Thinking About Drinking: Rethinking Alcohol, Addiction, and Recovery

On 11 April 2025, the Centre for Philosophy of Epidemiology, Medicine, and Public Health (CPEMPH) hosted an interdisciplinary workshop at Durham University titled Thinking About Drinking. Supported by the Wellcome Discovery Research Platform for Medical Humanities, the event brought together scholars, practitioners, and those with lived experience to critically re-examine assumptions about alcohol use, addiction, and recovery.

Key themes included:

  • The limitations of dominant epistemological and methodological approaches in alcohol research, and the case for methodological pluralism.
  • Revisiting the concept of addiction, including challenges to the disease model.
  • Embracing plural and inclusive understandings of recovery.
  • Exploring the positive and pleasurable dimensions of drinking in ethical and policy contexts.
  • Understanding alcohol use as culturally and locally situated.

The workshop exposed profound differences in how alcohol is understood across sectors, raising pressing philosophical and ethical questions: Who defines harm, recovery, or misuse? What does it mean to live well with or without alcohol? And whose vision of the good life shapes public discourse and policy?

Future directions include collaborative research bridging philosophy, public health, and lived experience.

Read the full report here

Workshop: Thinking About Drinking – Philosophical Contributions to Human-Alcohol Interaction

11 April 2025, 9am-5pm | Register Interest

We are delighted to be hosting this workshop on Thinking About Drinking on 11 April 2025. This is not a series of stand-and-deliver talks, but a world café inspired approach to developing interdisciplinary projects on philosophical aspects of drink, drinking, and alcohol use, misuse, and harms, arising in health, social, personal, and commercial contexts. Despite recent work in other disciplines on alcohol, we believe that philosophical work in this area remains underdeveloped. At the same time, conceptual frameworks in public health, psychology, and other areas are sometimes underdeveloped or partial. An opportunity exists to connect philosophical approaches to these conceptual needs for a project that is at once intellectually novel and impactful, and this workshop supports the development of such a project. Participants are drawn from academia (including philosophy, psychology, sociology, and pharmacology), public health, clinical practice, and industry in the UK, continental Europe, and sub-Sarahan Africa.

Background

Ever since humans began to consume alcohol, they have had a difficult relationship with it. Alcohol is a colorless liquid that has, in itself, no material, cultural, or moral value. But like many other commodities, it has been ascribed complicated and often contradictory sets of values that have varied over time and place, and that are interwoven with the complexities of power, gender, class, ethnicity, and age in the societies in which it is consumed. (Phillips 2014, 1)

So Rod Phillips begins his history of alcohol. Drinking is a well-established subject of study in the social sciences. Yet philosophical literature on alcohol and alcohol use is remarkably sparse across the spectrum of traditions. A small number of books have been written about alcohol and philosophy, often with jocular titles like “The Unexamined Beer is Not Worth Drinking” (Hales 2007) or “I Drink Therefore I Am” (Scruton 2009). There is a notable vein of work on the aesthetics of wine. Elsewhere, medical and public health ethicists have discussed issues related to, for instance, liver transplants for alcohol dependent individuals or justification of alcohol policies (e.g., Gavanagh 2009; John 2018). Addiction has been a topic for philosophers of science (e.g., Burdman 2021); yet the relationship between alcohol and the – relatively recent – concept of addiction may itself be scrutinised. Philosophical interest in drinking remains niche, and there is no defined philosophical literature on alcohol, drinking, or drink.

Yet philosophical questions about alcohol are central to contemporary developments in thinking about alcohol, although commonly left implicit. Here is a selection of such questions.:

  • Is alcoholism a disease? What does/would this mean?
  • Is “alcohol” the right or only conceptual framework within which to think about drinking, given the variety of alcoholic drinks, and their different functions for individuals and in different drinking cultures, past and present?
  • Is “Alcohol Use Disorder” a medically valid category? Is it a spectrum? Is it value-laden? If so, with what values? How does it relate to alcoholism – a replacement, or a different concept?
  • Is all alcohol consumption harmful (“no safe limit”)? In what sense – health, socially, morally?
  • How should alcohol-related “harm” be conceptualized?
  • What is an acceptable limit for alcohol consumption? What does “acceptable” mean – health, social consequences, morality? Or something else?
  • How, if at all, should the longstanding spiritual significance of alcohol be accommodated in contemporary understanding? (Alcoholics Anonymous, the largest recovery programme, is a spiritual programme; alcohol has been regarded as connected to the divine, to truth, to the Devil; etc.)
  • What are the connections between humour and alcohol? Why is it so common to joke about drinking, and behaviour related to drinking? What function does humour perform and what function does alcohol perform in provoking a humorous response even in its absence?

