Category Archives: Sinclair Method

Musings on Dallas Buyers Club, Autodidactism and The Information War

Well, I finally got around to watching Dallas Buyers Club on Netflix and it was really good. Matthew McConaughey and Jared Leto both turn in exceptional performances.

Sadly,  what undermines this biopic is the way that it takes some extreme liberties with historical fact in order to make it fit better into a three act play structure… for example, both the Jared Leto and Jennifer Garner characters seen in the film are invented – they’re actually based on a combination of different people rather than two real individuals. They’re composities.

Another aspect that’s completely fictional is the depiction of Ron Woodruff (as played by Matthew McConaughey) as being a raging homophobe, when he in fact had no hostility towards gay people in real life and it’s since been suggested by several people close to Woodruff that he was actually bisexual.

But if you can allow your brain to shut that information out it’s quite possible to enjoy this movie for its depiction of a group of people with HIV/AIDS coming together to form their own “buyers club” in order to (often illegally) access the best medication available in order to prolong their lives.

The best parts of the film? For me, they’re easily the scenes where Woodruff is poring over books in the library and educating himself on the best treatment options available for the virus, ultimately becoming an expert in his own condition and ultimately a civil liberties hero in his fight against the FDA in order to allow AIDS patients the right to experiment on their own bodies as they see fit.

There are in fact several parallels which I see with the scandalously unfair fight that many people with Alcohol Use Disorder in many countries have on their hands trying to access naltrexone or nalmefene using The Sinclair Method… and the undignified hoops that some patients are forced to jump through in order to get hold of a prescription.

I also relate to the scenes where the Matthew McConaughey character is ridiculed for educating himself on his own condition and the best treatment options available. I’ve had this several times over the years, with an addictions worker once cautioning me that I “think too much”.

The democratisation of science is a scary thing for some people. Autodidactism is especially threatening to some doctors, it seems.

But the question should be asked: is it really monstrous arrogance to “act as your own doctor” and take risks such as importing naltrexone illegally when you’re forced into that position because you know the default medical paradigm in your location is woefully ineffective in comparison to The Sinclair Method?

When the system has you over a barrel and your choices are severely limited, are you really the villain for saying “Fuck off. I’m not playing by your rules anymore. I’m just going to import some damn naltrexone myself”.

?

I would say not. It’s not so black and white as far as morality goes.

Anyway, I just wanted to share my thoughts on the movie. Despite the lack of historical accuracy it’s still a good watch. I got a lot of identification out of it.

Another film worth checking out for that similar theme of laypersons on an autodidactic quest to educate themselves on medicine (in order to save their little boy) is Lorenzo’s Oil (see HERE). Well worth viewing.

 

Just back onto the subject of The Dallas Buyers Club: there’s quite an interest article here about a HIV patient inspired by the initiative of the Matthew McConaughey character who has recently injected himself with an untested gene therapy:   http://www.bbc.co.uk/news/world-us-canada-41990981

Makes for interesting reading. It wouldn’t surprise me if gene therapy was one of the next things that they’ll look at for addiction treatment. Hey, you never know.

 

Okay, well I’ve ran out of things to say. Thanks for reading.

 

Peace and love,

GARY

 

Katie’s Journey from Alcoholic to Moderate Drinker

A new YouTube video by Katie about The Sinclair Method:

I must say, these videos are great. She’s a real natural – she has bags of charisma – and when it comes to my own recent still very amateurish video efforts (see HERE and HERE), I could learn a lot from Katie, actually – because these are really well made.

About the video: moderation wasn’t the path that I ultimately chose. I think that the reason for that was that I felt as if I’d drank enough booze for a lifetime and I just wanted it to be over… but isn’t it amazing that The Sinclair Method gives someone the power to have that choice?

Absolutely fantastic.

Please be sure to subscribe to Katie’s channel. We need more videos like this please!

I’d actually love to see more people start up Sinclair Method-themed blogs and YouTube channels… so if you’re an aspiring writer or aspiring vlogger and thinking of starting something up (or have already set something up) please do drop me a line because I’d love to feature it on my website. It’s great to get that cross-pollination going.


***Edit: just regarding blogs, here’s something that I’ve just got to share – a blog by a TSMer friend of mine by the name of Nicky Katz (click on the image to open the site in a new tab):

I don’t think Nicky has updated it in a little while, which is a shame because it’s a really well done blog and I’d love to hear how he’s doing post-extinction. But please do check it out, because as I say this is quite a nicely done site.

In fact, I’m going to paste this into my resources section.

 

 

 

 

‘Rainman of Recovery’: Me and my nerdy Niacin fascination again

So since I felt on a bit of a roll I had a crack at another YouTube video (‘…and why not?’, as a late film reviewer used to famously say).

This time I decided to cannibalise an old article (see HERE) on Bill W.’s Niacin fixation and my summary of how – had Bill still been alive – he’d most likely have been very interested in The Sinclair Method.

More than anything, I just wanted to have a crack at doing another YouTube video using some subject matter that might get a bit of debate going. The video itself went surprisingly well aside from a couple of bloopers, but then again I was talking non-stop for 18 minutes – so given the fact that I’m also a chronic insomniac I did surprisingly well to keep awake (!).

Heh. After reviewing these last two videos I’ve been thinking of a new online name for myself – ‘Rainman of Recovery’.

Hahahahaha! Hey, that could work!

Okay, that’s me done for now. This whole YouTube experiment has been an interesting one with a steep learning curve, but I think I’m going to now vegetate for a couple of days.

 

Thanks for reading.

 

Peace and love,

GARY

My YouTube Video on the Subject of Trigger Immunity with The Sinclair Method

As I mentioned in a previous post (see HERE), I’d been thinking of experimenting with YouTube for some time, given that despite the fact that about a third of the world’s internet traffic goes through that site only 9% of businesses use it, I reasoned that it would be a crime not to have a go – especially since it could potentially seriously improve the stats for my site.

Hence my first attempt with the video below on the subject of my newfound immunity to triggers thanks to The Sinclair Method.

…What do I think of it?

I think it’s okaaaay-ish. Took long enough to upload. I still hate my accent and the flat, Aspie-ish cadence of my voice, but I think it’s fine for a first effort… I like the fact that it’s not scripted and I’m just keeping it real, being myself…. it’s not a fucking infomermical, in other words.

I must say, the camera on my Samsung S7 Edge phone is actually quite impressive for recording videos. It gives a really good picture.

As for follow-up videos, I’d quite like to do one on Alcoholics Anonymous and my obsessively nerdy interest in Bill W’s niacin fixation, as well as his desire to “find a methadone for alcoholism” (something which I’ve previously discussed HERE).

That and I’d like to do a series of interviews using the recorder function on Google Hangouts – the first of which will hopefully be with the British independent alcohol treatment provider, Paul Turner.

If anybody has any ideas for future videos that they’d like offer then I’m all ears. I’d love to hear from you.

My Noble Failure: ‘The TSM-themed Interview that Never Was’

The theme of today’s post is to do with all things techy and my chimpanzee brain’s heroic efforts to come grips with some gadget stuff over the last few days.

It just doesn’t seem to have been my week when it comes to gizmos. Honestly, it’s like everything that could go wrong has gone wrong.

First of all the monitor for my PC inexplicably buggered up on me, forcing me to use my laptop… then the brand new (and expensive) fancy-schmancy vaping mod that I recently bought decided to stop working on me for no discernable reason whatsoever yesterday morning.

The high tech vaping mod I just bought – the SMOK Procolor

What doesn’t help matters is that it’s so high tech that you have to be in fucking NASA just to follow the instruction manual.

Haruumphhh!

…Anywaaaay, thanks to knowledgeable assistance from the market seller that I bought it from I finally got to the bottom of why it wasn’t working.

Get this: the mod had a default setting in which it would lock – yes, lock – after 900 odd puffs. Stupid, I know… I mean, why?!??

Oh well… all that matters is that that setting’s been changed and it’s working now.

Nothing else could possibly go wrong on me today‘, I naively thought.

