responsibility, maybe a double responsibility. It may be that we have a date
with destiny.
An example: Not long ago Dr. E. M. Jellinek, of Yale University, came to us.
He said, "Yale, as you know, is sponsoring a program of public education on
alcoholism, entirely noncontroversial in character.
So, when the National Committee for Education on Alcoholism [now the National
Council on Alcoholism and Drug Dependence] was formed, an AA member was made
its executive director: Marty M., one of our oldest and finest. As a member of
AA, she is just as much interested in us as before - AA is still her
avocation. But as an officer of the Yale-sponsored National Committee, she is
also interested in educating the general public on alcoholism. Her AA training
has wonderfully fitted her for this post in a different field.
Public education on alcoholism is to be her vocation.
Could an AA do such a job? At first, Marty herself wondered. She asked her AA
friends, "Will I be regarded as a professional?" Her friends replied:
"Had you come to us, Marty, proposing to be a therapist, to sell straight AA
to alcoholics at so much a customer, we should certainly have branded that as
professionalism. So would everybody else.
"But the National Committee for Education on Alcoholism is quite another
matter. You will be taking your natural abilities and AA experience into a
very different field. We don't see how that can affect your amateur status
with us. Suppose you were to become a social worker, a personnel officer,
the manager of a state farm for alcoholics, or even a minister of the gospel?
Who could possibly say those activities would make you a professional AA? No
one, of course."
They went on: "Yet we do hope that AA as a whole will never deviate from its
sole purpose of helping other alcoholics. As an organization, we should
express no opinions save on the recovery of problem drinkers. That very sound
national policy has kept us out of much useless trouble already, and will
surely forestall untold complications in the future.
"Though AA as a whole," they continued, "should have one objective, we believe
just as strongly that for the individual there should be no limitations
whatever, except his own conscience. He should have the complete right to
choose his own opinions and outside activities. If these are good, AAs
everywhere will approve. Just so, Marty, do we think it will be in your case.
While Yale is your actual sponsor, we feel sure that you are going to have the
warm personal support of thousands of AAs wherever you go. We shall all be
thinking how much better a break this new generation of potential alcoholic
kids will have because of your work, how much it might have meant to us had
our own mothers and fathers really understood alcoholism."
Personally, I feel that Marty's friends have advised her wisely; that they
have clearly distinguished between the limited scope of AA as a whole and the
broad horizon.
__________
Excerpt from Marty Mann's New Primer on Alcoholism, 1981 (First Owl Book
Edition), pp. 83-86.
The Test
There is a simple test which has been used hundreds of times for this purpose.
Even an extremely heavy drinker should have no trouble in passing it, whereas
an alcoholic, if able to complete it at all, could do so only under such heavy
pressure that his life would be more miserable than he thinks it would be if
he stopped drinking altogether. The chances are a hundred to one, how ever,
against a true alcoholic's being either willing or able to undertake the test.
The Test: Select any time at all for instituting it. Now is the best time. For
the next six months at least decide that you will stick to a certain number of
drinks a day, that number to be not less than one and not more than three. If
you are not a daily drinker, then the test should be the stated number of
drinks from one to three, on those days when you do drink. Some heavy drinkers
confine their drinking to weekends, but still worry about the amount they
consume then. Whatever number you choose must not be exceeded under any
circumstances whatever, and this includes weddings, births, funerals,
occasions of sudden death and disaster, unexpected or long-awaited
inheritance, promotion, or other happy events, reunions or meetings with old
friends or good customers, or just sheer boredom. There must also be no
special occasions on which you feel justified in adding to your quota of the
stated number of drinks, such as a severe emotional upset, or the appointment
to close the biggest deal of your career, or the audition you've been waiting
for all your life, or the meeting with someone who is crucial to your future
and of whom you are terrified. Absolutely no exceptions, or the test has been
failed.
This is not an easy test, but it has been passed handily by any number of
drinkers who wished to show themselves, or their families and friends, that
they were not compulsive drinkers. If by any chance they failed the test,
showing that they were alcoholics, they showed themselves, too, that they
were, whether they were then ready to admit it openly or not. At least it
prepared them for such an admission, and for the constructive action which
normally follows that admission.
