptions! Nevertheless there are some significant research study of low-alcohol beverage drinking outcome on peoples overall alcohol consumption conducted by, Geller, E.S. et al. titled “A time and place for low-alcohol alternatives” (1991) which concludes among other things that “Since those assigned to the low-alcohol conditions did not consume more beverages than those in the regular alcohol conditions, ……exit BACs were significantly lower for parties in the low-alcohol conditions.” [48]. Another distinguished study conducted in this direction is by Adrian, M.; et, al. under the title “Effect of low alcohol beverages on alcoholism levels in Canada in 1986” (1992) remarkably concludes; “The study results indicated that the drop in alcoholics exceeded the drop in alcohol consumption, and it is suggested that as the market share of low alcohol beverages increases, both consumption and levels of alcoholism will decrease” [50]. Another most important research on this field are carried out by Kalsher-M-J; et al. (1988) [49] Also by Van Houten, R.; et al., (1994)[51]. Apart from which the research findings of Skog-O-J. (1988) [37, 66, 67] seems to be very favorable to the ZAD perspective more than any in numbers with different angles i.e. low-alcohol, substitution hypothesis, as well as in the field of alcoholic appetite, loss of control concepts etc. There are many other research findings which offers some glimpse over my subject matter among them are the Schaefer-J-M. 1985[68] WHO project (1997) [69], Barrucand-D; et, al. (1982)[70], Frankel-Alan (1976)[71], Ahlstrom-Laakso-Salme (1976)[72] etc. Apart from these there are many other important research findings even though not directly dealing with the low-alcohol beverages nevertheless they could endorse the validity of the ZAD model for example the research on “Animal Models” one among them is the research carried by Herman H. Samson[74] but I leave out rest for not to overcrowd the reference list.
No doubt, the overwhelming numbers of research on the matters of peoples low-alcohol beverage drinking endorse the ZAD position. Nevertheless there are some rare dissenting voices; I have already cited the research document of the NCA [45]. The other one I would like to mention in here is conducted by Whitehead, P.C., and Szandorowska, Barbara (1976) who in their research report[73] concludes that; “the introduction of low content beer has led to an increase in consumption, and suggest that alcohol-related problems may be aggravated in the future”. However the greatest irony of their claims of the low-alcohol content beer (3.9 percent alcohol by volume) is that it is almost near to the 4 percent mark of the Standard beer drink.
Apart from these above sparse research findings here and there, I could find no direct or comprehensive research study conducted to basically find out the effects of low-alcohol beverage drinking, on the humans alcohol use disorders, abuse, and in the alcohol dependence treatment in particular! However one can find more than 150 Controlled Drinking (CD) research ‘title’ documents which employs therapies like Self-Control Training (BSCT), Moderation-Oriented Cue Exposure (MOCE), Guided Self-Change (GSC), Moderation Management (MM) and Harm Reduction (HR) to train the alcohol drinkers to cut down, reduce or moderate their alcohol consumption to a safe drinking levels, dismally however the ZAD models LAB drinking seems to have not any place in their Controlled Drinking treatment! They rather seem quite annoyed by our low-alcohol drinking ZAD treatment claims.
Now at the end under these situations, I appeal to all the concerned establishments its researchers whoever interested especially those who involved in the research of LAB and the CD field please to come forward and take up this issue. The ZAD-ADCT therapy is first of its kind that uses the alcohol as the treatment drug for the alcohol detoxification (AW) and its dependence treatment, which carries the prospect of a complete cure for alcoholism. This Trial would greatly contribute to our knowledge of alcohol dependence and in any way benefit at least in the “Project MATCH” treatment perspectives! This treatment has the great potentials that ‘it could open up a entirely new treatment paradigm’ for human addictions. This could save billions of dollars of cost burden to the entire world nations prevent the immense suffering and the ‘life lost to the death and disability’[4] and save the life of those millions by setting them free from the decadence of alcoholism.
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© Copyright 2005 -2010. Valerian Texeira. All rights of this publication reserved by the author
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