Cut to: early yesterday evening and, after having had a really enjoyable chinwag over the last couple of days with addictions expert (and fellow Your Choice, Your Recovery Facebook group member) Paul Turner, we decide to have a crack at recording a Skype interview to upload to YouTube.

A mental health nurse with 25 years experience, Paul is an independent alcohol treatment practitioner who works in the West Midlands of England. (see HERE).

In recent times he and his partner have seen great success using The Sinclair Method – something that Paul discusses in the really good YouTube video below:

…But back to the Skype interview  – and do you know what? It goes great.

Paul is a great speaker, a complete pro and a real gentleman to boot. The man is just really easy to talk to and I find what he has to say on the subject of the difficulties with nalmefene particularly interesting and enlightening (though I knew that it was much more expensive than its sister drug naltrexone – five times more expensive, in fact – I had no idea that the side effects were quite so problematic). We also share similar sentiments on how just how odd it is that despite the fact that Alcoholics Anonymous views alcohol addiction as the manifestation of a physical allergy, yet there is so much contempt in 12 Step circles for a medical approach like The Sinclair Method in favour of a religious/moralistic one.

So anyway, the interview goes great. We talk for well over 20 minutes and upon reaching a point where we both run out of steam I press stop on the Icecream screen recorder app on my laptop.

And nothing happens. I go into it and press another key and it just inexplicably starts recording my screen again.

…It takes a minute for my monkey brain to work out exactly what’s gone on here.

I have a “Ah, that’s what happened” moment of realisation followed by a slightly sick feeling when I work out that the freebie version of Icecream that I have on my computer has a default 5 minute recording ceiling… no doubt to entice people to buy the pro version… and that most of the interview that just took place didn’t actually record.

Shiiiiit.

I explain this to Paul and rather than being mad he’s a complete gentleman, offering to repeat the interview at another time. What a good egg.

Oh well. It was a failure, but at least a noble failure! Haha.

(Hey, ‘God loves a trier’ and all that)

I’m just wondering what my best option is when it comes to screen recording freeware, because I definitely want to have another go. I’d quite welcome people’s thoughts on this.


…Moving on, there’s been not much else going on the last week to report. I’ve been on another Netflix binge (catching up on episodes of Bojack Horseman) and I’ve been back into the gym as well as reconnecting with some old friends from my local open access art studio.

Regarding the prostate cancer screening that I was talking about in my last post (see HERE), I’ve got an appointment with the urology department of a local hospital for next week, so it’s just a case of ‘wait and see’. I’m just pleased that my water works issue is finally getting looked at as it’s been a source of discomfort for a while.


Okay, well that’s about that from me. Thanks for reading.

 

Peace and love,

GARY

Katie’s experience with The Sinclair Method

Because I’m sure that my readers would be thankful to hear another point of view and also because (given that I’m a lazy bugger! haha) this takes the heat off me to produce new material, here’s a really interesting YouTube video by Katie in which she describes her experience with The Sinclair Method.

I can really relate to what she says about how when she was addicted so much of her mind’s available bandwidth was taken up by obsessive thoughts about alcohol. Like it crowds everything out.

I can also really relate to what she says about how (with that newly reacquired attention span space) old hobbies are revisited. In my case I got back into weightlifting and my art in a big way.

“The more you use it, the less you use it over time” is another thing that she says that really chimes with me because upon going through I recall being left with an excess of pills – so much for any misinformed scaremongering about how TSMers supposedly need to take the pill every day for life.

…Right! Without further ado I’m adding this testimonial to my Sinclair Method resources section. Many thanks to Katie for inviting me to add her excellent video (I chuckled at the few seconds of “bloopers” at the end, by the way).

I’m always looking for material like this to add to the site, so if anybody else has a YouTube testamonial or a blog they’d like me to plug for them please feel free to drop me a line.

An Elephants’ Graveyard for Sinclair Method Old-Timers? Hardly!

A question on the lips of many people who visit the TSM forums is just where do all of these Sinclair Method old-timers go… do they drink again? Do they join a cult? (unlikely, given many users’ previous experience with Alcoholics Anonymous)

Just where are they???

I believe that to a large extent The Sinclair Method is a victim of its own success. Think about it – a person can just buy The Cure for Alcoholism, get a supply of naltrexone and awaaaay we go. All from the privacy of one’s own home. Completely independent. No more AA meetings and no more rehab clinic revolving door. You can just leave all of that behind and move on with your life.

“So how is that a bad thing?” I hear you ask.

Well, because the 12 step method’s successful dominance is predicated upon having repeat visitors… it depends upon lifers… something that keeps them in business… whereas efforts to monetise the Sinclair Method prove difficult because naltrexone is such a cheap, generic drug to prescribe and there’s simply no real profit in giving someone something that could cure them.

Hence why (compared to AA members) we’re invisible. That and the fact that we simply don’t have the media presence that Alcoholics Anonymous does.

Television and films have enjoyed a long partnership with AA for good reason… scenes involving the redemptive confessional make for great viewing, whereas there’s little to no dramatic narrative in a scene involving a TSMer sitting on his/her couch, popping a nal and then waiting an hour to drink.

As to why TSM users drift off from the internet forums after a few years, I think that they’re just busy getting on with their lives… but I also honestly think that there’s an element of familiarity breeding contempt that comes into play after some time. Case in point – after 4 1/2 years of talking nearly non-stop about the Sinclair Method I’ve began to feel as if I’ve exhausted my observations on the subject. I feel “talked out” to a large degree and envy the enthusiasm that many newcomers just newly discovering The Sinclair Method exhibit on the forums.

Oh I still keep my hand in and chat to people about my experiences, but to a lesser extent these days. Why? Well, because I’m honestly too busy enjoying my liberation from addiction, doing my art and trying to get my bench press north of 130kg!

 

Okay, I’ve gone and “exhausted my observations” again, haven’t I? Thanks for reading. It’s been a blast. Until next time.

 

Peace and love,

GARY

“I’m in AA – Can I use The Sinclair Method as my Higher Power?”

“Mister Taterhead Higher Power” or “a God of your own conception” – if a rock or a doorknob is valid, then why not medical science?

Time for a new discussion: can The Sinclair Method be reconciled with the 12 steps of Alcoholics Anonymous?

Here’s what I have to say on the subject in a piece I’ve submitted for an upcoming anthology Claudia Christian is putting together…

 

Can a person in Alcoholics Anonymous use SCIENCE – specifically The Sinclair Method – as their very own chosen Higher Power instead of the supernatural (or instead of a doorknob or a rock, for that matter)?

 

‘The only requirement for AA membership is a desire to stop drinking[my emphasis]

William Griffith Wilson, page 139, Tradition Three, Twelve Steps and Twelve Traditions, 1953.

 

‘Physicians who are familiar with alcoholism agree there is no such thing as making a normal drinker out of an alcoholic. Science may one day accomplish this, but it hasn’t done so yet.’ [again, my emphasis]

William Griffith Wilson, page 31, Chapter 3: More about Alcoholism, Alcoholics Anonymous, 1939

 

‘He [Bill Wilson] suggested that in my future research I should look for an analogue of methadone, a medication that would relieve the alcoholic’s sometimes irresistible craving and enable him to progress in AA toward social and emotional recovery, following the Twelve Steps.’

Dr. Vincent Dole, co-founder of Methadone maintenance treatment (MMT) and recipient of the prestigious Lasker Award for Medicine.[1]

 

 

 

November 2013  

 

‘…Whoooooaaaa, Nelly. Are you trying to blow up the fucking internet?!??  That’s a goddamn nuclear bomb, that is.’

 

Such was my gut reaction. My own ‘contempt prior to investigation’ to the following message which I received in my e-mail inbox one day via my blog:

 

‘I’m also an alcoholic and I have tried AA and it works for me for a moment, then the craving increases. I’m reading “The Cure for Alcoholism”, and I’m very intrigued by the idea that “yes” perhaps there is a cure.


