I believe the thoughts are almost entirely genuine. Even if they're deeprooted in the subconscious one may not be aware of them, or perhaps it's just an outpouring of a particular emotion, i.e. pent-up anger, self loathing, depression even down to lust.
That may explain why certain people act negatively with alcohol, a build of suppressed emotion which is no longer under self management.
If you act kindly, honestly and within the law whilst drunk I can't see there being much case for you being an ******* whilst sober.
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