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alcoholism is a compounded phenomena for the many years alcohol abuse and alcohol dependence the brain itself changes there are neurological changes Sullivan irreversible and deep for example two memory structures like the hippocampus and there are biochemical changes many of them reversible once consumption stops but at any rate during the alcoholics phase of active consumption the brain is different but thereamp;#39;s also a pronounced psychological dimension and it is not clear who drives what it would seem that first there was a psychological need and the changes in the brain followed my name is Sam Hackney and Iamp;#39;m the author of malignant self-love narcissism revisited alcoholism serves several psychological purposes effectively this is why alcoholism is so intractable difficult to get rid of difficult to treat the recidivism the relapse rate of alcoholics who have gone through a reader phase in residential treatment program and then followed up with group sessions and ind