Sometimes, these questions are explicitly discussed, as in the psychology and self-help debate about whether alcoholism is a disease. At other times, answers are assumed, for instance in leaflets by the UK’s National Health Service stating “Like tobacco, alcohol is harmful” and urging everyone to drink less.

Questions such as the nature of health and disease, the role of values in concepts of health and in medicine, the significance and proper extent of medicalisation, the scope of mental health, and the conceptual implications and foundations of measurement in medical contexts are topics of lively philosophical discussion in philosophy of medicine, epidemiology, and public health.

Workshop Rationale

With a view to discussing the possibilities for collaboration on a funded project, the purpose of this workshop is to identify philosophical issues around drinking, by bringing together those thinking about drinking in academic, professional, health, and commercial contexts.

We hope the conversation will enrich all parties, and is the beginning of a lively, fruitful, and impactful philosophical tradition that combines academic and practical interests.

Organisers

The event will be hosted by the Centre for Philosophy of Epidemiology, Medicine, and Public Health (CPEMPH), part of the Institute for Medical Humanities (IMH).

Alex Broadbent      Director of CPEMPH, and Professor of Philosophy of Science at Durham University

Saana Jukola          Assistant Professor of Philosophy at University of Twente, Netherlands

Interested?

Register your interest in attending or following the outcomes of the workshop

Work in Progress Workshop, Thursday 10 April 2025: Call for expressions of interest

Expressions of interest are welcome for an online Work in Progress Workshop on Thursday 10 April 2025. This will be online, to support international participation. You may share work for comments or participate without sharing work. Express interest here by 30 Nov 2024: https://forms.gle/VbMbcfShfWgyRd5h9

About the workshop

The idea is to enable philosophers of medicine (broadly construed, as always) to share and get comments on their work in a friendly and supportive environment. This is further to the Centre’s broader mission of supporting interactions and connections in the international philosophy of medicine community, which is dispersed across institutions and continents.

Work can be at any stage of development, and up to the length of one paper/chapter, with the goal of publication in a journal or book. It will be circulated to workshop participants several weeks ahead of the workshop, to allow time for reading. Each participant will be able to use their slot as they wish, but the advisable format is a fairly brief intro to refresh the other participants on the content, and then an open discussion. (If you just give a talk you’ll miss out on feedback.)

If there’s appetite in the PhilMed community, we could have more such events.

What kind of work?

You could share anything you want feedback on, provided the destination is publication in a journal, book (authored or edited), or similar scholarly venue. Some examples might be:

  • A paper you have got half way through and are now stuck with
  • A paper that was rejected from a journal, along with reviewers’ irrational excuses for comments (anonymised if not already anonymous)
  • A paper based on a chapter of your PhD thesis
  • A chapter of a book your writing
  • A chapter you’ve been asked to contribute to a handbook

The main exclusion is work towards a PhD, Masters, or other degree, for which opportunities for feedback exist (or ought to exist!) through your institution. However, work that you are developing from a thesis for publication is fine.

I’m interested in sharing my work. What now?

If you are interested, please express interest by 30 November 2024, using this form: https://forms.gle/VbMbcfShfWgyRd5h9

I’m interested in participating, but may not have work to share. Can I come?

If you are interested in attending but do not want to share work, you can still express an interest – just indicate this on the form. You can still share work if you change your mind, but priority will be given to those who indicated this up front.

What’s the final deadline?

Your will need to share your work by 25 January so we can distribute it by the end of the month, and give everyone ample reading time. (Consider that peer review requests typically allow a couple of months for just one paper, and that reviewers routinely don’t manage to stick to this.)

Queries

For queries, please email alex.broadbent at durham.ac.uk

Hoping to see you there!

Philosophy of Medicine Reading Group, Oct-Dec 24

This is an open international reading group, hosted by the Centre but open to all, for bringing together people with interests in philosophy of medicine construed broadly to include epidemiology, public health, biomedical science, and so on. If you would like to join, please request membership of the google group and you’ll be able to access the meeting link there: https://groups.google.com/g/philmed-rg/

Each week there will be two online meetings of the group to discuss the same text, one on Wednesday night at 5pm UK time, one on Friday morning at 9 am UK time, in hopes of accommodating group members in a variety of time zones. There is no need to attend all meetings-please come when you can.

