From the May 1975 magazine.

About Alcoholism - Alcoholism Information, Research and Treatment

That First Hors d'Oeuvre

Many of these items are contrary to AA philosophy. Their publication here does not mean that the Grapevine endorses or approves them; they are offered solely for your information.

A low dose of alcohol, in the context of explicit drinking cues, may be the most dangerous combination for a nondrinking alcoholic seeking to avoid relapse. A study conducted by Arnold M. Ludwig, MD. Abraham Wikler, MD, and Louis H. Stark, of the Department of Psychiatry of the University of Kentucky College of Medicine, attempted to explicate some of the major determinants of relapse in alcoholics by manipulating craving and alcohol-acquisition behavior through appropriate interoceptive and exteroceptive stimulation. It appeared that a sufficient amount of alcohol in certain situations could act much like hors d'oeuvres and contribute to the "first drink" relapse phenomenon.

-- Archives of General Psychiatry

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