It's not the same as excessive drinking, although many people use the two interchangeably. "Excessive" drinking is largely a social idea and social standards change. Many historical figures drank amounts that would see them called alcoholics today. In the 17th century Royal Navy sailors were issued a gallon of beer a day because it was considered (probably correctly) healthier than water on long voyages; in 1655 this was replaced by a pint of strong rum. The daily rum ration was well over what is now recommended as the alcohol limit for a week, but together with daily mugs of lime juice was recommended as a cure for scurvy and a way of sterilizing dirty water. Alcohol abuse has a medical rather than a social meaning; it's a pattern of drinking that affects health, relationships or ability to work and it's defined in medical publications like the DSM-IV.
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