I struggle with this too.
My dad is an abusive alcoholic. He's dry now but not out of choice. However he was an abusive twat before he became an alcoholic (a fact my mother denies but I remember) alcohol doesn't change who a person is, merely disinhibits.
I do think there's an element of choice BUT there's also evidence of changes to brain chemistry In terms of cravings and with alcohol - which is a legal and socially acceptable drug - I do understand how the addiction can creep up on an addict. How it can start as normal social drinking and gradually become an addiction.
However I've also witnessed the other alcoholics in my family quit with a variety of methods (willpower, aa, church recovery group, holistic health group) and they acknowledged its both a disease AND a choice. The urges come from the disease but the refusal to give in to the urges a choice. They've all been more successful than dad in giving it up without being bitter & taking it out on others.
"I think some people are predisposed towards becoming addicts, so where most of us can enjoy drink regularly without becoming addicted, some people can’t, and they have no way of knowing this in advance" not necessarily true, almost all one side of my family are addicts, alcohol, drugs, gambling, exercise. I'm well aware as are my siblings & cousins that we come from a family of addicts and are most likely predisposed. As a result most of my generation are quite avoidant of likely addictions. I've never once tried a cigarette or street drug, I'm currently teetotal due to meds but I've always been a careful drinker, I don't drink if under stress or alone, and I've only been drunk twice my whole life.
"Is alcoholism different to other addictions such as drugs, then?" Yes & no imo.
Some substances are more chemically addictive than others, but then some are more available, some more socially acceptable. Cannabis & alcohol are more problematic imo than heroin or Coke because they're more widely available, more socially acceptable, cheaper. It annoys me when people say "cannabis isn't that bad" because I've seen what it can do.
However although heroin is less prevalent it's a bitch to kick and the methods of taking it more risky. I agree with George Michaels comments re HIV and drugs, speaking at a time when gay men were being blamed for the spread of HIV he argued gay men were more responsible than addicts, addicts didn't care about anything but getting their fix.
I agree, heroin addicts aren't careful about needle sharing and prostitutes who are also addicts (male and female) tend to be more willing to go bareback cos they get paid more for it. It's a perfect storm for spreading blood borne diseases like hepatitis, HIV and others.
"Does that make me an alcoholic or a binge drinker? Genuinely don't know." Imo & some experts in the field yes. It's not about just how much or when you drink, it's also whether you can control your intake, how you behave when drunk, your relationship with alcohol.
"I've supported this woman immensely. I've set up doctors appointments, railroaded her to AA meetings, cried begged and screamed, issued ultimatums. Everything I could have possibly done, I have done." But what have you done for YOU?
You can't make an addict stop.
3 c's
You didn't cause it
You can't control it
You can't cure it
Once you get that to sink in it does help a lot.
"You can’t compare overcoming cannabis use to alcohol addiction." Of course you can! Especially DAILY use! They're both addictive drugs, only difference one is legal and regulated the other isn't (in addiction terms) I'm guessing you're a cannabis taker?
Lack of visible withdrawal symptoms =/= not alcoholic either.
Shecamefromgreece - a book I found illustrated the denial of addiction really well is "Rachel's holiday", by Marian Keyes. The author is an alcoholic herself who also suffers from depression. The book is about a character who suffers from drug addiction and goes to a residential rehab place (somewhat under protest). There's a powerful scene when the characters denial is shattered and it really shakes her up.
There are too many of us (loved ones of alcoholics) it's a huge societal problem and I don't think anyone has the solution.
Keep getting support here, al anon, wherever helps. You don't owe her your efforts to hide it or manage it for her.