E264: It’s Not Your Fault (But It Is Your Responsibility)

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Matt and Steve dive deep into Dr. Silkworth's groundbreaking work on alcoholism and why understanding the medical nature of addiction changes everything. They explore a fascinating discovery: Silkworth published his "allergy theory" in a 1937 medical journal—two years before the Big Book—challenging the common AA legend about why he initially hesitated to put his name in print.

The hosts discuss why the Doctor's Opinion matters less for its 1939 medical accuracy and more for what it tells newly sober people: you have a condition, not a character flaw. Matt and Steve get real about the difference between the physical reality of addiction (not your fault) and the actions taken while drinking (your responsibility to address).

Steve shares his own parallel journey with weight management and GLP-1 drugs, drawing powerful connections between different types of medical conditions that were once viewed as moral failings. The conversation unpacks why self-knowledge alone isn't enough to stay sober, the role of dopamine in addiction, and why removing shame is the first barrier that needs to fall.

Whether you're brand new to sobriety or years into recovery, this episode offers a compassionate, science-informed perspective on what's really happening in your brain and body—and why that understanding is the foundation for everything that follows.

Links to the two articles Silkworth wrote in 1937:

Alcoholism as a Manifestation of Allergy

Reclamation of the Alcoholic

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