Moderation, Not Abstinence, May be the Answer for Alcoholics

The group, Moderation Management, thinks that cutting cold turkey isn’t the solution.

Photo via Pixabay

A new alcohol addiction rehabilitation program, called Moderation Management (MM), is looking to challenge the standardized method of abstinence popularized by Alcoholics Anonymous. So far, it has the growing popularity and high success rates to back up its claims.

The program begins with 30 days of abstinence, followed by a slow reintroduction of alcohol, and eventually a plan to limit one’s intake: no more than 14 drinks a week for men, nine a week for women, and no drinking more than three or four days a week for either. This breaks down to roughly four drinks a night for men and three for women, the standard members use to track their drinks and moderate the amount they consume in a night out.

Moderation Management’s framework is based on organization director Michael Kern’s book Responsible Drinking. But the organization emphasizes that the program is flexible and assists people in finding their own path to success, as well as creating their own definition of success, according to the Guardian.

A key strength of the program is that members discuss the factors and situations that foster their problematic drinking habits. However, Moderation Management should not be considered therapy; there are no therapist in the room, and the moderator, a two-year MM “veteran,” gently redirects people from delving too deeply into their issues.

Moderation Management has been around since 1994, but it experienced a dark period from 2000 to 2012, tangled up in controversy over its founder, Audrey Kishline. But in the last few years, Moderation Management experienced a renaissance, strengthened by the launch of the US National Institute of Health’s Rethinking Drinking program. Additionally, a 2014 report from the Center for Disease Control helped MM’s cause by saying that “excessive drinking” is separate from alcohol dependency and also an important public health issue that is not being effectively addressed by current tools and programs.

“Historically, MM has been looked upon as enabling alcoholics, and then the tragedy with Audrey knocked us in the stomach and we really pulled back after that,” Kern told the Guardian. “Only now, in the last year and a half to two years, have we started to come out again. The notion of figuring out if you can moderate, rather than going straight to abstinence as step one of dealing with an alcohol problem, is pretty universal. I haven’t talked to every single person in AA, but I’m sure they’ve all tried moderation on their own. But before MM there was no book or guidelines or anything, so people would just go out and try moderation naively on their own, and without any support a lot of them would fail.”

Riding this momentum, Moderation Management added more in-person meetings (however, they’re all still non-mandatory) and last year, the organization launched a campaign around “Dryuary,” encouraging people to take the month of January off from drinking. The campaign was successful, and now they now plan to do it every year.

Kern’s work helping patients with moderation in a clinical setting has taken place for more than a decade and entails a formal therapeutic protocol, including a Breathalyzer and closely monitoring patients’ progress. Additionally, Kern successfully managed to get MM approved by California as a program for first-offender drunk drivers 15 years ago, according to the Guardian.

Kern and other Moderation Management members readily admit that for some, abstinence is the only way to overcome the issue of alcohol dependency. Instead, their goal is to show that the one-size-fits-all abstinence method is outdated and that their program provides a more manageable lifestyle for people who are at the beginning stages of risky drinking and don’t want to necessarily give up alcohol all together.

We’ll cheer to that.

via Alan Levine / Flickr

The World Health Organization is hoping to drive down the cost of insulin by encouraging more generic drug makers to enter the market.

The organization hopes that by increasing competition for insulin, drug manufacturers will be forced to lower their prices.

Currently, only three companies dominate the world insulin market, Eli Lilly, Novo Nordisk and Sanofi. Over the past three decades they've worked to drastically increase the price of the drug, leading to an insulin availability crisis in some places.

In the United States, the price of insulin has increased from $35 a vial to $275 over the past two decades.

Keep Reading Show less

Oh, irony. You are having quite a day.

The Italian region of Veneto, which includes the city of Venice, is currently experiencing historic flooding. Venice Mayor Luigi Brugnaro has stated that the flooding is a direct result of climate change, with the tide measuring the highest level in 50 years. The city (which is actually a collection of 100 islands in a lagoon—hence its famous canal streets), is no stranger to regular flooding, but is currently on the brink of declaring a state of emergency as waters refuse to recede.

Keep Reading Show less
The Planet

Since the International Whaling Commission banned commercial whaling in 1986, whale populations have been steadily recovering. However, whales in the wild still face other dangers. In the summer of 2018, four Russian companies that supply aquariums with marine animals captured almost 100 beluga whales and killer whales (aka orcas). After a public outcry, those whales are swimming free as the last of the captive whales have been released, the first time this many captured whales have been released back into the wild.

In late 2018 and early 2019, a drone captured footage of 11 orcas and 87 beluga whales crammed into holding pens in the Srednyaya Bay. The so-called "whale jail" made headlines, and authorities began to investigate their potentially illegal capture.

Keep Reading Show less
The Planet
via Twitter / Bye,Bye Harley Davidson

The NRA likes to diminish the role that guns play in fatal shootings by saying, "Guns don't kill people, people kill people."

Which is the same logic as, "Hammers don't build roofs, people build roofs." No duh. But it'd be nearly impossible to build a roof without a hammer.

So, shouldn't the people who manufacture guns share some responsibility when they are used for the purpose they're made: killing people? Especially when the manufacturers market the weapon for that exact purpose?

Keep Reading Show less
via Gage Skidmore / Flickr

The 2020 election is a year away, but Donald Trump has some serious ground to cover if he doesn't want it to be a historical blowout.

A Washington Post- ABC News poll released Tuesday shows that Trump loses by double digits to the top Democratic contenders.

Vice President Joe Biden (56%-39%); Sen. Elizabeth Warren of Massachusetts (54%-39%); Sen. Bernie Sanders of Vermont (56%-39%); South Bend, Indiana, Mayor Pete Buttigieg (52%-41%); and Sen. Kamala Harris of California (52%-41%) all have big leads over the president.

Keep Reading Show less