alcohol content is widely regarded as a source of good
cheer on social occasions and soothing or even emo-
tionally anesthetic at times of distress. However, in-
capacitating effects of alcohol are also well known, as
is the risk of problems from its continuous heavy use.
(See Alcohol: Metabolism, Beneficial Effects, and
Toxicology.)
0027 Neurophysiological evidence suggests that etha-
nol has psychoactive effects by acting on the g-
aminobutyric acid (GABA) receptor system at inhibi-
tory synapses throughout the nervous system. Such
neural inhibition is critical to the precision of infor-
mation processing. Thus the postingestional psycho-
logical effects of ethanol are likely to be protean. It
may be that all forms of fine control, including precise
physical movements (walking down a straight line),
vigilance against subtle dangers (crossing in front of
approaching traffic), and self-critical social perform-
ance (ethical inhibitions and fears for self-esteem), are
rendered less competent.
0028 However, ethanol has been regarded in animal
pharmacology as specifically anxiety-reducing at
subsedative doses. The benzodiazepines (such as
Valium), that also act on the GABA system, are used
as antianxiety agents, as well as muscle relaxants and
sedatives. Thus the neural actions of ethanol may
be more effective at reducing tensions than at incap-
acitating generally.
0029 Many of the effects of common levels of consump-
tion of alcoholic beverages on mood and social be-
havior appear to have at least as much to do with the
drinking situation as with neural actions of ethanol.
Merriment and perhaps sexual predation are what is
expected at parties; personal aggressiveness and van-
dalism became a norm for soccer fans, and gloom is
natural for the lone(ly) drinker. All these effects have
been seen in experimental studies, but there tend to
be large ‘placebo’ or expectancy effects too. It seems
that ethanol contributes some disinhibition or incap-
acitation but a participative spirit achieves the rest.
0030 The behavioral effects of ethanol in the diet are
therefore complex to investigate. The sensory qual-
ities of ethanol and the aftereffects of its ingestion on
bodily sensations and mental and physical abilities are
well known to experienced drinkers. This weakens
the interpretations of sophisticated experiments on
the behavioral effects of ethanol (as also for other
familiar substances).
0031 One example is the so-called ‘balanced placebo’
design. This has four conditions, two drinks with
ethanol and two without, where one of each pair is
stated by the investigator to contain alcohol and the
other is said not to. The presence and absence of
alcohol are supposed to be masked but, when the
sensory disguise is checked, it is often found to have
been ineffective. Furthermore, characteristic effects of
ethanol are liable to be noticed some minutes after
ingestion of the ethanol-spiked drink that was alleged
to be an alcohol-free drink. This is likely to provoke
an emotional reaction and to change the strategy in
the task set by the experimenter. An experienced user
not feeling the usual effects when the drink was
falsely said to contain alcohol is also likely to react
to that disparity but in a different way, perhaps more
disappointed than angry. Thus the effects on behavior
of stated and actual alcohol contents cannot be separ-
ated out by analysis of this two-by-two design on an
additive model: it is not balanced and placebo control
is impracticable (as generally for familiar psycho-
active substances). Detailed evidence is needed on
the cognitive processes after drinking more or less
alcohol with the normal approximate knowledge of
amount.
0032Traditional dose–response studies of behavioral
effects of alcohol are subject to similar problems,
even when the variations in alcohol content are not
detected during consumption and aftereffects are
hard to distinguish, e.g., within the lower range of
doses. Sensitive tests of psychomotor performance
can show deficits at low doses that are proportionate
to those at higher doses, thus justifying an argument
for a zero blood alcohol limit on drivers. However,
the consumer of a known amount of alcohol before
driving or working may pay closer attention to the
task and put extra effort into control and decision. In
some circumstances, such an effort can overcompen-
sate for the detrimental effect of ethanol, associating
a low dose with objectively improved performance.
Of course, such an effect should not be confused
with the personal belief that a little alcohol has im-
proved one’s performance, since that is liable to be an
illusion fostered by ethanol’s disruption of self-critical
abilities. Nevertheless, this phenomenon does illus-
trate how actively people use the effects of food
and drink; they are not just affected passively or
automatically.
Caffeine
0033Caffeine is thought to be able to act as a mild alerting
agent by blocking synaptic receptors for endogenous
adenosine, which is sedative. However, the experi-
mental literature on human behavior has been con-
fused by the use of large doses relative to those
obtained through normal coffee, tea, and cola drink-
ing, by differences between people in responsiveness
to caffeine, and in the benefits to performance or
mood habitually obtained from such drinks, and
by unrealistic tests for such benefits. (See Caffeine.)
0034In a study using normal doses, quite strong and
consistent effects of caffeine (at a dose as low as
454 BEHAVIORAL (BEHAVIOURAL) EFFECTS OF DIET