Abstract

Aim: This is the first of a two part paper that illustrates how cognitive-behavioral factors, the disregard of prior epidemiological data, and misfortunate timing contributed to the failure of National Prohibition in the United States. Methods: This first paper gives a detailed historical and cultural review of the early colonial, the post-revolutionary war, pre-civil war, and post-Civil-War, drinking patterns in the United States. It addresses the origins of the temperance movement, its evolution into a prohibition movement, and the post–civil war, prohibition in Kansas. Findings: Attribution theory shows a cognitive bias in the early 19th century temperance and late 19th century prohibition thinking. Scapegoat theory pointed out that the 19th century reformers targeted alcohol itself as the main source of social suffering and, by and large, neglected the context in which it was consumed. Conclusion: Nineteenth century attribution bias, cognitive errors, and failure to evaluate prior experience set the stage for 20th century, National Prohibition, a disastrous, preventive intervention.

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