Taking pleasure seriously: Should alcohol research say more about fun?

IF 5.2 1区 医学 Q1 PSYCHIATRY Addiction Pub Date : 2025-01-09 DOI:10.1111/add.16747
James Nicholls, Geoffrey Hunt
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Abstract

Background: This paper invites discussion on whether pleasure should receive more attention in public health-oriented research on alcohol. While there is a history of sociological and anthropological literature exploring alcohol and pleasure, this is much less common in public health-oriented alcohol research, and associated advocacy.

Argument: We propose three broad reasons why more extensive engagement with issues of pleasure may be important for public health-oriented research. The first is epistemological: because overlooking pleasure risks leaving a gap in knowledge of a key component of, and motive for, drinking. The second is ethical: because the prioritisation of long-term health over shorter-term pleasures is not uncontested, and needs to be explicitly justified. The third is pragmatic: because ceding the discourse on pleasure to other actors (including commercial ones) risks undermining effective engagement with target populations.

Conclusions: There is strong case for more attention to pleasure in public health-oriented alcohol research. Key to this is the further development of interdisciplinary perspectives and mixed-methods research. This brings both conceptual and methodological challenges, many of which remain unresolved; however, bringing these issues to the surface may enable greater clarity on both normative principles (including arguments against research engaging with pleasure) and practical questions concerning the design of research and analysis in this area.

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认真对待快乐:酒精研究是否应该更多地说明快乐?
背景:本文邀请讨论在以酒精为导向的公共健康研究中是否应该更多地关注快感。虽然有社会学和人类学文献探索酒精和快乐的历史,但这在以公共健康为导向的酒精研究和相关倡导中却不太常见。论点:我们提出了三个广泛的理由,为什么更广泛地参与快乐问题对于面向公共健康的研究可能很重要。第一个是认识论上的:因为忽视快感可能会在饮酒的关键组成部分和动机方面留下知识空白。第二个是道德问题:因为长期健康优先于短期快乐并非没有争议,需要明确证明其合理性。第三个是务实的:因为把关于快乐的话语权让给其他行为者(包括商业行为者),可能会破坏与目标人群的有效接触。结论:在以公共健康为导向的酒精研究中,有充分的理由关注愉悦感。关键是跨学科视角和混合方法研究的进一步发展。这带来了概念和方法上的挑战,其中许多仍未解决;然而,将这些问题带到表面可能会使规范性原则(包括反对研究与快乐参与的论点)和有关该领域研究和分析设计的实际问题更加清晰。
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来源期刊
Addiction
Addiction 医学-精神病学
CiteScore
10.80
自引率
6.70%
发文量
319
审稿时长
3 months
期刊介绍: Addiction publishes peer-reviewed research reports on pharmacological and behavioural addictions, bringing together research conducted within many different disciplines. Its goal is to serve international and interdisciplinary scientific and clinical communication, to strengthen links between science and policy, and to stimulate and enhance the quality of debate. We seek submissions that are not only technically competent but are also original and contain information or ideas of fresh interest to our international readership. We seek to serve low- and middle-income (LAMI) countries as well as more economically developed countries. Addiction’s scope spans human experimental, epidemiological, social science, historical, clinical and policy research relating to addiction, primarily but not exclusively in the areas of psychoactive substance use and/or gambling. In addition to original research, the journal features editorials, commentaries, reviews, letters, and book reviews.
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