It is important to add that observers of such tests should not use them to try
to force a flunkee to premature action. This may well backfire and produce a
stubborn determination on the part of the one who has been unable to pass the
test, to prove that it is not alcoholism that caused the failure. He can and
does do this in several ways: by stopping drinking altogether for a
self-specified time (when this is over he usually breaks out in even worse
form than before, and with an added resentment toward those who "drove" him to
it); by instituting a rigid control over his own drinking, which produces a
constant irritability that makes him impossible to be with, coupled with
periodic outbreaks of devastating nature; or by giving himself a very large
quota and insisting that he has remained within it, even when he has obviously
been too drunk to remember how many drinks he had. In extreme cases, he may
even give himself a quota of so many drinks, and take them straight from the
bottle, calling each bottle "the" drink. The backfiring from too great outside
pressure may also cause a complete collapse: knowing and admitting that he
cannot pass the test and is therefore an alcoholic, he will resist efforts to
force him to take action by saying in effect, "So I'm an alcoholic, so I can't
control my drinking, so I'll drink as I must," and go all out for perdition.
This last, despite the expressed concern of some people (who believe that
admitting alcoholism to be a disease, and alcoholic drinking to be
uncontrollable drinking, is simply to give alcoholics a good excuse to
continue), very rarely happens. Nevertheless the possibility must be taken
into account by those who are trying to help an alcoholic to recognize his
trouble and take constructive action on it. If he is left alone after failing
such a self-taken test, the failure will begin to work on him-it has planted a
seed of knowledge which may well grow into action.
The "occasional drunk" usually comes from the ranks of heavy drinkers,
sometimes social drinkers. Rarely is he an abstainer between his bouts, as is
generally the case with periodic alcoholics. Sometimes called "spree
drinkers," these are the ones who every now and then deliberately indulge in
short periods of drinking to drunkenness, usually at sporadic intervals. They
talk of the "good" it does them to have a "purge" once in a while, or to "let
down their hair" or to "kick over the traces" and have "all-out fun."
Unfortunately for them they sometimes get into trouble during these sprees,
and their drinking habits are thus brought to public attention. But they can
and do stop such indulgences if they find it is costing them too much, for
their sprees are their idea of fun, and not a necessity. "Occasional drunks"
are most often found among youthful drinkers, whose ideas of "fun," for one
reason or another, have come to center around drinking and the uninhibited
behavior which excessive drinking allows.
__________
The following was excerpted from a biography-in-progress of Marty Mann, by
Sally and David Brown. It has since been published by Hazelden:
Marty Mann is scarcely a household word today, yet she is arguably one of the
most influential people of the 20th century. Marty's life was like a blazing
fire, but was nearly extinguished by personal tragedy and degradation. She
rose to a triumphant recovery that powered a historic, unparalleled change in
our society. Through her vision and leadership, the attitude of America toward
alcoholism was changed from a moral issue to one of public health. This was a
tremendous shift, especially considering America's long temperance history
which culminated in the Prohibition Amendment of 1920.
Marty was able to accomplish these things despite numerous, very difficult
setbacks along the way, any one of which might have overcome a lesser person.
She would be the first to claim that her sobriety, found through Alcoholics
Anonymous (AA) in its very earliest days, was the most important factor in her
success. ...
Marty was born into a life of wealth and privilege in Chicago in the early
1900s. Her family sent her to the best private schools. She was blessed with
beauty, brains, a powerful will and drive, phenomenal energy and stunning
charisma. She traveled extensively. She debuted, then married into a wealthy
New Orleans family. Her future seemed ordained to continue on the same
patrician track except for one serious setback on the way. When Marty was 14,
she was diagnosed with Tuberculosis (TB). In those days, drugs for treatment
were not yet available. However, her family could afford to send her to an
expensive private sanitarium in California for a year, and then provide her
with a private-duty nurse at home for another year or two. She had one
recurrence of the disease several years later, and for the rest of her long
life she knew that she was always in remission from this ancient scourge.
Marty was no sooner past this hurdle when another disease began to assert
itself. When Marty was 17 she could drink as an adult. Moving at a fast pace
in an elite social group, she had a "hollow leg." A party girl from the onset,
she could outdrink anyone and be the only person left standing to get
everybody else home. Later, she was to learn that her unusual capacity was an
important early sign of alcoholism.
Suddenly her father lost all his wealth, and she had to go to work. Untrained
for any specific career, she was nevertheless favored with important moneyed
and social connections in this country and abroad. Her natural talents led her
into the world of public relations.
Marty's drinking was an occupational hazard in her line of work. Within 10
years she went from a bright, assured future to a hideous existence of
round-the-clock drinking. She lost one job after another. She became
destitute, living off the goodwill of friends, convinced that she was
hopelessly insane. Two suicide attempts nearly killed her, and desperate
drinking threatened to finish the job.
