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Addiction Is a Choice
 
 

Addiction Is a Choice [Hardcover]

Jeffrey A. Schaler
3.8 out of 5 stars  See all reviews (12 customer reviews)

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From Kirkus Reviews

paper 0-8126-9404-X The pendulum has begun its swing backcould it be that drug and alcohol addictions are not diseases after all, but bad personal choices? Can addiction be overcome by mustering the strength of character to turn away from such choices? Psychologist Schaler (Justice, Law, and Society/American Univ.; Smoking, Who Has the Right?, not reviewed) argues convincingly that society has erred in giving in completely to the AA vision that addiction is a disease, that addicts can't help themselves, and that they need a higher power to be saved. Addiction (which at one time meant only devotion or dedication) has come to mean ``any activity which individuals engage in, deliberately and consciously, and are physically unable to stop themselves from pursuing. Rejecting such a definition out of hand, Schaler maintains that ``people are responsible for their deliberate and conscious behavior. He is sympathetic for those struggling with addiction; he doesn't oversimplify his own or his opponents arguments; and he readily acknowledges his philosophical forefathers (Thomas Szasz, for one, from the last time the pendulum was at this end of its arc). His reading of the results of research into addictionthat it fails to support the disease modelis convincing. And his resulting suggestions for changes in public policy and for individual change demand consideration. If not a new model for viewing addiction, at least a provocative update of an old one. -- Copyright ©2000, Kirkus Associates, LP. All rights reserved.

Review

A clear and fascinating read. The wealth of information and fresh insights reflect the writer's career as a scholar-teacher-therapist, and especially his many years of research and practical work in the addiction field. The book dispels many myths about addiction and should provide liberating insights to the afflicted. -- Herbert Fingarette, author of Heavy Drinking, Professor Emeritus of Philosophy, UCSB

Addiction Is a Choice is a powerful antidote against the twin poisons of anti-drug propaganda and drug prohibition. -- Thomas Szasz, M.D., Professor of Psychiatry Emeritus, SUNY Health Science Center, Syracuse

Schaler drives a stake into the heart of the 'disease' concept of addictions. Millions of people have stopped smoking, abusing mind-altering drugs, and drinking addictively on their own, without the intervention of counselors or doctors or programs. Dr. Schaler explains persuasively why and how this happens, despite all the genetic and hormonal predispositions. -- Joseph Gerstein, M.D. F.A.C.P., Harvard Medical School

This is indeed a rare book. Schaler has provided a unique, masterly work which explains addiction from a revelatory perspective. The reader can learn how the controversial area of addiction can be looked at and understood in a new light. -- Morris Chafetz, M.D., Founding Director National Institute of Alcohol Abuse and Alcoholism

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First Sentence
Today, just about everyone believes, or says they believe, that addicts-including regular smokers, heavy drinkers, frequent gamblers, presidents who seduce interns, and people who run up credit card debts-can't help themselves. Read the first page
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Front Cover | Copyright | Table of Contents | Excerpt | Index | Back Cover
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Customer Reviews

12 Reviews
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3.8 out of 5 stars (12 customer reviews)
 
 
 
 
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2 of 2 people found the following review helpful
2.0 out of 5 stars Schaler Misses the Boat with Either/Or Fallacy, Jun 5 2001
By 
M. JEFFREY MCMAHON "herculodge" (Torrance, CA USA) - See all my reviews
(REAL NAME)   
This review is from: Addiction Is a Choice (Paperback)
I came into this book really wanting to like it. The title suggests that this will be a rigorous refutation of the weak-minded victimization that afflicts our society. Addiction is, after all, a choice and we are morally accountable. While I agree with Schaler that we are accountable for our bad choices, these bad choices are, contrary to Schaler, indeed the result of a "diseased" individual whose will has to be subordinated to a new set of values, a change that many people cannot perform on their own volition. Schaler's "Free-Will Model" is partly true and helpful, but ultimately an oversimplification that denies that diseases can be more than literal, scientific afflictions like syphilis. Diseases can, contrary to Schaler's thesis, be of a spiritual origin. For example, a husband who watches internet porn for several hours every night and ignores his family has both made a bad choice and at the same time is demonstrating a diseased spirit. Why can't Schaler see this? And why must Schaler use unimpressive demogoguery to refute his opponents, as he does on page 9, where he writes that if you find his "Free-Will" Model of addiction "ludicrous or outragous, you are addicted to the disease model." Sorry to disappoint you, Dr. Schaler, but I find the disease model, in its extreme, as morally repugnant and illogical as you do. However, I find your extreme free-will model to be an equal oversimplification. The truth is somewhere in the middle. But to force your thesis and your Procrustean cure for addictive behavior, you create an either/or dichotomy, which is not sophisticated or convincing argumentation.
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4.0 out of 5 stars Sometimes CONTROVERSY is good!, Jan 28 2001
This review is from: Addiction Is a Choice (Paperback)
Jeffrey Schaler lays out a different paradigm for addiction recovery in this book, holding alcoholics and addicts responsible for their own choices, which is refreshing and empowering. While taking on the AMA and other forces with financial agendas is risky, Dr. Schaler courageously cuts through the baloney and "tells it like it is". His bibliography is comprehensive and a compelling case is made for abandoning current treatment menthods.

