Skip to main content
Log in

Considerations for substance-use disorder language: cultivating a shift from ‘addicts in recovery’ to ‘people who thrive’

  • Viewpoint
  • Published:
Journal of Public Health Policy Aims and scope Submit manuscript

Abstract

As conceptualizations of substance-use disorders (SUDs) have changed, so too has the language used to describe these shifting views. Numerous words and phrases have fallen in and out of vogue as understandings of SUD etiology and treatment have emerged, then receded. In the United States, an historical language persists among health professionals and in society. We consider the role language plays in the SUD treatment field and how the language and concepts the words convey keep individuals from growing through and past the SUD. We argue that a new understanding calls for a shift in language among providers of SUD care in which the culture of SUD treatment begins to emphasize ‘thriving’ rather than ‘recovery’ from SUDs.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 5th ed. Arlington: American Psychiatric Association; 2013.

    Book  Google Scholar 

  2. National Drug Intelligence Center. National threat assessment: the economic impact of illicit drug use on American society. 2011. https://www.whitehouse.gov/sites/default/files/ondcp/Fact_Sheets/effects_of_drugs_on_economy_jw_5-24-11_0.pdf. Accessed 11 Nov 2017.

  3. National Institute on Drug Abuse. Trends and statistics. 2014. http://www.drugabuse.gov/related-topics/trends-statistics. Accessed 8 Apr 2018.

  4. Centers for Disease Control and Prevention. Understanding the epidemic. 2017. https://www.cdc.gov/drugoverdose/epidemic/index.html. Accessed 10 Nov 2017.

  5. U.S. Department of Health and Human Services. Federal response. 2017. https://www.hhs.gov/opioids/about-the-epidemic/index.html#response. Accessed 10 Nov 2017.

  6. American Public Health Association. Defining and implementing a public health response to drug use and misuse. 2013. https://www.apha.org/policies-and-advocacy/public-health-policy-statements/policy-daabase/2014/07/08/08/04/defining-and-implementing-a-public-health-response-to-drug-use-and-misuse. Accessed 25 Mar 2018.

  7. Stevens P, Smith RL. Substance abuse counseling: theory and practice. 6th ed. Boston: Pearson; 2013.

    Google Scholar 

  8. Botticelli MP, Koh HK. Changing the language of addiction. J Am Med Assoc. 2016;316(13):1361–2.

    Article  Google Scholar 

  9. Kelly JF, Saitz R, Wakeman S. Language, substance use disorders, and policy: the need to reach consensus on an “addiction-ary”. Alcohol Treat Q. 2016;24(1):116–23.

    Article  Google Scholar 

  10. Mellor D, Carn L, Shen Y-C, McCabe M, Wang L. Stigma toward mental illness: a cross-cultural comparison of Taiwanese, Chinese immigrants to Australia and Anglo-Australians. J Cross Cult Psychol. 2012;44(3):352–64.

    Article  Google Scholar 

  11. The Global Commission on Drug Policy. The world drug problem: countering prejudices about people who use drugs. 2017. http://www.globalcommissionondrugs.org/wp-content/uploads/2018/01/GCDP-Report-2017_Perceptions-ENGLISH.pdf. Accessed 12 Mar 2018.

  12. Rasinski K, Woll P, Cooke A. Stigma and substance use disorders. In: Corrigan PW, editor. On the stigma of mental illness: practical strategies for research and social change. Washington: American Psychological Association; 2005. p. 219–36.

    Chapter  Google Scholar 

  13. Richter L, Foster SE. Effectively addressing addiction requires changing the language of addiction. J Public Health Policy. 2014;35(1):60–4.

    Article  Google Scholar 

  14. Corrigan PW, Kosyluk KA. Mental illness stigma: types, constructs, and vehicles for change. In: Corrigan PW, editor. The stigma of disease and disability: understanding causes and overcoming injustices. Washington: American Psychological Association; 2014. p. 35–56.

    Chapter  Google Scholar 

  15. Brener L, von Hippel W, von Hippel C, Resnick I, Treloar C. Perceptions of discriminatory treatment by staff as predictors of drug treatment completion: utility of a mixed methods approach. Drug Alcohol Rev. 2010;29(5):491–7.

    Article  Google Scholar 

  16. Adams-Westcott J, Dafforn T, Sterne P. Escaping victim life stories and co-constructing personal agency. In: Gilligan S, Price R, editors. Therapeutic conversations. New York: Norton; 1993. p. 258–71.

    Google Scholar 

  17. Otasuke K, Glick MJ, Gray MA, Reynolds DJ, Humphreys CL, Salvi L, Stiles W. Assimilation and narrative: stories as meaning bridges. In: Angus LE, McLeod J, editors. The handbook of narrative and psychotherapy: practice, theory, and research. Thousand Oaks: Sage; 2004. p. 193–210.

    Google Scholar 

  18. Freedman J, Combs G. Narrative therapy: the social construction of preferred realities. New York: W.W. Norton & Co.; 1996.

    Google Scholar 

  19. Benson PL, Scales PC. The definition and preliminary measurement of thriving in adolescence. J Posit Psychol. 2009;4(1):85–104.

    Article  Google Scholar 

  20. Feeney BC, Collins NL. A new look at social support: a theoretical perspective on thriving through relationships. Pers Soc Psychol Rev. 2015;19(2):113–47.

    Article  Google Scholar 

  21. Baltes PB, Freund AM. Human strengths as the orchestration of wisdom and selective optimization with compensation. In: Aspinwall LG, Staudinger UM, editors. A psychology of human strengths: fundamental questions and future directions for a positive psychology. Washington: American Psychological Association; 2003. p. 23–35.

    Chapter  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Justin Spiehs.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Spiehs, J., Conner, S. Considerations for substance-use disorder language: cultivating a shift from ‘addicts in recovery’ to ‘people who thrive’. J Public Health Pol 39, 372–378 (2018). https://doi.org/10.1057/s41271-018-0127-y

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1057/s41271-018-0127-y

Keywords

Navigation