TY - JOUR
T1 - Addiction
T2 - Current Criticism of the Brain Disease Paradigm
AU - Hammer, Rachel
AU - Dingel, Molly
AU - Ostergren, Jenny
AU - Partridge, Brad
AU - McCormick, Jennifer
AU - Koenig, Barbara A.
PY - 2013/7
Y1 - 2013/7
N2 - To deepen understanding of efforts to consider addiction a "brain disease," we review critical appraisals of the disease model in conjunction with responses from in-depth semistructured stakeholder interviews with (1) patients in treatment for addiction and (2) addiction scientists. Sixty-three patients (from five alcohol and/or nicotine treatment centers in the Midwest) and 20 addiction scientists (representing genetic, molecular, behavioral, and epidemiologic research) were asked to describe their understanding of addiction, including whether they considered addiction to be a disease. To examine the NIDA brain disease paradigm, our approach includes a review of current criticism from the literature, enhanced by the voices of key stakeholders. Many argue that framing addiction as a disease will enhance therapeutic outcomes and allay moral stigma. We conclude that it is not necessary, and may be harmful, to frame addiction as a disease.
AB - To deepen understanding of efforts to consider addiction a "brain disease," we review critical appraisals of the disease model in conjunction with responses from in-depth semistructured stakeholder interviews with (1) patients in treatment for addiction and (2) addiction scientists. Sixty-three patients (from five alcohol and/or nicotine treatment centers in the Midwest) and 20 addiction scientists (representing genetic, molecular, behavioral, and epidemiologic research) were asked to describe their understanding of addiction, including whether they considered addiction to be a disease. To examine the NIDA brain disease paradigm, our approach includes a review of current criticism from the literature, enhanced by the voices of key stakeholders. Many argue that framing addiction as a disease will enhance therapeutic outcomes and allay moral stigma. We conclude that it is not necessary, and may be harmful, to frame addiction as a disease.
UR - http://www.scopus.com/inward/record.url?scp=84880405391&partnerID=8YFLogxK
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U2 - 10.1080/21507740.2013.796328
DO - 10.1080/21507740.2013.796328
M3 - Article
C2 - 24693488
AN - SCOPUS:84880405391
SN - 2150-7740
VL - 4
SP - 27
EP - 32
JO - AJOB Neuroscience
JF - AJOB Neuroscience
IS - 3
ER -