Imagine a dependency that doesn’t smell like alcohol. Doesn’ | Figure 1

YaroslavBondaenko

Post in Addiction Psychiatry, Neurology, Addiction Medicine

Imagine a dependency that doesn't smell like alcohol.

Doesn't slur speech.

Doesn't destroy careers or shatter families.

At least — not in the way you expect.

Imagine a phenomenon so ordinary, so culturally “normal,” that we don’t even call it a habit.

We call it a ritual… a tradition… a lifestyle.

Now imagine that this ritual is, in fact, a biologically polished, cognitively disguised form of dependence.

This is latent alcoholization — the subject of our new study involving socially adapted, successful individuals from nine countries.

People who “have control.”

Or so they believe.

👉 We introduce LADAR — the Latent Alcohol Dependence Adaptive Regulation model.

A five-phase trajectory showing how a seemingly harmless glass in the evening becomes a silent regulator of emotions, motivation, behavior, and — yes — even identity.

Because the brain does not ask for permission.

It encodes patterns.

It stabilizes rituals.

It forms associations like: evening = alcohol; relaxation = alcohol; socializing = alcohol.

Until one day a person quietly admits: “Without it, the evening just doesn’t feel right.”

This is no longer about pleasure.

It’s about a hidden neuropsychological dependency, camouflaged as normality.

And the most dangerous part?

Society applauds it.

“You don’t drink?”

“You deserve to relax.”

“One glass — it’s okay - relax.”

this is how the shadow side of social adaptation works —

soft, civilized, rationalized.

inj-journal.com

www.researchgate.net

Trending now


A 52-year-old man presented with a 20-minute history of chest pain radiating to the left shoulder and neck, associated with dyspnea and diaphoresis.
He had a history of hypertension, long-term smoking, and a sedentary lifestyle.
On physical examination, bibasilar crackles were noted on lung auscultation. An electrocardiogram (ECG) was performed in the primary care setting, and the patient was promptly referred to the emergency department.](https://app.figure1.com/case-detail/ae0fe999-6875-4474-94f0-ad823dbb9b3a)


A 28-year-old woman presented with a 3-day history of intense pruritus over the lower back. She reported no recent travel or exposure to new environments. She cares for a small kennel with approximately eight dogs rescued from the streets.
Physical examination revealed multiple small vesicles, some clustered and others scattered, predominantly involving the lumbar region and the left gluteal area.](https://app.figure1.com/case-detail/c271070f-2bc7-4052-9895-635277e1a7d5)


A 4-month-old male infant presented with skin lesions localized to the chin for the past 3 days. Physical examination revealed multiple small pustules with surrounding inflammatory signs on the chin, along with a few scattered papules on the chest.](https://app.figure1.com/case-detail/48f41642b9db-4089-b120-a94ee52328de)


patient in late teens presenting after a collapse, no chest pain, no previous cardiac history, no history of sudden death in family, are there any features in this ekg that would warrant further work-up or is this just a pediatric ekg?](https://app.figure1.com/case-detail/2af390e1-ace8-40ed-ba1c-98fb2d72f4c5)