What is the Disease Model of Addiction?
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- เผยแพร่เมื่อ 1 มิ.ย. 2024
- This video describes the disease model of addiction. The disease model of addiction states that changes in the brain due to substance use greatly compromise an individual’s ability to stop using drugs or alcohol. This model treats substance use disorders more like a medical condition as opposed to a “decision to stop using.” Some other models of addiction more heavily weight the role of accountability, responsibility, and motivation in the recovery from substance use disorders. Many of the models offer something of value to the discussion of addiction treatment, however, it is my opinion that the disease model is currently the most useful model of addiction available.
I am grateful for your channel, you have no idea just how much you have helped me make it through my classes. You are great, a lifesaver and very knowledgeable.
Thank you so much!
Please do more addiction videos, this was excellent! So fair honest and as accurate as current times can explain this phenomenon both with science and psychology.
Don't know where else to write this so here goes. I would appreciate if you could make a video on dealing with dissociative symptoms/disorders in a clinical setting but also ways that people can deal with their symptoms. Thanks.
Thank you for the video idea. I hope to produce a few videos on dissociation soon. Here is one I released a few days ago on DID: th-cam.com/video/bdikSAp4yqk/w-d-xo.html
Dr Grande could you please make a video talking about 12 step programs and their efficacy. There was a cochrane review recently about AA and alcohol use disorder. Thanks.
I am a licensed clinical social worker who has worked with many clients with substance abuse issues. The disease model does not account for the majority of people who reduce and cease substances on their own. Most of the clients I work with do not understand and do not accept the notion that their drug use constitutes a "disease."
Thanks for commenting - the disease model certainly has its shortcomings, however, I would assert that it is reasonable to interpret the evidence as mostly supportive of the model. It does not apply to all instances of substance use disorder. Also, I would distinguish between drug use and severe substance use disorder. Here is a good summary of the opposing viewpoints: www.ncbi.nlm.nih.gov/pmc/articles/PMC4556943/
BC Blue read what I wrote above...maybe you can have some better understanding...😜
I am a recovering alcoholic of 14 years sobriety and for me there is no conflict between the disease model and my own experience. It should be remembered it is only a model that does not seek to explain every individual case and the degree to which "control" over one's behaviour is lost is not absolute and changes with time/circumstance.....reaching "bottom" etc. It also does not allow abdication of personal responsibility, particularly when the individual understands his/her addiction. What is of enormous interest for me and seems little information in the research literature is what gives the impetus to the addicted individual to go into recovery and what maintains them in that recovery. I am ever grateful that I reached that place (never been happier than in sobriety) but cannot explain rationally how it happened after 40 years of increasingly destructive alcohol use.
"Where's the personal accountability?" My gosh! Where is even a rudimentary grasp of neurology before others rush to moral judgement?! 🤯
Further, I was wondering if you _personally_ see a clinical distinction between people who become habituated to medication when prescribed for acute, or especially, chronic conditions and used as per medical advice - as opposed to those who, for whatever reason (I suspect often deep psychological pain stemming from childhood abuse etc) start to use heavy drugs such as opioids "recreationally" then find themselves in a spiral of addiction, loss of employment & ultimately, a life of crime to finance that addiction?
Also - how do you think the current harshly punitive legislative trends in countries such as the United States are likely to impact those in *either* situation? My suspicion is: "Adversely at best" but then, I'm only a Criminology student...
I would really appreciate any insight as to how Mental Health professionals from your country tend to feel about these new & arguably scientifically illiterate, reactionary laws.
I'd wanted to ask about the phenomenon of methamphetamine abuse/addiction too, however that probably deserves a video of its own, to be fair!
Thanks : )
Can you analyze the 12 step program Alcoholics Anonymous? Is it toxic?
The solution for addiction is the same whether it is a disease or a mental disorder. Classifying it as a disease does make treating addiction a more profitable endeavor due to all that insurance money.
