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Habitual drunkenness is usually, psychologists inform us, the result of the inability to accommodate oneself wholly to reality. It is often a vice in that unfortunate class of people who have imperfectly coordinated artistic facilities. They yearn vaguely for something other than the world they know but they lack the capacity to create a world nearer to their hearts’ desire. Still more, do they lack the capacity to attain a comprehensive vision of the beauty emanate in this world. Neither the art of escape nor the art of revelation is possible to them. Nevertheless they have perceptions they cannot use and impulses that never come to fruition. Drink, or some other drug, by relieving their sense of impotence and by blurring the unfriendly outlines of the real world brings them solace and becomes a necessity.

- J.W.N. Sullivan, Beethoven: His Spiritual Development