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Why Addiction Should Not Be Classified As A Disease

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Why Addiction Should Not Be Classified As A Disease

Old 06-10-2016, 07:18 AM
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All this stuff is very interesting. All the medical reviews and psychological analyses are intersting. So some people are more likely to become addicted than others based upon a lot of factors (see DrDanH's chart).

Ok fine. But addiction still starts every single time (please don't bring out the babies .....I get that) with a conscious decision. Prolonged use looks to me like it may morph into a disease. But it didn't start that way.
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Old 06-10-2016, 07:20 AM
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Originally Posted by ifsteve View Post
All this stuff is very interesting. All the medical reviews and psychological analyses are intersting. So some people are more likely to become addicted than others based upon a lot of factors (see DrDanH's chart).

Ok fine. But addiction still starts every single time (please don't bring out the babies .....I get that) with a conscious decision. Prolonged use looks to me like it may morph into a disease. But it didn't start that way.
X2......a lot of things develop into a disease. Like calling a mosquito a disease.
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Old 06-10-2016, 07:50 AM
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Originally Posted by ifsteve View Post
All this stuff is very interesting. All the medical reviews and psychological analyses are intersting. So some people are more likely to become addicted than others based upon a lot of factors (see DrDanH's chart).

Ok fine. But addiction still starts every single time (please don't bring out the babies .....I get that) with a conscious decision. Prolonged use looks to me like it may morph into a disease. But it didn't start that way.
Completely wrong.
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Old 06-10-2016, 09:13 AM
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Originally Posted by ifsteve View Post
All this stuff is very interesting. All the medical reviews and psychological analyses are intersting. So some people are more likely to become addicted than others based upon a lot of factors (see DrDanH's chart).

Ok fine. But addiction still starts every single time (please don't bring out the babies .....I get that) with a conscious decision. Prolonged use looks to me like it may morph into a disease. But it didn't start that way.
Maybe it did start that way after all.

This is part of my personality.
As a young tot ,I literally jumped into the deep end of a pool.
Knew it could kill me first time in, but I chose to do it
anyway.

Why?
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Old 06-10-2016, 10:51 AM
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"An alcoholic is a person that drinks as much as you do but you don't like" unknown.
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Old 06-11-2016, 05:36 AM
  #146  
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Originally Posted by Johnny Dreamer View Post
It is a disease you suffer from that was a consequence of prior actions. If left alone the disease would progress. It requires no further action from you to do so.

However, were you to repeatedly go into the sun without protection with the objective to achieve the "diseased state", then you might be addicted to getting squamous cell carcinoma.
From Merriam-Webster

Simple Definition of disease
: an illness that affects a person, animal, or plant : a condition that prevents the body or mind from working normally
: a problem that a person, group, organization, or society has and cannot stop
Source: Merriam-Webster's Learner's Dictionary
Examples: disease in a sentence


Full Definition of disease
1: obsolete : trouble
2: a condition of the living animal or plant body or of one of its parts that impairs normal functioning and is typically manifested by distinguishing signs and symptoms : sickness, malady
3: a harmful development (as in a social institution)

Seems to me alcoholism fits the definition as highlighted above in red.


Originally Posted by Johnny Dreamer View Post
Do the changes in the brain progress after the body stops ingesting the poison? Do the symptoms of the "disease" present without the body ingesting the poison?
Don't know. As I said, I'm not an expert.

Originally Posted by Johnny Dreamer View Post
Well, this is the crux of the whole discussion. Should it be called something it isn't? Is there more harm that good in just "calling it what you will".
According to you addiction isn't a disease. According to many others, it is. So, I guess the answer is for you it's harmful to call it a disease. To myself and lots of others, it's not.

More important to me than the semantics of it is people getting the help they need. If that requires calling it a disease, so be it.

Originally Posted by trimnyc View Post
Do you continue to sun tan? if you do then you have an addiction.

Cancer is a disease. sun tanning is not. .....again...im no expert, just drink a lot.
My Irish/Scottish heritage, red hair and blue eyes preclude me from tanning. Never have "sun tanned". I can't think of a more boring activity than laying on a beach. My problems came from outdoor activities - surfing, fishing, etc.

I've personally never had a drinking problem. I did tear it up back in my early/mid twenties but I got over it as I got older. I do have a good bit of experience with addicts and recovering addicts. I used to have a shop just down the road from a rehab facility. Over the years, I hired probably over 50 guys from the center. It is sad to report that soon after treatment stopped, most of them went back to their former activities.

I saw many people who, while sober, were good, hard workers. When they started to backslide, they dropped like a rock. When I saw the signs, I'd try to push them back on the wagon but some (probably most) of them just didn't want to climb back up.
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Old 06-11-2016, 05:44 AM
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Originally Posted by MAXIMUM B View Post
Completely wrong.
So are you telling me that an addiction (disease) did not start by some decision on the part of the user??????????????
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Old 06-11-2016, 05:52 AM
  #148  
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From the defenition I would say it's clear.

A condition is not the same as getting loaded.

Intake of poison in any form is 100% elective decision.

I don't care what you call it. Just sayin it seems clear to me.

Agree this thread is full of with semantics.
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Old 06-11-2016, 06:59 AM
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Look at the four Antecedent boxes on the left side of the diagram above.

These are some examples of individual and social precursors to substance *use*, which is a necessary (but not always sufficient; some people can use some substances without becoming addicted) precursor to substance *abuse.* (Note emphasis on "use" and "abuse.")