At this point, friends intervened. She was accepted as a charity patient at
Bellevue Hospital in New York City, then transferred to Blythewood, an
exclusive private psychiatric inpatient center in Connecticut as a charity
patient. There were a few patients who were alcoholics, like Marty, whose
behavior had become bizarre or unmanageable.
It is difficult these days to imagine a world where the term "alcoholism" was
virtually unknown and there was no treatment except "drying out." Alcoholics
Anonymous didn't exist. The medical profession was as much in the dark as the
alcoholics and their baffled families. The concept of alcoholism as a disease
-- and a major, treatable one at that -- was scarcely known.
Then in 1935, two alcoholics, Bill Wilson and Dr. Bob Smith, happened to come
together to help each other stay sober. Alcoholics Anonymous, probably the
most famous grassroots, self-help health movement of all time, was launched on
its shaky way.
Within four years, Bill and Dr. Bob and a handful of other pioneers had
attracted two small groups of men who managed to achieve sobriety; one in
Akron, Ohio (Dr. Bob's home), and the other in New York City (Bill W's home).
They decided to write down their experiences in the belief and hope that they
could thereby broaden their outreach to other suffering alcoholics. The book
"Alcoholics Anonymous" was born, and at the heart of it was the famous "12
Steps," which have been adopted and adapted by literally hundreds of other
kinds of self-help groups. The year was 1939.
The year of 1939 was also a fateful year for Marty. She had been a patient at
Blythewood for months, still unable to remain completely sober. Her
enlightened psychiatrist, Dr. Harry Tiebout, gave her a manuscript of
"Alcoholics Anonymous" to read, convinced that it would help her in a way he
could not. This opened the door to her recovery.
Eventually she was persuaded by Dr. Tiebout to attend her first AA meeting,
held in the home of Bill Wilson and his wife, Lois. This was still during the
time that there were only two AA meetings in the whole country. Each little
group met just once a week. Many members literally drove over a hundred miles
each way to attend the fellowship. Contrast that scene with the thousands and
thousands of AA meetings available across America today, the majority a short
distance from home.
Furthermore, all of the AA members were men. A few women had drifted in and
out, but the stigma against women alcoholics was as strong as ever. Women
rarely had the courage to seek help, even if they acknowledged they might have
a problem.
Marty loved and appreciated AA from the beginning. She was immensely relieved
to learn she was not incurably insane, but instead had a disease which
manifested itself as "an allergy of the body coupled with an obsession of the
mind." Scientific research describes this condition as a biochemical
abnormality affecting the body and the brain in ways which increasingly limit
the predisposed person's ability to function or to stop, despite dire
consequences.
Marty had three relapses during her first 18 months in AA. Slips, or relapses,
while distressing and sometimes tragically fatal, are not uncommon with many
of those who come into AA. Later, Marty settled down, and the real healing
began as she started to apply the 12 Steps to her life.
Five years after she found AA, Marty had a dream. Her vision was to educate
the whole country about alcoholism. She was obsessed with eliminating the
historic stigma attached to chronic inebriation. She joined forces with the
Yale School of Alcohol Studies (now at Rutgers), where early significant
scientific research into alcoholism was underway. Eventually her nationwide
educational efforts led to the creation of a separate organization, the
National Council on Alcoholism (now the National Council on Alcoholism and
Drug Dependence or NCADD). NCADD has been this country's most important
educational, referral resource for alcoholics, their families and communities
all across the country.
Marty was the right person at the right place and time. She was extremely
fortunate to find a wealthy donor, Brinkley Smithers, who was committed to her
goals and generously supported her organization. Marty was intensely focused
on her mission. More than one person said she was like a train coming down the
track -- jump on or get out of the way. Her elegant appearance, captivating
charm, intellect and breathtaking charisma swept people off their feet.
By all accounts, she was one of the most spellbinding speakers this land has
ever seen. Even audiences initially skeptical of her message, that an
alcoholic is a sick person who can be helped, ended up enthusiastically
supporting her. For most of her 24 years as director of NCA, she maintained a
speaking schedule of over 200 talks annually. The purpose of Marty's talks was
to establish local volunteer groups in every major city. These affiliates of
NCA would carry out NCA's mission to provide education, information and
referral for their respective communities. Government financial support was
minimal to nonexistent. Most of the funding for the affiliates came from
local, private donations.
By now, one would think Marty had it all. Restored health, sobriety, the
realization of her dream. Then, once more, she was felled by a disease beyond
her control -- this time it was cancer. Several surgeries were required, and
eventually she recovered from the cancer. Doctors were amazed by her medical
history: recovery from three major diseases, recurrences of severe chronic
depression, plus the physical consequences of her early suicide attempts.
