How to Deliver a More Persuasive Message Regarding Addiction as a Medical Disorder

J Addict Med. 2017 May/Jun;11(3):174-175. doi: 10.1097/ADM.0000000000000306.


: Many members of our field are frustrated that the public does not see addiction as a legitimate medical disorder which should be compassionately addressed as a health problem rather than a criminal justice problem. Although some attribute the disconnect to the public's lack of scientific knowledge or attachment to outdated moral views regarding substance use, this commentary suggests that the problem may well be our own messaging. We would be more persuasive if we acknowledged that addiction is different from most medical disorders because of its high negative externalities, and that this understandably makes the public more scared of and angry about addiction than they are about conditions like asthma, type II diabetes, and hypertension. Relatedly, because of the amount of violence and other crimes associated with addiction, we should acknowledge that the public's belief that law enforcement has an important role to play in responding to addiction has a rational basis.

Publication types

  • Research Support, U.S. Gov't, Non-P.H.S.
  • Editorial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Attitude to Health*
  • Behavior, Addictive / psychology*
  • Behavior, Addictive / therapy
  • Chronic Disease
  • Crime / psychology
  • Empathy
  • Health Education*
  • Humans
  • Patient Advocacy*
  • Professional Role*
  • Substance-Related Disorders / psychology*
  • Substance-Related Disorders / therapy
  • Violence / psychology