BEYOND THE INFLUENCE by Katherine Ketcham


Understanding and Defeating Alcoholism
Email this review


A convincing argument for the medical model of alcoholism, with resulting recommendations for treatment. Ketcham (Under the Influence: A Guide to the Myths and Realities of Alcoholism, not reviewed), psychologist Ciaramicoli, and recovered alcoholics Asbury (former editor of the Seattle Post-Intelligencer) and Shulstad (cofounder of the National Association of Alcoholism and Drug Abuse counselors) maintain that alcoholism is “a true medical disease rooted in abnormalities in brain chemistry.” Alcoholics’ bodies simply respond differently to alcohol than everyone else’s—a difference that is either rooted in genetics or acquired by “intense and sustained exposure to alcohol.” Alcoholism is not, they emphasize, a personality disorder or character defect. The authors examine what is known about the action of alcohol upon the body (both normal and alcoholic), then look at how a diagnosis of alcoholism can be established (most often, it is an inexact art—a simple series of questions). They go on to explore the most effective treatments (first and foremost is lifelong abstinence from alcohol and drugs), particularly addressing the question of why a physical disease requires psychological and spiritual components in treatment. Finally, the authors name the beer, wine, and distilled-spirits industries as principal players in promoting our society’s view of alcoholism as a psychological disease—and propose educational, prevention, and treatment programs to institute change.

A thorough, responsible presentation.

Pub Date: April 11th, 2000
ISBN: 0-553-38014-1
Page count: 320pp
Publisher: Bantam
Review Posted Online:
Kirkus Reviews Issue: March 15th, 2000


NonfictionTHE ONLY LIFE I COULD SAVE by Katherine Ketcham
by Katherine Ketcham
NonfictionMISS O’DELL by Chris O’Dell
by Chris O’Dell
NonfictionTHE MYTH OF REPRESSED MEMORY by Elizabeth Loftus
by Elizabeth Loftus


NonfictionBETTY FORD by Lisa McCubbin
by Lisa McCubbin
NonfictionTHE ONLY LIFE I COULD SAVE by Katherine Ketcham
by Katherine Ketcham