I’m a little lost on you saying your a Dr...Our greatest medical breakthrough was finding and identifying disease and how it works...Disease is a one way street...A disease is an abnormality within our bodies and has progression to worsen ones health An esp life and death...and the key to finding disease was to follow and observe the abnormality and what it does to people, not follow people and see what they do with the abnormality...people’s behaviors and actions do not and cannot play any part in a disease classification...we woulda never found disease and how it works by following people...it’s all about the abnormality...Addictions abnormality lies within the uncontrolled brain changes that occur, An has great progression to worsen....Addiction is the mothership, and works the same no matter what the addiction is....substance is just a type, as anything else would be a type too....and there’s a lot of confusion as when theees any talk about addiction, cause substance is always brought up an we all grew up being told about addiction and people who used drugs get addicted....even though we also been told you can get addicted to anything...so people like to say, it’s not a disease it’s a choice cause they knew what would happen...first of all, we already know not everyone who uses any drug/meds for any length of time, will develop addiction...substance addiction is just more popular....there’s more people with food addiction....So, addiction needs to be talked about by itself without mentioning any type...as there is no guaranteed root by choosing to do something that one will develop addiction.. no one chooses the brain changes that occur, that coulda already changed way before the present addiction was even started...then there’s the, if you can stop drinking or drugging, it’s not a disease cause you can’t quit a disease....and how right they are, but being able to stop drinking, does not take away from addiction working as a disease...addictions brain changes will still be an abnormality an addiction does not loose its progression....which of course like you said, some are way severe than others....the abuse, when you do stop the cycle, no matter what the addiction is, the unhealthy abuse is the symptom of addiction, An when you break it, you are treating that symptom An getting control back, An as time goes on, the brain changes can return to normal...some are sicker than others, so normality brain function will differ with people... when someone don’t understand how addiction is a disease, they also don’t understand disease....they try to use people’s actions or behaviors An say that why it’s not a disease....people don’t realize, we don’t influence on whether something is a disease or not...we can’t...disease works one way, an it’s all about the abnormality...addiction works as a disease, the only Logical argument would be to say, addictions not in the body, it’s not an abnormality and it doesn’t have progression.... then the people who say cancer is the real disease, not addiction...well, once again, disease is a one way street...cancer is a disease because it’s an abnormality within our bodies and has progression to worsen....so not only do addiction and disease work the same as diseases definition, they also work the same as cancer wrecks havoc on blood work and addiction wrecks havoc on the brains rewiring......someone came along one day An said oh, they just say it’s a disease cause they want to keep using an you to feel bad...so people think that’s the disease barrier, choice or disease, An that’s where they stay stuck...to think a persons choice makes or breaks disease.....they don’t stop An think, as they wanna control how addiction An disease works to their own liking...not everyone one is gonna make it from the grips of any addiction... but we got treatment centers an hospitals An Drs and nurses doing extra schooling to get certified in the field of addiction...we will always continue to treat the disease, we’ve never forgot how disease works and how to classify ...be well...😜
Calling it a disease makes it sound like something anyone could catch. This may not be the intention, but its the effect. Further, it means we can't blame uncle Fred, cousin Joe or others for their drinking and drugging or presumably for whatever they do to get their fix or whatever they while on their drug(s) of choice.
I haven't known many drug users, but I've known a lot of alcoholics. One thing they all have is an excuse. This is just one more.
To clarify what I said in my opening statement: if you NEVER drink, you CANNOT become an alcoholic. If you never do any drugs, you cannot become addicted to drugs.
Name some OTHER disease that is something you repeatedly do to yourself? I can't think of one. Addiction is not a disease. You can't catch it.
Getting cancer and becoming addicted to an illicit drug are two different things. "people dont ask for the condition"..... In the case of cancer that is true. As to drug and alcolhol addiction - I disagree with this man. When you first pick up that illicit drug you know it can be highly additive yet you make a conscious choice to use it anyway. That is asking for the addiction and is within someones will power and moral choice and responsiblity.
This garbage has to stop! We have to stop medicalising social problems, your causing a lot of harm with this nonsense...