Intoxication and drunken behavior are related but not identical phenomena. Certain biological, psychormtor and psychological effects define intoxication. On the other hand, drunken behavior is to a great extent culturally defined and is related to variables such as time, place, environmental cues, social atmosphere, role expectations, attitudes and psychological needs. A common denominator for both is alcohol imbibition.The behavior of an intoxicated alcoholic does not have to be drunken. In support of this position, a case is presented showing that an alcoholic-tuhose drinking behavior is characteristically maladaptive-was able to display socially integrative behavior while exposed to substantial amounts of alcohol. This finding was not fortuitous. Twenty-nine other alcoholics received alcohol according to a two-day drinking schedule. The men initiated and stopped drinking on request and did not display provocative behavior while drinking. The study demonstrates that it is possible to initiate and easily terminate periods of drinking in alcoholics. This may represent a first step in the process of teaching alcoholics to drink without exhibiting socially disruptive behavior.
IntroductionIt is convenient to draw distinctions between the biopsychological changes that follow alcohol ingestion, i.e., alcohol intoxication, and concomitant behaviors recognized as drunken. Intoxication and drunkenness, we propose, are related but not identical phenomena. Symptoms of intoxication associated with the ingestion of appropriate amounts of ethanol include: cutaneous vasodilation, increased heart rate, increzised respiratory frequency and water diuresis, augmented intracellular water volume, increased intestinal motility, nausea, and vomiting. To these reliable biological effects we may add psychomotor changes such as impairment in sensormotor capabilities and locomotor ability, poor oculomotor coordination, slow reaction time and other performance decrements. Actions on higher psychological functions are exemplified by autonomic and emotional changes, decrements in judgement, memory and learning ability and impairment in the accuracy of arithmetic solving operations (Wallgren and Barry III, 1970;Jones, 1972;Tarter, Simpson