The Impaired Model
Definition: An alcoholic is a drunk, souse, toper, tippler, soak, lush. When he/she gets drunk, he/she is plastered, bombed, stoned, tight, oiled.
Etiology. Some people are just that way for unknown reasons.
Behavior. Drunks are repulsive and dirty; nice people do not like to get close to them. Sometimes they are comical they fall down, talk to lamp posts, try their door key in the wrong house, get their words mixed up, and so forth. But it is wrong to laugh at them and make fun of them because they cannot help it.
2. The “Dry” Moral Model
Definition. Alcoholism is a moral failing, not an illness. It is the natural penalty for drinking.
Etiology. Alcoholism occurs because drinking occurs. Some strong-willed people can apparently drink without becoming alcoholics. but the social risk in drinking is too great to allow any acceptance.
Behavior. The alcoholic behaves immorally because he/she drinks.
Treatment. There are many ways to try to get an alcoholic to stop drinking, including forcing church attendance, firing him/her from the job, pouring whiskey down the sink, marrying him/her off to someone strong enough to control him/her, divorce, shunning him/her, ridiculing him/her, giving him/her aversion treatments, and so forth. In short, behavior therapy. Fines and jail sentences may help.
Prognosis The prognosis is poor unless a way is found to threaten alcoholics or punish them so that they stop drinking. The only hope is to make alcohol unavailable. Young drinkers should have the example of the alcoholic before them.
3. The “Wet” Moral Model
Definition. Alcoholics are drinkers who do not obey the rules of the drinking society. They behave badly when drunk, and they cannot hold their liquor. Alcoholism is an unacceptable form of drinking behavior.
Etiology. It is a mystery why some people who drink become alcoholics.
Behavior. The behavior of alcoholics is anti-social. They spoil the happy, congenial occasions that social drinking can provide.
Treatment. Everybody in the drinking society including the alcoholic knows how to treat alcoholics: by juggling around rewards and punishments. A spouse may refuse sex, refuse to speak, withhold the family money, reduce housekeeping standards. His/her doctor may give him/her hell, tell the alcoholic to grow up and not be a crybaby, and so on.
Prognosis. If only the right formula of rewards and punishments could be found, everything would be all right. Otherwise, prognosis is gloomy.
4. The Alcoholics Anonymous Model
Definition. Alcoholism is an incurable, progressive, and often fatal disease Alcohol is a poison to an alcoholic though not to others. An alcoholic is a person whose life has become intolerable through the use of alcohol AA is a close community of those afflicted with this disease
Etiology. Alcoholics are emotionally impaired people who drink to compensate for their inadequacies and then, because of their body chemistry become addicted to alcohol, creating a circular process of further inadequacy and further drinking.