Alcarelle is a synthetic version of alcohol, providing all the “feel-good” effects of alcohol with none of the associated risks; this alcohol-alternative may be available in a bar near you within the next five years!
By Cassie Jewell, M.Ed., LPC, LSATP
Alcarelle, providing liquid courage without the consequences of alcohol: no hangover, no calories, and no harmful impact on your health. Sound too good to be true? Maybe… but maybe not.
Alcarelle is a substance that mimics the effects of alcohol; the Alcarelle website proclaims, “Like alcohol, but better.” Essentially, it’s a synthetic, non-toxic version of alcohol that activates the same neurotransmitters as booze, inducing the “warm fuzzy” feelings of tipsiness. Created by English neuropsychopharmacologist, David Nutt, the active molecule in Alcarelle provides the relaxing and social lubricating qualities of alcohol with none of the associated dangers.
According to a 2019 interview in Men’s Health, the Alcarelle effect “plateaus” after three drinks. The implications are that you won’t get hammered or black out with Alcarelle.
Currently, Alcarelle is in the development stage. Nutt’s plan is for Alcarelle to be available within the next five years; it will likely be offered in the form of a concentrated extract to mix into drinks.
What role will Alcarelle play in the treatment of substance use disorders? It’s unknown if someone could build a tolerance for or become dependent on Alcarelle. Could Alcarelle be the next harm-reduction or treatment method for alcohol use disorders? Could its use help with other addictions or mental health disorders? Could it potentially reduce the rates of alcohol-related accidents and diseases?
On the other hand, Alcarelle could lead to abuse and/or dependence (similar to how methadone, a treatment for opioid use disorders, produces powerful addictive effects). Also, it could end up being the equivalent of a “gateway” drug, increasing the user’s chances of later developing a substance use disorder.
Bottom line: too much is unknown at this point. Alcarelle may not make it past the testing phase. (Currently, only a prototype of the synthetic molecule exists and funding for the project is limited.) While I’m hopeful that an alcohol-alternative could advance the treatment of substance use disorders (especially since I believe the ultimate treatment, while yet undiscovered, will be pharmacological), I don’t anticipate Alcarelle being a magical “cure-all.”
Munn wrote this book because, as a nonbeliever, he felt the 12 steps of AA didn’t fully translate into a workable program for atheists or agnostics. This inspired him to develop the Practical 12 Steps.
Reviewed by Cassie Jewell, M.Ed., LPC, LSATP
Staying Sober Without God by Jeffrey Munn, LMFT
Published in 2019, 165 pages
I stumbled upon Staying Sober Without God while searching for secular 12-step literature for a client who identifies as atheist. Jeffrey Munn, the book’s author, is in recovery and also happens to be a licensed mental health practitioner. Munn wrote the book because, as a nonbeliever, he felt the 12 steps of AA didn’t fully translate into a workable program for atheists or agnostics. (For example, the traditional version of Step 3 directs the addict to turn his/her will and life over to the care of God as they understand him. If you don’t believe in God, how can you put your life into the care of him? Munn notes that there’s no feasible replacement for a benevolent, all-knowing deity.)
The whole “God thing” frequently turns nonbelievers off from
AA/NA. They’re told (by well-meaning believers) to find their own, unique
higher power, such as nature or the fellowship itself. (The subtle undertone is
that the nonbeliever will eventually come around to accept God as the true
higher power.) Munn writes, “There is no one thing that is an adequate
replacement for the concept of God.” He adds that you can’t just replace the
word “God” with “love” or “wisdom.” It doesn’t make sense. So he developed the
Practical 12 Steps and wrote a guide for working them.
The Practical 12 Steps are as follows:
Admitted we were caught in a self-destructive
cycle and currently lacked the tools to stop it
Trusted that a healthy lifestyle was attainable
through social support and consistent self-improvement
Committed to a lifestyle of recovery, focusing
only on what we could control
Made a comprehensive list of our resentments,
fears, and harmful actions
Shared our lists with a trustworthy person
Made a list of our unhealthy character traits
Began cultivating healthy character traits
through consistent positive behavior
Determined that the best way to make amends to
those we had harmed
Made direct amends to such people wherever
possible, except when to do so would cause harm
Practiced daily self-reflection and continued
making amends whenever necessary
We started meditating
Sought to retain our newfound recovery lifestyle
by teaching it to those willing to learn and by surrounding ourselves with
The Practical 12 Steps in no way undermine the traditional
steps or the spirit of Alcoholics Anonymous. Instead, they’re supplemental;
they provide a clearer picture of the steps for the nonbeliever.