I do subscribe to many of the AA ideas, but I also know that the cravings for alcohol are what keeps me from being successful. I also know that many in AA are not successful, and that the success rate is extremely low (5% – 10%???? can’t know for sure because of the anonymity part of AA) versus what is claimed here.


I just started on my 2nd Month of treatment with “the little pill”, and I’m hoping and praying this will work. I can tell you that I honestly, today, feel like I’m craving it less. Who knows? perhaps even this with the combination of AA will be even more powerful, although studies have shown that it is not necessary.


 Perhaps, I can come back within the next two months and provide yet another success story. I’ve prayed and prayed for help out of this hell, and I honestly wonder if perhaps, this isn’t an answer to prayer? I saw this story on CNN (http://cnnpressroom.blogs.cnn.com/2012/02/23/cnn-in-depth-addiction-dr-gupta-on-new-pill-to-help-stop-drinking-drug-use/) and was even more intrigued. I have to tell you that I’m excited at the prospects, and if a pill can provide the cure, then honestly why not?


Doing otherwise, if there is a cure is analogous to a faith based family that refuses to provide a cure to a child because they believe God will do it in a miraculous manner, when God already provided Doctors and cures via the medical system. I don’t get it.’

 

As I say, I nearly fell out of my chair.

 

In short, I thought that the very suggestion was heretical; an absolute abomination – to both AA and to TSM.

So yes, you could say that I had an immediate Semmelweis Reflex of my own upon reading that and was about to write back to this person with quite a nice and polite (but still firm) message saying that – no – actually, you CANNOT even begin to reconcile a secular, scientific method like pharmacological extinction with a faith-based one like the 12 Step programme of Alcoholics Anonymous; not like she or he was suggesting, anyway.

 

‘Square peg, meet round hole’ was my smug thought.

 

Then I had to stop myself.

 

Because, wouldn’t you know it?  I suddenly found myself having a weird light bulb moment.  Put it down to the persistence of memory, but one of those odd little useless factoids that you collect in your head (much the way how a computer picks up temporary internet files, cookies and other bits of junk) suddenly flashed right onto the computer screen of my mind…

Namely this:

 

‘Ah, of course.  There’s the precedent of Bill Wilson’s advocacy of niacin as a treatment for the physical component of alcoholism, isn’t there?’

 

Okay, time for a little history lesson.  This one is about William Griffith Wilson (A.K.A. ‘Bill W.’), co-founder of Alcoholics Anonymous and the main author of their bible/instruction manual ‘the Big Book’…

 

The following is a letter that Lois Wilson (Bill Wilson’s widow) wrote to three doctors who were interested in researching what they perceived to be ‘the biological component’ of alcoholism not long after Wilson’s death from lung cancer:

 

MRS. WILLIAM G. WILSON

Stepping Stones

Bedford Hills, N. Y. 10507

 

Dear Dave, Ed and Russ,

When the matter of the AA Trustee’s ratio was finally settled, Bill felt that he had finished his job and done all he could to help AA to build a lasting structure.  Then, as rarely happens in life, he was given a second opportunity to aid the sick alcoholic.

Aldous Huxley, a great admirer of AA, introduced Bill to two psychiatrists who were researching the biochemistry of alcoholism as well as schizophrenia.  Bill was convinced of the truth of their findings and realized he could again help his beloved alcoholics by telling them about this probable aid for the physical component of alcoholism.  He recognized that this work must be kept separate and distinct from AA and wrote a letter to the AA Board so stating.

As you know, Bill’s last years were mainly devoted to the spread of this information among alcoholics and other ill persons.  With your help, he wrote and distributed to AA doctors which has twice been enlarged and brought up to date.  Before he passed on, he dictated a letter stating his hopes that you three doctors who were interested in AA and had worked closely with him in the niacin field, would extend your endeavours along the latter lines.

I sincerely believe that you want what is best for the sick alcoholic who, as yet, has not been able to join AA, and that you will continue to place the principles of AA first and researching second.

Bill’s great hope was that continued research would find a means whereby those thousands of alcoholics who want to stop drinking but are too ill to grasp the AA program could be released from their bondage and enabled to join AA.

 

All good wishes,

Affectionately,

Lois

(Mrs. William G. Wilson)

 

Of course, as I say, I had this memory – Bill Wilson and his whacky ideas about niacin stored in my head for some time.  I think that I’d first read about it fleetingly quite some time ago when I was reading on an anti-AA site called The Orange Papers, but didn’t really pay much attention at the time and didn’t make that much of a conscious effort to study it or ponder upon its implications because (if I’m quite honest) back then I was enjoying feeding my hatred far too much to pay attention to an odd but relatively boring detail like that, you see.

I had, after all, only just become recently estranged from AA and was quite chuffed at how perceptive I was for discovering that there were lots of other disgruntled people like me out there who had an axe to grind after having had such a bad experience with the fellowship.

In my own instance any ability that I might have had to view any aspect of the 12 Step movement in a rational, impartial manner was burned away as a result of my ex-sponsor brainwashing my own half-brother (also an AA member) against me.  Not nice, I’ll tell you.  This probably goes a long way towards explaining why, for the longest time, I had such a fierce resentment against alcoholics Anonymous…

Understandably so, I’d say.

Oh that and the fact that it simply didn’t help me.  Even with the peer support and peer encouragement that I got by going to the meetings, the craving – the compulsion – would never quite go away.  As I stated earlier, the longest time I ever managed to remain abstinent in AA was nearly 6 months and it was pure white-knuckle… just wall-to-wall cravings throughout that time.  Like being water-boarded; not nice.

 

But if I had to sum up the one biggest reason why AA was of neither use nor ornament to me personally then I would sum it up in these words:  the 12 Step programme of Alcoholics Anonymous itself was quite simply a religious square peg for my atheistic round hole that, from my viewpoint, didn’t allow any room to manoeuvre.

 

To illustrate what I mean, here are the 12 Steps of the programme of Alcoholics Anonymous:

 

THE TWELVE STEPS OF ALCOHOLICS ANONYMOUS

  1. We admitted we were powerless over alcohol—that our lives had become unmanageable.
  2.  Came to believe that a Power greater than ourselves could restore us to sanity.
  3. Made a decision to turn our will and our lives over to the care of God as we understood Him.
  4. Made a searching and fearless moral inventory of ourselves.
  5. Admitted to God, to ourselves, and to another human being the exact nature of our wrongs.
  6. Were entirely ready to have God remove all these defects of character.
  7. Humbly asked Him to remove our shortcomings.
  8. Made a list of all persons we had harmed, and became willing to make amends to them all.
  9. Made direct amends to such people wherever possible, except when to do so would injure them or others.
  10. Continued to take personal inventory and when we were wrong promptly admitted it.
  11. Sought through prayer and meditation to improve our conscious contact with God, as we understood Him, praying only for knowledge of His will for us and the power to carry that out.
  12. Having had a spiritual awakening as the result of these Steps, we tried to carry this message to alcoholics, and to practice these principles in all our affairs.

 

This is what’s read out at the beginning of every AA meeting around the world.  And, as you can imagine, given the instances of words like ‘God’ it is straight away a bit of a cognitive dissonance headache for people of an atheistic or secular bent, given that it explicitly demands an element of faith in some supernatural force.

 

Sure, it tries to give some wiggle-room with wording like ‘God as we understood Him’… but essentially it demands that the participant use some resource greater than themselves and then, further into the steps, asks them to open some form of communication with said entity in order to recover from their alcoholism.

 

And this is a problem. People who are in AA or who who support AA often try to dodge this by saying something along the lines of:

 

‘Oh your Higher Power or God of your understanding can be whatever you want… it can be the spirit of the universe or it can be gravity or it can be a rock or a doorknob… anything – absolutely anything – you want to put your faith in…’

 

But here’s the thing…. none of those are sentient entities…. none of those are things that you can have anything in the way of a meaningful transaction with, are they?  Neither a doorknob nor a rock are particularly useful deus ex machinas when it comes right down to it, really.

And this is the problem that people have – it really doesn’t leave any room for interpretation.  Which is quite a big issue because how in the hell can you possibly ask a fucking doorknob to ‘restore you to sanity’ (as stated in Step 2)?!??

