Alcohol Myopia Research Articles

Festival games: Inebriated and sober altruists

We report a staged field experiment during three concerts in the South of Italy characterized by the same traditional music and a comparable average level of alcohol consumption by attendees. Individual blood alcohol concentration is measured with electronic breathalyzers. The experimental games are payoff-equivalent private property and common property trust games. We find that alcohol consumption is associated with less sharing in the private property game and lower efficiency in the common property game. There is a game-form effect for sober participants who share less in the common property game than in the private property game. This finding is consistent with revealed altruism theory as more sharing reveals more altruistic behavior. The absence of such game-form effect among non-sober participants is consistent with alcohol myopia. Tourists share more than local residents, significantly so for sober participants. The private property game elicits more efficiency than the common property game. This game-form effect is robust across sober and non-sober participants.

An Integrative Model of Alcohol-Facilitated Intimate Partner Aggression Perpetration in Sexual and Gender Diverse Couples.

Sexual and gender diverse (SGD) individuals are at heightened risk for intimate partner aggression (IPA) perpetration relative to their heterosexual and cisgender peers. Alcohol is a well-established cause of IPA perpetration in cisgender, heterosexual couples; however, minimal research has investigated the alcohol-IPA perpetration link in SGD couples. The relative lack of work in this area is a major barrier to addressing this health disparity. SGD individuals experience unique stressors related to their and/or their partner's intersecting minoritized identities that are critical to understanding alcohol-IPA etiology and informing culturally affirming intervention programming. We advance prior work by members of the authorship team (see Parrott et al., 2023a; Shorey et al., 2019) to propose an integrative theoretical model that invokes (1) the I3 Model to organize risk and resilience factors at the individual and dyadic level, and (2) Alcohol Myopia Theory to explain the mechanism by which proximal alcohol use facilitates IPA as a function of individual differences in those factors. This integrative model provides a framework to understand how the confluence of stigma, minority stressors, proximal alcohol use, and other factors contribute to IPA perpetration in SGD couples. Application of this integrative model has potential to facilitate more rigorous research (e.g., intensive longitudinal designs, dyadic analysis) focused on putative risk and resilience factors across the social ecology. Further, the model provides guidance for intervention development by identifying how individual (e.g., minority stress), relationship (e.g., relationship functioning), and structural factors (e.g., SGD stigma) interactively contribute to alcohol-facilitated IPA perpetration.

Drinking to Cope With the COVID-19 Pandemic Mediates Pathways From COVID-19 Anxiety to Alcohol Use and Alcohol Myopia Consequences

Objective People may consume alcohol to cope with the stressors and anxieties of the COVID-19 pandemic. The present study applied the self-medication hypothesis, tension reduction hypothesis, and alcohol myopia theory to understand COVID-19 alcohol coping as a mediator of the pathways from COVID-19 anxiety to alcohol use and alcohol consequences. Methods Participants (N = 477) were undergraduate college students. The mean age was 22.14 (SD = 5.66) years. Gender distribution included 73% females, 26% males, and 1% transgender. Racial categories included 70% White, 11% Latino, 5% Black, 5% Asian, and 9% multiracial. They completed the Coronavirus Anxiety Scale, the COVID-19 Alcohol Coping Scale developed and validated in the present study, measures of drinking frequency and drinking quantity, and the Alcohol Myopia Scale to assess alcohol consequences. Results First, confirmatory factor analysis supported the measurement structure of the COVID-19 Alcohol Coping Scale. Second, a general structural equation model containing only latent factors provided evidence for the following pathways: COVID-19 anxiety to COVID-19 alcohol coping to overall alcohol use to alcohol myopia consequences. Third, a specific structural equation model separated the overall alcohol use factor into two measures of drinking frequency and drinking quantity. Results found that COVID-19 alcohol coping uniquely explained drinking frequency (but not drinking quantity), indicating that the pursuit of alcohol to cope with the pandemic was related to more frequent days of alcohol use but not more concentrated use on drinking days. Tests of indirect effects corroborated the mediational pathways in the explanatory models. Conclusions The research offers insights into understanding that the risk connections from COVID-19 anxiety to alcohol behavioral outcomes are mediated by alcohol use to cope with the pandemic.

Impact of Acute Alcohol Consumption on Sexuality: A Look at Psychological Mechanisms.

