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    The document discusses the evolution of language used to describe alcohol and substance use disorders. Terms have shifted from referring to drunkenness and addiction to focusing on problematic use and person-centered recovery. Official classification systems also changed terminology from abuse and dependence to use disorders. There is now a movement toward behavioral health and recovery-oriented systems of care to better integrate treatment and support long-term recovery.

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    The document discusses the evolution of language used to describe alcohol and substance use disorders. Terms have shifted from referring to drunkenness and addiction to focusing on problematic use and person-centered recovery. Official classification systems also changed terminology from abuse and dependence to use disorders. There is now a movement toward behavioral health and recovery-oriented systems of care to better integrate treatment and support long-term recovery.

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    20 views12 pages

    2800-#1-The Language of Recovery

    Uploaded by

    mohdprof
    The document discusses the evolution of language used to describe alcohol and substance use disorders. Terms have shifted from referring to drunkenness and addiction to focusing on problematic use and person-centered recovery. Official classification systems also changed terminology from abuse and dependence to use disorders. There is now a movement toward behavioral health and recovery-oriented systems of care to better integrate treatment and support long-term recovery.

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    of 12

    The Language of Recovery

    Monica Joseph
    WHAT NAMES DO WE USE TO
    REFER TO A PERSON WHO IS SEEN
    AS DRINKING TOO MUCH?

    WHAT ABOUT A PERSON WHO IS


    USING DRUGS?
    LANGUAGE EVOLVES - Alcohol
    • Historically, alcoholism and addiction seen as two
    different phenomena
    • 1784 - Benjamin Rush refers to
    – “ardent spirits” and their habitual use as an “odious
    disease”
    • Prior to 18thC - al-kuhl (Arabic) – an eye cosmetic
    • By 18thC – essence or spirit, intoxicating ingredient
    • 1849 – Magnus Huss, Swedish MD – alcoholism,
    aloholic
    1850s-early 1900s
    • Intemperance
    • Barrel fever
    • Habitual drunkennes
    • Drunk, drunkard
    • Dipso (alcoholic) mania; dipsomanic (thirst frenzy)-
    binge drinking
    • Oino (wine)mania
    • Inebriety, inebriate
    • Liquor habit
    • Vice – victim of drink
    • By early 1900s - Professionals and public begin to
    use alcoholism, alcoholic
    • By 1930s – problem drinking & drinker
    • By 1934 – AA or Alcoholics Anonymous gave boost
    to the term – alcoholic
    • Abnormal drinking & drinker
    • By 1940, alcoholism & alcoholic used in scientific
    literature
    • E.M. Jellinek preferred
    – alcohol addiction, compulsive drinking, alcohol
    habituation
    – Identified 200 definitions of alcoholism (1960)
    • By 1957 – WHO – World Health Organization
    – Alcohol dependence or alcohol addiction or
    alcohol habituation
    • By 1967, Cooperative Commission on the
    Study of Alcoholism – problem drinker
    • Early 1970s – complaints that alcohol abuse
    was an “inherently nasty phrase”
    • Problematic alcohol use, alcohol misuse,
    deviant drinking, excessive drinking
    DRUGS OTHER THAN ALCOHOL
    • 19TH C – opium drunkenness
    • Morphinism, chloralism, narcotism –
    – ism means perpetual state of use
    • Morphinomania –
    – mania means rabid craving that incites periodic binges
    – Attempt to find a term for multiple drug choices
    • - inebriety, intoxicomania, drug habituation/abuse/
    dependence, substance abuse, chemical dependency,
    addictive behavior
    • - mixed cases, multiple/combined/alternating inebriety
    ADDICTION

    • Mid -1890s: Addicere (Latin) – to adore; to


    surrender self to a master
    • Addiction/addictee/addict – initially referring
    to drugs other than alcohol
    • Now also used to refer to alcohol
    • Has emerged in popular culture to mean any
    behavior that is excessive or repetitive
    ROSC-Recovery Oriented Systems of Care
    • Early 21st C, focus on moving away from
    objectifying and stigmatizing language
    • Now - First person language – person with
    • Movement from acute biopsychosocial
    stabilization to sustained recovery
    management, short & long-term recovery
    – Recovery homes/schools/industries/ministeries/
    community centers/community organizations
    • Recovered or Recovering remains an issue?
    Official Classification Systems
    • DSM –Diagnostic & Statistical Manual of
    Mental Disorders (APA) – Prior to 2013 -
    alcohol abuse, dependence, intoxication,
    substance induced disorders
    • ICD – International Classification of Diseases
    (WHO) has its own system - Disagreements
    with DSM
    • ICD 10 & DSM V attempts to resolve – Alcohol
    Use Disorders; Substance Use Disorders
    Behavioral Health Care
    • Significant relationships between substance use
    disorders and other mental health disorders
    • A subset of persons has both:
    – Co-ocurring Disorders (COD)
    • Move to unify the field – Behavioral Health – to
    facilitate prevention and treatment
    • Concern as to if this will affect addiction
    treatment negatively
    Summary
    • Confusion remains in the field around what is
    the language of recovery
    • Has moved from alcohol only and drug only
    language to a more integrative, person-
    centered framework
    • DSM V &ICD 10 seeking agreement in
    classifying alcohol and drug use disorders
    • Move to behavioral health and to a recovery-
    oriented systems of care

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