Balancing the bio in a biopsychosocial model of hazardous drinking and alcohol use disorders

How alcohol problems are represented, including as ‘Alcohol Use Disorder’ (AUD), has a broad set of implications for research, policy and practice. A biopsychosocial approach is commonly offered as a means of taking into account the various environmental and individual level factors that may contribute to so called mental and behavioural disorders including AUD. In this reply we argue that the reference article presents a heavy focus on ‘bio’ factors without sufficiently acknowledging the potential costs of doing so, particularly that a focus on individual level ‘bio’ factors may undermine the utilization of effective environmental policy levers whilst potentially harming AUD recovery processes. Thus, we call for a more balanced focus on the ‘psychosocial’ factors related to AUD.