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View Diary: GUS: The "H" Word vs. The "A" Word (182 comments)

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  •  This makes more sense, though (1+ / 0-)
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    my understanding has always been that late-stage alcohol abusers experience decreased, or reverse tolerance:

    Heavy alcohol consumption over a period of years can lead to "reverse tolerance". A liver can be damaged by chronic alcohol use, leading to a buildup of fat and scar tissue. The reduced ability of such a liver to metabolize or break down alcohol means that small amounts can lead to a high BAC and more rapid intoxication.

    I am clear with the difference between physical addiction and psychological dependence.  Your example of the non-addictive personality weaning off pain medications is a really good one.

    My contention in this thread with aoeu was likely ill-advised in a community diary, as well as being fueled by a want for definition of terms such as "top side" and "bottom side", and not being clear.  I'm going to uprate comments accordingly, and participate in future discussions with more discretion than I showed here (hopefully).  

    Thanks Vacationland.

    On the television screen were ballerinas. -- Kurt Vonnegut

    by bsmechanic on Wed Aug 25, 2010 at 06:34:03 PM PDT

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    •  No worries, bsm. (1+ / 0-)
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      I've had some experience trying to interpret responses from people talking about substance abuse issues using all sorts of initially confusing terminology (responses to surveys and focus group questions, for example); it can be really difficult to figure out what a person's getting at if you aren't using the same vocabulary to describe the same phenomena. There are a surprising number of terms used to describe common concepts like beginning/end, early/late, light/moderate/heavy, easy/difficult, etc. It can be frustrating to feel like you're almost on the same page as someone, but not quite, and just as confusing to feel as though you're not understanding/being understood when discussing the same issue (very common in focus groups). It's all good! :-)

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