tag:blogger.com,1999:blog-7310493350834667068.post1948177450982404181..comments2023-02-13T01:03:29.674-08:00Comments on Thought for week- public health and wider matters: Alcohol Addiction and Education: Some random thoughtsJohn Foster- Personal Opinionhttp://www.blogger.com/profile/13902523438466894805noreply@blogger.comBlogger9125tag:blogger.com,1999:blog-7310493350834667068.post-38721375208545317112020-05-15T12:32:19.110-07:002020-05-15T12:32:19.110-07:00It is somewhat fantastic, and yet check out the ad...It is somewhat fantastic, and yet check out the advice at this treat. <a href="www.xn----3hcgtcpkcea6a.org.il/%D7%90%D7%9C%D7%9B%D7%95%D7%94%D7%95%D7%9C-2/" rel="nofollow">אלכוהוליזם</a><br />skhttps://www.blogger.com/profile/17946763906641178538noreply@blogger.comtag:blogger.com,1999:blog-7310493350834667068.post-60980933560269082062019-10-14T09:58:30.357-07:002019-10-14T09:58:30.357-07:00Like many people, at the start of the year, I made...Like many people, at the start of the year, I made a resolution to decrease my alcohol intake. <br /><br />Drink Less in Seven Days by Georgia Foster has really helped me stick to this resolution. Georgia is a clinical hypnotherapist and alongside the written version of the book, there are also 4 "Hypnosis Hub" recordings that readers are encouraged to access to help them with the program. <br /><br />One of the great things about Drink Less in Seven Days is that Georgia (and I"m going to call her Georgia because she kind of feels like a friend) is totally non-judgemental about how much you drink, why you drink, why you feel you drink too much etc. I feel that this is an area where people carry a lot of shame and negative feelings and to have someone who approaches an emotional issue like this with absolute objectivity is helpful in driving the desired behaviours. She's on your side!<br /><br />There are two main parts to Drink Less in Seven Days. The first is how your amygdala (the part of your brain that deals with emotions and fear/stress responses) can actually work against your efforts to quit or reduce your drinking. It shows you how to move your decision to drink away from this very instinctive part of your brain to your prefrontal cortex which is the part of your brain that is more concerned with considered decision-making. <br /><br />I found this part of the book fascinating, particularly the parts where she spoke about silencing your inner critic. <br /><br />However, it was the second part of the book, where Georgia broke down different personality types. what triggers them to drink and how to circumvent these triggers that I found most useful. (Also fascinating, if like me you love a good theory of behaviour and the ability to proclaim "Yes!!!! That's me!"). Because it makes total sense right? If you drink out of social anxiety (which is me a little bit) your methods to success will likely be different to someone who drinks because everyone around you is (also me a little bit). <br /><br />The biggest take away for me was starting to understand what triggers my wanting to drink and learning alternative strategies should I decide not to. I think a really important thing about Drink Less in Seven Days is that it is NOT about quitting drinking altogether. It is about cutting down to a level that you are comfortable with, whatever that is for you. And this feels more manageable than quitting altogether.<br /><br />The cru of this type of book though is does it work?<br /><br />So here's the real deal. I started this program in January. It's now March and I can count the times I have drunk alcohol on one hand. During this time I have been to pubs, bars and restaurants, entertained at home and been entertained at other people's homes so it's not like I have been hiding myself away. I have been around alcohol and people drinking as much as I ever was. <br /><br />Will I drink again? Almost definitely. For me, this experiment was never about giving up altogether. And I have far too much fun making cocktails for this to give it up completely! However, I feel that moving forward I will be able to drink in a more mindful considered way.<br /><br />Thank you to Georgia Foster for a thoroughly fascinating book that does exactly what it says on the cover!<br /><br /><b><a href="http://7daystodrinkless.weightlosstactics.info" rel="nofollow">Here's a link to The 7 Days To Drink Less Online Alcohol Reduction Program</a></b>.