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STEP ONE

We admitted we were powerless over alcohol–that our lives had become unmanageable.

Men and women who are allergic to alcohol and who compulsively persist in drinking eventually become sick from a unique illness. This illness is known to medicine as alcoholism; it is unique in that it adversely affects us physically, mentally, and spiritually.

Step One briefly portrays the pathetic enigma of uncontrolled drinkers who have acquired this illness over which they are entirely powerless.

Drinkers of this type consider alcohol a physical requirement; they gradually increase its consumption at the expense of proper intake of nutritious foods. This practice induces physical and nervous disorders decidedly detrimental to their comfort and health.

The study of Step One will be largely devoted to the physical illness of alcoholism.

Few alcoholics have given their drinking problem much intelligent study. They reluctantly agree they must quit but keep right on drinking.

Severe hangovers make them realize that physical illness plays a part in their discomfort, but they resort to a little “hair off the dog that bit them” and continue into a new binge or finally taper off, suffering much physical and mental anguish.

The alcoholic lives in compulsive slavery. Alcohol is the only means that makes life bearable and quiets the alcoholic’s jittery nerves. Existence under such circumstances soon makes the alcoholic’s life unmanageable.

Correction of this condition is a serious problem of immediate concern. Recovery is possible for alcoholics who honestly want to stop drinking. “Unmanageable lives” and the physical illness induced by compulsive drinking can be arrested. We must have only a conscious need and desire for help.

The founders of Alcoholics Anonymous identified the physical factor as a part of their powerlessness over alcohol. This physical factor was given first consideration in their new recovery program. In twelve simple Steps they outlined a way of life for daily practice that restored them to physical health and contented sobriety. Daily practice was the key to their success.

By trial and error they designed a simple philosophy to arrest alcoholism. It embraced knowledge of many vital facts. Recovery is possible, but a cure cannot be effected. The man or woman who has become an alcoholic cannot become a controlled drinker. They have developed a serious illness, and their lowered physical and mental resistance is powerless. Control over alcohol is gone. Continued drinking now brings only physical illness and insane behavior. They are truly sick people.

Experience has proved that recovery from alcoholism is contingent on:

1 Having a sincere desire to stop drinking.

2 Admitting and believing in our innermost hearts that we are powerless over alcohol.

3 Looking upon alcoholism as a fatal and incurable illness involving the body, mind, and spirit.

4 Considering ourselves as patients in A.A. for treatment.

5 Identifying alcohol as a poison rather than a beverage for us.

6 Making it our business to understand how alcohol affects us.

7 Realizing we are alcoholics.

8 Learning, practicing, and having faith in the Twelve Steps of the A.A. Program.

9 Believing we can arrest our alcoholism, but we can never drink normally again.

10 Gaining a lay person’s knowledge of how alcoholism affects our health and well-being.

11 Using this knowledge and understanding of our illness not only to gain sobriety but to guard against the danger of a return to drinking.

12 Doing this partially by keeping in our minds a mental picture of the unmanageable life alcohol demands from us and our powerlessness over it.

The layperson’s view and understanding of alcoholism are simple ones based on known facts and backed up with his or her experiences and the knowledge gained from other alcoholics. The following discussion of alcoholism briefly covers the facts necessary to a beginner; the beginner’s understanding will naturally increase as he or she makes the Alcoholics Anonymous program a way or life.

Nature has provided each normal man and woman with a physical body designed to withstand the rigors of a strenuous daily life.

A healthy person can endure great hardships under most unfavorable circumstances as long as he or she receives oxygen, water, balanced nutrition, regular elimination, proper rest, and relaxation. The human tenacity to retain that spark of life is persistent as long as we follow these standards.

When one of these factors is permanently neglected, deficiencies will eventually occur, such as physical problems, nervous tension, and neurotic conditions. Our nervous systems will upset mental balance, and we will eventually die from lack of rest and nourishment.

Alcoholism stimulates such a condition and further complicates it by a daily intake of toxic poison–alcohol.

The blood stream and body cells are first affected, then the brain, as we compulsively substitute the poison alcohol for the nutrition necessary to normal health.

This poison irritates the brain and finally breaks down nature’s defensive barriers. Physical deterioration is sometimes rapid, but, in most alcoholics, addiction is acquired over a period of years, so it is only in the later stages of the illness that acute physical breakdown is apparent.