(Heh. Riiiight. Good luck with that)

 

My ‘Keyser Söze’ moment of realisation

 

But going right back to the original message that I received on my blog from the individual asking whether he/she could use some form of ‘God or Higher Power through doctors’ or ‘the science that God gave us that resulted in the invention of The Sinclair Method’ as their own personal Higher Power…… that’s to say, as a way of starting to reconcile the 12 Steps………. do you know what?

 

This is a big, big, big thought that would send a chill down my spine, but upon recollecting Mr. Wilson’s interest in niacin and his real desire (as his widow put it) to ‘help his beloved alcoholics by telling them about this probable aid for the physical component of alcoholism’, there is indeed a case that could be made for reconciling pharmacological extinction using naltrexone or nalmefene with Alcoholics Anonymous.

 

How?

Well, let’s look at all of it – and I mean really look at it all – through eyes not blinded by either ideology or polemics for once, shall we?

 

(Deep breath)

Here goes.  Here is my thought process on this.  This is the chain of thoughts that I suddenly had.  This is why I was now finding myself having what amounts to something similar to that epiphany moment the Chaz Palminteri character had when he dropped his coffee cup at the end of the The Usual Suspects.

Here was the cascade of thoughts that I suddenly had:

  1. As Lois Wilson’s letter demonstrates, we know for certain (despite what any AA member might choose to tell you) that Bill Wilson was indeed interested in the biological component of alcohol addiction and thought that there could be a way of pharmacologically addressing it. We know Wilson tasked Vincent Dole with creating “a methadone for alcoholism” and we also know that Bill devoted much of his own time and many of his own resources to studying niacin as one possible way of remedying this ‘physical component’.  Hence the three pamphlets that he wrote on “the B3 Therapy” – the first one published in 1965, the second one published in 1968 and the last one posthumously in 1971.  And we also know that before he died Wilson said that he wanted to be remembered not for founding AA, but for the discovery of niacin as a way of treating the physical component of alcoholism.
  2. He thought that it was important enough for him to in fact clash with members of the fellowship that he himself originally founded on this one issue – hence why it never came to fruition and why it’s not really spoken about nowadays.  It’s been swept under the carpet ever since and the party line these days is ‘AA doesn’t support the use of pills of any kind’…which has quite big implications when you really stop and think about it, because here were members of his own fellowship telling their divinely inspired prophet that he was wrong.  Which really is like saying ‘God is wrong’ (hence why it was swept under the carpet).
  3. Why did Bill think that this was so important?  Well, again, you have to look at history.  William Griffith Wilson had, prior to founding the fellowship been someone who had suffered terribly with a serious alcohol addiction and who, if the fact that he died pleading for whiskey is anything to go by, never lost his craving for alcohol.  Yes, he became abstinent… yes, he founded AA and tried to help people conquer their own addiction to booze… but the fact remains that he himself never lost this strange, visceral ‘hunger’.
  4. This leads on to yet another thought.  He had over many tears tried many things to find a solution to solving this riddle.  He’d tried religion and he’d tried science.  Alas, he’d been unsuccessful in ridding himself of his own craving.  Niacin would prove to be a dead end – as evidenced by the fact that he died pleading for whiskey.
  5. But what if…. what if he was actually onto something with pharmacology but just looking in the wrong place?  What if he’d stumbled across naltrexone and The Sinclair Method of pharmacological extinction?  What if TSM had been around back then?  Would he have pursued it – would he have been very interested in it – or would he have blindly refused it as an option?  Now, that’s A BIG QUESTION.

 

And to interject with my own opinion, dear reader (for what it’s worth) I think that he would have been very interested indeed in TSM and would have ultimately likely discarded his research on niacin in favour of that instead.

That is my intuition.

Whilst much has been written about Bill Wilson and his founding of Alcoholics Anonymous over these last eighty-plus years and whilst much has been written about him which has been (justifiably) very critical, I do not believe that he was an unintelligent man; perhaps confused and misguided about a number of different ideas, but not stupid.  He was smart enough to know a good bet when he saw one and he did have the salesman thing about him – so he might well have seen naltrexone and The Sinclair Method as ‘a good punt’ – a good investment.

 

I mean – sure – given what he thought he knew about alcoholism thanks to Dr. William Silkworth’s ideas, I think that he would at first have had real difficulty reconciling the approach of gradual extinction as opposed to abstinence, so he would have been forced to rethink his attitude on that.  It would have caused him some real cognitive dissonance.

But whereas he made a rod for his own back thanks to his other claims about being divinely inspired (‘hoist by his own petard’, so to speak), perhaps there was a loophole here that he could exploit after all if you were to argue that though articles of faith aren’t open to revision, science most definitely is.

 

There’s your loophole right there.

 

You could argue that we’ve moved on a great deal since Silkworth put forward his thoughts on alcoholism being an allergy activated upon consuming that first drink and absolute abstinence being the only way to combat it.

You could certainly argue that that notion is open to revision because it is based solely upon the questionable standards of scientific knowledge in the early 20th century, in which nobody had yet to consider gradual extinction through pharmacological means – so there is wiggle-room here.

Especially when you consider the fact that famous rehab centres like Hazelden (which uses the 12 step model) have recently become increasingly more open to the notion of the concept of what I suppose you could call a form of “gradual sobriety” for heroin addicts using prescription drugs like suboxone[2] – so, given this precedents, why ever not make the case for naltrexone or nalmefene using The Sinclair Method?

 

The only question then would someone begin to adapt the 12 Steps to make it workable.  Well, the thing about the 12 Steps is that they are ‘but suggestions’, so they are malleable and open to reinterpretation.  So with that in mind you could now rework them to this effect:

 

 

 

THE TWELVE STEPS OF ALCOHOLICS ANONYMOUS USING THE SINCLAIR METHOD

  1. We admitted that we had difficulty moderating our alcohol intake—that our lives had become unmanageable due in no small part to this difficulty.
  2.  Came to believe that a rational, compassionate scientific approach could help us to make our lives more manageable.
  3. Made a decision to use The Sinclair Method – a sensible, scientific way to attempt to reduce our alcohol intake.
  4. We took stock of ourselves and examined any previous wrong-doing to others.
  5. Decided which areas of our personalities and which previous wrong-doings we could take measures to correct.  If need be, we approached a trained therapist or other appropriate sympathetic professional to confide with in order to help us. 
  6. Became ready and willing to make positive change to our lives.
  7. Put our faith in science and reason.
  8. Made a list of all persons we had harmed, and became willing to make amends to them all.
  9. Made direct amends to such people wherever possible, except when to do so would injure them or others.
  10. Continued to take personal inventory and when we were wrong promptly admitted it.
  11. Sought through research, rational discussion and private contemplation ways to constantly improve our knowledge and become better, ever-evolving human beings.
  12. Having found a new point of view as a result of these Steps, we tried to carry this message to alcoholics, and to practice these principles in all our affairs.

 

 

 

Starting a Revolution

 

So these are the arguments that you could make.  There are the facts that you could use to start to begin to bring about a revolution if you decided to become invested in the notion of doing so – your own science/secular driven splinter group of Alcoholics Anonymous.  You don’t have to destroy the old; you just have to build the new.

And, to summarise, in order to defend your right to exist you could do so by:

(a) Citing the ‘B3 historical precedent’ – Bill Wilson’s interest in pharmacology.

(b) Arguing the case that the blind insistence upon abstinence is open to revision because it is based solely upon the opinion of a 1930s medical doctor who had yet to discover the concept of gradual pharmacological extinction – so whilst there is not much of a loophole to allow you to ‘challenge Bill W.’s God’, there is a case for saying that outdated medical opinion (in this case the chapter ‘The Doctor’s Opinion’ that serves as  the foreword The Big Book) is not an irrelevant “outside issue” and can and should be challenged in light of new knowledge – because whilst articles of faith may not be open to revision, science most definitely is.

