Alcohol.
People ordinarily drink
alcohol to obtain effects that they have been taught to expect.
Small amount of it is
taken in the expectation of reducing feeling of tension, relieving feeling of
anxiety, and, conversely, obtaining feeling of gaiety and exhilaration.
A moderate amount of
alcohol will usually serve the desired purpose.
It is likely, however,
that alcohol itself is not solely responsible, for the state of expectation
combined with the pharmacological action of the drug to produce
the desired effect.
In favourable
circumstances, alcohol will not merely reduce tension and anxiety but suppress
them entirely, even allowing a shift of the emotional state to one of
indifference or euphoria or elation.
The anxiety-suppressing
action of alcohol is commonly seen in the gradual removal of social
inhibitions.
Shy people become
outgoing or bold, well-behaved people become disorderly, the sexually repressed
become amorous, the fearful become brave, the quiescent or peaceful become verbally
or physically aggressive.
All these reactions may
be the result of the stimulating effect of small amount of alcohol or the
control-anesthetizing disinhibiting effects of larger amount.
But they are, in part,
also made possible by the social and cultural permissiveness typical of
drinking situations.
Alcohol is not only a
psycho-active but a socio-active drug.
These effects
apparently occur in most normal drinkers; in alcoholics, the consumption of
huge quantities apparently evokes different states of feeling and even an
increase of anxiety or tension.
Alcohol is often used
for medicinal and therapeutic purposes. Whiskey is popular for treating colds
and snakebites, brandy for treating faintness, wine for blood building, beer
for lactation, and any alcoholic beverage for treating sleeplessness or
overexcitement.
Many of these uses
survive from folk medicine of many cultures. Alcohol is administered by
physicians in hospitals, usually by vein, sometimes for anesthesia before minor
surgery, more often it is given for sedation after surgery and as a source of
easily absorbed calories when it is desirable to bypass the patient's digestive
system.
Physicians often
prescribe "a drink" for a variety of purposes, to stimulate a
sluggish appetite, as a sedative to induce sleep, as an anxiolytic in
premenstrual tension in women, as a vasodilator an agent used to widen the
lumen of the blood vessels in arteriosclerosis, to relieve the vague aches and
pains that beset the elderly, and as a supplement in special diets.
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