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ALCOHOL and PLEASURE International Center for Alcohol Policies Series on Alcohol in Society ALCOHOL AND PLEASURE International Center For Alcohol Policies Series on Alcohol in Society Grant and Litvak-Drinking Pauems and Their Consequences Grant-Alcohol and Emerging Markets: Patterns, Problems, and Responses Peele and Grant-Alcohol and Pleasure: A Health Perspective ALCOHOL AND PLEASURE: A HEALTH PERSPECTIVE Edited by Stanton Peele Psychologist and Consultant Morristown, New Jersey, USA and Marcus Grant International Center for Alcohol Policies Washington, DC, USA USA Publishing Office: BRUNNERIMAZEL A member of the Taylor & Francis Group 325 Chestnut Street Philadelphia, PA 19106 Tel: (215) 625-8900 Fax: (215) 625-2940 Distribution Center: BRUNNERIMAZEL A member of the Taylor & Francis Group 47 Runway Road, Suite G Levittown, PA 19057 Tel: (215) 269-0400 Fax: (215) 269-0363 UK BRUNNERIMAZEL A member of the Taylor & Francis Group l Gunpowder Square London EC4A 3DE Tel: + 44 171 583 0490 Fax: +44 171 583 0581 ALCOHOL AND PLEASURE: A Health Perspective Copyright© 1999 Taylor & Francis. All rights reserved. Printed in the United States of America. Except as permitted under the United States Copyright Act of 1976, no part of this publication may be reproduced or distributed in any form or by any means, or stored in a database or retrieval system, without prior written permission of the publisher. 1 2 3 4 5 6 7 8 9 0 Printed by Edwards Brothers, Ann Arbor, Ml, 1999. Cover design by Nancy Abbott. A CIP catalog record for this book is available from the British Library. <§> The paper in this publication meets the requirements of the ANSI Standard 239.48-1984 (Permanence of Paper). Library of Congress Cataloging-in-Publication Data Alcohol and pleasure : a health perspective I edited by Stanton Peele, Marcus Grant. p. em. -- (Series on alcohol in society) Includes bibliographical references and index. ISBN 1-58391-015-8 (case) 1. Alcoholism--Psychological aspects Congresses. 2. Alcohol­ -Physiological aspects Congresses. 3. Drinking of alcoholic beverages--Psychological aspects Congresses. I. Peele, Stanton. II. Grant, Marcus. III. Series. RC565.A3926 1999 362.292--dc21 99-12975 CIP Contents Contributors ix Preface xi Acknowledgments XV Introduction 1 Stanton Peele PART 1-PLEASURE AND HEALTH CHAPTER 1 Pleasure for Health 11 David M. Warburton CHAPTER 2 Wardens, Abbots, and Modest Hedonists: The Problem of Permission for Pleasure in a Democratic Society 25 John Luik CHAPTER 3 Pleasure in Health Promotion 37 Michael Daube CHAPTER 4 The Cultural Contexts of Pleasure 49 Norman Sartorius RAPPORTEUR'S Pleasure and Health 55 REPORT Nii-K Plange v vi CONTENTS PART 2-PLEASURE AND ALCOHOL CROSS-CULTURALLY CHAPTER 5 Drinking and Pleasure Across Cultures 61 Dwight B. Heath CHAPTER 6 From Pleasure to Pain: A Social History of Basarwa/San Alcohol Use in Botswana 73 Dave Macdonald and Louis Mo/amu CHAPTER 7 Drinking and Pleasure in Latin America 87 Haydee Rosovsky CHAPTER 8 Changing Sociocultural Perspectives on Alcohol Consumption in India: A Case Study 101 Hari Kesh Sharma and Davinder Mohan CHAPTER 9 Japanese Culture and Drinking 113 Naotaka Shinfuku CHAPTER 10 Alcohol Use, Sale, and Production in Ghana 121 Joseph Asare CHAPTER 11 Promoting Pleasure and Public Health: An Innovative Initiative 131 Jean-Paul David RAPPORTEUR'S Pleasure and Alcohol Cross-Culturally 137 REPORT Jennifer Moyo PART 3-ALCOHOL AND MEDICAL, PSYCHOLOGICAL, AND SOCIAL HEALTH CHAPTER 12 Is Drinking Healthy? 141 Arthur L. Klatsky CHAPTER 13 Gender Differences in the Health Effects of Moderate Alcohol Consumption 157 Carlos A. Camargo, Jr. CHAPTER 14 Maximizing Pleasure: Alcohol, Health, and Public Policy 171 Ole-J¢rgen Skog CONTENTS vii CHAPTER 15 Psychosocial Benefits of Moderate Alcohol Consumption: Alcohol's Role in a Broader Conception of Health and Well-Being 187 Archie Brodsky and Stanton Peele RAPPORTEUR'S Alcohol and Health 209 REPORT Irina Anokhina and Jennifer Moyo PART 4-DRINKING EXPECTATIONS AND CONTEXTS CHAPTER 16 Thinking, Feeling, and Drinking: Alcohol Expectancies and Alcohol Use 215 Barbara C. Leigh CHAPTER 17 Alcohol, the Magic Elixir? 