Addiction: Current Criticism of the Brain Disease Paradigm.
Addiction: Current Criticism of the Brain Disease Paradigm.
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成瘾：当前对脑疾病范式的批评。
DOI：
10.1080/21507740.2013.796328
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发表时间：
2013
影响因子：
--
通讯作者：
Koenig,BarbaraA
中科院分区：
文献类型：
--
作者：
Hammer,Rachel;Dingel,Molly;Ostergren,Jenny;Partridge,Brad;McCormick,Jennifer;Koenig,BarbaraA
为了加深对将成瘾视为一种“脑部疾病”的理解，我们回顾了对疾病模型的关键评估，并结合对(1)成瘾治疗患者和(2)成瘾科学家的深度半结构化利益相关者访谈的回应。63名患者（来自中西部5个酒精和/或尼古丁治疗中心）和20名成瘾科学家（代表遗传、分子、行为和流行病学研究）被要求描述他们对成瘾的理解，包括他们是否认为成瘾是一种疾病。为了检查NIDA脑疾病范式，我们的方法包括对当前文献批评的回顾，并由关键利益相关者的声音加强。许多人认为，将成瘾视为一种疾病将提高治疗效果，并减轻道德耻辱感。我们的结论是，将成瘾定性为一种疾病是没有必要的，而且可能是有害的。
To deepen understanding of efforts to consider addiction a “brain disease,” we review critical appraisals of the disease model in conjunction with responses from in-depth semistructured stakeholder interviews with (1) patients in treatment for addiction and (2) addiction scientists. Sixty-three patients (from five alcohol and/or nicotine treatment centers in the Midwest) and 20 addiction scientists (representing genetic, molecular, behavioral, and epidemiologic research) were asked to describe their understanding of addiction, including whether they considered addiction to be a disease. To examine the NIDA brain disease paradigm, our approach includes a review of current criticism from the literature, enhanced by the voices of key stakeholders. Many argue that framing addiction as a disease will enhance therapeutic outcomes and allay moral stigma. We conclude that it is not necessary, and may be harmful, to frame addiction as a disease.