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All major and most authoritative medical resources, such as American Medical Association and American Society of Addiction Medicine define alcoholism as a disease which is independent of and uncontrollable by human will and effort.
To the contrary, many laywriters and self-proclaimed experts of the human psyche attempt to trash the minds of their readers with false, couterscientific and socially dangerous ideas, which have already put staggering numbers (exceeding one hundred thousand by some sources) of mental patients behind prison bars, making the USA a focus of critique and condemnation of many human right organizations, such as our very own, US (NYC)-based Amnesty International BTW, I have read Mr. Fingarette's book thoroughly and could find not even a single truly scientific evidence supporting his populist, but badly amatorish philosophy. Better get this outstanding, easy-to-read, yet written by professionals book on alcoholism: Beyond the Influence : Understanding and Defeating Alcoholism by Katherine Ketcham, et al., available on amazon.com
In 1960 E. M. Jellinek published a book titled THE DISEASE CONCEPT OF ALCOHOLISM (p. 20). Alcoholics Anonymous members adopted this book as their scientific basis for asserting that alcoholism is a disease. But Jellinek's data was compiled by interviewing A.A. members. Thus, his conclusions were based on the reasoning of the very people who came to endorse his book. Furthermore, his research was based on only 98 interviews.
Today, the politics of alcoholism is big business (pp. 22 ff.). Conceiving of it as a disease enables treatment centers to receive payments from health insurance companies.
If somebody has cancer, you don't say, "You foolish person! You have cancer!" But when it comes to alcoholism, it is not unusual to find the relapsing drinker to be accused of having done something wrong. Many think the alcoholic, unlike the "canceric," has control. This, Fingarette argues, is in an important sense true, and shows the disanalogy between the disease of cancer and the PROBLEM of alcoholism. (Have you ever noticed that "alcoholic" is the dominant "-ic" in the U.S.? If you examine the word "alcohol," what is added to it is only "-ic." But when a person has a fancy for, say, chocolate, we don't say, "chocolatic," but rather "chocoholic." "Holic" always makes its way in, so obsessed are we as a society with alcohol.)
Heavy drinkers -- as Fingarette refers to what others call "alcoholics" -- do not become heavy drinkers for just one reason. Therefore, it is unclear that treatment should consist of just one variety. Twelve-step programs, in our society, play a role like that of various forms of fundamentalism both here and abroad, reducing problems to a formulaic response that is often insulting at best, and deadly at worst. The person is by-passed because the program directors "know" what the right thing is for the "patient" to do.
Controlled drinking programs are available in many countries (p. 128). In Europe, attitudes toward drinking are remarkably different from attitudes in the U.S., and these differences often make a difference in the way people actually drink. Stigmatizing behavior often reinforces the very negative behavior it seeks to prevent, especially in a country like the U.S. where rebellion is schizophrenically considered a virtue.
Fingarette discusses the GENETIC HYPOTHESIS on pp. 51-55. This is very important: IT HAS NOT BEEN PROVED. I have spoken with several substance abuse counselors who very nonchalantly remark, as though possessing conclusive scientific authority to do so, "It's genetic." We don't know that. We don't know that 12 steps to recovery is the gospel. Agents of recovery should consider adopting a more epistemically modest stance. But although this book would help them make a move in that direction, they can't afford to. Literally.
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Fingarette was a mainstream Western philosopher, who said that when he first read Confucius, he found him to be a "prosaic and parochial moralizer." However, he eventually became convinced that Confucius had "an imaginative vision of man equal in its grandeur" to any that he knew.
Fingarette is at his best explaining the importance of ritual in Confucianism. Most of us nowadays think of rituals as useless affectations. However, Fingarette shows that Confucius regarded rituals (from handshaking to funerals) as an important part of being human. It is when we participate in such ritual activities that we are most distinctively human. In addition, ritual has the power to enable humans to work together without the need for coercion. Perhaps if we in the West can recover the feeling for the importance of shared, sacred rituals, we can help give more unity to our chaotic society.
Fingarette was also deeply influenced by Western behaviorism, and this leads to some of the less plausible aspects of his book. He wishes to deny that there is any "internal" dimension to Confucius' thought. If what Fingarette wishes to claim is that Confucius did not think of human psychology the way that, say, Augustine or Descartes did, then he is quite correct. (But then who is Fingarette arguing with? No serious interpreter I know of has read Confucius as a Cartesian.) However, Fingarette sometimes seems to want to claim that emotions and attitudes are, for Confucius, perfectly public states. I think that this is to project Western behaviorism onto Confucius (and behaviorism itself derives what limited plausibility it has from being a reaction to more extreme forms of Cartesianism).
Warts and all, this is still a classic book on Confucius after almost twenty years. If you want to learn more about Confucius, H.G. Creel's _Confucius and the Chinese Way_ is worth reading. For broader surveys of Confucianism, you might read Philip J. Ivanhoe's _Confucian Moral Self Cultivation_, or the anthology he and I co-edited, _Readings in Classical Chinese Philosophy_.
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