Social drinking also a well-worn path to alcohol use disorder
61 comments
·May 9, 2025jppope
This may just be me, but the lack of a decent longitudinal study on these narratives is pretty weak science. For the last 40? 50? years there have been alcohol stories fairly consistently in the media, and we still struggle with substantiating claims- about the only thing we can say for certain is that the people who write these types of articles don't like alcohol OR in the opposing view point, they love alcohol.
With all that said I think we have enough info to say alcohol aint good for you physiologically.... but we don't have enough info to say the social benefits might actually outweigh the negatives.
stevage
> People tend to assume that “the mere presence of other individuals exerts a beneficial effect” that tempers the desire to overindulge when drinking, Fairbairn said.
Who thinks that? I have never personally known anyone who drinks much alone, but plenty who drink too much in groups.
jampekka
Everybody I personally knew who died of alcohol drank too much alone. They also drank a lot in groups but oftentimes held the drink better than many who drank less.
protocolture
Yeah I drink more when being social, and in some circles will even start smoking.
hinkley
Agreed.
Alcoholics pregame in order to reduce criticism by reducing the number of beverages they are observed consuming.
Once your inhibitions are gone you don’t care as much though.
theoreticalmal
Pregaming is also typically cheaper than consuming every drink in a setting like a bar, restaurant, or other commercial venue
morkalork
If you are a regular and heavy drinker, the prices establishments charge are unbearable. Plus, the drinks are like watered down pop. Can't even taste what's in it.
yoyohello13
I mean… you wouldn’t necessarily know about the people who drink alone. If you were someone who binged alone why would you talk about it?
hinkley
I’ve known too many people who indulge to deal with social anxiety. It’s a terrible terrible plan but they’re more likely to drink when with people than alone.
theoreticalmal
At a certain point that’s all the overindulger has to converse about.
hx8
It doesn't have to degrade to that level. There's definitely a population that drinks alone and has interests outside of alcohol. I've known plenty of divorced men that regularly drink while watching sports/TV alone, but when picking a conversation topic will often choose their kids or sports over alcohol consumption.
morkalork
This is basically it. You don't know that Bill from accounting crushes a six-pack every night when he gets home from work, alone. How would you? He's doing it in his kitchen, or on his couch. The guys at the liquor store know. His doctor knows. But his friends and colleagues? Probably not.
jampekka
Alcohol has exeptionally bad ergonomics when it comes to intoxicants. Its strong effects on behavior and experience are wildly unpredictable, it has severe undesirable effects, it's stongly toxic, it causes morbid dependence and has particularly bad physiological and psychological after effects.
We can do better than alcohol.
makeitdouble
> We can do better than alcohol.
I think we won't get past the cultural issues in our lifetime.
Many cultures have 0 tolerance for anything outside of alcohol (and I totally get it when it comes to China for instance), and prohibition of drugs like marihuana was long used to target specific communities.
I'm not even sure if western cultures are still on the path to open to low harm drugs, do we have any research on synthetic drugs that have a change to become fully legal alternatives ?
hx8
Alcohol is one of the few intoxicants that you can legally buy almost anywhere in the world that is well regulated, has consistent dosages, and can engage in publicly. Being able to consistently source an unadulterated supply is one of its major appeals. Prohibition decreased consumption by as much as 70%.
jampekka
Yes. None of these are a feature of the intoxicant itself.
EA-3167
The problem is that it's also responsible for a tremendous cost in terms of life, resources, and human misery. Drunk driving alone account for a quarter of 1.25 annual fatalities on the roads worldwide. I don't know how many people die from alcoholism, or have their lives shortened by it, lost wages, downstream effects of kids raised by alcoholic parents, etc... but it's certainly not a small issue.
So yeah the ease of getting the stuff and the social acceptance makes it popular, but is it a good idea? Drugs like caffeine, khat, and mild psychedelics have much more favorable therapeutic indices and a better track record in terms of death and illness, never mind be a lot less physically addictive and much MUCH easier to quit.
rzzzt
Classical music and emmental cheese can also be an effective mood-altering substance: https://youtu.be/IeLGP2dsjME
boomboomsubban
It is a weird line in the sand that many people draw. If I had two drinks alone every night I would see that as more troubling than having three drinks with friends every night.
rzzzt
The NHS recommendation is 14 units per week max, over the course of at least 3 days (don't consume the entire budget in a single day or occasion). A pint from a weaker beer counts as 2 units while a stronger one costs 3.
https://www.nhs.uk/live-well/alcohol-advice/calculating-alco...
batch12
Both can be an issue if you find you can't do without the drinks.
Gigachad
It’s an issue regardless because alcohol gives you cancer. It doesn’t matter if you stick bellow the amount that causes acute health issues. If you are having 2 drinks every night your cancer risk is higher than someone who has a lot more but only on occasion because their total drinks consumed is less.
potato3732842
It's his body. He can get cancer however he pleases.
wagwangbosy
How is that weird? Socialization is generally healthy, which is why there's less of a stigma. It's not like the average alone drinker is doing pushups while shooting whiskey.
Gualdrapo
Not sure about what they actually mean but as a teetotaler (I didn't know it even had a name, just found out not long ago) I find it absolutely weird that alcohol is needed to socialize.
jampekka
I find it's especially needed for socializing with drunk people.
boomboomsubban
You see more unhealthy drinking as less stigmatizing because it's associated with a "generally healthy" activity. That's weird.
It'd be like saying eating two burgers with lettuce and tomato is healthier than one without.
cheema33
I drink socially. Maybe once a month. And usually it is just one beer. And have never craved it. I think if I drank more often, my desire for it would not change. My brain is not wired to crave it I guess. If yours is, then it doesn't matter if you are drinking, socially or not, you have put yourself on a slippery slope.
