{"id":12261,"date":"2024-09-03T07:00:09","date_gmt":"2024-09-03T07:00:09","guid":{"rendered":"https:\/\/medexperts.pro\/?p=12261"},"modified":"2024-09-03T07:25:25","modified_gmt":"2024-09-03T07:25:25","slug":"rethinking-addiction-as-a-chronic-brain-disease","status":"publish","type":"post","link":"https:\/\/medexperts.pro\/?p=12261","title":{"rendered":"Rethinking Addiction as a Chronic Brain Disease"},"content":{"rendered":"<div><\/div>\n<p id=\"article-summary\" class=\"css-79rysd e1wiw3jv0\">Some researchers argue that the roles of social environment and personal choice have to be considered in order to make progress in treating people addicted to drugs.<\/p>\n<section class=\"meteredContent css-1r7ky0e\">\n<div class=\"css-s99gbd StoryBodyCompanionColumn\" data-testid=\"companionColumn-0\">\n<div class=\"css-53u6y8\">\n<p class=\"css-at9mc1 evys1bk0\">The message emblazoned on a walkway window at the airport in Burlington, Vt., is a startling departure from the usual tourism posters and welcome banners:<\/p>\n<p class=\"css-at9mc1 evys1bk0\">\u201cAddiction is not a choice. It\u2019s a disease that can happen to anyone.\u201d<\/p>\n<p class=\"css-at9mc1 evys1bk0\">The statement is part of a public service campaign in yet another community assailed by drug use, intended to reduce stigma and encourage treatment.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">For decades, medical science has classified addiction as a chronic brain disease, but the concept has always been something of a hard sell to a skeptical public. That is because, unlike diseases such as Alzheimer\u2019s or bone cancer or Covid, personal choice does play a role, both in starting and ending drug use. The idea that those who use drugs are themselves at fault has recently been gaining fresh traction, driving efforts to toughen <a class=\"css-yywogo\" href=\"https:\/\/www.nytimes.com\/2024\/07\/23\/us\/california-crime-punishment-jail.html\" title>criminal penalties for drug possession<\/a> and to <a class=\"css-yywogo\" href=\"https:\/\/filtermag.org\/harm-reduction-programs-under-siege\/\" title rel=\"noopener noreferrer\" target=\"_blank\">cut funding<\/a> for syringe-exchange programs.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">But now, even some in the <a class=\"css-yywogo\" href=\"https:\/\/www.sunshinecoasthealthcentre.ca\/strengths-and-limitations-of-the-brain-disease-model-of-addiction\/\" title rel=\"noopener noreferrer\" target=\"_blank\">treatment<\/a> and scientific communities have been rethinking the label of chronic brain disease.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">In July, behavior researchers published a critique of the classification, which they said could be counterproductive for patients and families.<\/p>\n<\/div>\n<\/div>\n<div data-testid=\"Dropzone-1\"><\/div>\n<div class=\"css-s99gbd StoryBodyCompanionColumn\" data-testid=\"companionColumn-1\">\n<div class=\"css-53u6y8\">\n<p class=\"css-at9mc1 evys1bk0\">\u201cI don\u2019t think it helps to tell people they are chronically diseased and therefore incapable of change. Then what hope do we have?\u201d said <a class=\"css-yywogo\" href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/36108442\/\" title rel=\"noopener noreferrer\" target=\"_blank\">Kirsten E. Smith<\/a>, an assistant professor of psychiatry and behavioral sciences at Johns Hopkins School of Medicine and a co-author of the paper, published in the journal <a class=\"css-yywogo\" href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/38990313\/\" title rel=\"noopener noreferrer\" target=\"_blank\">Psychopharmacology<\/a>. \u201cThe brain is highly dynamic, as is our environment.\u201d<\/p>\n<p class=\"css-at9mc1 evys1bk0\">The recent scientific criticisms are driven by an ominous urgency: Despite addiction\u2019s longstanding classification as a disease, the deadly public health disaster has only worsened.<\/p>\n<div class=\"css-1336jj\">\n<div class=\"css-121kum4\">\n<div class=\"css-171d1bw\"><\/div>\n<div class=\"css-asuuk5\">\n<div class=\"css-7axq9l\" data-testid=\"optimistic-truncator-noscript\">\n<div data-testid=\"optimistic-truncator-noscript-message\" class=\"css-6yo1no\">\n<p class=\"css-3kpklk\">We are having trouble retrieving the article content.<\/p>\n<p class=\"css-3kpklk\">Please enable JavaScript in your browser settings.<\/p>\n<\/div>\n<\/div>\n<div class=\"css-1dv1kvn\" id=\"optimistic-truncator-a11y\">\n<hr \/>\n<p>Thank you for your patience while we verify access. If you are in Reader mode please exit and\u00a0<a href=\"https:\/\/myaccount.nytimes.com\/auth\/login?response_type=cookie&amp;client_id=vi&amp;redirect_uri=https%3A%2F%2Fwww.nytimes.com%2F2024%2F09%2F03%2Fhealth%2Faddiction-disease-choice.html&amp;asset=opttrunc\">log into<\/a>\u00a0your Times account, or\u00a0<a href=\"https:\/\/www.nytimes.com\/subscription?campaignId=89WYR&amp;redirect_uri=https%3A%2F%2Fwww.nytimes.com%2F2024%2F09%2F03%2Fhealth%2Faddiction-disease-choice.html\">subscribe<\/a>\u00a0for all of The Times.