This breakdown is not apparent to the alcoholic, who is unable to visualize the hazards of his or her mental or physical condition. Alcoholism has gradually inhibited the alcoholic’s power to discern between social and pathological drinking. A marked personality change, influenced chiefly by negative thinking, now drives the alcoholic to heavier drinking.

Friends and relatives become concerned over this change in personality. But, the alcoholic precludes self-criticism and becomes at odds with a normal environment.

Recovery from alcoholism, the illness which was responsible for our unmanageable lives, can only be accomplished when we stop drinking and return to a permanent, regular, balanced diet that completely eliminates alcohol. There is no shortcut, no substitute, no other way out for the alcoholic.

Controlled drinkers have no trouble conforming to this procedure, but alcoholics, who have lowered their physical resistance and exhausted their nervous system, should have medical help in starting rehabilitation.

Many members who ignore the importance of their physical well-being as an asset to recovery will fail to arrest their alcoholism. Some may recover, but they slow the process if they do not feel well physically.

We believe all alcoholics should be hospitalized upon request for help with the Alcoholics Anonymous program. This is not presently possible in all cases, so the members who cannot receive hospital care should consult a doctor who is skilled in the diagnosis and treatment of alcoholism.

The importance of this advice cannot be overemphasized. The alcoholic is a sick person who does not realize it and wishes to minimize his or her physical condition. This should not be allowed by the older members; they should point out the need for a complete physical checkup and see that the new member gets it.

Those who neglect the simple precaution of receiving ethical medical care are less apt to effect a speedy recovery from alcoholism.

The alcoholic whose life has become unmanageable from uncontrolled drinking is taking a serious step in identifying with our program and attempting to make it a way of life. The alcoholic’s future security depends on the successful attainment of A.A. as a way of life. Alcoholics cannot allow impaired physical well-being to detract from chances of recovery; therefore, they must safeguard their health, as poor health may return them to drinking.

New members will benefit by investigating the various phases of alcoholism that apply to their cases; they must admit they are alcoholics and discuss their problems with older members who are always willing to offer advice and help.

Learn to see in alcoholism a diseased condition of the nervous system due to the excessive use of alcohol. Reflect upon your powerlessness over this sickness. Learn a number of the tests in the medical and psychological field that identify alcoholics. Admit you “can’t take it.” Consider your inability to take it or leave it alone; remember your inability to leave alcohol alone in the face of impending disaster. If you drink, it definitely marks you as an alcoholic. The necessity of a drink “the morning after” is common to most alcoholics. There are many other identifications of the alcoholic; make it your business to learn some of them.

The founders of Alcoholics Anonymous understood that members have to realize their physical illness and receive medical help before they can concentrate on the spiritual requirements necessary in recovery. Physical health is a necessity, but it is only the first step in recovery from our alcoholic illness.

Summarization. Recovery from alcoholism first involves a layperson’s knowledge of this illness and a conscious need for its treatment. There is no mystery about it. Addiction to alcohol has set up a poisoning within our bodies. Compulsive drinking, over which we are powerless, naturally follows. Our lives become unmanageable. The First Step of recovery is to recognize our alcoholism and admit our physical illness.

Why does this help? It makes us honest in evaluating our true physical condition. It makes us humble and willing to stop alcoholic rationalization. It awakens us to our need for hospitalization before entering A.A. and for medical care afterwards.

Why are we sick? Can we be cured? Real alcoholics are sick from poisoning acquired by substituting alcohol for food and rest. Physical health can be restored, but no cure will permit us to become controlled drinkers.

Treatment. Admitting our alcoholism. Willingness to accept medical treatment. Proper diet and relaxation. Belief we can recover. Daily practice of our A.A. program.

Drugs

Occasionally, some of us have resorted to drugs for physical comfort or to induce sleep. This practice is out for all alcoholics, except those rare cases where an ethical medical practitioner, skilled in the treatment of alcoholism, prescribes and supervises such treatment.

We live the A.A. program to develop normal, well-integrated personalities that exclude the use of the narcotic, alcohol. Drugs prevent this change in personality. They warp our thinking. They too quickly become a substitute for alcohol and are decidedly habits forming for most of us.

The Little Red Book

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