233 G. Alan Marlatt CHAPTER 18 Drinking Behavior and Pleasure Across the Life Span 249 Geoff Lowe CHAPTER 19 Drinking and Setting: A Season for All Things 265 Eric Single and Henry Pomeroy CHAPTER 20 State-Dependent Lifestyles and the Pleasure of Alcohol 277 Jan Snel CHAPTER 21 Guilt, Restraint, and Drinking 291 Ross Kalucy CHAPTER 22 Gender and Alcohol: The Separate Realities of Women's and Men's Drinking 305 Louise Nadeau RAPPORTEUR'S Drinking Expectancies and Contexts 323 REPORT Irina Anokhina and Mohan Isaac PART 5- PLEASURE AND ALCOHOL POLICY CHAPTER 23 Pleasure and Quality of Life 329 John Orley viii CONTENTS CHAPTER 24 Harnessing Pleasure for Population Health Ends 341 Olabisi A. Odejide and Biola Odejide CHAPTER 25 Reducing Harmful Drinking 357 Tim Stockwell and Eric Single CHAPTER 26 Promoting Positive Drinking: Alcohol, Necessary Evil or Positive Good? 375 Stanton Peele RAPPORTEUR'S Pleasure and Alcohol Policy 391 REPORT Alan Haworth PART 6-CONCLUSIONS RAPPORTEUR'S Conference 397 REPORT Cynthia Chasokela and Eva Tongue CHAPTER 27 Conclusion 403 Marcus Grant Appendix RAPPORTEUR'S Media Panel 409 REPORT Mohan Isaac Index 413 Contributors IRINA ANOKHINA ALAN HAWORTH Research Institute on Addictions National Mental Health Resource Center Moscow, Russia University of Zambia Lusaka, Zambia JOSEPH ASARE Ministry of Health DWIGHT B. HEATH Accra, Ghana Brown University Providence, Rhode Island, USA ARCHIE BRODSKY Harvard Medical School MOHAN ISAAC Massachusetts Mental Health Center National Institute of Mental Health and Boston, Massachusetts, USA Neurosciences Bangalore, India CARLOS A. CAMARGO, JR. Harvard Medical School ROSS KALUCY Boston, Massachusetts, USA Flinders Medical Center Bedford Park, Southern Australia CYNTHIA CHASOKELA ARTHUR L. KLATSKY Ministry of Health Kaiser Perrnanente Medical Center Harare, Zimbabwe Oakland, California, USA MICHAEL DAUBE BARBARA C. LEIGH Ministry of the Premier and Cabinet Alcohol and Drug Abuse Institute Perth, Western Australia University of Washington Seattle, Washington, USA JEAN-PAUL DAVID Yin-Sante-Piaisir de Yivre GEOFF LOWE Macon, France University of Hull Hull, UK MARCUS GRANT International Center for Alcohol JOHN LUIK Policies Independent Consultant Washington, D.C., USA Fairfax Station, Virginia, USA ix X CONTRIBUTORS DAVE MACDONALD HENRY POMEROY University of Botswana Allied Domecq PLC Gaborone, Botswana Bristol, England G. ALAN MARLATT HAYDEE ROSOVSKY Addictive Behaviors Research Center National Council on Addictions University of Washington Mexico City, Mexico Seattle, Washington, USA NORMAN SARTORIUS DAVINDER MOHAN World Psychiatric Association All India Institute of Medical Sciences Geneva, Switzerland New Delhi, India HARI KESH SHARMA LOUIS MOLAMU All India Institute of Medical University of South Africa Sciences Pretoria, South Africa New Delhi, India JENNIFER MOYO Mental Health Services NAOTAKA SHINFUKU Harare, Zimbabwe Kobe University School of Medicine Kobe, Japan LOUISE NADEAU University of Montreal ERIC SINGLE Montreal, Quebec, Canada University of Toronto Toronto, Ontario, Canada BIOLA ODEJIDE University of lbadan OLE-J0RGEN SKOG Ibadan, Nigeria University of Oslo Oslo, Norway OLABISI A. ODEJIDE University College Hospital JAN SNEL lbadan, Nigeria University of Amsterdam The Netherlands JOHN ORLEY Division of Mental Health and Prevention TIM STOCKWELL of Substance Abuse National Center for Research into the World Health Organization Prevention of Drug Abuse Geneva, Switzerland Perth, Australia STANTON PEELE EVA TONGUE Psychologist and Consultant International Council on Alcohol and Morristown, New Jersey, US A Addictions Lausanne, Switzerland Nll-K PLANGE School of Social and Economic DAVID M. WARBURTON Development University of Reading University of the South Pacific Reading, UK Suva, Fiji Preface This book is based on a conference organized by the International Center for Alcohol Policies (I CAP) that took place in New York from June 28 to July 1, 1998. It was exactly 2 years previously-at a board meeting in Amsterdam­ that ICAP actually decided to organize the conference. Many factors entered into the decision, but the principal factor was the sense that the time had come to tum a new page in the long story of alcohol and society. Most people who reach for a drink do so in the expectation that it will satisfy them and provide a source of personal pleasure. This simple, undeniable truth somehow has been obscured by the vast literature on health and social problems associated with alcohol abuse. Exploring the vast territory between the pleasure of most people's drinking experiences and the tragic consequences of alcohol abuse has been fraught with confusion and uncertainty. How much is too much? Are there "safe" limits to drinking? Is less necessarily better? In what ways is alcohol good for you? These were some of the questions that the conference was intended to address. In the two years of planning and preparation, ICAP was assisted by a number of eminent experts. The key architect of the scholarly program of the conference was my coeditor, Dr. Stanton Peele, whose erudition is matched only by his intellectual daring. From a few scribbled notes that I had made in Amsterdam on a sheet of hotel notepaper, he was able to create the impressive edifice that is reported in this volume. Dr. Peele was assisted in this task by an international advisory group consisting of Dr. Joe Asare (Ghana), Dr. Michael Daube (Australia), Dr. Arthur Klatsky (United
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