The Missing Piece: The Spiritual Malady Part II

The Missing Piece: The Spiritual Malady Part II by Mike L., West Orange, NJ for “Carry THIS Message” Group, West Orange, NJ

Two key points I’d like to focus on from this point forward:

  1. What really is this “spiritual malady” and how, if left untreated, can it drive an alcoholic back to drinking?
  2. What is the remedy for it? (By the way, our Big Book answers both of those questions in masterly detail in Chapters 4 – 11.) What is this “spiritual malady” we alcoholics suffer from and how can “untreated alcoholism” cause an alcoholic to return to drinking — EVEN WHEN HE/SHE DOESN’T WANT TO?

Imagine three layers. The first layer is our bodily reaction to alcohol when we ingest it — the physical craving. Under that is the second layer: the insanity of the mind just before the first drink — the mental obsession. Under that is the third layer: the inward condition that triggers the second layer, which in turn triggers the first — the “spiritual malady.” Symptoms of this “third layer” as described in the Big Book include:

  1. being restless, irritable, and discontented (page xxvi),
  2. having trouble with personal relationships,
  3. not being able to control our emotional natures,
  4. being a prey to (or suffering from) misery and depression,
  5. not being able to make a living (or a happy and successful life),
  6. having feelings of uselessness,
  7. being full of fear,
  8. unhappiness,
  9. inability to be of real help to other people (page 52),
  10. being like “the actor who wants to run the whole show” (pages 60-61),
  11. being “driven by a hundred forms of fear, self-delusion, self-seeking, and self-pity” (page 62),
  12. self-will run riot (page 62),
  13. leading a double life (page 73),
  14. living like a tornado running through the lives of others (page 82), and
  15. exhibiting selfish and inconsiderate habits.

These name just a few of the symptoms of the “spiritual malady” that’s described throughout our text. But still in all, these are just symptoms of the “spiritual malady.”


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What is it really? What is the driving force of the symptoms described above?

On page 62 the text explains that “Selfishness-self-centeredness! That, we think, is the root of our troubles.” This “SELFISHNESS-self-centeredness” (or the “ego”, as some people refer to it) drives us to respond to life situations with the above “symptoms” as well as disorders and addictions other than alcoholism.

If this selfishness-self-centeredness continues to manifest in an alcoholic’s life — EVEN IN SOMEONE WHO IS NOT DRINKING AND CONTINUES TO ATTEND MEETINGS — and the ego is not smashed and re-smashed by continuous application of all twelve steps, the sober (or “just not drinking”) alcoholic is sure to drink again eventually… or even worse, continue to live miserably being “undrunk” (better known as a “dry drunk”). This is why we see people with 10 years in AA wind up in mental institutions — AND THEY HAVEN’T HAD A DROP TO DRINK!

You see, if I continue to act out with selfish — self-centered – ego-driven behaviors I will continue to experience the symptoms of the “spiritual malady.” If I continue to experience this inward unmanageability, eventually my mind will seek out the “sense of ease and comfort” it thinks it can receive from taking a drink. Or, my ego can deceive me into thinking I’m doing perfectly fine. (i.e.: Fred’s story in Chapter 3… Fred drank when there wasn’t “a cloud on the horizon”.)

Typically, we’ll tell ourselves and others, “Well, at least I’m not drinking.” All of a sudden, I can experience a “strange mental blank-spot” — otherwise known as a “sober blackout” — and before it even hits me I’m pounding on the bar asking myself “How’d this happened?”

So, ask yourself if you’re suffering from the “spiritual malady” — particularly if you haven’t had a drink for a while. What condition is your “inner life” in, currently? Are you experiencing any of the symptoms listed previously?

  • Has it been a while since you’ve taken another alcoholic through the Steps?
  • Has it been a while since you have gone through the steps?
  • Have you ever taken all of AA’s Twelve Steps?
  • Have you done more than one 4th Step inventory?
  • Have you completed all your 9th Step amends wherever possible?
  • Is there something wrong in your life that you will not face and make right?
  • Is there a habit or indulgence you will not give up?
  • Is there a person you will not forgive?
  • Is there a wrong relationship in your life you will not give up?
  • Is there a restitution you will not make?
  • Is there something God has already told you to do that you will not obey?
  • Are you working with the disciplines and practices of steps Ten and Eleven (self-examination, meditation and prayer)… consistently… EVERY DAY?

Page 62 says, “Above everything, we alcoholics must be rid of this selfishness (“the ego”). We must, or it kills us! God makes that possible. And there often seems no way of entirely getting rid of self (ego) without [God’s] aid.”

Page 25 tells us, “There is a solution. Almost none of us liked the self-searching, the leveling of our pride, the confession of shortcomings, which the process requires for its successful consummation. But we saw that it really worked in others, and we had come to believe in the hopelessness and futility of life as we had been living it. When, therefore, we were approached by those in whom the problem had been solved, there was nothing left for us but to pick up the simple kit of spiritual tools laid at out feet. We have found much of heaven and we have been rocketed into a fourth dimension of existence of which we had not even dreamed.”

This “fourth dimension”, which we find out in the 10th Step is the “world of the Spirit”, takes us beyond the physical, mental, and emotional dimensions of life — and eliminates the selfishness (ego) of the “spiritual malady.” The term “spiritual malady” does not mean that our “spirit” is sick. It simply means we are spiritually blocked off from the Power of God, which enables us to remain sober, happy, joyous, and free.

To conclude, it’s not my body — my allergic reaction to alcohol — that’s going to take me back to drinking. It’s really not my mind — the mental obsession — that is the underlying root of what will take me back to drinking. It’s the “spiritual malady”, as manifested by my EGO (selfishness-self-centeredness), that can eventually lead me back to drinking or sometimes even suicide.

On pages 14 and 15 Bill W. writes, “For if an alcoholic failed to perfect and enlarge his spiritual life through work and self-sacrifice for others, he could not survive the certain trials and low spots ahead. If he did not work, he would surely drink again, and if he drank, he would surely die. Then faith would be dead indeed. With us it is just like that.”

Thankfully, the “spiritual malady” is no longer a “missing piece” of Step One for me. It is a reality of my powerlessness and unmanageability and enables me to see why I so desperately need to seek a Power Greater than myself. And unless this malady is recognized, and a course of action (the Twelve Steps) is taken to enable God to remove it, the root of our alcoholic illness can lie dormant and burn us when we least expect it.

Mike L., West Orange, NJ
“Carry THIS Message” Group, West Orange, NJ

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