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The disease theory is often interpreted as implying that problem drinkers are incapable of returning to 'normal' problem free drinking, and therefore that treatment should focus on total abstinence. Some critics have used evidence of controlled drinking in formerly dependent drinkers to dispute the disease theory of alcoholism. [30]
The disease model of addiction describes an addiction as a disease with genetic, biological, neurological or environmental origin. [1] The traditional medical model of disease requires only an abnormal condition causing distress, discomfort or dysfunction to an affected individual.
According to the new disease model, rather than being a disease in the conventional sense, addiction is a disease of choice. That is, it is a disorder of the parts of the brain necessary to make proper decisions. As one becomes addicted to cocaine, the ventral tegmentum nucleus accumbens in the brain is the organ. [5]
The book is critical of the standard model of treating addiction as a disease. Instead, Lewis encourages the control or elimination of substance use and binge-eating disorders through self-sustaining personal empowerment and an understanding of the psychology and neurobiology of addiction.
Peele maintains that, depending on the person, abstinence or moderation are valid approaches to treat excessive drinking. In a Psychology Today article which compared the Life Process Program with the disease model, [12] he also argues against the theory proposed decades ago by modern physicians, mental health professionals, research scientists, etc. that addiction is a disease. [13]
The disease model of addiction has long contended the maladaptive patterns of alcohol and substance use displays addicted individuals are the result of a lifelong disease that is biological in origin and exacerbated by environmental contingencies. This conceptualization renders the individual essentially powerless over his or her problematic ...
Neither Suboxone nor methadone is a miracle cure. They buy addicts time to fix their lives, seek out counseling and allow their brains to heal. Doctors recommend tapering off the medication only with the greatest of caution. The process can take years given that addiction is a chronic disease and effective therapy can be a long, grueling affair.
The eventual outcome of his study was the 1942 book, Alcohol Addiction and Chronic Alcoholism. From 1941 to 1952, he was Associate Professor of Applied Physiology at Yale University. In 1941 he was managing editor of the newly established Quarterly Journal of Studies on Alcohol (now the Journal of Studies on Alcohol and Drugs). [3]