(And not just that: any medical practitioner who refuses to offer a safe and effective treatment in favour of a much more antiquated and much less effective one is committing malpractice, pure and simple)

You could even, if you chose to passionately argue your case against traditionalists, say that you were fighting to both vindicate your founder’s noble desire to see reform and bring change to the fellowship that he helped create – by not shutting the door on assistance through pharmacological means.

…So you could actually take the moral high ground in that respect.

A new chapter indeed.  Talk about uncharted country. One that would no doubt bring about some level of controversy and conflict with stubborn, intransigent old-timers who can’t bear to accept new ideas or new interpretations.

But in this instance you could perhaps cheekily suggest that maybe – just maybe – they should take another look at the whole niacin thing again because perhaps Mr. Wilson was a visionary after all… someone who could see into the future… but just one who evidently couldn’t spell very well, because he got the fact that it began with an “N” right – but it wasn’t niacin.

….Nope, it was naltrexone.

(Or nalmefene)


 

[1] Extract taken from here: http://drewhorowitzassociates.com/what-is-addiction-recovery-anways/

[2] See: http://healthland.time.com/2012/11/05/hazelden-introduces-antiaddiction-medications-in-recovery-for-first-time/

Lizard-Brain Man: Gary’s Story

Lizard-Brain Addiction Monster. Acrylic, ink and pencils on paper. A4. 2013. There’s an interesting story behind this illustration, actually…

I’m honestly not sure how to construct this. I’ve never written a proper biography as such. Not even when I was writing my old TSM blog Naltrexone Confidential.

Why?

Well, it’s not like I was attempting to give myself some sort of unwarranted mystique by being deliberately vague about my history… it’s just more that I didn’t want to bore any readers. Because I’m not that exciting a person, you see.

Oh sure, there’s been some eventful stuff in my timeline but it simply does not compare to (say for instance) Claudia Christian’s story in her memoir Babylon Confidential.

But enough of the jibber-jabber. Let’s be systematic.

I was born in Hartlepool in 1972 and was really quite different to a lot of other kids from a young age on account of the fact that I was unusually hyperactive (I’ve been a lifelong insomniac, in fact – my brain doesn’t just switch off like other people’s) and I had problems with my early speech development in which a stammer really set me back. This led to my being misdiagnosed as learning disabled and being put in a special educational needs school for a while.

Well, long enough for them to figure out that I didn’t have a learning disability.

This misstep would come to haunt me upon returning to a normal school because (kids being the bastards that they are) I was made to feel like the lowest, most radioactive form of humanity for having attended a “spacker school”.

As a means of escape I just threw myself into my hobbies and own boyhood obsessions which back then were drawing, building Airfix models, collecting comic books and watching horror movies. I was a morbid kid so I absolutely loved things like the horror movie double bills that used to show on BBC 2 back in the late 70s and early 80s – things like Zoltan: Hound of Dracula followed by George Romero’s The Crazies (pure bliss to my 9 year old self).


This is the type of thing I loved building. Aah! I can smell the glue (or, to give it its proper Airfix name, “cement”) now! My dad used to take me and my brothers to a store in Stockton on Tees that was like an Aladdin’s cave full of Airfix, Meccano and Scaletrix kits. Heaven, I tell ya!


…What I suppose I’m coming to is this: even from a young age I liked my own company, had my own niche interests, liked making stuff with my hands and had little interest whatsoever in peer activities like soccer.

Just about the art and the model making… I really think that such an early exposure to art and crafts helped my young brain to develop in quite a good way. It would be a few years before things like home computers and games consoles would come along… so what happened is that at an early age I found a form of enlightenment just from being able to make stuff with my hands (something today’s kids perhaps don’t get because of such an early exposure to things like DVDs and games consoles for entertainment).

Some people would go on to say that I was gifted, but the word meant little to me. I assumed everyone could draw as well as me really; it’s just that they weren’t concentrating like I was, I reasoned at the time.

Right. So that was around the early 80s. Between 1983 to 1988 there was comprehensive school, there was puberty and there were stupid boyish crushes and, again, (because I wasn’t exactly a social butterfly) some level of bullying during this time.


Me as an eleven year old. Fuck me… green as grass… looking like that I might as well have had a sign around my neck saying ‘Please bully me’.


This did toughen up, though, and upon leaving school and going onto the local sixth form college followed by art college I found myself gravitating towards weight training (specifically powerlifting) when I was about 19 years of age.

But what really drove this? The legacy of being picked on in school?

Oh sure. I definitely needed a confidence booster after that.

Then there was also the fact that I was of that age where I was noticing girls a lot more and wanted to look a bit more buff for my modest (then*) 5 foot 9 inch frame.

(* I say “then” because I seem to have lost about half an inch in height due to age and things like compression on my spine, etc)

But the truth is that I also came to quite enjoy the training; particularly when I partnered up with a former professional powerlifter during the two years that I was in Wrexham studying towards my Illustration HND. Needless to say, the guy knew his stuff and with the help of his merciless pushing I got really quite strong and was able to throw around some quite respectable poundages in the gym within the space of about a year.

I never got into performance enhancers… though I’ve known plenty of people who have; not because I’ve always been in any way morally superior to everyone else, but just simply because I’ve never had the means to buy them and have never had anyone ever push them onto me.

My honest view on steroids? I don’t think they’re the evil that people make them out to be. Sure, some people perhaps rely on them a lot, but at the end of the day it’s their body and their choice. There’s honestly much more harmful drugs out there with much more of a destructful addictive potential – and yes – whilst I understand the arguments about how they “take away a level playing field in sports” and so on, the fact is that there’s no such thing as a level playing field, anyway… just because no matter how hard I train I know that I’ll never EVER be as physically strong as the Eddie Halls of this world simply because I do not possess his freakish biology… the man is just naturally inhumanly strong. And determined beyond belief.

So time for an honest conversation on this subject, I think. My feeling is that performance enhancing drugs should be allowed… but with the caveat of proper regulation and with the athletes in question disclosing everything they’re on and getting their health properly monitored. Of course, there’ll always be purists who’ll complain, but as an olive branch to satisfy such people there could be different “all natural events” held during the Olympics.


Okay, so this takes me up to about the early to mid nineties. I finished my HND, came back to Hartlepool (a decision which I would ultimately come back to look upon with regret) and wandered aimlessly for a while, trying to get work wherever I could find it.

I did end up getting into doing some freelance illustration work for a magazine called Spit! Comic which was one of many Viz clones that were over-saturating the news stands at the time. I did two comic strips for this magazine – Sefton Ward: Paranormal Detective and Nero Ramone: Porno Star turned Hitman.

Anyway, just to satisfy people’s curiosity, here’s a couple of scans of these old strips… please be warned that they are very much of a NSFW bent…


Sefton Ward: Paranormal Detective (click on the above image to embiggen in a new tab). This was intended as a riff on The X Files, with a trainspotting, duffel coat wearing virgin being the “believer” instead of a tall, handsome David Duchovny type. As for the strip itself… oh boy… yes, I know – the story (such as it is) is very poorly conceived. Embarrassing, really… but I do think that the artwork is pretty decent in places, even if the amount of Robert Crumb-esque crosshatching is a bit nuts.


Nero Ramone: Porno Star turned Hitman (click on the above image to embiggen in a new tab) . Now this I prefer. I quite like the artwork for this one and the concept isn’t too bad either (a sort of hybrid of King Dong and the Sam Jackson character from Pulp Fiction). The only problem with it is that it’s fine as as one-off strip, but the concept didn’t really have the legs to sustain a series.


It really isn’t false modesty when I say that neither of them were very good. They had colourful concepts and some nice artwork in places, but the fact is that the stories I wrote were unforgivable puerile rubbish that just tried to get a cheap laugh from shock vulgar tactics.

I wasn’t the writer that I am now back then, you see. I was quite immature in many ways and my sense of humour was much cruder back then. I could have done with a co-writer, now that I think back on it… someone to help me better shape the dialogue and the stories.

