Mickey B. dismantles the common misconception that simply admitting one is an alcoholic constitutes the First Step. He argues that admitting is a surface-level act—often used as a tool for manipulation or a 'bumming' tactic—whereas fully conceding to the innermost self requires a rock-solid foundation of self-discovery.
Mickey maps out the mechanics of the disease as a two-fold affliction: the mental obsession and the physical allergy (the phenomenon of craving). He shares the wreckage of his own 'insanity,' including blackouts that left him 'pitiful and incomprehensibly demoralized,' a murder trial at the Old B. in London where he faced the gallows, and a penchant for robbery immediately after leaving maximum security.
He makes the case that recovery is found not in the fellowship alone—which he likens to an aspirin for a headache—but in the rigorous application of the 12 Steps to treat the underlying disease.
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