During the late nineteenth century a number of physicians, sometimes called inebriety specialists, combined a narrowly physicalistic disease concept of alcoholism with a high regard for the curative power of asylum treatment to advocate the development of specialized asylums for the treatment of alcoholism. Central to the idea of such an inebriate asylum was the belief that the power to detain the alcoholic was necessary to cure his disease. This article considers why inebriety specialists held this belief as well as why others opposed it. It also describes alternative approaches to alcoholism and the fate of efforts, during this period, to treat the alcoholic by confining him.