Before delving into the steps in Staying Sober Without God, Munn discusses the nature of addiction, recovery, and the role of mental illness (which is mostly left untouched in traditional literature). He addresses the importance of seeking treatment (therapy, medication, etc.) for mental disorders while stressing that a 12-step program (secular or otherwise) is not a substitute for professional help. In following chapters, Munn breaks each step down and provides guidelines for working it.
The last few chapters of the book provide information on
relapse and what the steps don’t
address. Munn notes that sustainable recovery requires more than just working
the steps, attending AA meetings, and taking a sponsor’s advice. For a
balanced, substance-free lifestyle, one must also take care of their physical
health, practice effective communication, and engage in meaningful leisure
activities. Munn briefly discusses these components in the book’s final chapter,
“What the Steps Miss.”
Staying Sober Without God is well-written and easy to read. The author presents information that’s original and in line with current models of addiction treatment, such as behavioral therapy (an evidence-based approach for substance use disorder). Working the Practical 12 Steps parallels behavioral treatments; the steps serve to modify or discontinue unhealthy behaviors (while replacing them with healthy habits). Furthermore, a 12-step network provides support and meaningful human connection (also crucial for recovery).
In my opinion, the traditional 12 Steps reek of the moral model, which viewed addiction as a moral failure or sin. Rooted in religion, this outdated (and false) model asserted that the addict was of weak character and lacked willpower. The moral model has since been replaced with the disease concept, which characterizes addiction as a brain disorder with biological, genetic, and environmental influences. The Practical 12 Steps are a better fit for what we know about addiction today; Munn focuses on unhealthy behaviors instead of “character defects.” For example, in Step 7, the addict implements healthy habits while addressing unhealthy characteristics. No one has to pray to a supernatural being to ask for shortcomings to be removed.
The Practical 12 Steps exude empowerment; in contrast, the
traditional steps convey helplessness. (The resulting implication? The only way
to recover is to have faith that God will heal you.) The practical version of
the steps instills hope and inspires the addict to change. Furthermore, the
practical steps are more concrete and less vague when compared to the
traditional steps. (This makes them easier to work!)
In sum, Munn’s concept of the steps helped me to better understand the 12-step model of recovery; the traditional steps are difficult to conceptualize for a nonbeliever, but Munn found a way to extract the meaning of each step (without altering overall purpose or spirit). I consider the practical steps a modern adaptation of the traditional version.
I recommend reading Staying Sober Without God if you have a substance use disorder (regardless of your religious beliefs) or if you’re a professional/peer specialist who works with individuals with substance use disorders. Munn’s ideas will give you a fresh perspective on 12-step recovery.
For working the practical steps, download the companion workbook here:
Note: The workbook is meant to be used in conjunction with
Munn’s book. I initially created it for the previously mentioned client as a format
for working the practical steps. The workbook is for personal/clinical use only.
What questions are people asking about mental health? Quora posts indicate that misconceptions and myths related to mental illness and addiction prevail. Read the top 40 most unsettling questions on Quora.com.
By Cassie Jewell, M.Ed., LPC, LSATP
I conducted a Facebook poll to ask about knowledge of mental health. A majority of the respondents (83%) viewed themselves as “very or quite knowledgeable.” Only 17% of those polled reported having little (or no) knowledge.
I turned to Quora (an online platform for asking questions) to see what individuals who view themselves as less informed may be asking about mental illness. What I found ranged from thought-provoking to comical to disturbing.
Continue reading for 40 of the most unsettling inquiries I came across. The following Quora question posts illustrate some of the misconceptions surrounding mental disorders.
1. “Is mental illness really an illness?”
2. “Is mental illness catchable?”
3. “Do people with mental disorders have friends?”
4. “Are people who self-harm just looking for attention?”
5. “Is drug addiction really just a lack of willpower?”
6. “Can a person be intelligent and a drug addict?”
9. “Why should one feel sorry or sympathetic for drug addicts, given most of them chose this life?”
10. “Instead of ‘rescuing’ drug addicts who have overdosed, wouldn’t society as a whole benefit from just letting nature take its course?” (If that was the case, shouldn’t we then withhold all types of medical treatment and preventative or life-saving measures… to allow nature to take its course?)
11. “Is there any country in the world that won in the war against drugs by killing the users or the drug addicts?”
12. “Why should we lament drug addicted celebrities dying of drug-related causes? It’s their fault for starting a drug habit.”