Under the Influence

The book is widely praised as a trail-blazing classic that offers a clear, convincing, and easily understood explanation of alcoholism as a physiological disease rather than a moral failing or psychological problem. Reviewers consistently highlight its effectiveness in debunking common misconceptions and stigma surrounding the condition. Many found it an eye-opener, providing a deep dive into how alcohol is processed differently in predisposed individuals and the subsequent metabolic and cellular changes that lead to addiction. The book's emphasis on the crucial role of diet, nutrition, and complete abstinence in treatment is frequently cited as particularly enlightening and a key strength, offering practical guidance often missing from other approaches. Its straightforward, fact-filled prose is appreciated for fostering empathy and a profound understanding of alcoholism's true nature.

Despite its strengths, several reviewers point out that the book, originally published in the early 1980s, contains outdated information, statistics, and examples. Concerns are raised about the need for updated research to support some of its claims, particularly regarding the effectiveness of certain treatment models or the absence of newer evidence-based approaches. Some found the book to be somewhat repetitive in its arguments or technical in its early chapters. One reviewer described it as highly prejudiced towards the author's specific views on treatment, while others noted that some lifestyle examples felt antiquated or sexist. Additionally, it is acknowledged that the book is brief and may not serve as a sole resource for recovery, offering limited insight into self-sought treatment or the spiritual and mental aspects of healing.

Overall, the book is considered a vital and essential resource that fundamentally shifts perception of alcoholism from a character flaw to a tangible, physiological disease. While its age means some information may require context from more current research, its core message and scientific explanation of the disease remain highly relevant and impactful. It is strongly recommended for anyone seeking a deeper, non-judgmental understanding of alcoholism, including individuals struggling with addiction, those in recovery, their families and friends, and professionals in healthcare or counseling roles. Readers interested in a scientific, fact-based approach that fosters empathy and offers practical insights into treatment and recovery will find this book an invaluable foundation for understanding this complex condition.