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Under the Influence: A Guide to the Myths and Realities of Alcoholism
James Robert Milam, Katherine Ketcham

Bantam, 1984 - 256 pages

average customer review:based on 33 reviews
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   highly recommended  highly recommended





Interesting information

I find this book fascinating. Having worked in the treatment field for a long time and having worked at Lakeside-Milam (which Milam started) I feel comfortable recommending and discussing this material.

I've met Dr. Milam and used to listen to him lecture. Interesting guy, soft-spoken, and full of knowledge. He is a true pioneer.

I've also been fortunate enough to work at Schick Shadel Hospital. If you like the work of Dr. Milam, I would invite you to check out the work from Dr. James W. Smith. Dr. Smith has been practicing addiction medicine since 1960. He is Board Certified in Family Practice and certified by the American Society of Addiction Medicine (ASAM).

Dr. Milam was a pioneer, Dr. Smith is a legend. Knowing both approaches I'm excited to move forward in my body of knowledge.



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Excellent information!

I feel empowered with information. I can seriously say that for the first time, I am empty of judgement. On the cover it says "A life-saving approach to alcoholism" and that's the point I'd stress.









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I didn't understand all about the disease until I read this

The author clearly defines the progression of the disease. He describes the scientific physiolgical effects of alcoholism on an alcoholic. Milam describes in scientific detail the neurological impact of alcoholism on the frontal lobe. Race/culture rates are described. If people don't understand that alcoholism is a disease I say, read "Under The Influence". There is no question after reading this book that it IS a disease. The moral/willpower issue should long have been disolved. This book is a myth buster for alcoholism. This is truly an enlightning must read for everybody.


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Why this book is SO very important for families of alcoholics

I train counselors and counsel families of alcoholics, and when a family member is having a very difficult time (even though she is trying hard) to understand that this is a disease----I refer her to this book. This helps her to see so well, that his rage is because alcohol excites the rage-centers of the brain. And because she now understands this, she knows, then, that the crazymaking coming out his mouth is the disease talking. Does not mean that she is not in pain from his behavior---but this book does help to take the edge off it. And this book helps her to spot the alcoholism in her children, too, because she now knows how very genetic this disease is.
I see that one of the inside-cover endorsements for this book is by Toby Rice Drews---the author of the "Getting Them Sober, you CAN help" book. Her book is my 'sister book' to Milam's book! Together, these two books are lifesavers in my home. My counseling clients tell me that when they read "Getting Them Sober", their family lives change for the better within three days! I feel that these two books are 'sister' books because Milam (in "Under the Influence") explains the entire physiological body/brain effects from alcoholism----and Drews (in "Getting Them Sober, you CAN help") explains in detail, exactly how to make changes in one's relationship with the alcoholic (whether or not you live with him)------ so that the alcoholic has an 80% better chance to get sober. (The cover-endorsements for the book are by 'dear Abby', Dr. Norman Vincent Peale, and Melody Beattie, author of 'Codependent No More', who says that "Getting Them Sober is the BEST book for the family of the still-drinking alcoholic".) Getting Them Sober: You Can Help! (Getting Them Sober)


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reviews: page 1, 2, 3, 4, 5, 6, 7



Ten of millions Americans suffer from alcoholism, yet most people still wrongly believe that alcoholism is a psychological or moral problem, and that it can be cured by psychotherapy or sheer will power. Based on groundbreaking scientific research, Under The Influence examine the physical factors that set alcoholics and non-alcoholics apart, and suggests a bold, stigma-free way of understanding and treating the alcoholic.

How to tell if someone you know is an alcoholic.

The progressive stages of alcoholism.

How to get an alcoholic into treatment -- and how to choose a treatment program.

Why frequently prescribed drugs can be dangerous -- even fatal -- for alcoholics.

How to ensure a lasting recovery.


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