Alcoholism: A Psychological, Environmental and Social Disorder
Alcoholism is a disease characterized by the continual use of alcohol, to dangerous levels, despite obvious health problems and negative social consequences. It is a difficult disease to understand and recognize. “Alcoholism, or alcohol dependence, is the most severe form of alcohol abuse. It is a chronic disease characterized by the consumption of alcohol at a level that interferes with physical and mental health, and with family and social responsibilities. An alcoholic will continue to drink despite serious health, family, or legal problems (Sussex Publishers LLC, 2007).” Alcohol addiction can destroy a person's life and the lives of family members. Alcoholism is a social problem as clearly as it is a psychological problem. Many alcoholics begin with social drinking that in time, with continued and repetitive use, results in alcoholism. Dependency, many times, comes from a psychological issue. There are many psychological factors that lead to Alcoholism. This disorder is also a product of one’s environment and many alcoholics are following the example of a family member. With nearly 14 million people in the United States affected by alcoholism, recognizing the psychological, environmental and social aspects of this disease would benefit many by allowing those affected by this disease to understand the disorder and get the treatment they need.
In some cases, social drinking leads to alcoholism. What is considered "Social" drinking has become a very popular trend among many social classes. Many people drink at the end of the day to relax and unwind. Some go out to have a good time and enjoy the carefree uninhibited feeling that alcohol can bring them. “Many people have the impression that alcohol consumption is a sign of adulthood and maturity, and that attending parties or business meetings where alcohol is served (especially expensive alcohol) makes them more sophisticated. Some individuals will make sure they attend as many social events in a week or month as possible in order to maintain the feelings associated with alcohol. Some individuals use social drinking as an excuse to drink more than they should, since some people are under the misconception that if you drink with others, you are not an alcoholic (Ellingson, 2007).” It is difficult to determine when social drinking crosses into alcoholism. The shift from social drinking to alcoholism is harder to address because many social drinkers are not prepared to admit that their social drinking has crossed the line into alcoholism. Many social drinkers do not understand that for many, this is the first step to alcoholism. “The road to alcohol dependence involves transitions through many stages of drinking behaviors: from the first drink, to the first alcohol-related problems, such as drinking and driving, difficulty at school or work related to alcohol use and then to alcohol dependence (Nauert, 2008).” Many people begin their drinking to fit into a certain crowd or social scene. It can be a situation that is clearly influenced by a social environment and many people begin drinking at a very young age. There are a large number of alcoholics that are already well established in a career and have a family. Social influences clearly have a large effect on alcoholism.
There are many Psychological factors that can lead to alcohol addiction. There is a link between past emotional or physical trauma and alcoholism. Many Psychologists believe that addiction stems from upbringing, from the need for escape, control and even social status. Alcoholism and drug addiction are very complex illnesses, being able to pin them down to any single cause is almost impossible. There are so many factors at play that could explain why you end up an alcoholic. Everyone seems to have their own threshold for what they can handle in life; physically, emotionally and psychologically. When this threshold is crossed, whether because of upbringing, abuse, work related stress or social pressures, they may seek avenues to alleviate that stress. One of the substances used to do that is alcohol. Alcoholism is also linked to depression. Because alcohol is the primary pressing issue, depression issues can often times be overlooked. A person may use alcohol to cover the pain of depression, but unfortunately it just makes the issue worse. Many psychologists believe problems such as low self esteem and low self worth can factor into the cause of these problems. A person may feel that he fits into a social situation better when alcohol is involved, using the alcohol to cover the underlying issues. Many people who feel disconnected or different than those around them, lean towards chemical and mood altering substances in an effort to fit in, or to gain approval by their peers. This generally starts at an early age, in high school or even earlier. Whatever the cause for the alcoholism, it is apparent that psychological factors play a part in the problem, and that social influence can add to that problem.
A person who is raised in an unstable and/or abusive environment, where there are others that abuse alcohol, has a higher chance of becoming an alcoholic. “One in five adult Americans lived with an alcoholic while growing up. Child and adolescent psychiatrists know these children are at greater risk for having emotional problems than children whose parents are not alcoholics. Alcoholism runs in families, and children of alcoholics are four times more likely than other children to become alcoholics. Most children of alcoholics have experienced some form of neglect or abuse (American Academy of Child & Adolescent Psychiatry, 2002).” Many children pattern themselves after their parents, even when the parents have dependency issues themselves. These environments are not conducive and are extremely detrimental to a developing child. Children need a nurturing environment to grow and thrive. Unfortunately, many coming from alcoholic homes do not get this. Feelings of despair over their situations can many times be a catalyst for substance dependency. Many children going through these types of situations have a variety of emotional issues including, but not limited to, guilt, embarrassment, anxiety, confusion, anger and depression (which was stated above as one of the triggers for alcohol abuse). These issues alone may put a person over the threshold of what they can handle emotionally. It can cause them to seek an easily accessible substance for self-medicating, causing dependency issues. Many children who grow up in alcoholic homes are also of low economic status because the parent or guardian’s alcoholism has reached a point of destruction. It is very clear that environment and upbringing can greatly affect the outcome of who a person will be later in life. There are a large number of people in our population that have never seen anything other than this type of behavior. They model themselves after the behaviors that they were taught and therefore many children follow the same path as their parents. It becomes a heredity domino effect.
There are many psychological, environmental and social factors that lead to alcoholism. Whether it is dependent on how someone is raised, the stresses of everyday life, abuse issues from the past or a need to fit in socially, this disorder affects many people across the social and age classes. Alcoholism occurs due to psychological reasons resulting from environmental and past influence and is encouraged through social settings. Alcoholism destroys many lives, families and futures every year. Mothers Against Drunk Driving researched and compiled statistics on the number of annual alcohol and driving related deaths. “According to NHTSA's preliminary Fatality Analysis Reporting System (FARS) data, alcohol-related traffic fatalities are up to 17,941 for 2006 versus 17,525 for 2005, representing a 2.4 percent increase. Fatalities involving a driver with a .08 BAC or higher rose from 13,613 in 2005 to 13,990 in 2006, representing a 2.8 percent increase…(Birch, 2007).” These are just the deaths caused by drinking and driving. Annually, there are also many more alcohol related deaths involving alcohol induced violence, liver failure, cancer, suicide, and alcohol poisoning. If more people understood the background of alcoholism, the psychological factors and the social influences, there could possibly be a decrease in the number of cases. Alcoholism is a chronic disease; if more people were aware of what triggers the disease and the symptoms of the disease, it would be far easier to prevent, recognize and treat. Lack of education and knowledge in the general public can compound these issues and allow them to continue for generations. Many families have several generations of alcohol related disorders. Many never seek treatment. For people who recognize that they have a problem with alcoholism or have a family member affected by alcoholism, there are many great professional programs available through a family physician or a help line. SMART Recovery is a great example of the options available to alcoholics seeking help. SMART offers many services to help with addiction and substance abuse, their toll free telephone number is 866-951-5357 and their web address is www.smartrecovery.org. This is an issue that requires professional help. Keeping the public educated on chronic addiction diseases, such as alcoholism, will bring more understanding for those who suffer from these diseases, therefore encouraging those people to seek help.













