Addiction is not a disease: How AA and 12-step programs erect barriers while attempti

slimvictor

Bluelight Crew
Joined
Dec 29, 2008
Messages
6,477
Location
"Darkness cannot be dissipated with more darkness.
Addiction is not a disease: How AA and 12-step programs erect barriers while attempting to relieve suffering

Defining addiction as a disease is marketing for the rehab industry — and an excuse when treatment doesn't work

The idea that addiction is some kind of disease is unquestionably the dominant view in government, medical, and most scientific circles around the world. So dominant in the West, for example, that US vice president Joe Biden introduced the Recognizing Addiction as a Disease Act for debate in the US Senate on March 28, 2007.

S. 1011: Recognizing Addiction as a Disease Act of 2007

(1) Addiction is a chronic, relapsing brain disease that is characterized by compulsive drug seeking and use, despite harmful consequences. It is considered a brain disease because drugs change the brain’s structure and manner in which it functions. These brain changes can be long lasting, and can lead to the harmful behaviors seen in people who abuse drugs. The disease of addiction affects both brain and behavior, and scientists have identified many of the biological and environmental factors that contribute to the development and progression of the disease.

Yet the concept that addiction is a disease is certainly not new. In fact, it’s been promoted and rebutted since the time of Aristotle (and other Greek and Egyptian scholars), and it has grown exponentially in authority and popularity since the early 1900s. This quote from a hundred years ago captures the flavour of the disease concept when it began to proliferate in the West:

The author considers it very unfortunate that the terms “morphine habit” and “opium habit” have been, and are still, so universally employed when referring to narcotic addiction (disease). They are misleading and do not, in any wise, accurately describe the condition present. . . . Habit implies something that can be corrected by an exercise of the will. . . . This is not true of narcotic disease; therefore, it is not a mere habit and should not be spoken of as such. . . .

The man who is addicted to a narcotic drug is as truly a diseased man as one who has typhoid fever or pneumonia.


How did this definition arise, and how has it evolved in our own time?

cont at
http://www.salon.com/2015/07/11/add...rriers_while_attempting_to_relieve_suffering/
 
It's a disorder.

https://en.wikipedia.org/wiki/Disease#Disorder

In medicine, a disorder is a functional abnormality or disturbance. Medical disorders can be categorized into mental disorders, physical disorders, genetic disorders, emotional and behavioral disorders, and functional disorders. The term disorder is often considered more value-neutral and less stigmatizing than the terms disease or illness, and therefore is a preferred terminology in some circumstances. In mental health, the term mental disorder is used as a way of acknowledging the complex interaction of biological, social, and psychological factors in psychiatric conditions. However, the term disorder is also used in many other areas of medicine, primarily to identify physical disorders that are not caused by infectious organisms, such as metabolic disorders.
 
^ The quote from Wikipedia did not convince me at all.
It just says that disorder is a more polite term than disease, not that addiction is a disorder.

There are a lot of different ways to understand addiction.
Maybe they are all metaphors, and capture some aspects of addiction, while missing others.
The disease model is one, but it has come under attack recently, and for good reason.
 
There are a lot of different ways to understand addiction.
Maybe they are all metaphors, and capture some aspects of addiction, while missing others.

This is closest to what I think. The second that anyone thinks they "know" what something is, especially something as complex as addiction, science gets stopped in its tracks and beliefs take over. Then those beliefs get entrenched and any new information is seen as threatening rather than simply adding to the healthy inquiry that should, ideally, be never-ending. Addiction is complex and unique because people are complex and unique.
 
It's simply an inability to stop ingesting a substance when you know you have to stop. I see that as a disorder. I think the DSM-V sees it the same way:

http://www.medscape.com/viewarticle/803884_11

I think most people can modulate their recreational drug use (including alcohol consumption) in response to negative consequences. Those who cannot modulate their consumption probably have some kind of addictive disorder, possibly also involving faulty wiring in their prefrontal cortex:

http://www.nature.com/nrn/journal/v12/n11/full/nrn3119.html
 
I see it as more of a symptom than a problem in and of itself. I've never met an addict who didn't have a problem of some sort before they developed their addiction - the addiction develops in response to the attempt to self-medicate some kind of physical pain or psycho-spiritual distress. I suppose you could classify it as a co-morbid disorder, but the article is correct in that acting as if the substance alone is the problem doesn't work. Even if you can make their DOC disappear entirely, they'll just turn to the next best option until whatever underlying problems they have are addressed.
 
A bit of a deviation on my part, but I think a sex addiction is only pathological because of the way our society has developed. In nature, hypersexual behavior is an evolutionary bonanza for the species, and therefore is extremely "healthy".

I wish I was a sex addict.
 
In certain countries, the addiction as a condition would be applicable/validated in case of alcoholism. I know it´s wrong, but I feel some employers feel more comfortable with booze addiction than any other substance.
I guess they relate more to alcohol rather than coke or heroin for example.
 
Top