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Substance use disorders. Difficulties in diagnoses

S M Ross1, J N Chappel

  • 1Department of Psychiatry, University of Utah Health Sciences Center, Salt Lake City, USA.

The Psychiatric Clinics of North America
|January 16, 1999
PubMed
Summary
This summary is machine-generated.

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Individuals with substance use disorders often hide their drug or alcohol use to protect their self-esteem and avoid judgment. Ironically, they use substances to cope with negative feelings, yet also conceal this coping mechanism for similar reasons.

Area of Science:

  • Psychology
  • Addiction Studies
  • Behavioral Science

Background:

  • Substance use disorders are complex conditions involving physical and psychological dependence.
  • Patients often experience significant internal conflict regarding their substance use.

Observation:

  • Individuals consciously or unconsciously attempt to minimize or disguise their substance use.
  • Motivations include preserving self-respect, avoiding guilt and shame, and evading perceived criticism.

Findings:

  • There is an inherent irony in substance use behaviors.
  • Patients use substances to achieve positive experiences or escape negative ones.
  • The same motivations for use (coping, avoidance) also drive the concealment of the use itself.

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Implications:

  • Understanding these paradoxical behaviors is crucial for effective therapeutic interventions.
  • Addressing self-stigma and shame is a key component in addiction treatment.
  • Therapies should acknowledge and explore the dual nature of substance use and its concealment.