What has recently come as a bit of a shock to me is the fact that this type of stuff and that whole wave of 90s adult humour comics is still very much talked about and even has its own cult fanbase. What’s funny is that when a cartoonist friend of mine recently showed me a Facebook group dedicated to celebrating and preserving this work my blood ran cold when he pointed to something and said ‘Was this one of yours, Gary?’.

Why? Well, because I literally felt as if I’d been caught with my dick in my hand having a wank… hey, no kidding.

As an older, more mature man that’s how mortified and suddenly quite vulnerable I felt upon being reminded of my own previous coprographic over-indulgences in Spit! Comic. What you have to remember, dear reader, is that the guy drawing those comics back then was very different to the one talking to you now – I was only twenty three years old. So I have some very mixed feelings on the subject matter in these things now, whereas I obviously lacked insight and restraint back then. Clearly, given that I even had my little brother saying stuff to me like ‘Don’t you think you’re overdoing it a bit with the bumming, Gary? All this buggery and bestiality in your comics is getting a bit repetitive’.

Anywaaaay! …Upon eventually deciding to have a chat with the guy running the Facebook group (a talented young writer/blogger called Ryan Davies) I must say that it was gratifying to discover someone with a genuine appreciation and fondness for these comics and it also allowed me to feel confident enough to reclaim a long disowned (but actually quite significant) part of my body of work and finally say: ‘Yup. That was me. I drew that.’

In addition to the Facebook group (entitled Two Headed Thingies), Ryan also writes a blog by the same name – please do check it out here: http://twoheadedthingies.blogspot.co.uk/

Great stuff. Thoroughly recommended.

It was interesting to discuss with Mr. Davies just how I would approach writing and drawing one of these comic strips now if I were to do a ‘redux’ of my old material. A good question indeed.

(‘No bumming’ would be the first thing that I would say, obviously. Haha.)

But seriously – I think I’d drop that whole gross-out thing entirely, which was very much a part of the humour of the 90s anyway (something upon which the Farrelly Brothers founded a career, let’s face it) and go much more in the direction of something that would have more pathos… where you would actually quite like and quite feel for the main character. Come to think of it, a character that might fit that mould quite well would be the dude with the dickie-bow tie in these concept sketches (see below) that I drew back in the mid 90s:


Concept sketches for ‘The Ballad of Herbert Strangelove’. Click on image to embiggen.


What was the concept for this character, you ask? Well, initially there wasn’t really one at all… I just came up with a cool title which came directly from a random mash-up of different words taken from multiple sources (i.e. the feature film The Ballad of Cable Hogue, the Depeche Mode song Strangelove and the Herbert West character from the Re-animator films) and what I did was to then ‘works backwards’ to try to draw a character that would fit the bizarre sounding title… sounds nuts, I know… but it’s not that strange a creative process when you remember that creatives at Hammer studios in the 60s used to just brainstorm a cool title and a cool poster image for a horror movie and then write a script purely to fit the title and the poster image they’d come up with. That’s how films such as Frankenstein Created Woman and Doctor Jekyll and Sister Hyde came about.

But I digress.

What I eventually came up with was a sort of meditation on loneliness and mental illness… a story about a really sweet, lovelorn middle-aged guy who starts to hear command hallucinations emanating from his underpants goading him into ‘manning-up’, taking more risks with his life and getting out there and trying to find a girlfriend (hehe… with predictably disastrous consequences, naturally).

What would have been a real gift for me when it came to illustrating this strip is that it would have been very quick to draw, given that much of it would feature a single character essentially talking to himself – so something that, in terms of tone, would not be that unlike the inspired Garfield Minus Garfield webcomic (see: http://garfieldminusgarfield.net/ ) in many ways.

Alas this never came about thanks to the combination of a few factors… these being the nasty drinking habit that I’d developed around this time… oh and the fact that the editor of Spit! fired me after stepping well over the line of decency one too many times! …Get this: my final comic strip for Spit! was in fact censored (yes, censored!) in order to not contravene the obscene publications act; which is pretty fucked up when you consider things… it indicates just how misguided and just how OTT my stuff was, given the extreme nature of some of the other stuff that they used to publish in that comic…

Haha! Talk about having a claim to notoriety!

But it’s sad, really – as I think that as I’ve got older and developed better taste I have of course become a better writer and have developed a better taste for pathos… for example, in terms of humour and quirky observations on the human condition the type of things that I’m drawn to now are movies like Lars and the Real Girl (2007) or The Beaver (2011), and I think that’s the type of sympathetic tone I would go for with any new comic strip.


About the drinking habit: it first developed as a result of the stress of working in my “bread and butter job” as an administration officer on the front line of a jobcentre in Middlesbrough. Back then there weren’t the security people that you have in jobcentres now and you really had to watch your step at times when you were dealing with some pretty desperate, unhappy people.

It’s nobody’s fault that I wasn’t really cut out for that job; it was just one of those things. What happened is that drink and bipolar disorder took over and I ended up on long-term sick, eventually getting finished from that position by my employer due to unreasonable length of absence. If you ask me, they did me a favour: they really did… and I hold no bitterness about it whatsoever.

The funny thing is, you’d think that after getting finished from the Employment Service that I’d be able to shake things off with the booze, but that wasn’t the case at all. As I mentioned to Dr. Roy Eskapa in the 2016 video interview that I filmed for Mike Dempsey’s excellent Recovering from Recovery website I was to continue this poisonous relationship that I’d developed with Carlsberg Special Brew for many more years to come.

But it wasn’t all bad. I would have some good spells where I’d be quite motivated and for a time be able to cease my drinking through sheer force of will (even being able to obtain a teaching certificate), but it was clear that I’d crossed an invisible line at some point; I’d gone from being a heavy drinker largely motivated through what was transient anxiety to someone who actively thought about and craved alcohol all of the time, despite my knowing how destructive it was to me.

I still remember that cold terror that I used to feel many mornings when I would wake up with the usual fuzzy recollection about some random outrage I’d perpetrated on Facebook or on some message board the night before.

Aaaaaaargggh!

Trust me on this: social media is not your friend when you’re a hyper-verbal drunk prone to memory blackouts.

Sheesh, even now I shudder – yes, shudder – at the memory of some of the things I used to come out with thanks to my own curious form of alcohol induced coprolalia. I lost a lot of friends because of my misuse of social media and also fell out with many members of my own family for a long time because of it, too.

So it’s no joke, really. If you’re actively addicted to a mind altering substance access to social media can be a very destructive thing and can put you in some very vulnerable spots.

Needless to say, the weight training completely fell by the wayside during this time. You can’t really train when you’re constantly strung out… and in true Red Dwarf style I woke up one morning to find that I was suddenly a fat bastard.

 


‘Life’s barely long enough to get good at one thing. So be careful what you get good at.’

– Rust Cohle, True Detective

…Some wise words there from the endlessly quotable Matthew McConaughey character from the first season of True Detective (God, I loved that show – and I thought that the second season was really good, too… despite the lukewarm response that it got from some critics).

It’s something that resonates with me because it occurs to me that throughout the course of my life I’ve acquired numerous different skills and learned from some very good teachers, but for whatever excuse never truly investing myself in the one thing permanently. I’ve instead only ever proved to be a very underproductive over-achiever at different things.

For example, I’ve had the art and the powerlifting and then the teaching (something which I turned out to be rather good at, much to my horror)… but things that would all fall by the wayside thanks to my possessive and monstrously over-demanding mistress, the booze. My relationship with the booze really was a form of battered wife complex or Stockholm Syndrome – something that I for a long time had a very conflicted attitude towards and would endlessly try to rationalise to myself, but my lightbulb moment – the moment when I made sense of it all – wouldn’t come until 2012 when I read The Cure for Alcoholism and learned about the alcohol deprivation effect (also known as the ADE).

But before I go into my now oft-repeated story of how I got in contact with Claudia Christian, how I eventually acquired a supply of naltrexone for myself and start showing you some TSM extinction graph porn, it’s worth pausing to consider another skill set that I acquired (quite by accident) along the way.