  1. Wednesday Oct 16 5pm (Chair: Alex), and Friday Oct 18 9am (Chair: Sarah) to read: Varga 2023, Science, Medicine, and the Aims of Inquiry A Philosophical Analysis. https://www.doi.org/10.1017/9781009449977 Beginning through chapter 2, pages 1-55
  2. Wednesday Oct 23rd 5pm (Alex), Friday Oct 25th 9am (Alex). Varga 2023, Science, Medicine, and the Aims of Inquiry A Philosophical Analysis https://www.doi.org/10.1017/9781009449977 Chapters 3 and 4, pages 56-104
  3. Wednesday Oct 30th 5pm (Elisabetta), Friday Nov 1 9am (Sarah). Varga 2023, Science, Medicine, and the Aims of Inquiry A Philosophical Analysis https://www.doi.org/10.1017/9781009449977 Chapter 5
  4. Wednesday Nov 6 5pm (Elisabetta), Friday Nov 8 9am (Sarah). Varga 2023, Science, Medicine, and the Aims of Inquiry A Philosophical Analysis https://www.doi.org/10.1017/9781009449977 Chapter 6
  5. Wednesday Nov 13 5pm (tbc), Friday Nov 15 9 am (Sarah). Varga 2023, Science, Medicine, and the Aims of Inquiry A Philosophical Analysis https://www.doi.org/10.1017/9781009449977 Chapter 7
  6. Wednesday Nov 20 5pm (Alex), Friday Nov 22 9am (Sarah). Chapter 8 and Conclusion.
  7. Wednesday Nov 27 5pm (Elisabetta), Friday Nov 29 9 am (Sarah). Spencer and Carel 2021, ‘Isn’t Everyone a Little OCD?’ The Epistemic Harms of Wrongful Depathologization https://doi.org/10.5195/pom.2021.19
  8. Wednesday Dec 4 5pm (Alex), Friday Dec 6 9 am (Elisabetta). John 2022, Death Sentences: Criminalization, Medicalization, and the Nature of Disease https://doi.org/10.5195/pom.2022.48
  9. Wednesday Dec 11 5pm (Alex), Friday Dec 13 9 am (Elisabetta). Grote 2023, The Allure of Simplicity, On Interpretable Machine Learning Models in Healthcare https://doi.org/10.5195/pom.2023.139

Any enquiries, please get in touch. And to join, it’s https://groups.google.com/g/philmed-rg/

First Two Meetings of International Philosophy of Medicine Reading Group

This group – let’s call it Philmed-RG – will have a couple of pilot meetings in July, before settling into a series of meetings in the period September-December, after the Northern summer break is over. (Read more about the group here.)

We have over 130 expressions of interest from all over the world, so we are looking to split the meetings into two, at different sides of the clock. Therefore we propose the following first two meetings and readings.

  1. Fagerberg, H. (2023). What We Argue about when We Argue about Disease. Philosophy of Medicine4(1). https://doi.org/10.5195/pom.2023.172
    • Thursday 11 July at 5pm BST
    • Friday 12 July at 9am BST
  2. Stoellger, D. (2023). Why It (Also) Matters What Infectious Disease Epidemiologists Call “Disease”. Philosophy of Medicine4(1). https://doi.org/10.5195/pom.2023.149
    • Thursday 25 July at 5pm BST
    • Friday 26 July at 9am BST

The zoom link will be circulated to the reading group email list. You may request to join the list and group here: https://groups.google.com/g/philmed-rg/

We look forward to seeing you at one of these meetings!

The Philmed-RG Organising Committee (Alex Broadbent, Elisabetta Lalumera, Sarah Wieten)

Philosophy of Medicine Roundtable 9-10 May 2024

Registration is free but required. Register here

Going online for the first time, the latest instalment of the Roundtable brings together over fifty speakers from six continents to present the latest philosophical thinking on topics including:

  • Medicine and artificial intelligence
  • Ageing
  • Nature of health
  • Classification of disease
  • Disability and neurodiversity studies
  • Epistemic injustice in medicine
  • Medical research
  • Epidemiology
  • Population health
  • Social justice in medicine

…and many more.

Keynote speakers

  • Sandro Galea, Robert A. Knox professor and dean at the Boston University School of Public Health
  • Maël Lemoine, Professor of Philosophy and leader of the ImmunoConcept project at Bordeaux University
  • Jerome Wakefield, Professor at NYU Silver as well as an NYU University Professor with multidisciplinary appointments
  • Sarah Wieten, Assistant Professor of Philosophy at Durham University

Programme

Abstracts

Publications

Selected papers from the conference will be published in a special section of Philosophy of Medicine.

Hosts

The event is hosted by the Centre for Philosophy of Epidemiology, Medicine, and Public Health, a joint enterprise between Durham University’s Institute for Medical Humanities and the University of Johannesburg’s Faculty of Humanities.

About the Roundtable

The International Philosophy of Medicine Roundtable is an open group of philosophers, clinicians, epidemiologists, social scientists, statisticians, bioethicists, and anyone else with an interest in epistemological and ontological issues connected with medicine.

Registration for this conference is free but required. Register here