Addiction: Current Criticism of the Brain Disease Paradigm

Rachel Hammer, Molly Dingel, Jenny Ostergren, Brad Partridge, Jennifer McCormick, Barbara A. Koenig

Research output: Research - peer-reviewArticle

  • 20 Citations

Abstract

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.

LanguageEnglish (US)
Pages27-32
Number of pages6
JournalAJOB Neuroscience
Volume4
Issue number3
DOIs
StatePublished - Jul 2013

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Brain Diseases
Therapeutics
Behavioral Research
Nicotine
Molecular Biology
Alcohols
Interviews
N-nitrosoiminodiacetic acid

Keywords

  • addiction
  • language

ASJC Scopus subject areas

  • Neuroscience(all)

Cite this

Hammer, R., Dingel, M., Ostergren, J., Partridge, B., McCormick, J., & Koenig, B. A. (2013). Addiction: Current Criticism of the Brain Disease Paradigm. AJOB Neuroscience, 4(3), 27-32. DOI: 10.1080/21507740.2013.796328

Addiction : Current Criticism of the Brain Disease Paradigm. / Hammer, Rachel; Dingel, Molly; Ostergren, Jenny; Partridge, Brad; McCormick, Jennifer; Koenig, Barbara A.

In: AJOB Neuroscience, Vol. 4, No. 3, 07.2013, p. 27-32.

Research output: Research - peer-reviewArticle

Hammer, R, Dingel, M, Ostergren, J, Partridge, B, McCormick, J & Koenig, BA 2013, 'Addiction: Current Criticism of the Brain Disease Paradigm' AJOB Neuroscience, vol 4, no. 3, pp. 27-32. DOI: 10.1080/21507740.2013.796328
Hammer R, Dingel M, Ostergren J, Partridge B, McCormick J, Koenig BA. Addiction: Current Criticism of the Brain Disease Paradigm. AJOB Neuroscience. 2013 Jul;4(3):27-32. Available from, DOI: 10.1080/21507740.2013.796328
Hammer, Rachel ; Dingel, Molly ; Ostergren, Jenny ; Partridge, Brad ; McCormick, Jennifer ; Koenig, Barbara A./ Addiction : Current Criticism of the Brain Disease Paradigm. In: AJOB Neuroscience. 2013 ; Vol. 4, No. 3. pp. 27-32
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