Why it's wrong to call addiction a disease | Marc Lewis

Apart from being scientifically baseless, the disease model undermines hope, fails to end stigma and doesn't always get addicts the help they need

Is addiction a disease? Most people think so. The idea has become entrenched in our news media, our treatment facilities, our courts and in the hearts and minds of addicts themselves. It's a potent concept: if you're an alcoholic or a drug addict, then you're ill. And you're going to remain ill. According to Nora Volkow, head of the National Institute on Drug Abuse, "addiction is a chronic, relapsing brain disease," and that definition has been adopted by medical researchers and policy makers everywhere.

Two huge benefits of the disease concept are frequently touted by Volkow and others. First, addicts need treatment, and if we don't define addiction as a disease, they won't get the help they require. Second, addicts don't deserve to be scorned or denigrated: they have a disease, and we don't put people down for being sick.