I’m referring, of course, to my internet super bitching powers. This dark, enchanted weapon (an Excalibur for a troll) that would be forged in the fiery crucible of the anti-AA forums where I would find a home for a few years after leaving Alcoholics Anonymous after a not-that-good experience with the fellowship.


‘One thing that I will say about my time on the Orange Papers Facebook forum… I got pretty damn good at constructing arguments – a skill which I honed even further when I got into blogging.’

I’m paraphrasing, but that was the essence of what I said to Mike Dempsey and Roy Eskapa one nice September evening in 2015 when we were sat chatting in Benihana, a swanky Japanese restaurant in central London.

‘Seriously: it’s like I’ve got to be a Krav Maga blackbelt in kicking ass on internet forums and can instantly see through and defeat any lame debate tactic employing fallacious logic’, I elaborated.

They both nodded, but I think that it was only Michael (a tall, bespectacled man in his early 50s with a wild mane of grey hair) who really fully grasped what I meant when I stated how this type of forum can be a real bootcamp when it comes to shaping yourself into a formidable keyboard gladiator. He’d served his own apprenticeship on the similarly popular Stinkin’ Thinkin’ forum before moving on to author his own blog, you see.

But let’s cut through the shit: is learning to be a troll a good thing? No, it is not… and no, I’m not particularly proud of some of the misguided antics that I admit that I got up to… oh like gleefully attacking and tearing to ribbons certain very pompous AA members on different forums… but my word, during the short time that I aligned myself with the “antis” I was really good at it; seriously, my wrath was boundless.

So it’s a little hard to reconcile when I look back on things now. My outlook on so much of this has changed and I can see very clearly that by giving in to my basest, most reactionary urges I aligned myself with the questionable wisdom and questionable agendas of some new false prophets… false prophets who, if they had their way, would bury every bit of research confirming the efficacy of The Sinclair Method in order to defend their own longheld (but manifestly mistaken) addiction theories.

As monstrous as it sounds it’s absolutely true… certain addiction theorists simply cannot tolerate being wrong or even entertain the idea that they may have been wrong when it comes to the causality of alcohol addiction and the best method to treat it… especially when that same person becomes something of a critical darling and TSM makes the thesis of their books something of a “moot point”.


Okay, back to my timeline and after straying onto some other subjects and for the purpose of saving time I’m going to pretty much (aside from a few minor edits) just copy what I wrote for my mega-entry Naltreone Confidential in Claudia’s upcoming book, Sinclair Method Journeys:

The War Within

December 2012

A shitty month in a shitty year.

I’d had several supposed rock bottoms, but this one was pretty bad by any standard and I honestly didn’t know how many more relapses I had left in me.

I was drinking easily well over 100 British units of alcohol a week (put it this way: my living room and many other rooms that I had in the house that I rented at the time looked as if I was trying to build scale models of the Manhattan skyline using cans of Carlsberg Special Brew), I was monstrously overweight, had blood pressure often bordering on what would be classed as a hypertensive emergency and a cholesterol score through the roof.

Though this had been going on since the mid 90s, I do have to stop and compliment my liver on its regenerative capabilities; it had proven to be the most resilient of soldiers in this war that I’d declared upon it and its many other sibling organs… yes, it had been a formidable opponent, but (as a doctor indicated to me) was started to feel the strain of this tireless combat.

So yes, things were bad. I could feel that tick of the hands on the clock counting down to my demise, put it that way.

 

‘Tick, tock, tick, tock, tick, tock…’

 

And I was just tired. So, so exhausted.

You see, here’s the thing about me: I was never just a weekend warrior or, for that matter, someone who only drank to satisfy some unaddressed emotional need.

No. The compulsion was on a very deep visceral level – in some ways it was almost like an opportunistic hacker had found a backdoor exploit deep in the very source code of my brain and installed a piece of vicious malware which then took my operating system hostage.

(That’s how I explain it in my native geek-tongue, anyway. Ha! my first language! …but another way of saying it is simply that I was a fucked-up alcoholic who had very little self control)

Just on the subject of willpower: when you’re as thoroughly addicted as I was, just leaving the home to go out shopping or summoning up the motivation to doing anything whatsoever that isn’t related to acquiring your drug of choice takes real willpower.

Why?

Well, because we all have only have so much willpower, even without an addiction. Furthermore, I had the added complication of bipolar disorder – something which I’d been diagnosed with in 1999 and which proved to be a real exacerbating factor because the magnified mood states of the disorder made it so that each time I tried to abstain from drinking alcohol I was constantly having to walk on eggshells around my own triggers.

Oh, like the tendency to be grumpy.

That used to be a massive trigger. The slightest little thing that annoyed or irritated me could reflexively cause this craving for booze to come swimming up from the depths of my mind like a vengeful kraken and consume everything in its path. It would be like all of my rational faculties would be taken hostage by pure raging HUNGER.

 

Of course, I knew that this was not normal and over the years had tried almost everything from acupuncture to Alcoholics Anonymous – but with little to no success in escaping from the trap I was in.

In fact, the longest period of unbroken sobriety I had in this period was just under 6 months and I can tell you that it was absolutely and utterly White Knuckle City – not nice.

 

So: my particular narrative was set to have a sad ending, it seems. I was to be nature’s equivalent of one of the red shirts from out of Star Trek (or at least that’s how it felt).

Though I certainly didn’t want to die and was begging for help from every nurse or doctor that I could pin down around this time, there was still this feeling of inevitably lurking in the periphery of my mind (the “tick, tock” thing again).

 

…Until I contacted the Hollywood actress (and, as it happens, the subject of one of my numerous teenage movie-buff crushes!) Claudia Christian, that is.

 

Little did I know it, but this set me on a path in which I was about to effectively rewrite my own narrative, but I was about to (to some extent) rewrite my own biology with what amounts to nano-surgery using a drug called naltrexone in order to chemically castrate my kraken by reverse-engineering the way that my endorphin receptors had come to respond to alcohol.


A new dawn – ‘The Rise of Sinclair’s Rottweiler’

April 2013

The 2nd of April 2013, to be precise (some dates you never forget).

Fast-forwarding over three months after my first communication with Claudia via Facebook and following a noisy Easter bank holiday in the street that I was living in at the time, I come home one afternoon to find a delivery card in my hallway telling me that my package is available for me to pick up at a local post office.

Something that I’d been expecting – a shipment of naltrexone from India.

 

What had happened during this lengthy period between late December and the beginning of April is that – much to my surprise – Claudia had personally responded to my query about The Sinclair Method within the space of just a couple of hours.

Unbelievable, I know – but that’s Claudia for you. So generous with her time and so eager to help people suffering (as she herself once had) with alcoholism – or, to give it its fancy-schmancy politically correct term, “alcohol use disorder”.

She was terrific, in fact. And helped keep me sane (or as sane as I could possibly be at that time, given how badly I was still suffering) as I went through the seemingly tortuous process of acquiring this treatment – which I can tell you what most definitely not made easy for me; honestly, I was made to feel like Oliver Twist begging for his bowl of gruel just trying to get any medical professional in my vicinity to even deign to discuss my options with regards to how I could even go about privately acquiring a supply of naltrexone or nalmefene to start treatment.

To make matters harder, at that time nalmefene had yet to be approved for prescription in the UK and naltrexone was (and most scandalously still is) only available on private prescription, given that it is not officially licenced for use to treat alcohol addiction here in dear old Blighty.

 

I remember it all feeling like a complete and utter fucking headache at the time. Having so many doors slammed in my face and being spoken to with so much needless condescension frankly only added to the intense stress that I was feeling and – of course – just fed the blazing furnace of my addiction even further.

 

I might well have given up if not for Claudia giving me continual encouragement throughout all of this.

And thus, after fannying around with a private clinic in Glasgow (and even starting the process of getting my medical notes transferred to them for my GP practice), I was so sickened with the UK medical profession in general I’m sad to say, that I ultimately decided:

‘Screw this for a game of soldiers – I’m gonna “cut out the middle man” and just import the fucking stuff myself.’

 

So I did.

