Were the scale of excitability a circle: Tracing the roots of the disease theory of alcoholism through Brunonian stimulus dependence

Abstract

The disease theory of alcoholism, and by extension, of addiction, forms the theoretical basis of an expansive scientific industry, one which musters tremendous resources in the service of research, rehab clinics, and government programs. Revisiting the early work on the disease theory of alcoholism, this paper analyzes the apperance of the disease theory of alcoholism in the eighteenth/nineteenth century works of Rush, Trotter, and Brühl-Cramer as emergent of a theoretical tension within the Brunonian system of medicine, that of stimulus dependence. Establishing both the shared Brunonianism of these figures and the concept of stimulus dependence, I argue it is here that one finds the nascent formulation of the modern dependence model of addiction, pushing out alternative models, such as Hufeland's toxin theory.