TJS 2015
DOI: 10.15547/tjs.2015.s.01.095
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Is addiction a disease or choice? Disease model on trial

Abstract: Addiction treatment providers continue to give different and often controversial explanation of aetiology of substance addictions. While majority seem to hold steadfast to the idea that addiction is a disease, the other theorists maintain to the contrary that addiction is merely a choice. The advocates of brain disease model argue that acceptance of their view will reduce the stigmatization. On the contrary, critics of the brain disease model claim that placing responsibility for addiction on the individual's … Show more

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Cited by 1 publication
(2 citation statements)
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“…The majority of public or state-funded treatment options in the United States are based on abstinence models, with abstinence as a measure of success (Subbaraman & Witbrodt, 2014). A significant proportion of funding for these treatments and research into problematic substance use is from the National Institute on Drug Abuse (NIDA) which sees abstinence as the only option for problematic substance use, promoting the Disease Model 11 (Hall, Carter, & Forlini, 2015;Valkov, 2015). Courtwright (2010) refers to this as the "NIDA Paradigm" (p. 137).…”
Section: Chapter Two: Literature Reviewmentioning
confidence: 99%
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“…The majority of public or state-funded treatment options in the United States are based on abstinence models, with abstinence as a measure of success (Subbaraman & Witbrodt, 2014). A significant proportion of funding for these treatments and research into problematic substance use is from the National Institute on Drug Abuse (NIDA) which sees abstinence as the only option for problematic substance use, promoting the Disease Model 11 (Hall, Carter, & Forlini, 2015;Valkov, 2015). Courtwright (2010) refers to this as the "NIDA Paradigm" (p. 137).…”
Section: Chapter Two: Literature Reviewmentioning
confidence: 99%
“…Critics of the Disease Model also highlight how it fails to account for the significant number of problematic substance users who 'recover' without treatment (natural recovery; Conde, Lichtenberger, Santáneglo, & Cremonte, 2016;Hall et al, 2015). Personal agency and the impact of social, cultural and economic factors on substance use are also ignored, significantly limiting the provision of crucial aspects of treatment such as vocational and life skills (Ngo, 2008;Valkov, 2015). Some critics also view the Disease Model as positioning substance users as victims, removing all personal responsibility and creating a sense of learned helplessness which will reduce their likelihood of entering treatment 12 (Ngo, 2008;White, 2001;Willbanks, 1989).…”
Section: Chapter Two: Literature Reviewmentioning
confidence: 99%