HLTHAGE 2L03 Lecture Notes - Lecture 9: Legal Drinking Age, Binge Drinking, Thirteenth Step

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Alcoholism as disease: those diagnosed as alcoholics typically belonged to groups believed to suffer from poor willpower in the first place: working class, ethnic minorities, indigenous groups, women, although disease model emerged, moral aspect didn"t disappear. Notion that character of drinker must change for any treatment to work: aa enters void, but not without criticism, patriarchal: turning over to a higher power" more problematic when socialized into obsequiousness. Also, the thirteenth step : disease model may foster powerlessness, tremendous social pressure to participate in certain activities and not others loss of liberty, disease concepts shifts focus away from structural issues, labelling increases stigma, may entrench marginalization. And yet: despite efforts at control, drinking widespread all social classes, (increasingly) all genders, across age span, perhaps never more popular expansion of microbreweries, micro distilleries, etc. Yet despite increased evidence of social harms, susceptibility (rather than exposure) contains to gain sway.

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