Alcohol's link with sexuality is long-standing and prominent. While research continues to document robust associations between drinking and sexual behavior, scientific attention now centers primarily on evaluating mechanisms and attendant theoretical frameworks to advance our understanding of how alcohol exerts a causal impact. We describe four domains with reliable evidence of alcohol effects: sexualized social perceptions, sexual arousal, sexual risk taking, and sexual assault. We consider three contextual frames: distal factors associated with encountering opportunities for alcohol-involved sex, proximal factors associated with alcohol's acute effects, and distal-proximal interactions. We then examine the empirical support for mechanisms embedded within four theoretical frameworks: alcohol disinhibition, alcohol expectancy, alcohol myopia, and emotion regulation. Support for disinhibition mechanisms is evident with sexual arousal only. Expectancy and myopia mechanisms enjoy support across domains and make up bases for integrative expectancy-myopia causal explanations. Emotion regulation mechanisms evidence preliminary support in risk taking and sexual assault. Implications and future directions are considered.

Sexual Decision Making When Intoxicated: Women’s Reasons for and Against Having Sex in a Laboratory-Based Scenario

ABSTRACT Young adult women report high condom use intentions, but inconsistent condom use. Cognitive appraisals during sexual encounters are important determinants of condom use decisions, but a nuanced understanding of what cognitions emerge during women’s “hot states” (e.g., sexual arousal, alcohol intoxication) remains lacking. To address this gap, we examined women’s heat of the moment cognitions in their own words using mixed methods. Young adult women (N = 503; Mage = 25.01, SDage = 2.66) were randomized to a beverage condition (alcohol or control), then read and responded to questions about an eroticized sexual scenario. The nature and strength of reasons for and against having sex were reported before and after learning no condom was available. Multilevel models revealed intoxicated participants were more likely to let the partner decide how far to go sexually than sober participants at both timepoints, but the strength of cognitive appraisals (reasons for, reasons against, and feeling conflicted) only differed between beverage conditions after knowledge of no condom. These results suggest alcohol myopia was evident in the presence of inhibition conflict. Content analysis of these reasons revealed multifaceted cognitions that changed upon learning there was no condom. Findings highlight cognitions to target through interventions and underscore the importance of both alcohol and situational context in decision making.

Alcohol consumption and risky sexual behaviors among fishers in Elmina in Ghana

BackgroundAlcohol consumption is part of human social behavior and constitutes a routine part of social life in many countries. Prior studies have found over-indulgence of fishers in alcohol in fishing communities. The study uses the Alcohol Myopia Theory (AMT) to analyze and explain the phenomena of fishers engaging in sex after alcohol consumption, and condom use with sexual partner(s) after alcohol consumption. The study investigated alcohol consumption, predictors of alcohol consumption, and the reasons for drinking alcohol among fishers. It also examined fishers’ engagement in sex after alcohol consumption, the use of condoms with sexual partners after drinking alcohol, and predictors of the use of condoms with sexual partners after drinking alcohol.MethodsA cross-sectional convergent parallel mixed-method design was used to study 385 fishers in Elmina. Also, two focus group discussions were conducted among male and female fishers. Descriptive statistics were used to analyze the quantitative data, while the qualitative data was analyzed thematically.ResultsGenerally, 59.2% of participants indulged in alcohol consumption. Most male participants (70.6%) indulged in alcohol consumption than female participants (48.5%). Also, 48.5% of participants indulged in binge alcohol consumption, while 38.1% indulged in moderate alcohol consumption. The predictors of alcohol consumption were sex, religion, and type of fishing occupation. Participants identified consuming alcohol to kill loneliness and boredom, to forget family and work-related issues, and to have fun as reasons why fishers consume alcohol. Sixty-four percent of participants have ever engaged in sexual intercourse after consuming alcohol in the past 12 months. However, 70% of participants did not use a condom the last time they had sex after drinking alcohol. Only ethnicity of participants predicted their use of a condom the last time they had sex after drinking alcohol. The primary reasons for the non-use of condoms were do not like using condoms (37.9%), forgetting to use a condom (33.0%), and had sex with a trusted regular partner (15.5%).ConclusionsThis study demonstrated that alcohol consumption was prevalent among fishers, especially among male fishers, which contributes to risky sexual behaviors among them as espoused by the AMT. It is recommended that fishers are targeted for alcohol use and risky sexual behavior programs and interventions since alcohol use is prevalent among them and most of them also engage in unprotected sexual intercourse after consuming alcohol.