Jhsto
>I think if I drank more often, my desire for it would not change.
I highly doubt this would be the case (as in, alcohol doesn't work like that). Let's say that for every 10kg of your bodyweight you drink 2 beers per night (330ml), then by the time you get to day four you might be more worried about not getting a drink.
0_____0
It's a spectrum. I started to slip at some point, stopped drinking for a year and a half, and now I have an occasional beer with friends and it's not a big deal. Peoples' experiences with alcohol are extremely variable.
fladrif
If true, this throws into relief the dialogue of "What is your alcohol consumption like?", "Just socially".
aoanevdus
This thread is cluing me in that I need new wording to describe my rare consumption of alcohol.
bluefirebrand
I have a glass of whiskey a couple of times a year
I mostly just tell people I don't drink at all
If I tell people that I drink "rarely", they put it into their own framework based on how often they drink themselves. Heavy drinkers might assume "rarely" means one night a week. Moderate drinkers might think a couple times a month
yieldcrv
A lot of people lack the framework of knowing what a substitute social lubricant can be
I think revealing those frameworks helps a lot
I date a lot of adult Gen Z as well as spiritual people: alcohol use is down, way down, for multiple reasons. I had to relearn what outtings and date ideas could be.
Fortunately, a lot of people in both of those demographics are down to have sex without needing excuses for themselves or socially. So there wasnt much relearning to do. Just not relying on pregaming with alcohol, bars or drinking at clubs as a crutch before being more social or assertive.
aurizon
A large part might be due to genetics. I recall when westerners exploited native Americans with distilled liquor. Westerners had many generations of alcohol use, the natives = zero. Europeans have become resistant to alcohol. It might be faster metabolism/excretion? - a physiological adaptation? or is it social experience to walk/talk in a straight line? In small Northern Ontario mining towns the native population is like my mother - drink/fall over. We would hire(in my claim staking days up North) local labor for supervised line cutting/sampling, but we paid the local band through their rep - who then paid the workers late on Friday, we started work again on Monday. On helicopter-in jobs, we paid at job's end and usually worked the long Northern days about 18-20 daylight hours(long days up in NO in May-August) with foods/cigarettes flown in every ~2 weeks (and some local deer shooting as a supplement - we had cooks who ran the camp)/ When the job was done = large payday = all went home. By the end of August there were some freezing nights. Some crews had heated double walled tents and stayed longer, but by the end of September the cold weather most of this was curtailed.
I was born in the UK, my Dad never drank a drop - my Irish mother would drink until she fell over. Dad had lock up the liquor - or else = all gone = fall over. My brother and I do not drink a drop?? I am not drawn to liquor, and tobacco smoking or cannabis = I never touch at all.
bethekidyouwant
God wants us to be happy, this prof I’m not sure.
RamRodification
Have to say I'm not so sure about this God guy either.
theoreticalmal
What on earth
thrance
He really does not, you should take a second look at the countless rules you have to follow to stay in His good graces.
SoftTalker
Those rules actually do contribute to a happy life. Hedonistic indulgence does not, in the long term anyway
smitty1e
"Alcohol use disorder" recalls George Carlin on the evolution of language:
"In this classic George Carlin routine, the legendary comedian breaks down how language has been systematically softened over time. From "shell shock" to "battle fatigue" and eventually to "post-traumatic stress disorder," Carlin illustrates how our words have become more complex and less impactful. He argues that Americans have difficulty facing harsh realities and have developed a tendency to euphemize, making the truth sound less direct. Through his sharp wit and astute observations, Carlin explores how language evolves to disguise the true nature of our experiences, particularly in times of war."
xyzzy123
The great thing about calling it "alcohol use disorder" is that it lets you diagnose more people.
If you're a nonprofit or advocacy group, "alcoholics" are only going to get you so far in terms of funding, also dealing with them is messy and incredibly difficult.
If you can shift the overton window on whats considered "problematic" drinking you get to "educate" people and get funding for things which have fewer hard criteria or measurable outcomes than treating actual alcoholics. This keeps the money flowing.
Alupis
If it's a disorder, then it's "not your fault", it's something that's "happened to you". It removes personal liability from the choices we make.
franciscop
> "language [...] Americans have difficulty facing harsh realities"
This makes it sound like it's an American/Western phenomena, where it's definitely not (only there). It's a recurring joke among me and my friends in Japan to say "the moon is beautiful tonight" because in true Japanese culture that's a way to say "I love you".
Though OTOH Spanish went the opposite direction, where my Mexican friends say some times more swear words in a sentence than normal words; but they've become meaningless or softer.
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2OEH8eoCRo0
Meh, Carlin doesn't land the same way in my 30s that he did in my 20s. It changed from shell shock to battle fatigue to PTSD because you can get it without battle (IED) or being shelled by artillery. It lacks oomph but it's more correct imo.
SoftTalker
It’s a comedy bit. It’s deliberately not very nuanced. I like Carlin a lot but he got a little too negative and political towards the end for my taste.
lutusp
This strikes me as a "safe" psychology study, one virtually certain to produce a publishable outcome.
Surprisingly, the linked technical article, which was paid for with tax dollars, is paywalled -- isn't that practice supposed to end?
Without being able to read the article, I'll go out on a limb and guess that the article's data were collected by interviewing people, asking about their drinking habits. This is a very unreliable method compared to measuring people's blood alcohol levels -- granted that the latter design would be prohibitively expensive.
Anecdotal studies are notoriously unreliable. A young researcher once performed an interview-based study that showed married people live longer than single people. On reviewing the paper, an older, more experienced scientist suggested that public records would cost less and produce better results. The young scientist tried again, using actuarial data, and the original conclusion was falsified: married people don't live longer, it just seems longer.
I knew all these years of drinking on my own were going to pay up