Many people reject AVRT based upon The Beast.
They are emotionally ill-equipped to accept the construct of the structural model of addiction.
They whine and moan about not wanting to accept the existence of a second self, an evil beast-like one deep inside them. That of course is a gross misinterpretation of the structural model, but that is a commonly heard objection.
Meanwhile, they are All Beast, destroying their lives with alcohol, indulging freely in lupine nocturnal wilding, while simultaneously objecting to the correct description of their behavior.
Application of AVRT, quitting as a decision as opposed to a process, is largely a function of emotional maturity. Unfortunately, the disease model promotes dependence and emotional immaturity - the very traits that chronic drinkers must overcome if they are to have any chance. It is the institutional AV run rampant.