The first step in knowing how to deal with alcoholic husband, wife, or other person we love is understanding the facts about alcohol abuse and the reasons alcoholics resist help.

Why Alcoholics Resist HelpIf drinking is causing enough problems for the family to consider intervention, then things are probably bad enough to motivate some action on the alcoholic’s part.

So why hasn’t it?

Because there’s something in the way.

Actually, three obstacles. Or rather, three broad categories of obstacles that are found to one degree or another in almost every case.

  • First, we have the alcoholic’s psychological defenses. You’ve heard about the big one, denial. The alcoholic doesn’t perceive the severity of the problem, and therefore lacks motivation to do anything. If you don’t see a problem, then why change? But there are others – rationalization, externalizing, minimizing, intellectualizing – that play every bit as big a role in resistance.
  • Second, there’s the stigma attached to alcoholism. Even in our enlightened times, people consider alcoholism a weakness rather than an illness. When your doctor informs you that you’re diabetic, you ask for help. But when he tells you you’re an alcoholic, you ask for another doctor.
  • Third, change is ordinarily motivated by trouble. And not just a little trouble, either. It usually takes quite a while for an alcoholic to arrive at the realization that something is seriously wrong. Here comes the tricky part: alcoholics successfully avoid the consequences of their drinking for so long because other people help them. Including, sometimes, the people who wish they would get help.

That’s called enabling, or sometimes rescuing. Others are frightened of the possible consequences of alcoholism, so they rescue the alcoholic from those consequences. That reduces his awareness of the problem, and his motivation to change.
You’ve heard the old saw about the alcoholic having to hit bottom before he wants to change. But that takes so long in part because the folks that love him won’t allow it.

Think about it: why should an alcoholic change a behavior so longstanding, so ingrained, unless he can’t find another way out?

Successful intervention – the sort that launches the alcoholic into treatment with the right attitude of openness and willingness to change – requires that we address all three of these obstacles: psychological defenses, stigma, and enabling/ rescuing behavior.

We needn’t eliminate these barriers entirely, but we do need to overcome them if we’re going to convince an alcoholic to accept the help he desperately needs.

Introduction to Intervention -More from this series:


2 Comments »

i agree with the article that the first and most difficult situation is the DENIAL for every addict to admitt that has problem by using drugs or alcohol..but there are many many other things that we have to consider of if we want to answer the question “why we do not ask for help”??i am an addict too and just for today with the help of Anonymous N.A. i am clean and serene for 2 years, my wife 10 years both with the help of 12steps program.i am working as a counselor in a treatment center and i an gratefull to my God..

Comment by tolis — August 31, 2014 @ 12:31 pm

1 and 2 are the same thing;denial.3 is a combination of denial and enabling. Your article is short and actually useless to both alcololics(like me) and friends and family. But I hope you got stars from some editor for posting this.

Comment by Ron Echols Jr — January 3, 2014 @ 1:17 am

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