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MODERATION MANAGEMENT Moderation Management In 2002 the National Association of Alcohol Abuse and Alcoholism NIAAA 2002 reported that physicians diagnosed 2372000 people with alcohol related problems NIAAA 2002 The Institute of Medicine IOM found that only one out of every four-problem drinkers fulfilled the requirements for a medical finding of alcoholism The IOM Hoeltzel Kern Rotgers 2002 also found that 93 of treatment programs base recovery on the philosophy of Alcoholics Anonymous AA which necessitates total abstinence for success For the 32 million non-dependent drinkers in the United States the idea of life-long abstinence is a daunting and illogical option yet abstinence is the most well known selection for recovery Moderation management offers a solution and a positive outlook for controlling drinking Hoeltzel et al 2002 Hoeltzel Kern and Rotgers classify moderate drinking as a maximum of 2-3 drinks per occasion with a weekly limit of nine drinks for women and 12-14 for men 2002 Moderate drinking includes monitoring ones rate of consumption and blood alcohol concentration BAC maintaining a BAC of 045-055 or lower Hester 2000 In a study conducted by Kevin Kraemer 2002 of the University of Pittsburg 36 n77 of subjects experienced an increase in emotional physical psychological well-being after diminishing their alcohol use by 30 or more Moderation or controlled drinking is the most common resolution for mild to moderate drinking problems and for those who choose not to seek professional assistance Peele 1990 Self-moderation or abstinence has the highest rate of success compared to any other form of treatment Peele 1990 The NIAAA suggests that physicians direct patients in one of two directions during chemical use screenings 1 to abstain from use if they are dependent drinkers or 2 to practice moderation if they are not dependent A dependent drinker is defined as one who as a result of ones drinking experiences increased alcohol related health risks an inability to control consumption growing tolerance need for consumption
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