I suppose that a simple answer is, if there was NO alcohol, then there could not possibly be any Alcoholism. But this simplistic view neglects to take into account the myriad risk factors and individual pathways towards becoming an alcoholic. For some, it is undeniable that there is a strong genetic component contributing to the environmental availability and societal acceptance of alcohol. But a shift in any of these factors may swing the pendulum and enable an individual to avoid this particular addiction. This shift may not be the availability of their drug of choice! In the absence of alcohol other addictions may be sought to satisfy the addictive tendency.
In my view there are three main 'types' of alcoholics. The first is almost entirely driven by a genetic predilection towards alcoholism, and in the absence of the trigger (Alcohol) that individual may never develop any addiction. If however the addictive aspect of their genetic make-up is not specifically attuned to alcohol, there are many other substances available that may trigger their addictive tendencies. The second type of alcoholic develops through prolonged exposure, a tolerance and later a dependence on Alcohol in order to function. This is a purely chemical dependence. If this individual were to be in a position where they had never been exposed to alcohol, they may never develop an addiction. And finally, there are individuals that abuse alcohol, using it as a tool to escape from unpleasant thought or events. Unless these individuals learn to cope without their alcohol crutch, they will develop a dependence and addiction that is physical in nature, much like the second type, who abuse alcohol for no particular reason, other than the fact that they can, and it is seen as acceptable to do so.
It is extremely important from an individual perspective to be aware of how you use or abuse alcohol! If you have a history of alcohol abuse within your family, all the more reason to be aware of your consumption. Regardless of what pathway leads to alcoholism, one thing remains the same, it is the development of tolerance and later dependence that cause the physical addiction, and once your body has become dependent, life becomes very difficult. It may be possible to hide your dependence, and even appear to live a fairly normal life, but this will not prevent the damage that prolonged exposure to high levels of alcohol will have on your body.
So, do be aware of your alcohol use! Not just how much you drink on a regular basis, but also what may trigger a drinking binge. If you are using drink as a crutch, it is bad news. So, be aware and listen to your friends or family members if they express concern about you. Act on what they say, and get help if you need it.
If you are reading this and you think you might have a problem, click here to read more.