The US National Institute on Alcohol Abuse and Alcoholism (NIAAA) reco
gnizes two forms of problematic drinking: 'wilful alcohol abuse', a be
havioural problem, and 'alcohol dependence', a true medical disorder,
which includes a genetic component, that can be scientifically underst
ood and medically treated. Current biomedical research has linked spec
ific neurotransmitters to certain effects of alcohol that are unique t
o alcoholics. An inadequate flow of information between the victims of
alcoholism, researchers, and the public has impeded further explorati
on of the genetic and neurochemical underpinnings of alcohol dependenc
e. This is due in part to continuing misconceptions about alcohol depe
ndence, not only among the general public, but within the scientific a
nd medical communities as well. Consequently, compared to other diseas
es, research in alcohol dependence is proceeding with less urgency des
pite its relatively high economic and social costs. Incorporating the
input of recovering alcoholics into future research agendas can help t
o ensure relevant scientific investigation and the delivery of a more
accurate and consistent message to the public with regard to alcoholis
m.