Social factors contribute to the person's first use of drugs- as well as other behaviors, including non-addictive behavior. Do not make the mistake of discounting the role of social factors such as peer influence on behavior, even behavior that is potentially harmful or addictive. Also, don't hold onto the belief that most people are above these influences. (For a closer example, without leaving this forum, read the "what are you wearing on your wrist today" thread, or search terms such as "Yeti," to see examples of the potential influence of peers, society, and availability upon behavior.)

Putting on my "clinician's hat," I will say that I find it to be beneficial to refer to addictive behavior using a disease model, because that model is familiar to patients, it infers the need for intervention, and it lessens the stigmatization that occurs when a condition or behavior is attributed to moral weakness.
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Old 06-11-2016, 07:27 AM
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Given the choice .....I would rather suffer from the disease of addiction than the disease of intolerance..

Atleast some of the addicts I know lead happy lives.... The intolerant ones.... Not so much...
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Old 06-11-2016, 07:33 AM
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Originally Posted by straps57 View Post
People with cancer die every day because they no longer have the will to continue with treatment. So yes, willpower does play a crucial role in treatment of many diseases. Alcohol withdrawals have severe and sometimes deadly results. While you can say they did it to themselves, they also have no control over the physical effects that result when they try to quit.
Those who think anyone with a strong will power can fix most addictions need to read more.
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Old 06-11-2016, 07:45 AM
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Sounds like a lot in this thread need a stiff drink
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Old 06-11-2016, 11:14 AM
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Originally Posted by DrDanH View Post
Look at the four Antecedent boxes on the left side of the diagram above.

These are some examples of individual and social precursors to substance *use*, which is a necessary (but not always sufficient; some people can use some substances without becoming addicted) precursor to substance *abuse.* (Note emphasis on "use" and "abuse.")

Social factors contribute to the person's first use of drugs- as well as other behaviors, including non-addictive behavior. Do not make the mistake of discounting the role of social factors such as peer influence on behavior, even behavior that is potentially harmful or addictive. Also, don't hold onto the belief that most people are above these influences. (For a closer example, without leaving this forum, read the "what are you wearing on your wrist today" thread, or search terms such as "Yeti," to see examples of the potential influence of peers, society, and availability upon behavior.)

Putting on my "clinician's hat," I will say that I find it to be beneficial to refer to addictive behavior using a disease model, because that model is familiar to patients, it infers the need for intervention, and it lessens the stigmatization that occurs when a condition or behavior is attributed to moral weakness.
Now, Dr Dan, you know these guys with the Yeti addiction are purely victims. Not one of them has ever bought a Yeti product for themselves. The Yeti pushers are to blame.
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Old 06-11-2016, 04:07 PM
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I see a commonality in these threads.

Once again, follow the money.
What is the success rate for rehab?
Not great.
What does that cost?
A lot.
Who pays for that?
Us.
Why am I paying?
Good question.

Call it what you want.
I`m here.

First rule of Scarface.
Don't get high on your own supply.
Fail.

I had had enough.
I was done.
I surrender.
Uncle.

I am very lucky.

I had physical cravings out of the blue almost 2 years later.
I got out just in time.

How many Docs does it take to change a light bulb?
Only one, but it has to want to change.

Last edited by gofastsandman; 06-12-2016 at 06:33 AM. Reason: I walked away quietly. Many do not. No rehab here.
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Old 06-11-2016, 06:36 PM
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Addiction is a form of mental illness. Personality disorder. Disease theory came from AA program. I've personally never believed it was a disease but more of an allergy.
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Old 06-11-2016, 06:54 PM
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Originally Posted by tint dude View Post
Addiction is a form of mental illness. Personality disorder. Disease theory came from AA program. I've personally never believed it was a disease but more of an allergy.
Sorry to dispute this, but addiction is *not* the same as a personality disorder. Personality disorders (also called characterological disorders) are enduring personality traits maintained by the environment, and are very intractable to treatment. While there is a high concordance rate between certain personality disorders and substance abuse, each can occur independently of the other, and the substance-related diagnoses (e.g., Abuse, dependence, withdrawal) are diagnosed separately from personality disorders.
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Old 06-11-2016, 08:27 PM
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DrDanH,

Thanks for trying. I read the posts and am trying to understand it all.
Some are here to fight. Some actually are here for information.
Discard the former. Embrace the latter.
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Old 06-12-2016, 03:38 AM
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Originally Posted by DNinja View Post
DrDanH,

Thanks for trying. I read the posts and am trying to understand it all.
Some are here to fight. Some actually are here for information.
Discard the former. Embrace the latter.
This has been an interesting thread. I appreciate everyone expressing their opinions - even if we disagree. Being able to hear and respect differing opinions has become a rarity in our society.

To anyone reading this who has struggled addiction and continues to maintain abstinence, my sincere congratulations - and keep fighting! To anyone who is still trapped by their addiction, remember that there is help available, and life can get better.
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Old 06-12-2016, 07:09 AM
  #159  
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Originally Posted by Reel E View Post
Given the choice .....I would rather suffer from the disease of addiction than the disease of intolerance..

Atleast some of the addicts I know lead happy lives.... The intolerant ones.... Not so much...
wisdom!
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Old 06-13-2016, 07:04 PM
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Originally Posted by DrDanH View Post
This has been an interesting thread. I appreciate everyone expressing their opinions - even if we disagree. Being able to hear and respect differing opinions has become a rarity in our society.

To anyone reading this who has struggled addiction and continues to maintain abstinence, my sincere congratulations - and keep fighting! To anyone who is still trapped by their addiction, remember that there is help available, and life can get better.
Maybe folks are getting more information and understanding.
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