The search for a fix, for a ready solution to what ails, has become a uniquely American undertaking, an ingrained part of consumer culture, as prevalent as the nearest diet workshop or plastic surgeon. In some ways alcoholism is the perfect late twentieth-century expression of that particular brand of searching, an extreme expression of the way so many of us are taught to confront deep yearnings. Fill it up, fill it up, fill it up. Fill up the emptiness; fill up what feels like a pit of loneliness and terror and rage; please, just take it away, now.