The Proximal Effect of Alcohol on Intimate Partner Violence: Comparing the Antecedents of Intoxicated and Sober Men's Violent Acts.

Alcohol use is known to correlate with intimate partner violence (IPV) perpetration, yet little research examines how alcohol influences how the violence unfolds. The current study used sequential analysis to examine descriptions of past violent incidents and explore the behaviors that preceded men's perpetration of IPV. In accordance with the alcohol myopia model of alcohol use, it was hypothesized that intoxicated men would respond violently to a wide range of partner cues, whereas men who were sober would only react violently in response to the most threatening partner cues. Moreover, intoxicated men were expected to demonstrate less inhibition of violence to suppressor cues of the partners' distress as compared to sober men. Participants were 80 couples reporting male-to-female IPV within the past year. Female partners' descriptions of two past violent events were coded and entered into sequential analysis. Antecedents to the men's first violent action were examined. While sober men were likely to react violently to their partner's physical threat and perceived threat, intoxicate men did not. Sober men were less likely to become violent after their partners displayed distress cues, whereas there was no suppressor effect of women's distress for intoxicated men. The precursors of the violence of intoxicated men appears to be indiscriminate and unpredictable. Clinical interventions that rely on behavioral strategies or communication skills training are unlikely to be effective for those who have an unmanaged alcohol use disorder.

The detrimental impact of alcohol intoxication on facets of Miranda comprehension.

Law enforcement officers often encounter alcohol-intoxicated suspects, suggesting that many suspects are presented with the challenge of grasping the meaning and significance of their Miranda rights while intoxicated. Such comprehension is crucial, given that Miranda is intended to minimize the likelihood of coercive interrogations resulting in self-incrimination and protect suspects' constitutional rights. Yet, the effects of alcohol on individuals' ability to understand and appreciate their Miranda rights remain unknown-a gap that the present study sought to address. Informed by alcohol myopia theory (AMT), we predicted that intoxicated individuals would demonstrate impaired Miranda comprehension compared to sober individuals and those who believed they were intoxicated (but were in fact not; i.e., placebo participants). After health screenings, participants completed the Wechsler Abbreviated Scale of Intelligence-Second Edition verbal subtests, rendering a Verbal Comprehension Index (VCI) score. We randomly assigned participants to consume alcohol (n = 51; mean breath alcohol concentration [BrAC] = 0.07%), a placebo condition (n = 44; BrAC = 0.00%), or a sober control condition (n = 41; BrAC = 0.00%). All participants (N = 136) completed the Miranda Rights Comprehension Instruments (MRCI), which measured participants' understanding of the Miranda warnings, recognition of the warnings, appreciation of their rights in interrogation and court settings, and understanding of Miranda-related vocabulary. We found a significant effect of intoxication condition on participants' understanding of Miranda warnings (η²p = .14) and Miranda-related vocabulary (η²p = .05) when controlling for VCI scores. Specifically, intoxicated participants received lower scores for understanding of warnings compared to sober and placebo participants, and lower scores for understanding of Miranda vocabulary compared to sober participants. Alcohol did not significantly impact Miranda rights recognition or appreciation. Alcohol intoxication may detrimentally impact some facets of Miranda comprehension. Thus, it is important that law enforcement consider refraining from questioning intoxicated suspects. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

Rethinking intoxicated sexual encounters

Social research on alcohol and sexual encounters has tended to be siloed into several different research endeavors, each addressing separate aspects of wanted and unwanted sexual encounters. While sociologists have focused on the patterns of social interaction, status competition, and emotional hierarchies of sexual encounters, they have left the role of alcohol intoxication largely unexamined. Conversely, the two dominant approaches to sexual encounters within alcohol research, the theories of alcohol myopia and alcohol expectancy, while focusing on alcohol have tended to take little account of the socio-relational dynamics and gendered meanings involved in those encounters. Our aim in this theoretical paper is to begin to bring together some of the concepts from these different research strands in examining how the social processes of intoxication potentially impact heteronormative sexual scripts and hence notions of femininity and masculinity among cisgender, heterosexual women and men. Our discussion is focused on the concepts of ritual and scripts; power, status, and hierarchies; and socio-spatial contexts, which are central to an understanding of the gendered and embodied social practices that take place within intoxicated sexual events; the emotional nature of the socio-spatial contexts within which they occur; and the socio-structural conditions that frame these events.

