2-8 (page 64, para. 3, lines 3-6) “. . . for we have been not only mentally and physically ill, we have been spiritually sick. When the spiritual malady is overcome, we straighten out mentally and physically.” (A.A., p. 64, para. 3, lines This is our goal—to overcome the spiritual malady that has separated us from the God of our understanding and doomed us, until now, to the living Hell of alcoholism. How do we overcome this malady The Big Book authors tell us we need to experience a spiritual awakening, which Dr. Silkworth defines as ab psychic change.” Dr. Silkworth describes the effect of this change on the alcoholic in the first paragraph on Roman numeral page 29 (xxix. There, he states: