it's a way to deal with stress....no matter what stress it is, either with chronic illness or chronic distress.
Basically, it's addictive behaviour
to get a quick result in order for us to feel better. The rewards are feeling free of the distress.
People in general tend to punish themselves in a way that can cause destruction to themselves...ultimately, the distress causes change in behaviour
and the new behaviour
deals with the emotional distress/physical distress...etc. Can become a cycle.
One doesn't need to get too complicated about
the fact that good stress (eustress)can bring us to a fully functioning level...to keep us sharp, etc. When it works for us, it's rewarding.
Drinking relieves the distress and lowers it to a good feeling level where one can interact freely, enjoying being in the moment, so to say. That could be said for a passive drunk or a mean one.
Binging isn't good for your liver, you know that.....
In general, one needs to learn how to function with issues so that we don't need to overcompensate with an artificial high. With those whose needs never seem to be met, the all or nothing concept is the rule they tend to live by. There's also a lot of reasoning, bargaining, etc. The whole process is the addiction, actually.
I can relate to it with food.....I don't drink except for a sip here and there....but I used to when I was younger. I'm from an alcoholic family and there were always very interesting parties at our place.
Chronic illness is a major stressor ..... the bottom line is to find ways in order to function with it. That's the hard work...to eventually change the behaviour
and find rewards that are less destructive to the self.
It won't probably be the only huge stessor in your life, however...same road different scenery.
Regarding Maslow....one never remains at being self-actualised.
Curious if you've ever watched the A&E program Obsessed? that's the extreme of the same thing.
quincy