The Role of Alcohol-Related Behavioral Risk in the Design of HIV Prevention Interventions in the Era of Antiretrovirals: Alcohol Challenge Studies and Research Agenda.

HIV/AIDS remains a significant health threat and alcohol is a robust contributing factor. After 25years of alcohol challenge studies investigating alcohol-related behavioral risk (ARBR), much has been learned delineating how drinking influences sexual transmission. We examine this research and consider its relevance for interventions in the era of antiretrovirals. We consider prototypic alcohol challenge methods, illustrative findings, and prevention/intervention implications, noting three perspectives: (a) scale up/extend existing interventions, including identifying under-targeted risk groups and intersecting with PrEP/PEP interventions; (b) modify existing interventions by cultivating psychoeducational content related to alcohol expectancies, alcohol myopia, sexual arousal, risk perception, sexual abdication, and condom use resistance; and (c) innovate new interventions through Science of Behavior Change approaches and repurposing ARBR paradigms. Finally, we suggest research directions concluding that until HIV incidence diminishes significantly, psychosocial interventions addressing the nexus of alcohol use, sexual transmission, and adherence to biomedical protocols will be an important priority.

Evidence of alcohol induced weapon focus in eyewitness memory

SummaryWe examined the effects of acute alcohol on eyewitness memory for a simulated armed robbery under laboratory conditions. Alcohol and placebo participants viewed a slide series showing a target male taking a laptop from a helpdesk assistant, either on loan or at gunpoint. Following a brief retention period, participants responded to “central” multiple‐choice questions, about the target's actions face and clothing, and “peripheral” questions about other scene features. Alcohol participants shown the no‐weapon scene displayed poorer peripheral memory than placebo controls, though alcohol did not impair peripheral memory among weapon scene viewers. Alcohol participants also showed a weapon focus effect, providing less accurate responses to central questions related to details about the target male than no‐weapon controls. These findings are consistent with alcohol myopia theory and suggest intoxicated eyewitnesses may be more susceptible to weapon focus than sober counterparts.

A daily level analysis of drinking to cope motivation and interpersonal stress

Interpersonal stress is a commonly reported drinking-related problem and evidence indicates that it is associated with drinking to cope (DTC) motivation. The preponderance of evidence for DTC motivation as a risk factor for increased interpersonal stress, however, comes mainly from studies examining between-person associations. Findings suggest that individuals who commonly report drinking to cope with stress show higher average levels of drinking-related interpersonal problems. To better understand the dynamic processes linking DTC motivation with interpersonal stress, we used a micro-longitudinal design to examine whether nighttime drinking-episode specific levels of three subtypes of DTC motivation (DTC related to anxiety, depressive affect and anger) were associated with concurrent and next-day levels of interpersonal stress, controlling for drinking levels. Participants (N = 939) reported their drinking motives, drinking level, and drinking-related problems daily for 30 days during college and again approximately five years later (post-college). Results indicated that, controlling for drinking levels, DTC motivation associated with depressive affect and anger, but not anxiety, were positively associated with concurrent nighttime interpersonal stress. Only DTC related to anger was associated with higher levels of next-day interpersonal stress, controlling for previous night’s stress. The only other motive to predict next-day interpersonal stress was conformity motivation. None of the effects of motives varied across study wave. Findings are discussed in terms of how DTC anger might exacerbate interpersonal problems via processes associated with alcohol myopia.

Alcohol, Affect, and Aggression: An Investigation of Alcohol's Effects Following Ostracism.

Ostracism is distressing to those who experience it and people are motivated to find ways to cope, including self-medication or aggression. However, we know little about how alcohol intoxication may affect individuals' reactions to ostracism. This study investigates predictions informed by Alcohol Myopia Theory to observe how alcohol influences changes to one's affect, basic needs fulfillment, and aggression following ostracism. Participants (N = 97) were randomly assigned to either consume an alcohol, placebo, or nonalcohol beverage, and then participate in a game that simulated ostracism. Following this, participants engaged in a task wherein they were able to aggress against an ostensible ostracizer. Affect and basic psychological needs were measured at baseline, post-ostracism, and post-aggression timepoints. Results indicated that all groups reacted adversely to ostracism and experienced partial recovery toward baseline for negative and positive affect and basic psychological needs. Further, alcohol facilitated recovery across these outcomes post-aggression for participants who felt more intoxicated. Alcohol, relative to the control beverages, increased ostracizer-directed aggression intensity for low trait physically aggressive, but not highly aggressive, people. This randomized study provides novel preliminary evidence suggesting that alcohol enhances aggressive urges toward ostracizers in those who are not typically aggressive. Those who feel more drunk when intoxicated, compared to those who feel less so, may experience greater recovery from ostracism after aggressing toward an ostracizer hinting at potentially pleasurable effects that must be replicated in future studies.

