Addiction Named Brain Disease by Addiction Medicine Group

Joseph A. Califano, Jr., chairman and president of the National Center on Addiction and Substance Abuse, discusses a new report about the use of controlled prescription drugs in the U.S. during a news conference on July 7, 2005, at the National Press Club in Washington. (UPI Photo/Roger L. Wollenberg)

Addiction is a disease, according to American Society of Addiction Medicine (ASAM) and reported by the Los Angeles Times. The group adopted a statement that said, “Addiction is a primary, chronic disease of brain reward, motivation, memory and related circuitry.”

The paper reported that drafting the statement took four years and the input of dozens of addiction experts as well as the National Institute on Drug Abuse. The Associated Press reported that the American Society of Addiction Medicine took this step to make it easier for addicted people to get treatment and medical professionals to provide it.

Addiction is typically discussed in terms of behavior; this new definition doesn’t change that; however it does focus the treatment of addiction within the context of providing long-term care with an eye toward managing the condition instead of curing it. The British Daily Mail quoted Dr Michael M. Miller saying,  “Addiction is about a lot more than people behaving badly.” Addiction can include alcoholism, drug abuse, gambling or compulsive eating.

The Toronto Sun reported that Miller also said, "At its core, addiction isn't just a social problem or a moral problem or a criminal problem. It's about underlying neurology, not outward actions."

The Associated Press quoted Dr. Nora Volkow, director of the National Institute on Drug Abuse as saying, "The behavioral problem is a result of brain dysfunction.” She added, “You have family members that say, 'OK, you've been to a detox program, how come you're taking drugs? The pathology in the brain persists for years after you've stopped taking the drug." The Associated Press also reported that risk factors for addiction include genetics and age. Miller said, according to the Associated Press, that this definition of addiction will "hopefully reduce some of the shame about some of these issues, hopefully reduce stigma.” "The disease creates distortions in thinking, feelings and perceptions, which drive people to behave in ways that are not understandable to others around them. Simply put, addiction is not a choice,” said Dr. Raju Hajela, chair of the committee put together by ASAM, reported the Toronto Sun.
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