Why should a drinker care that his drinking has bad effects unless other people confront him about it? Coming to the realisation all by yourself that alcoholism is bad is what I call the exception to the rule. This happens, but would you agree that is rather rare with the issue of drinking addiction?
If you are severely addicted, you become a nuisance to those around you. If those people do not draw any consequences from the fact that the addiction is not only turning his own life for the worse, but also theirs, the drinker will hardly want to find any reason to come to self-awareness. He will simply continue to drink.
For some, the warning that their wife will separate from them may be enough, for others the separation has to happen and for still others an emergency admission to hospital has to be the necessary consequence. Other people play a major role in all of these events.
It is not punishment but the need for one human that he wants to face consequences and that his fellas owe that to him.
RE: Being vs. doing