(And the rest, as they say, is history)

 

 

But do you know something? As it happens, something really positive would be forged out of this crucible of seething anger that I had been feeling – a blog called Naltrexone Confidential (or, to give it its correct URL at the time, naltrexoneconfidential.com).

As I recall, the name came to me quite early on. Like the best ideas, ‘Naltrexone Confidential’ just popped into my head without anything in the way of intense brainstorming.  What’s neat about it is the way how it acts as both a tribute to Claudia (by way of a ‘tip of the hat’ to her memoir Babylon Confidential) and also the way how it evokes the type of name you’d give to a magazine, doesn’t it?  (Obviously, the titular magazine from James Elroy’s L.A. Confidential and its magnificent film adaptation comes to mind).

Strangely enough, having an appreciation of that type of hard-boiled fiction (I was a huge fan of Jonathan Latimer’s Bill Crane detective stories when I was younger) helped shape the style of writing that I would adopt… no flowery, morbidly romanticized confessionals about ‘my struggle’ for me!

Nope.  This was going to going to go for a more refreshing ‘Just the facts, ma’am’ tone, but at the same time not without personality or occasional detours into colourful humour mixed in with the grit.

It says a lot about Claudia that she got behind this idea so early on and said ‘Go for it’ to me.  It speaks volumes about her very real confidence in this treatment.

…Think about it: if this had gone pear-shaped and the treatment proved to be absolutely useless then things could be very, very different now indeed.

Why? Well, the site wouldn’t have lasted very long because – as I see it – who in their right mind would want to invest the time and money to continually keep up and running an everlasting memorial to their failed attempt? (not me, that’s for sure – I would have moved onto trying my luck with a different treatment method very quickly indeed).

So thanks to the fact that it did indeed work and that thanks to The Sinclair Method I was able to ween myself off the booze in a 13 week period (see the graph below) Naltrexone Confidential existed for a good while before I eventually elected to move onto other projects.

 

In fact, the site itself actually survived thanks to my handing over the reins to my friend and former co-editor Joanna Duyvenvoorde who – under her captaincy – is now doing sterling work with it and has given a few extra coats of paint and subsequently rechristened the ship I built as C3 Europe, now operating as a European sibling to the C3 Foundation’s main site.

True: it’s very different to what I originally built, mainly because Joanna has a different focus and different skillset to myself, but you perhaps still see some of my DNA in it if you look closely enough!


 

Putting the pieces of the jigsaw together – just what is The Sinclair Method and how does it work?

 

‘Nal + Alcohol = Cure’. That, when you distil it right down, is the formula for success with TSM; one pill taken one hour before your first drink of alcohol of the day – always.

A formula that Dr. Roy Eskapa repeats numerous times over and over in his book The Cure for Alcoholism.

 

Amusingly, such was the repetition during my first read through of the book that I recall thinking: ‘Jeeeezus wept, would you give it a rest? I GET IT’.

 

Not that that’s any slight on the book whatsoever (which is a great read, by the way)… no, as it happens, the good doctor had reason to be firm – repetition is a useful, often vital tool in learning and both he and Dr. David Sinclair (the American psychologist and addiction researcher from whom this treatment takes its name) had both been witness to numerous depressing attempts by others to deviate from Sinclair’s formula. Attempts to effectively ‘fit a square peg into a round hole’ by prescribing naltrexone alongside abstinence rather than with continued drinking.

You see, what is crucial to understand about The Sinclair Method is that it works through a mechanism of pharmacological extinction in order to selectively ‘delete’ an unwanted behaviour (in this case alcohol addiction) at a neurobiological level, but here’s the thing: the pill is no good for this purpose on its own.

Why? Because, with naltrexone or nalmefene in your system, your brain only goes into delete mode when you add alcohol to the equation one hour after swallowing the pill. It’s called ‘selective extinction’ for a reason, in other words.

 

YES. As nuts as it sounds, to ensure success you absolutely have to drink alcohol on the days that you take the pill (at least one hour after taking it, to be specific) in order to drink your way sober. Furthermore, you do not take the pill on days that you do not drink.

Completely counter-intuitive, I know – especially given the way that our culture has been conditioned to think that complete and utter abstinence was the only way to conquer alcohol addiction thanks to the popularisation of Alcoholics Anonymous

 

Upon first hearing about The Sinclair Method, I’ve gotta admit that my own Semmelweis reflex (ha!) was to discount all of this as a load of old horse shit, but upon further study it makes a lot of sense.

 

To tell you the truth, I was surprised by the amount of research on this and how far it goes back. The genesis of all of this goes right back to the late 1960s, in fact, when David Sinclair was tasked by the Finnish government to pull a rabbit out of a hat with regards to finding a solution for their country’s seemingly insurmountable alcohol addiction epidemic.

 

Just because I’ve already done a fair amount of exposition with this bit (so much so that I’m starting to feel more than a bit like the Michael York character from the Austin Powers films), I think now would be as good a time as any to pass you over to a citation taken from David Sinclair’s definitive statement about The Sinclair Method:

 

‘The brain has two primary mechanisms for changing its own wiring on the basis of experience.  First, there is learning for strengthening behaviors that provide reinforcement.  Second, there is extinction for removing behaviors that no longer produce reinforcement.  The best known example involves Pavlov’s dogs that learned to salivate to the sound of a bell when the bell was followed by food, but then had the learned behavior extinguished when the food reinforcement was no longer given after the bell was rung.’

 

Yeah, that explains it well. Upon going through the process over the course of 13 weeks (see the graph below), I found that the sound of my own internal Pavlovian bell grew ever dimmer until I could no longer hear it.

 

What’s most surprising is that I frankly wasn’t that impressed upon my first drinking session with naltrexone. I’m sorry to disappoint you, but despite any dramatic anecdotes (ha! the four yorkshiremen and the “we lived in a hole in the middle of the road” thing from Monty Python comes to mind) you might read from any other TSMers on the forums, I myself felt no bolt of lightning.

Just a vague thought that I perceived my very first can of Carlsberg Special Brew to be “somehow less sugary tasting”, but after the first can I frankly stopped even noticing any difference.

 

Not that I’m trying to diminish anyone’s experience here, but I guess I was lucky because – as I say – I didn’t perceive of much of anything in the way of an immediate change. Not the first few nights. It was only as I persevered with keeping my logs that I could measurably see (as you can now by looking at that graph) the quite rapid decline of my consumption.

Okay, I think that about covers what happened up to 2013-2014 quite well.

The question is how am I doing these days?

All things considered, quite well I would say. Life isn’t perfect; I do have my ups and downs thanks to my mental health condition and some quite recent devastating trauma – but at least I’m sober.

Which is all I wanted, really. As for my art and my other interests, I still keep my hand in when I’m able.

I’ve also put myself out there on the internet dating scene and it hasn’t been bad… I evidently scrub up well for my age and there’s some nice ladies out there, but I’ve yet to meet “the one” through one of these things.

But hey, life is often about the journey not the destination.

 

…And on that bland note I’ll say bye for now. I may edit and chop and change some stuff with this later depending upon how I feel.


 

My Sinclair Method drink diaries and extinction graph

Click to embiggen images.

As the drink diaries below show, my start date was the 2nd April 2013 – reaching my extinction point approximately within a 12-13 week timeframe.

As to side-effects, I was quite fortunate as there was very little discomfort in my instance. The only two things of note were that I perceived my can of strong lager (specifically Carlsberg Special Brew) to “taste less sugary” upon my very first exposure to the drug and that I had a bit of a bad case of stomach cramps on the second day of use.

After that there were no other real issues.

The only other thing of note is that prior to TSM my average weekly alcohol unit consumption was >100 British units  so it would be fair to say that there was a very rapid and marked reduction in my drinking quite early into the process. As my craving for alcohol decrementally reduced I noticed that I started to favour brands of a much weaker strength.

extinction_progress_graph_1

 

drink_diary_1st_apr_to_28th_aprildrink_diary_29th_apr_to_26th_maydrink_diary_27th_may_to_23rd_jun