Stanton Peele and his ideas have had a profound effect on the field of alcohol and drug abuse. His ideas also have major implications for reducing substance abuse. He challenges many strongly held beliefs. And that threatens the status quo. So he and his ideas often cause hostility.

      Overview

I.   Interview

II.  Stanton Peele

III. Books

I. Interview: Stanton Peele

Dr. Stanton Peele is interviewed by David J. Hanson.

Hanson–

Dr. Peele, you are known as a very innovative and independent thinker.  Therefore, your ideas are often at odds with those of the alcohol establishment. How have the defenders of the status quo reacted to you and your ideas?

Ideas

Dr. Peele–

Well, first we must make clear in which ways my ideas defy conventional wisdom. Among these differences are that I see alcohol as a benign and potentially beneficial substance. That’s based on the centuries and cultures in which it has been used this way.

Looking at this the other way, some people misbehave with alcohol. This may lead to problem drinking and alcoholism. In this case, I explore the social influences, psychological problems, and value deficiencies of the individual drinker.

Opposition

These two basic positions in the US moral and treatment groups. Americans wish to see evil in the bottle. Or in the genes of the problem drinker. They find it too complex to understand how social and psychological factors influence drinking.

But this means that we devise policies that attack all drinking. Doing this actually makes the drinking that takes place more problematic. At the same time, we hold out hope for a medical cure for alcoholism. This will never occur.

Just think of all the newspaper headlines about drug and alcohol abusers.  Mrs. Phil Hartman, Charlie Sheen, and Carol O’Connor’s son. Then reflect on the fact that all of them were repeatedly treated for substance abuse. And in medical settings.

Of course, most public health officials enjoy drinking. Yet to announce this out loud is to invite ostracism. But where I have received the most virulent, career-threatening attacks has been from A.A. From recovering (or trying to recover) alcoholic. As well as the private alcoholism treatment industry.

These groups have devoted many resources to trying to bury me and my views. Ironically, there is a large academic and research industry in the U.S. which more or less recognizes the accuracy in what I say. But it likewise rejects my views as too provocative.

Discrimination

Hanson–

Is your research held to a higher standard than that of other researchers? That is, are you being discriminated against?

Dr. Peele–

From time to time, I have been recognized for my contributions. For example, I was awarded the Mark Keller Award from the Rutgers Center of Alcohol Studies. It was for the best article to appear in the Journal of Studies on Alcohol.

More often I have been ignored or put down for saying the same thing as others. But more forcefully and at an earlier point! For example, I attacked the failure of places like Rutgers [Center] to do controlled drinking therapy studies.

But when Rutgers began such a program, they were at pains to indicate they didn’t do so because of the evidence I had been citing for years. They said it was but because other researchers had found it was all right.

Project MATCH

Likewise, the NIAAA (National Institute on Alcohol Abuse and Alcoholism) has conducted Project MATCH. This was a major research program on alcoholism treatment.

I interpreted this research program as actually undercutting the primary assumptions about treatment in the US. And at the same time that several prominent MATCH researchers had been making quite similar points. But the MATCH researchers attacked me for making these points!

Hanson–

Do other non-conformist alcohol researchers and writers face the same problems that you do?

Dr. Peele–

Yes, but they often quit from frustration. Or they capitulate. This has been true of those combating the alcoholism treatment industry.

Benefits of alcohol

In the case of the benefits of drinking, there has been somewhat more resistance to the reign of prejudice over truth. This is because it has been simply impossible to bury the fact that drinkers live longer than nondrinkers. Naturally, the Harvard Medical School and other researchers who support my views are considerably more cautious in announcing these things. But the movement in both areas has been in my direction. If I wait long enough, I expect they’ll be presenting me with career awards. And commending me for my bravery when I get old.

Hanson–

Have your views hurt your professional career in any way?

Dr. Peele–

I have kept going despite opposition and a lack of support for decades. At my website, readers describe how reading my work has saved their lives. But I also list a sampling of some of the many diatribes against me.

I have maintained positions that were otherwise almost buried on the US alcoholism scene. But no research or treatment or public group will support me. That’s financially or otherwise.

In recent years, I have found some financial support from consulting on cultural and social issues with alcohol producers. I am then amused to be attacked by people like Robin Room for accepting such funding. (He’s at the Addiction Research Foundation.) I write back, “Robin, thanks for offering me a job at ARF so I can maintain my family and myself.”

Censorship?

Hanson–

It would appear that censorship is occurring. This isn’t supposed to happen in science. If new and unconventional ideas are suppressed, how can we develop sound ways to reduce drinking problems?