<br /><br />JohnJohnhttps://www.blogger.com/profile/07340232415346690643noreply@blogger.comtag:blogger.com,1999:blog-7310493350834667068.post-28793422207684274552012-08-12T09:38:07.062-07:002012-08-12T09:38:07.062-07:00I have to wonder whether someone hasn’t created a ...I have to wonder whether someone hasn’t created a ‘neo-temperance toolkit’ that gives them the formula and content of their anti-alcohol propaganda, because all the elements were there: the ritual denunciation of the drinks’ industry as one-dimensional capitalist villains who cynically favour alcohol education because it doesn’t work; the usual tired arguments about raising price and reducing availability were rehearsed; a lurid tale of alcohol-fuelled teenagers running amok (“I blame the parents”); the comparison made between alcohol and drugs; and finally a reminder of the slippery slope “addiction is really just an extension of a bad habit and ‘there but for the grace of God go I.’<br /> <br />Let me start with his comments about the impact of education. The gist of it is he doesn’t think alcohol education has much of an impact on the drinking culture, it doesn’t work; unlike propaganda. <br /> <br />Indeed, he goes further and suggests that education might actually backfire because it “encourages rather than discourages experimentation” (with alcohol). <br /> <br />More to the point, there is evidence that alcohol education does work. For the past eight years Diageo has sponsored “Smashed”, an interactive theatre education workshop, which educated young people about the risks of underage drinking. Following the 2012 tour, 98 per cent of participating students said they understood alcohol misuse can damage their health; 96 per cent said they understood it can affect relationships with friends and family; 98 per cent said they understood the relationship between drinking and accidents. “Smashed” has so far reached 195,000 young people in 1,100 schools and will be touring again in 2013. <br /> <br />Furthermore, the latest NHSIC report on smoking, drinking and drug use in England in 2011 has shown that:<br /> <br />• The proportion of pupils who drank in the last week has fallen by eight per cent since 2010 and by 54 per cent since 2001<br />• The mean weekly amount drunk by pupils that did drink fell by 20 per cent since last year<br />• The number of pupils who have never had a drink has risen by 40 per cent since 2001<br /> <br />Foster also addresses the relationship between consumption and price: “As the alcohol industry will not tire of telling you there is no proof of a causal relationship between alcohol consumption and price….” Well, actually the alcohol industry makes no such claim, and if it did it would be wrong. Why does Dr Foster think the industry is campaigning for a reduction in VAT to five per cent in pubs, and an end to the alcohol duty escalator? It is precisely because we do understand that demand for alcohol products, like the demand for any other product, responds to increases in price. <br /> <br />The issue is not whether price rises would lead to a fall in alcohol consumption, but whether there is a causal relationship between the fall in consumption per head across a whole population, and a reduction in alcohol-related harms. The ‘whole population’ approach, of which he is an advocate, is a theory in desperate search of evidence. The last six years has seen the ground move beneath it. An 11 per cent fall in alcohol consumption whilst alcohol-related harms continue to rise – the opposite of what those seeking to suppress the mass market in alcohol believed would happen.<br /> <br />And then he goes on to make the comparison between someone who is looking forward to going home “where there will be a nice glass of something cold for me” and consumption of illegal drugs. He suggests that if “glass of something cold” was replaced with a “line of coke” or “syringe of heroin” it wouldn’t have quite the same ring to it. <br /> <br />We all make our pitch to consumers in the same market-place of ideas. This creates individual choice. I suspect Dr Foster doesn’t like the idea of education or advertising because he believes that if you give people a choice they’ll make the wrong one! They can resist anything except temptation. For you, the difference between ‘responsible drinkers’ and ‘alcohol addicts’ is just a matter of how far down the slippery slope they are.John Foster- Personal Opinionhttps://www.blogger.com/profile/13902523438466894805noreply@blogger.comtag:blogger.com,1999:blog-7310493350834667068.post-71726844670663273132012-08-09T04:11:32.877-07:002012-08-09T04:11:32.877-07:00Thanks Dave.
