Jeffrey Schaler's book is well written and sourced throughout. He makes his argument that addiction isn't caused by a mysterious disease, but that anyone who suffers from an addiction does so because they find pleasure in the use of the substance they are addicted to.
This is a short volume that is packed with useful information. If it had been the only book I read on the subject, I would have given it 5 stars. Instead, though, I've been reading quite a bit on the subject, and found this slender book to be just a bit shy of of the fifth star I awarded some other authors who wrote on this subject.
The truth of the matter is, there have been numerous studies done over the past several decades (many of which Schaler quotes). Not ONE of them have been successful in proving that alcoholism is a disease. Not ONE. Yet, assuming the physicians and organizations that push AA and similar 12 step treatment are at all well-read (and, I assumed so; I mean, they were the 'experts'), they still push this alcoholism as disease concept! If they don't read the current journals and books, why are they in their posts? Is it the massive amount of money poured into the treatment centers? Is it really a benevolent action to encourage (or, in some cases mandate) those with addictions to enter treatment or AA when ALL of the evidence has proven that it really doesn't work? Sometimes, believe it or not, the evidence has shown that AA and 12 step treatment is, in fact, MORE detrimental than no program at all. As confusing as that sounds, imagine being told every day that you are powerless, lack any control, are not responsible for your desire to imbibe, etc. Those that are indoctrinated with this belief system obviously believe they are diseased, permanently sick, permanently and forever in need of meetings, permanently and forever believe they have no control over their behavior, permanently and forever believe they have no power. In fact, they are told and believe that they will ALWAYS be in a permanent state of "recovery". That being "recovered" is nonsensical and elusive. . . their state, always, is "in" recovery-- they will NEVER be better. They will ALWAYS be labeled as an addict or alcoholic. Imagine having that label for the rest of your life.
Additionally, what makes the most sense? If one is trying to eliminate their addiction, does it make sense to hang out pretty much exclusively with other addicts and alcoholics on a daily basis? Or, does it make sense to hang out with those that have healthy balanced lives and don't "need a meeting" on a daily or almost daily basis? Common sense tells us that to BE healthy, one must have balance in their daily lives. Work, family, recreation, etc. How can this take place when AA members are encouraged to attend daily meetings (it's considered a badge of honor to attend meetings daily, or even two to three meetings daily!), to read only AA "literature" (ugh. I use the word literature, because that's what they call it! Did you ever critically read this material? I wouldn't call anything AA or Bill W. has put out 'literature'), to talk to an alcoholic daily, to do service (help other alcoholics), etc.
There is no balance in this type of life. It's indoctrination and brainwashing. Furthermore, it has been proven NOT to be successful. Other more effective ways to curb addiction has been discovered and it is a shame that the very people we've entrusted to help those struggling with their addictions are pushing an outmoded, proven-not-to-work, decades old bit of folklore.