Though programs like Alcoholics Anonymous and other well-known programs meant to aid in the recovery from alcohol use disorders and alcohol misuse require or encourage full abstinence, these are not the only solutions known to help people quit or control drinking. Different people may be drawn to trying a moderation approach for a variety of reasons. But if they have a problem with alcohol, taking a harm reduction approach could be a constructive way to help them take a look at the negative consequences of their behavior and motivate them to make positive changes. Most people who seek out moderation management (MM) have already tried and been unsuccessful at stopping drinking or cutting down on their use.
Alcohol affects the digestive tract in many ways, depending upon what types of alcohol, and how much of it, you’re drinking. Participants using methamphetamine were more likely to be in the abstinence vs reduced use category (21.3% vs 13.9%, respectively), whereas participants using cocaine were less likely to be in the abstinence vs reduced use category (9.1% vs 20.9%). Among the participants, 1196 sought treatment for cocaine use disorder and 866 for methamphetamine use disorder. In addition, the compliance of the active controlled drinking vs abstinence interventions also did not show better evidence than TAU in Figure 3 (12 articles included). Briefly, as the Supplementary File presents, 14.71% of the included trials were considered low risk, 66.67% were considered unclear risk, and 20.59% were considered high risk (Figure S6A). The unclear ROBs were mainly concentrated in the randomization, allocation concealment, and blinding to therapists and patients, while the high ROBs existed from the implementation to the reporting stage (Figure S6B, details listed in Table S6).
Moderate Drinking is About Having More Control Over Your Drinking
We know that in the majority of cases where addiction is present, abstinence is the only option that works, but for us to insist on this route for others means they are unlikely to try and get help. The idea of never drinking again is extremely daunting, even to those not affected by addiction, and so our advice is to take it one day at a time. If a person tells themselves this every day, the number of days without a drink will soon add up. The negative effects of your drinking may have turned you off of alcohol entirely, and that’s completely okay.
Finally, the WIR survey did not ask about preferential beverage (e.g., beer, wine,
spirits), usual quantities of ethanol and other drugs consumed per day, or specifics
regarding AA involvement; because these factors could impact the recovery process, we will
include these measures in future studies. The dearth of data regarding individuals in long-term recovery highlights the
need to examine a sample that includes individuals with several years of recovery
experience. Moreover, although previous studies have examined treated, non-treated and
general population samples, none has focused on individuals who identify
themselves as “in recovery” from alcohol problems. Importantly, the only published study that asked individuals in recovery (from
crack or heroin dependence in this particular study) how they defined the term revealed
that less than half responded in terms of substance use; the other definitions were more
general, such as a process of working on oneself (Laudet
How to prevent constipation while drinking
In 1990, Marlatt was introduced to the philosophy of harm reduction during a trip to the Netherlands (Marlatt, 1998). He adopted the language and framework of harm reduction in his own research, and in 1998 published a seminal book on harm reduction strategies for a range of substances and behaviors (Marlatt, 1998). Marlatt’s work inspired the development of multiple nonabstinence treatment models, including harm reduction psychotherapy (Blume, 2012; Denning, 2000; Tatarsky, 2002). Additionally, while early studies of SUD treatment used abstinence as the single measure of treatment effectiveness, by the late 1980s and early 1990s researchers were increasingly incorporating psychosocial, health, and quality of life measures (Miller, 1994).