The small town alcoholic and the liquor store attendant What we collectively need to do is recognize alcoholism as a disease — BC
I think you're insightful. As someone who works in the general area of addiction and mental ill health I would personally choose different wording. I agree 'moral failure' is a useless lens. The term alcoholic isn't commonly used any more. People have an alcohol misuse disorder and it comes in many variations and is definitely not the same for each person.
I'm not an additions academic, but I don't consider alcohol misuse to be a disease, it is an addiction, a behavioural or learned response. It's no different to an addiction to sex or shopping and probably often stems from a reaction to psychological trauma. This is certainly what I have found in the environments and life stories of the hundreds of folk I have worked with.
AA has dominated the language of alcohol use and the disease model is popular with many people from that cultish and sometimes useful organisation. This is a contentious subject because it touches on so many societal debates - personal responsibility, normalcy, recovery, meaning, hope.
I tend to find people may recover if they have meaningful alternatives to get involved in and can reimagine themselves as non-drinkers. This might require new friends and role models and a new job and deliberately acquiring alternative behaviours to the habitual patters they got stuck in. They need to recognise their behavioural triggers. Alcohol misuse is generally the result of a person's problematic relationship with their environment. It is learned behaviour and it can be unlearned, but the person requires a reason to change and personal feelings of hope.
People tend to have a 'career' in substance misuse and it can be a long road for some before change seems appealing. But I have seen people who drank methylated spirits (denatured ethanol) and aftershave come good with support and insight. People with histories of sexual abuse and trauma seem to be the hardest to support as they often have a screaming in their head that never goes way. (Social learning theory is one useful lens we can use to view addiction, but I have no desire to get into a debate about who has this subject mastered; I think we are still learning and have a long way to go.)