For those people with substance abuse problems who cannot buy into the "disease model" promoted by AA and most recovery institutions, this book is welcome relief! To be held accountable for one's own actions (as any OTHER adult is in this society!) is a GOOD thing! While AA may be helping some people recover, there are plenty more who don't "resonate" with AA teachings and beliefs, and for addicts and alcoholics to reclaim the power to abstain, after professing "powerlessness" in 12-Step meetings, is a blessing indeed!

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2.0 out of 5 stars Disappointed, Dec 3 2000
By 
This review is from: Addiction Is a Choice (Paperback)
After hearing Schaler on a radio interview, I was excited about reading this book. For several years, I have maintained that alcoholism was not an illness and have had discussion surrounding this topic many times with many different people most of whom disagreed with me.

When I actually read the book however, I was disappointed on several levels. I will try to give some examples.

Accuracy - On page 63/64, Schaler refers to a book published by AA and lists it's title as "The Big Book." This is not the title of the book. It's real title is "Alcoholics Anonymous." "The Big Book" is what it is euphemistically referred to by AA members, but it is not it's name. It really caused me to be quite skeptical of many of the other details in the book.

Non-truths - Also on page 63, Schaler states the requirements of joining AA and lists these as admitting weakness and inadequacy, and acceptance of a life dependent on a power greater than ones own self. This is just simply not true. In the preamble read at almost every AA meeting, is the tenant "the only requirement for membership is a desire to stop drinking." An AA member is free to reject the disease model of addiction, any belief in a higher power, and even the 12 steps if he so choses and these beliefs will not jeopardize his membership in AA.

A bias against AA - On page 129, Schaler states "It's only by talking about their problems-in-living and encouraging them to confront and solve those problems-in-living that the drug use subsides." That sounds to me like a good description of what AA meetings are and do. Schaler neglects to give credit to AA for providing this service (virtually for free) to the general population.

Stating the obvious - On page 84, Schaler uses a quote, I assume because it says what he is trying to get across, and in the quote it states that the expressing of views opposite to the groups model of treatment is discouraged in AA. For an example of one of these opposite views, the authors use the "concept of controlled drinking." Well, no kidding! If the membership of AA is contingent upon a desire to stop drinking (as stated above), then it's a little naive to think that they would want to entertain the "concept of controlled drinking." After all, I would never go to a Chevrolet enthusiasts group and expect to be warmly welcomed if I were to start talking about my wonderful Ford. This is hardly scholarly material.

Poor logic - One spot (sorry, I failed to note it and cannot find it at the moment), compares alcoholism to diabetes and makes the point that if you take insulin away from a diabetic, they get sicker but if you take alcohol away from an alcoholic, they get healthier. This is misleading logic. A more accurate comparison would be to compare taking away insulin with the taking away of whatever it is that is allowing the "alcoholic" to choose something other than his alcohol addiction.

All in all, it seemed to me that Schaler had broader goals for this book than just proving that addiction was a choice and not a disease. Spending much time talking about his views on civil liberties and comparing drugs to religion only watered down what little actual meat I found there. This book provided entertainment for me but that's about it. I don't consider a real scholarly work.

Doug

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