<\/p>\n<hr \/>\n<\/div>\n<div class=\"css-1g71tqy\">\n<div data-testid=\"optimistic-truncator-message\" class=\"css-6yo1no\">\n<p class=\"css-3kpklk\">Thank you for your patience while we verify access.<\/p>\n<p class=\"css-3kpklk\">Already a subscriber?\u00a0<a data-testid=\"log-in-link\" class=\"css-z5ryv4\" href=\"https:\/\/myaccount.nytimes.com\/auth\/login?response_type=cookie&amp;client_id=vi&amp;redirect_uri=https%3A%2F%2Fwww.nytimes.com%2F2024%2F09%2F03%2Fhealth%2Faddiction-disease-choice.html&amp;asset=opttrunc\">Log in<\/a>.<\/p>\n<p class=\"css-3kpklk\">Want all of The Times?\u00a0<a data-testid=\"subscribe-link\" class=\"css-z5ryv4\" href=\"https:\/\/www.nytimes.com\/subscription?campaignId=89WYR&amp;redirect_uri=https%3A%2F%2Fwww.nytimes.com%2F2024%2F09%2F03%2Fhealth%2Faddiction-disease-choice.html\">Subscribe<\/a>.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/section>\n","protected":false},"excerpt":{"rendered":"<p>Some researchers argue that the roles of social environment and personal choice have to be considered in order to make progress in treating people addicted to drugs.The message emblazoned on a walkway window at the airport in Burlington, Vt., is a startling departure from the usual tourism posters and welcome banners:\u201cAddiction is not a choice. It\u2019s a disease that can happen to anyone.\u201dThe statement is part of a public service campaign in yet another community assailed by drug use, intended to reduce stigma and encourage treatment.For decades, medical science has classified addiction as a chronic brain disease, but the concept has always been something of a hard sell to a skeptical public. That is because, unlike diseases such as Alzheimer\u2019s or bone cancer or Covid, personal choice does play a role, both in starting and ending drug use. The idea that those who use drugs are themselves at fault has recently been gaining fresh traction, driving efforts to toughen criminal penalties for drug possession and to cut funding for syringe-exchange programs.But now, even some in the treatment and scientific communities have been rethinking the label of chronic brain disease.In July, behavior researchers published a critique of the classification, which they said could be counterproductive for patients and families.\u201cI don\u2019t think it helps to tell people they are chronically diseased and therefore incapable of change. Then what hope do we have?\u201d said Kirsten E. Smith, an assistant professor of psychiatry and behavioral sciences at Johns Hopkins School of Medicine and a co-author of the paper, published in the journal Psychopharmacology. \u201cThe brain is highly dynamic, as is our environment.\u201dThe recent scientific criticisms are driven by an ominous urgency: Despite addiction\u2019s longstanding classification as a disease, the deadly public health disaster has only worsened.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and\u00a0log into\u00a0your Times account, or\u00a0subscribe\u00a0for all of The Times.Thank you for your patience while we verify access.Already a subscriber?\u00a0Log in.Want all of The Times?\u00a0Subscribe.<\/p>\n","protected":false},"author":1,"featured_media":12263,"comment_status":"close","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[4],"tags":[],"class_list":["post-12261","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-lifestyle"],"_links":{"self":[{"href":"https:\/\/medexperts.pro\/index.php?rest_route=\/wp\/v2\/posts\/12261","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medexperts.pro\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medexperts.pro\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medexperts.pro\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/medexperts.pro\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=12261"}],"version-history":[{"count":2,"href":"https:\/\/medexperts.pro\/index.php?rest_route=\/wp\/v2\/posts\/12261\/revisions"}],"predecessor-version":[{"id":12264,"href":"https:\/\/medexperts.pro\/index.php?rest_route=\/wp\/v2\/posts\/12261\/revisions\/12264"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medexperts.pro\/index.php?rest_route=\/wp\/v2\/media\/12263"}],"wp:attachment":[{"href":"https:\/\/medexperts.pro\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=12261"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medexperts.pro\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=12261"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medexperts.pro\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=12261"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}