You may have a point though time wil...Thanks Dave.<br /><br />You may have a point though time will tell. There has been a history of buying alcohol duty free for somewhile though this has become less popular as supermarket prices have been comparatively low. However this may change and the Shepherd Neame brewery in Kent have expressed concerns.<br />Often quoted is the experience of Russia where consumption slowly crept up again following an initial fall in response to a price rise. However there was already a culture in place in Russia of home brewing alcohol (known generally as unrecorded consumption as tax is not paid.) Currently there is not a culture of this in the UK though there are parts of the country where stills have been found- generally associated with Eastern European migrant communities and there have been some sales of illicit vodka in off licences.<br /><br />If the recession is prolonged we may see a big change in UK culture but currently unrecorded or duty free consumption is small.John Foster- Personal Opinionhttps://www.blogger.com/profile/13902523438466894805noreply@blogger.comtag:blogger.com,1999:blog-7310493350834667068.post-63074266881174273602012-08-06T14:17:27.382-07:002012-08-06T14:17:27.382-07:00Impressive stuff as usual, John - I agree that pri...Impressive stuff as usual, John - I agree that price is a big factor but the problem with making alcohol expensive or hard to get is people will find alternative means of boozing eg going to Calais shops or even making moonshine and drinking at speakeasys like in the prohibition era. <br />(David Ogden)Anonymoushttps://www.blogger.com/profile/07838074499553855602noreply@blogger.comtag:blogger.com,1999:blog-7310493350834667068.post-22944624494428676172012-07-25T10:59:36.756-07:002012-07-25T10:59:36.756-07:00Thanks Paul
There is now a body of evidence emerg...Thanks Paul<br /><br />There is now a body of evidence emerging as to the impact of screening and brief intervention. If you are not already familiar with it see the SIPS study. Google this and alcohol findings and you should find this. Get back to me if you have problems accessing it. I am about to conduct and evaluation into SBI in an accident and emergency in the Greenwich area.<br />Perhaps in another blog I might look at treatments briefly but it wont be popular with the treatment community which has had major problems with the idea that some of their work when evaluated often does not produce cost effective outcomes but that is another debate.John Foster- Personal Opinionhttps://www.blogger.com/profile/13902523438466894805noreply@blogger.comtag:blogger.com,1999:blog-7310493350834667068.post-24140858409340209162012-07-25T04:34:03.918-07:002012-07-25T04:34:03.918-07:00I really enjoyed reading your post John which I am...I really enjoyed reading your post John which I am in general agreement with. James kind of touched on this but there is emerging evidence of screening (e.g. completing a modified AUDIT questionnaire about alcohol consumption) having an impact on behaviour change. In public health terms, I wonder could this be considered an intervention in its own right for people drinking at increasing and higher levels of risk?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-7310493350834667068.post-63088821234835888572012-07-23T09:46:19.328-07:002012-07-23T09:46:19.328-07:00Thanks James
I agree with your comments re abstin...Thanks James<br /><br />I agree with your comments re abstinence and am about to start some work locally concerning evaluation of SBI and am particularly interested in considering those who dont have abstinence as a goal. What I did not say is that often individuals stop drinking problematically (possibly become controlled drinkers)without contacting treatment services. This is of course a different debate. The aim of this blog is to write in an thought-provoking but accessible manner and I hope this aim is being acheived.John Foster- Personal Opinionhttps://www.blogger.com/profile/13902523438466894805noreply@blogger.comtag:blogger.com,1999:blog-7310493350834667068.post-50450614804531760702012-07-23T03:28:20.419-07:002012-07-23T03:28:20.419-07:00Good piece John. It is a fundamental challenge to ...Good piece John. It is a fundamental challenge to effective alcohol policy that the lay person will assume that 'more education' is what's needed. As you highlight this is contrary to the evidence but does in some ways seem like a rational conclusion to assume. Of course not the only policy issue where the common assumption is quite out of sync with the evidence..<br /><br />One other key issue is I feel the false perception of "us" and the seperate "alcoholic others" as the only problem drinkers. Whereas of course we know the spectrum of alcohol misuse runs throughout society and social groups.<br /><br />So whilst I don't disagree with you comments on addiction and treatment, I feel they may inadvertently re-enforce this notion to some extent. Namely not everyone with alcohol addiction/in treatment would need abstinence as a goal. Most peoeple with some level of dependence will only have it to a mild severity - so if identified early would need far less intensive interventions/support. <br /><br />Nonetheless both those seeking controlled drinking and abstinence goals face the common enemy of the ubiquitous cue to 'enjoy' a drink when we would probably choose not to.jm24https://www.blogger.com/profile/15765274012971163255noreply@blogger.com