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Social psychologists have documented that feeling good about ourselves and maintaining positive self-esteem is a powerful motivator of human behavior (Tavris & Aronson, 2008). In the United States, members of the predominant culture typically think very highly of themselves and view themselves as good people who are above average on many desirable traits (Ehrlinger, Gilovich, & Ross, 2005). Often, our behavior, attitudes, and beliefs are affected when we experience a threat to our...
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Medications are typically administered to achieve therapeutic effects. Some drugs can modify an individual's mood and perception, frequently resulting in various enjoyable experiences. However, this can result in drug dependency, a condition marked by continuous drug use despite potential negative consequences. Drug dependency primarily falls into two categories: psychological and physical dependence. Psychological dependence occurs when the pleasurable feelings induced by the drug...
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Drug dependence, abuse, and addiction are complex phenomena that can precipitate various abnormal states. Physical dependence refers to a state of pharmacological adaptation to a drug. This adaptation often results in tolerance—a reduced response to the drug after repeated administrations. When the drug use is abruptly stopped, withdrawal symptoms occur due to the body's need to readjust from the pharmacologically induced imbalance. However, tolerance and withdrawal symptoms do not...
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Social psychologists have documented that feeling good about ourselves and maintaining positive self-esteem is a powerful motivator of human behavior (Tavris & Aronson, 2008). In the United States, members of the predominant culture typically think very highly of themselves and view themselves as good people who are above average on many desirable traits (Ehrlinger, Gilovich, & Ross, 2005). Often, our behavior, attitudes, and beliefs are affected when we experience a threat to our...
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People can go to great lengths to protect their self-image and present themselves in ways that they want others to see them. Sociologist Erving Goffman presented the idea that a person is like an actor on a stage. Calling his theory dramaturgy, Goffman believed that we use “impression management” to present ourselves to others as we hope to be perceived. Each situation is a new scene, and individuals perform different roles depending on who is present (Goffman, 1959). Think about...
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A Prediction Error-driven Retrieval Procedure for Destabilizing and Rewriting Maladaptive Reward Memories in Hazardous Drinkers
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Stigmata that are desired: Contradictions in addiction.

Michael M Vanyukov1

  • 1Departments of Pharmaceutical Sciences, Psychiatry, and Human Genetics, University of Pittsburgh, Pittsburgh PA, USA.

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Summary

Stigma surrounding substance use disorder (SUD) may hinder treatment. This analysis argues that societal disapproval of SUD, a brain disorder, is justifiable and could be leveraged for prevention, rather than being misconstrued as harmful stigma.

Keywords:
biologizationdisease modeldrug abuselegalizationliability to addictionsubstance use disorder

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Area of Science:

  • Addiction research
  • Mental health studies
  • Sociology of health

Background:

  • Stigma towards substance use disorder (SUD) and individuals with SUD is widely viewed as a barrier to effective treatment and recovery.
  • Existing literature suggests that addiction stigma negatively impacts individuals seeking and receiving professional care.
  • Calls to de-stigmatize substance use are common in research and policy discussions.

Purpose of the Study:

  • To critically analyze the concept of stigmatization as it is applied to substance use disorder.
  • To examine the societal disapproval of substance use and its relationship with the disorder being a mental illness.
  • To evaluate the utility and potential harm of the current conceptualization of stigmatization in SUD.

Main Methods:

  • Conceptual analysis of the stigmatization construct in the context of substance use disorder.
  • Literature review on the effects of stigma on individuals with SUD and societal attitudes.
  • Argumentative analysis of the conflation between mistreatment/malpractice and justified societal disapproval.

Main Results:

  • The current concept of stigmatization in SUD conflates justified societal disapproval of dangerous behavior with mistreatment or malpractice.
  • The stigmatization concept as applied to SUD is argued to be internally contradictory, misleading, or redundant.
  • Societal disapproval, when justified and applied conscientiously, may function as a prosocial mechanism for resistance to substance use.

Conclusions:

  • De-stigmatization efforts may be misdirected by conflating justified disapproval with harmful stigma.
  • The concept of stigmatization in SUD may be more detrimental than beneficial.
  • Leveraging justified societal disapproval, rather than mitigating it, could be a key strategy for substance use prevention and addiction recovery.