Dr. Peele–

In the case of alcohol the goal seems not to be actually to improve the situation. Nor to improve the health of people. It’s to promote the proper ideology.

Most people would be healthier if they drank more, rather than less. But this is impossible to state out loud. So public health officials don’t really want to improve health or prolong life. They want to say the right things! Actually, this process is more true than t in nearly every policy area. It is only in a case where the bottom line is life and health where it’s so noticeable.

A press conference was held about my work. Michael Jacobson is head of the Center for Science in the Public Interest. Although not present, he attacked the event. My point was that attacking alcohol in the guise of public health policy actually results in more, rather than less, problematic drinking. This is a critical, radical assessment.

Hanson–

Thank you for your time, Dr. Peele.

Dr. Peele–

It was my pleasure.

II. Stanton Peele

Tell Children the Truth about Drinking

Teaching children to drink in moderation appears to inoculate them against alcohol abuse later in life. But in the US, we use the method of alcohol education found least successful in scientific research. It teaches that abstinence is the only way, asserts Dr. Stanton Peele.

After years of debate, the US. government has finally decided that alcohol can be beneficial. Federal dietary guidelines now indicate that moderate drinking lowers the risk of heart disease. The dietary guidelines note that such “beverages have been used to enhance the enjoyment of meals throughout human history.”

There is both old and new information in this statement. We all know that many Americans drink only occasionally or lightly at meals and social occasions. They know when to quit, don’t misbehave when they drink and enjoy the taste and sensations of alcohol without going overboard

Culture

Most of us are also aware that people in different cultures handle alcohol differently. In Mediterranean societies — Italy, Spain, Portugal — alcohol is consumed in the form of wine, usually at meals, by family members of all ages. Even small children have wine on special occasion, and many European countries permit adolescents to drink with their families at restaurants.

To many Americans, the idea of offering children alcohol is reprehensible. Yet, this approach to drinking seems to inoculate children against alcohol abuse later in life.

A study conducted by Harvard psychiatrist George Vaillant followed a group of men in Boston for more than four decades. The Italian, Greek and Jewish men were only one-seventh as likely as Irish Americans in the study to become alcoholic.

In America, we are taught that alcoholics are born, not made. Yet no gene determines that any individual will become an alcoholic. Rather, development of adult alcoholism is a long-term, interactive process. Despite our claim to advanced medical knowledge about alcoholism, America produces many more problem drinkers than do many traditional cultures.

Vaillant Study

The groups in the Vaillant study that had few alcoholics actually teach children responsible drinking at home. The problem with a blanket disapproval of drinking is that many children develop drinking habits on their own that are very different from sipping wine at a religious feast or family meal. National surveys show that up to half of college students and high school seniors have drunk five or more drinks at one sitting in the prior two weeks. Among fraternity and sorority members, this figure is 80 percent.

Ironically, in the United States today, we follow the method of alcohol education found least successful in the Vaillant study. That is, alcohol is grouped with illicit drugs, and children are taught that abstinence is the only answer.

Yet children are aware that most adults drink, and many drink alcohol themselves on the sly. Moreover, drinking will be legal and widely available to them within a few short years. Clearly, many young people find the abstinence message confusing and hypocritical.

Health

Studies of health outcomes among groups who have been tracked for years find that moderate drinkers live longer than abstainers. What is moderate drinking? The government defined this as no more than two drinks daily for men and one for women. Britain has defined higher sensible drinking limits — two to three drinks for women and three to four for men.

The lower death rate among moderate drinkers is largely due to less heart disease. And especially clogging of the arteries. Alcohol enhances high density or good cholesterol.

However, when people average more than two drinks daily, they are more likely to suffer from such diseases as cancer and cirrhosis. At five to six drinks daily for men and four drinks for women, these risks distinctly outweigh the benefits of drinking.

Implications

What are people to make of these complications in the message about alcohol? Like most things in life, sound judgment and moderation are the bywords. After all, there are many things people consume occasionally — such as meat, desserts or cigars — that if done to excess become health problems.

Even adolescents can define the difference between healthy and unhealthy drinking. Hold such open discussions among teenagers in place of the standard temperance lecture that passes for alcohol education. After all, even the government confirms that all drinking is not bad.

Dr. Stanton Peele is a leading figure in the field of alcoholism and addiction. He is the author of these and other books. Discover more at the Stanton Peele Addiction Website.

III. Select Books by Stanton Peele

• • 7 Tools to Beat Addiction.
  • Recover!
  • Love and Addiction
  • The Truth About Addiction and Recovery.
  • Diseasing of America
  • The Meaning of Addiction
  • How Much is Too Much?

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