Skip to main content

The Stigma of Addiction in the Medical Community

  • Chapter
  • First Online:
The Stigma of Addiction

Abstract

The medical community has worse attitudes toward individuals with substance use disorders (SUDs), whom they frequently treat, than toward individuals with other medical or psychiatric conditions. This is concerning, as when clinicians have negative attitudes toward these patients, quality of care declines substantially. There are many reasons for these negative attitudes toward individuals with SUDs, including clinicians’ lack of exposure to individuals in recovery, lack of time and resources to adequately care for patients with SUDs, poor role models and mentorship, and perception of substance misuse as a moral failing. There are a number of potential strategies to improve this stigma. Efforts should be made to increase awareness of negative attitudes, provide forums to discuss common attitudes, continue to increase and improve addiction treatment options, and intervene at all levels of professional development.

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

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 64.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 84.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Anderson DJ. The hidden curriculum. Am J Roent. 1992;159:21–2.

    Article  CAS  Google Scholar 

  2. Avery J, Barnhill J. Co-occurring mental illness and substance use disorders: a guide to diagnosis and treatment. Arlington, VA: American Psychiatric Publishing; 2017.

    Google Scholar 

  3. Avery J, Dixon L, Adler D, et al. Psychiatrists’ attitudes toward individuals with substance use disorders and serious mental illness. J Dual Diagn. 2013;9(4):322–6.

    Article  Google Scholar 

  4. Avery J, Han BH, Zerbo E, et al. Changes in psychiatry residents’ attitudes towards individuals with substance use disorders over the course of residency training. Am J Addict. 2017;26(1):75–9.

    Article  Google Scholar 

  5. Avery J, Zerbo E, Ross S. Improving psychiatrists’ attitudes towards individuals with psychotic disorders and co-occurring substance use disorders. Acad Psychiatry. 2016;40(3):520–2.

    Article  Google Scholar 

  6. Avery J, Zerbo E. Improving psychiatry residents’ attitudes toward individuals diagnosed with substance use disorders. Harv Rev Psychiatry. 2015;23(4):296–300.

    Article  Google Scholar 

  7. Ballon BC, Skinner W. “Attitude is a little thing that makes a big difference”: reflection techniques for addiction psychiatry training. Acad Psychiatry. 2008;32(3):218–24.

    Article  Google Scholar 

  8. Buchsbaum DG, Buchanan RG, Poses RM, et al. Physician detection of drinking problems in patients attending a general medicine practice. J Gen Intern Med. 1992;7:517–21.

    Article  CAS  Google Scholar 

  9. Capurso NA, Shorter DI. Changing attitudes in graduate medical education: a commentary on attitudes towards substance use and Schizophrenia by Avery et al. Am J Addict. 2017;26(1):83–6.

    Article  Google Scholar 

  10. Center for Behavioral Health Statistics and Quality. Key substance use and mental health indicators in the United States: Results from the 2015 national survey on drug use and health. No. SMA 16-4984, NSDUH Ser H-51. 2016;7(1):877–726.

    Google Scholar 

  11. D’Onofrio GD, Nadel E, Degutis L, et al. Improving emergency medicine residents’ approach to patients with alcohol problems: a controlled educational trial. Annals of Emergency Medicine. 2002;40(1):50–62.

    Article  Google Scholar 

  12. Friedman PD, McCullough D, Saitz R. Screening and intervention for illicit drug abuse: a national survey of primary care physicians and psychiatrists. Arch Intern Med. 2001;161:248–51.

    Article  Google Scholar 

  13. Geller G, Levine DM, Mamon JA, et al. Knowledge, attitudes, and reported practices of medical students and house staff regarding the diagnosis and treatment of alcoholism. JAMA. 1989;262(21):3115–20.

    Article  Google Scholar 

  14. Gilchrist G, Moskalewicz J, Slezakova S, et al. Staff regard towards working with substance users: a European multi-centre study. Addiction. 2011;106:1114–25.

    Article  Google Scholar 

  15. Gopalan R, Santora P, Stokes E, et al. Evaluation of a model curriculum on substance abuse at the Johns Hopkins University School of Medicine. Acad Med. 1992;67(4):260–6.

    Article  CAS  Google Scholar 

  16. Gryczynski J, Schwartz RP, O’Grady KE, et al. Understanding patterns of high-cost health care use across different substance user groups. Health Aff (Millwood). 2016;35(1):12–9.

    Article  Google Scholar 

  17. Hafferty FW. Beyond curriculum reform: confronting medicine’s hidden curriculum. Academic Medicine. 1998;73(4):403–7.

    Article  CAS  Google Scholar 

  18. Humphreys K. Avoiding globalisation of the prescription opioid epidemic. Lancet. 2017;390:437–9.

    Article  Google Scholar 

  19. Ianucci R, Sanders K, Greenfield S. A 4-year curriculum on substance use disorders for psychiatry residents. Academic Psychiatry. 2009;33(1):60–6.

    Article  Google Scholar 

  20. Koob GF, Vokow ND. Neurocircuitry of addiction. Neuropsychopharmacology. 2010;35:217–38.

    Article  Google Scholar 

  21. Lindberg M, Vergara C, Wild-Wesley R, et al. Physicians-in-training attitudes toward caring for and working with patients with alcohol and drug abuse diagnoses. Southern Medical Journal. 2006;99(1):28–35.

    Article  Google Scholar 

  22. Maher KH, Nereberg L, Bower KJ. Modifying residents’ professional attitudes about substance abuse treatment and training. The American Journal on Addictions. 2001;10(1):40–5.

    Article  Google Scholar 

  23. Miller NS, Sheppard LM, Colenda CC, et al. Why physicians are unprepared to treat patients who have alcohol- and drug-related disorders. Acad Med. 2001;76:410–8.

    Article  CAS  Google Scholar 

  24. Polydorou S, Gunderson EW, Levin FR. Training physicians to treat substance use disorders. Curr Psychiatry Rep. 2008;10(5):399–404.

    Article  Google Scholar 

  25. Van Boekel LC, Brouwers EPM, Van Weeghel J, et al. Stigma among health professionals towards patients with substance use disorders and its consequences for healthcare delivery: Systematic review. Drug Alcohol Depend. 2013;131(1-3):23–35.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Jonathan D. Avery .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2019 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Avery, J.D. (2019). The Stigma of Addiction in the Medical Community. In: Avery, J., Avery, J. (eds) The Stigma of Addiction. Springer, Cham. https://doi.org/10.1007/978-3-030-02580-9_6

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-02580-9_6

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-02579-3

  • Online ISBN: 978-3-030-02580-9

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics