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American historians will find this study both enlightening and surprising.--Cynthia A. Kierner, George Mason University "Historian"
The relationship between alcohol consumption and liver cirrhosis has long been contested by doctors and medical professionals, creating numerous implications for the public reputation of alcohol in Britain. Despite this, it was not until the 1970s that cirrhosis came to be understood as an ‘alcoholic disease’. This book contextualises developments in this debate through the twentieth century by examining the significant influence that medical expertise had on policy responses to alcohol misuse, as well as the social reputation of alcohol consumption. It demonstrates how the degree to which drinking was seen to be responsible for liver disease directly shaped how different groups, such as the temperance movement and the drinks industry, exaggerated or downplayed the destructive properties of alcohol. Covering a series of themes including the science of disease causation, the social standing of medical expertise, and alcohol and public health policy, this book argues that in order to properly understand the trajectory of debates around drinking we need to consider the twentieth-century ‘alcohol problem’ as primarily a medical issue. Contrary to the tendency by existing works to disassociate perceptions and responses to alcohol use from the objective knowledge of its effects on the body, this book shows that medical understandings of liver disease influenced how alcohol was conceptualised in relation to its harms. Offering a fresh perspective on the interaction between scientific knowledge and policy during the twentieth century, this book provides insights for those researching the social, political and cultural history of modern Britain, as well as historians of medicine and health.
During the 1950s, 1960s and 1970s, general levels of alcohol consumption had risen considerably in all parts of the world. In association with this, there was a proliferation of alcohol-related problems such as liver disease, drunkenness offences, marital disharmony and employment difficulties. Many factors influence the probability of alcohol addiction and the habits of drinking; they include age, sex, race, occupation and income. Economic aspects of the use and misuse of alcohol had been attracting increasing attention during the early 1980s. Politicians and scholars alike had drawn attention to the benefits of a vigorous alcohol industry on the one hand, and on the other, the costs of providing medical, social and educational services for those suffering from alcohol-related problems. Originally published in 1983, the real nature of the relationship between economics and alcohol is explored in detail for the first time in this book. It argues for increased participation by economists in the processes of social policy decision-making and considers the key issues of cost-benefit analyses, control policies, taxation and programme efficiency. No easy solutions are provided, but a host of unjustified assumptions about this subject are clarified. This book paved the way for substantial future collaboration between economists and those involved in alcohol studies.