In this episode we talk to Dr James Nicholls about how drinking came to be such a significant part of many modern cultures. We discuss how alcohol use and problems have evolved over recent centuries, and how this reflects various political and social pressures. This includes how drinking escalated with the development of alcohol production, and how laws, consumers and attitudes have shaped drinking practices to the current day.

Dr James Nicholls is a Senior Lecturer in Public Health at Stirling University and author of The Politics of Alcohol. He has worked in alcohol and drug research and policy for over 20 years, including former roles as CEO of Transform and Director of Policy at Alcohol Change UK. He is on X and Bluesky.

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In this episode we talk to Prof Katie Witkiewitz about non-abstinent recovery and the role of drinking reductions in reducing alcohol-related harm. We discuss this from both a public health perspective, and the role of abstinence or drinking reduction goals in the context of treatment and recovery.

Professor Katie Witkiewitz is a Distinguished Professor of Psychology and the Director of the Center on Alcohol, Substance use, And Addictions at the University of New Mexico. Professor Witkiewitz is also a licensed clinical psychologist and has worked extensively on the development, evaluation, and implementation of mindfulness-based treatments for substance use disorder. She serves on the United States National Advisory Council on Alcohol Abuse and Alcoholism and on the Board of Scientific Counselors for the National Institute on Drug Abuse. Professor Witkiewitz is Editor of Psychology of Addictive Behaviors, and serves on the editorial boards of Substance Use and Misuse, Alcohol and Alcoholism, Annual Reviews: Clinical Psychology, and Journal of Psychopathology and Clinical Science. Her research has been supported by multiple grants from the National Institutes of Health, totaling over $90 million in research funding since 2004. She has authored 6 books and over 300 peer-reviewed publications, and has given over 100 presentations and invited talks.

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In this episode Jem Roberts, Communications Manager at the Institute of Alcohol Studies, interviews our host Dr James Morris. The episode was originally produced by the Institute of Alcohol Studies.

They discuss how the model of alcoholism evolved and led to beliefs about alcohol problems being heavily focused on the severe end of the spectrum. Dr Morris discusses how despite helping many people in their recovery, an alcoholism model carries some costs for public health objectives, particularly in terms of broader groups of people with alcohol use disorder.

This issue is addressed in further detail in an open access journal article available here:

(Mis)understanding alcohol use disorder: Making the case for a public health first approach

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