From Moral Failing to Disease

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             The current research on alcoholism suggests that it is indeed a
             combination of poor genetics and destructive behavior, with a greater
             emphasis on the former than the latter. The fact that alcoholism is to some
             extent under the control of the individual is important in terms of being
             able to reverse the condition - and for the individual's taking
             responsibility for his or her condition (something that would be entirely
             inappropriate for a disease like Tay-Sachs, which is entirely genetic and
             is not in any way linked to an individual's voluntary behavior). (Dawes
             It may sound somewhat odd to think about alcoholism as "learned
             behavior" - a term that we are more generally likely to apply to an
             activity like riding a bicycle or doing calculus. But a large body of
             literature (viz. Dawes etal., 1999) demonstrates that dysfunctional
             behavior (even highly dysfunctional behavior) can be learned as well. Any
             activity that is at least initially rewarding (or that is initially more
             pleasurable than the alternatives - which might mean that it hurts less in
             physical or emotional terms than the alternative) is something that people
             tend to repeat until it is an engraved behavior.
             Tomer etal. (2001) argue that there is also a genetic element to
             alcoholism, although the connection between genetics and alcoholism is now
             less direct than it was once thought to be and there is a range of opinions
             on the subject within the scientific community. There is no single
             ...

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