Baldwin - Silkworth 2026

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The doctors theory that we have an allergy to al - cohol interests us. As laymen, our opinion as to its soundness may, of course, mean little. But as ex - problem drinkers, we can say that his explanation makes good sense. It explains many things for which we cannot otherwise account.
The Phenomenon of Craving from The AA Big Book The phenomenon of craving was introduced in The Doctors Opinion by Dr. William D. Silkworth as a manifestation of an allergy that happens when an alcoholic takes a first drink and the alcohol craving appears making it near impossible for them to stop.
In Dr Silkworths opinion, the action of alcohol on chronic alcoholics manifests in a type of allergy or phenomenon of craving, that compels the drinker to keep drinking into intoxication, blackout and eventually unconsciousness.
The letter by Dr Silkworth that opens the Big Book of Alcoholics Anonymous was written July 27, 1938 under the letterhead of the Charles B Towns Hospital a medical facility with a national reputation in alcohol and drug addiction treatment.
William Silkworth. Born in Brooklyn in 1873, he attended Princeton, specializing in neuropsychiatry. After graduating, he studied at Bellevue Hospital Medical College, one of the only hospitals in the U.S. with a department for the treatment of alcoholics, where he gained his medical degree as psychiatrist in 1899.
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