When she was 65, Marty retired with some reluctance from active management of
NCA. It was not easy for her to relinquish control of her creation and the
central focus of her passion for over two decades. As NCA's promoter without
peer, she continued a punishing speaking schedule on the organization's behalf
for many years, but gave up her personal involvement in day-to-day affairs.
In the early 1950s, Edward R. Murrow, distinguished journalist, selected Marty
as one of the 10 greatest living Americans. During her lifetime, Marty was
extremely well-known in the local, regional and national press. Her
appearances before state legislatures and Congress were unforgettable for
those present and produced results. She was made an honorary member of
prestigious professional groups here and abroad.
Marty's last talk was before AA's international convention in New Orleans in
1980. Two weeks later she suffered a stroke at home and died very shortly
thereafter. She was 75.
The organization and history of NCA after Marty has been mixed. There were
some rocky periods, which are to be expected following the retirement and
demise of a long-term, extremely dynamic and charismatic leader. The
affiliates across the country also experienced some ups and downs. However,
the organization persisted, stabilized and continues to be an effective public
voice on behalf of alcoholics.
Marty's legacy is sparingly reported in the histories of Alcoholics Anonymous,
probably because NCA was not an arm of AA. However, AA grew enormously in the
decades that Marty was active. Wherever she spoke, she generated extensive
publicity, and new AA members appeared in droves. Her appearances were
especially important in attracting women alcoholics. They figured that if a
person as impressive and inspiring as Marty could admit that she was an
alcoholic, they could too. Women like Betty Ford are direct inheritors of
Marty's example.
_____________
The following is from the 1980 Nov-Dec. Issue of ALCOHOLISM, "Pioneer,
Persuader, Inexhaustible Advocate, Marty Mann."
Included in the article is a tribute by Susan B. Anthony:
(Dr. Susan B. Anthony, author, lecturer, theologian, and counselor, is another
long-time friend and colleague of Marty's. The great niece and namesake of the
famous suffrage leader, she is currently lecturing on women and alcoholism,
and has authored seven books and many articles.)
Putting on paper my tributes to Marty helps alleviate the frustration I felt
when I could not get up north for her Memorial Services to share with old
friends of hers and mine.
What I did do when NCA called me to let me know of her death was to put my
emotion into prayer, for her and for us. Prayer was a gift that came some
years after sobering up in Marty's office on August 22, 1946.
I last spoke with Marty just a few weeks before her death, on July 3 when I
was visiting my sister. When I called her, she said in her rich, resonant
voice, "You just caught me. I am going out the door for the New Orleans AA
convention!"
She sounded buoyant and happy, her voice as young as the day I first met her
34 years ago. When I told her I had been one of the 500 nominated as public
members for the National Commission on Alcoholism and other Alcohol Related
Problems, she laughed "It's not 500, my dear, it's 700 or 800 nominees."
In July it seemed so natural that she was taking off for a talk. Just three
weeks before her death (even as my own great-aunt Susan B.) she was setting
forth for one last stint on the road. As her obituary in THE NEW YORK TIMES
said on July 24, Marty had averaged 200 lectures, all out of town, of course.
I was part of one of those flights, in 1977, en route to Des Moines, Iowa, to
keynote a conference commemorating the Council she and local friends had
started there. I had just spoken at another NCA conference celebrating her
birthday in Pennsylvania, flown home to Florida and was now flying to Des
Moines, getting off to be greeted by the program chairman when I saw Marty
ahead of me.
"Were you on that plane?" she asked. "I was in first class," she said
apologetically. "I sometimes splurge on that -- I get so tired."
She looked frail and I recalled the millions of miles she had journeyed for
alcoholism education, for alcoholics, miles that were marked by broken hips,
and illnesses. And that she felt she must apologize for the greater comfort of
first class, though she had passed three score years and ten!
When I couldn't get to her Memorial Service I wrote her family:
"My gratitude to Marty since sobering up in her office in 1946 surpasses even
my sympathy for you since we and the world know her work for alcoholics is
deathless."
I often wonder whether I would be alive and sober today if Marty had not
provided a quiet, private office uptown (at the old Academy of Medicine
Building, New York City) where a prima donna radio commentator, a woman at
that, could seek help for alcoholism. I was not ready at that point for the
old clubhouse downtown. Though Marty was not in the office that day of August
22, 1947, her aura dominated the pleasant serene office, and her volunteer AA
secretary carried the message to me, as Marty later did by her being as well
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