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[This chapter moves on to the interwar period and examines how the toxic action of alcohol on the liver was progressively played down in the medical literature. Although there was no clear consensus on the precise role of alcohol in cirrhosis, with some medical professionals even suggesting that the causation was indirect, most began to sense that the relationship between the two was markedly more complicated than previously assumed under the Direct Toxicity Theory (DTT). The minimised disease culpability of alcohol contributed to the emergence of New Moderationism, an innovative approach to understanding alcohol and health that emerged from the First World War and challenged the temperance movement’s insistence on total abstinence by promoting moderation as the optimal solution to the problem of drunkenness. This chapter dissects the medical and policy literature that contributed to the approach and examines how it was shaped by new understandings of liver disease. The notion that alcohol’s presumed role in cirrhosis was suspect allowed advocates of New Moderationism to repudiate the temperance movement’s exaggeration of alcohol’s capacity to cause bodily harm.]
Published: Apr 29, 2023
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