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This text looks at the way people talk about what it means to be unable to say no, using literature as a springboard to a discussion of alcoholism and drug addiction. It goes far beyond - yet brings into conversation with each other - the traditional, single issue texts which discuss alcoholisms, to present a variety of theoretical approaches to, and pedagogical methods of teaching, the problem. The essays both challenge and defend the AA Medical Model and draw from African, American, British, French, and Spanish literatures, exploring the meaning of denial, "addiction", and the psychological experiences of addiction. From this international perspective, the questions raised and the intertextual resonances between such authors as Virginia Woolf, Athol Fugard, Vicente Blasco Ibanez, James Baldwin, and John Berryman enlarge awareness of how we might understand alcoholism and addiction as created in literature.