An Economic Analysis of Business Drinking: Evidence from a Lab-in-the-field Experiment

Alcohol consumption is an important component of business negotiations across many cultures, yet this behavior remains unmodeled and its potential implications untested. This paper is a step towards filling that gap. We develop a theory that combines guilt-aversion with a canonical alcohol myopia framework. Our GAAM (guilt aversion and alcohol myopia) model predicts that intoxication increases promise-making but has no effect on promise-breaking. We test these predictions using a prisoner’s dilemma game with pre-play communication in a lab-in-the-field experiment. Among males, we find behavior consistent with predictions: intoxication promotes promise-making behavior but does not impact the rate at which promises are trusted or broken. Consequently, intoxication increases communication efficiency. We do not observe intoxication to impact female promise-making, trusting, or promise-breaking behaviors. This is consistent with previous empirical findings that females are substantially less sensitive than males to alcohol-induced myopia.

Observing Alcohol Myopia in the Context of a Trauma Film Paradigm: Differential Recall of Central and Peripheral Details.

A major tenet of the alcohol myopia model is that intoxication results in a narrowing of attention to the most central environmental cues, at the cost of more peripheral information. Though long hypothesized, no known study of alcohol myopia has demonstrated differential immediate recall of central and peripheral cues using a standardized task. To address this gap, we conducted an alcohol administration study with a clear, standardized focus-a trauma film. Ninety-eight female social drinkers completed self-report measures, and then were randomized to consume a placebo beverage, a low dose of alcohol (mean breath alcohol concentration [BrAC]=0.04%), or a high dose of alcohol (mean BrAC=0.11%). Participants then moved to a staged room where they viewed a film clip depicting a sexual assault. After leaving the room, participants completed a written free recall task of the film and the room. The distinction between recall of central and peripheral details was supported by confirmatory factor analysis. Consistent with the alcohol myopia model, relative to placebo, a high dose of alcohol led to impaired recall of peripheral (but not central) details. Although the interaction between BrAC and information type (central vs. peripheral) was not statistically significant, simple effects revealed a strong association between BrAC and peripheral information, and no association between BrAC and central information. Bolstering myopia as an explanation for our findings, neither central nor peripheral information correlated with self-reported tendencies to dissociate or distract oneself, or typical alcohol consumption or expectancies. Alcohol myopia can be observed through an immediate free recall task following a stressful film. Additional research is needed to continue evaluating dose-dependent differential recall in larger samples. This task may be useful for clarifying the role of alcohol myopia in clinical phenomena, such as aggressive behavior and processing traumatic events.

Alcohol intoxication impairs eyewitness memory and increases suggestibility: Two field studies

SummaryTwo field studies tested the effect of alcohol intoxication on memory for a live interaction at immediate, delayed, and repeated testing. In Study 1 (N = 86), one researcher presented bar tenants with (misleading) questions regarding a preceding interaction with another researcher. One week later, participants' memory was tested again. Study 2 (N = 189) added a delayed‐testing only condition. We hypothesized intoxication to impair memory and enhance suggestibility and explored whether time of testing affected the outcome on these variables. In Study 1, intoxication reduced completeness and increased suggestibility. In Study 2, intoxication reduced completeness and increased suggestibility in delayed‐only and repeated testing, compared with immediate testing. Sober participants benefited from repeated testing in Study 2, but not Study 1. Findings lend support for consolidation and decay theory and suggest that immediate (intoxicated) testing is preferable over delayed‐only testing. Findings provide little support for alcohol myopia theory.

