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Historical perspectives on alcohol problems in the UK

Historical perspectives on alcohol problems in the UK. Dr James Nicholls, Bath Spa University. Public health / population approach. Increased overall consumption = increased harm State responsible for reducing consumption Key levers: pricing, availability, marketing

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Historical perspectives on alcohol problems in the UK

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  1. Historical perspectives on alcohol problems in the UK Dr James Nicholls, Bath Spa University

  2. Public health / population approach Increased overall consumption = increased harm State responsible for reducing consumption Key levers: pricing, availability, marketing Alcohol ‘no ordinary commodity’

  3. Model of harm Spirits = ‘new kind of drunkenness’ Alcohol creates habituation Continuum of harm Alcohol creates habituation Addiction is a disease Prohibit gin ‘Moral suasion’ Prohibition Focus on treatment and recovery Supply-side interventions Proposed solution

  4. 1751 2005, 2006, 2007, 2008….

  5. SOCIAL IMPACT?

  6. Gin prohibition (1736-1743)

  7. Benjamin Rush’s ‘Moral Thermometer’ (1784)

  8. ‘Moral suasion’ (c. 1830-1850)

  9. Prohibitionism (c.1850-1900)

  10. The use or non-use of alcoholic liquors is a subject on which every sane and grown-up person ought to judge for themselves under his own responsibility Pope The appetite for drink is unlike every other appetite. Indulgence is not followed by satiety, but by increased craving Mill

  11. Inebriety: ‘a diseased state of the brain and nervous centres, characterised by an irresistible impulse to indulge in intoxicating liquors or other narcotics, for the relief which these afford, at any peril.’ Norman Kerr (1884)

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