Journal of Addiction and Dependence
Physician Understanding and Treatment of Addiction: Have ‘Pseudoaddiction’ and ‘Self-medication’ led us astray?
- IU Neuroscience Center, Indiana University School of Medicine, Indianapolis, USA
- Center for Health Policy, Richard M. Fairbanks School of Public Health, Indiana University-Purdue University Indianapolis (IUPUI)
R. Andrew Chambers, MD, Associate Professor of Psychiatry, Director, Addiction Psychiatry Training Program, Director, Laboratory for Translational Neuroscience of Dual Diagnosis & Development, IU Neuroscience Center, Indiana University School of Medicine, Suite 314, 320 West 15th Street, Indianapolis, IN, 46202, Tel: 317 278 1716; E-mail: firstname.lastname@example.org
Chambers, R.A., et al. Physician Understanding and Treatment of Addiction: Have ‘Pseudoaddiction’ and ‘Self-Medication’ led us astray? (2016) J Addict Depend 2(3): 1- 4.
© 2016 Chambers, R.A. This is an Open access article distributed under the terms of Creative Commons Attribution 4.0 International License
KeywordsPseudoaddiction; Self-Medication; Addiction
U.S. healthcare and psychiatry in particular, lack trained professional workforce, physical infrastructure, and financial support via insurance coverage needed to adequately support addiction treatment. Concepts of ‘pseudoaddiction’ and ‘self-medication’, influential among physicians who treat pain and/or mental illness, frame drug use as being therapeutically beneficial, which is different from, and even opposite to, how drug use is understood in the disease model of addiction. Over-emphasis on the closely-related concepts of ‘Pseudoaddiction’ and ‘self-medication’, especially in regard to patients who suffer addiction at high rates, may have contributed to a medical- psychiatric culture that has been slow to taking clinical responsibility for diagnosing, preventing, and treating addiction as a disease of major public health importance.