And one more for the road: Commentary on the Special Issue on alcohol and eyewitness memory

SummaryStudies examining the influence of alcohol intoxication have reported mixed findings on whether it impairs eyewitness memory. Although the studies in this Special Issue investigated different questions and tested different variables, the findings of these studies collectively provide insight into mechanisms and methodological issues that may explain the ambiguous findings of alcohol intoxication and eyewitness memory. In this commentary, we first describe the experimental studies of this Special Issue. We then discuss four mechanisms that could underlie those mixed findings (alcohol myopia, disinhibition, hypervigilance, and metacognitive processes at retrieval). Last, we address methodological issues that may have contributed to those ambiguous findings (i.e., alcohol intoxication levels, automatic processing of stimuli, sensitivity of dependent variables, and possible interactions with arousal) and provide suggestions for future research to address these issues.

Problematic alcohol use and acute intoxication predict anger-related attentional biases: A test of the alcohol myopia theory.

Previous research has demonstrated a significant association between alcohol and aggression. However, the precise mechanisms underlying this relationship have yet to be fully elucidated. In the present study, we examined alcohol's effects on an attentional bias toward aggressogenic cues as the first step in a possible mediation model of alcohol-facilitated intimate partner aggression. More specifically, we tested an interactive effect of problematic alcohol use and acute alcohol intoxication on an attentional bias toward anger words. Participants in this study were 249 male and female heavy drinkers from the community with a history of past-year intimate partner aggression perpetration who participated in an alcohol-administration laboratory study assessing the effect of alcohol intoxication on cognitive biases. Multiple linear regression was used to test the proposed moderation model. Acute alcohol intoxication moderated the effect of problematic alcohol use on an attentional bias toward anger, with this effect being stronger for individuals in the alcohol compared to no-alcohol control condition. These findings suggest that problematic drinkers may be more likely to attend to aggressogenic stimuli while acutely intoxicated, relative to when they are sober. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

Personality Traits Moderate Connections from Drinking Attitudes to Alcohol Use and Myopic Relief, Self-inflation, and Excess

Background: Alcohol myopia theory postulates that the level of alcohol use in conjunction with personal cues, such as alcohol attitudes and personality traits help to understand the types of consequences manifested. Objectives: This study examined and identified the personality traits that served as predictors and moderators of the risk connections from drinking attitudes to alcohol use to myopia outcomes. Methods: College students (N = 433) completed self-report measures. In a path analysis using structural equation modeling, personality traits (extraversion, agreeableness, conscientiousness, openness, and neuroticism), drinking attitudes, and personality × drinking attitudes interactions simultaneously served as predictors on the outcomes of alcohol use and myopic relief, self-inflation, and excess. Results: Alcohol attitudes and use consistently emerged as unique predictors of all three myopia outcomes. Extraversion and neuroticism were identified as statistical moderators, but results varied depending on the myopia outcome interpreted. Specifically, extraversion moderated the pathways from attitudes to usage and from attitudes to myopic relief. Neuroticism, however, moderated the relations from attitudes to myopic self-inflation and from attitudes to myopic excess. Conclusions/Importance: Extraverted and neurotic dispositions could exacerbate or attenuate the risk connections from alcohol attitudes to outcomes. Findings offer implications for alcohol prevention efforts designed to simultaneously target drinking attitudes, personality traits, and alcohol myopia.

Advancing an Integrated Theory of Sexual Minority Alcohol-Related Intimate Partner Violence Perpetration

Intimate partner violence (IPV) is a prevalent and serious public health problem. Alcohol use and misuse is one of the most well-known antecedents of IPV perpetration. However, minimal research examined whether alcohol use increases the risk for IPV perpetration among individuals who identify as a sexual minority (i.e., lesbian, gay, bisexual, or another non-heterosexual identity [LGB+]). This is particularly concerning given that rates of IPV and alcohol use are as high, if not higher, in LGB+ populations relative to their heterosexual peers. In this article we provide a brief review of existing alcohol-related IPV research among LGB+ populations, advance an integrated model of alcohol-related IPV perpetration among LGB+ populations, and discuss avenues for future research on this topic. Our review identified limited research on alcohol-related IPV perpetration among LGB+ populations, with no longitudinal or event level research on this topic. Incorporating tenets of minority stress models with models of alcohol-related IPV (i.e., I3 and Alcohol Myopia Theory), we propose an integrated theory of alcohol-related IPV perpetration among LGB+ populations. Based on the limited information available in the literature, our integrated theoretical model suggests several avenues for future research on alcohol-related IPV perpetration among LGB+ populations. We discuss these future areas for research and the importance of incorporating sexual minority stress frameworks into these investigations.