Evidence grows that Korsakoff's psychosis and alcoholic dementia are p
arts of one disorder and that thiamine deficiency has a role. The neur
onal basis of withdrawal hyperexcitability is being specified but evid
ence for kindling is still limited. Support grows for a role of endoge
nous opioids in the explanation of alcohol dependence. Fascinating ani
mal models of Type II alcoholism suggest that serotonergic deficiency
contributes but this has yet to lead to convincing treatments.