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[Is the term "dependence" appropriate?]

P Pavlovský1

  • 1Psychiatrická klinika 1, LF UK Praha.

Ceska a Slovenska Psychiatrie
|May 1, 1996
PubMed
Summary
This summary is machine-generated.

The term "dependence" is currently limited to substance-related disorders in medical classifications. The author advises against using "dependence not related to a substance" to avoid pathologizing everyday activities.

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Area of Science:

  • Psychiatry
  • Psychopathology
  • Behavioral Science

Background:

  • The International Classification of Diseases-10 (ICD-10) defines dependence strictly in relation to substance use disorders and dependent personality disorder.
  • The term 'dependence' is increasingly used in popular and professional literature to describe non-substance-related behaviors like gambling, work, and hobbies.

Purpose of the Study:

  • To analyze the current medical and societal use of the term 'dependence'.
  • To evaluate whether non-substance-related 'dependence' constitutes a psychopathological symptom or an extension of normal behavior.
  • To recommend appropriate terminology to prevent the over-medicalization of common activities.

Main Methods:

  • Literature review of medical classifications and professional publications.

Related Experiment Videos

  • Analysis of the conceptualization of 'dependence' in various contexts.
  • Discussion of the implications of applying psychiatric terminology to common behaviors.

    • Main Results:

    • The ICD-10 does not recognize or define 'dependence' outside of substance-related contexts.
    • Non-substance-related 'dependence' is frequently discussed in media and professional literature, often referring to intense engagement in activities.
    • From a medical perspective, these phenomena are viewed as potentially falling within an extended range of normal behavior rather than distinct psychopathological symptoms.

    Conclusions:

    • The author recommends discontinuing the use of the term 'dependence not related to a substance'.
    • Avoiding this term can prevent the unnecessary psychiatrization of common, albeit intense, daily activities.
    • Maintaining clear diagnostic boundaries is crucial in psychiatric practice.