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Updated May 1, 2001
Chemical Dependency and Jews

Ask Dr. Bill

Dear Readers,
This week, in order for me to reiterate the fact that addiction is an "equal opportunity disease," I have borrowed heavily from an article by Rabbi Abraham J. Twerski, M.D.; written in response to a letter he received from a Jewish mother who bemoaned the fact that her daughter, while undergoing treatment for alcoholism, had been advised by her counselor to consult her rabbi after she had expressed feelings of 'spiritual emptiness.' Following this advice, she consulted her rabbi He admonished her to 'control' her drinking, telling her that it was a 'disgrace' for a Jew to drink excessively; meanwhile, offering no response to her spiritual needs.

Rabbi Twersky is a nationally acknowledged expert in the field of addictive illnesses. An Associate Professor of Psychiatry at the University of Pittsburgh Medical School, he is Medical Director of the Gateway Rehabilitation Center and author of many books and scientific papers on the subject of addictive illnesses As a long-time admirer of the rabbi's work, I sought and received permission from , JACS (Jewish Alcoholics, Chemically Dependent Persons, and Significant Others) to quote his article ("The Truth About Chemical Dependency and Jews") on their web-site: <www.jacsweb.org>:

Dr. Twersky noted that"this is a serious indictment, but one which I believe has great validity. Nowhere in the years of my training to become a rabbi was I taught anything about alcoholism, nor do I recall any attention given to the problem either in rabbinic journals or at conventions.

"It may be convenient to adhere to the myth that Jews cannot be alcoholics, but this denial constitutes a serious dereliction of duty. To dispel this myth, one need only ask proprietors of country clubs, who once shunned Jewish affairs because they made little profits on the sale of alcoholic beverages....this is no longer true.

"Whereas the incidence of alcoholism among Jews, while no longer negligible, may be less than in the non-Jewish population, the same cannot be said of (addiction to) other mood altering drugs. Among the older Jews, addiction to tranquilizers, sedatives, and pain pills is quite common; and among the younger set, marijuana dependency as well as abuse of other street drugs is rampant. The recent epidemic spread of cocaine has deeply affected Jews, surpassing even heroin in its total devastation of mind, body, and family.

"What can be done? The first step is awareness. As long as we believe the problem is not ours we will do nothing. Recognition.... is of paramount importance, and must be faced squarely by the clerical and lay leadership, as well as the Jewish community at large.

"Yeshivas and seminaries must begin to introduce courses dealing with chemical dependency; Jewish communal professionals must become knowledgeable in the field; Community education programs must begin to feature programs of substance abuse; All individuals involved in Jewish communal life must learn to recognize the problem and become familiar with the resources so essential to treatment recovery be they detoxification, rehabilitation, counseling or self-help programs.

"However great the stigma attached to chemical addiction, it can no longer be allowed to interfere with getting help. Jews tend to be most secretive about emotional disturbances within their families, often avoiding help, for fear of exposure and shame. Furthermore, since family participation is crucial in the recovery process, parents may have concerns that they will meet other members of their community at a treatment facility, and that their private nightmare will be "known to others."

"It must be understood that dependency on any addictive chemical is a malignant condition. Unless arrested, it is like a cancer: progressive, destructive and lethal. It claims as its victims not only the user, but the family members as well. Its consequences are far-reaching and devastating....a problem so severe that, we can no longer afford to deny or hide the need for help.

"Whatever the initial approach to treatment, long-term recovery invariably requires participation in Alcoholics Anonymous (AA), Narcotics Anonymous (NA), or Pills Anonymous (PA). Psychological therapy (Such as we offer at the Van Ost Institute) can be adjunctive to involvement in these programs, but cannot be relied upon to be the sole treatment modality. Some people mistakenly believe that these programs have a Christian orientation and are "off limits" to Jews. But anyone familiar with them knows that this is simply not true. The Twelve Steps of the "anonymous" fellowships are very compatible with Judaism, and those Jews familiar with the concepts of musar (Jewish ethics) will recognize the similarities."


Dr. Willian Van Ost, M.D., is a Co-founder of The Van Ost Institute for Family Living, a non-profit outpatient center for treatment of addictive illnesses. Located in Englewood, it offers continuing, free weekly educational lectures. (Call 201-569-6667, e-mail to vanost@msn.com or visit www.vanostinstitute.org). Dr. Bill welcomes questions about addiction and effects on the family.

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Address inquiries:
Dr. Bill
Care of The Van Ost Institute
150 East Palisade Ave.
Englewood, NJ 07631-3010
Phone inquiries: (201) 569-6667
E-mail to: drbill@vanostinstitute.org

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