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Treatment of Substance Dependence

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Ethics in Psychiatry

Part of the book series: International Library of Ethics, Law, and the New Medicine ((LIME,volume 45))

Abstract

Substance dependence is recognized in the scientific community to be a medical condition rather than a willful misbehavior, but in societies and in politics a connotation of moral weakness, of irresponsible behavior or even of criminal intent can be observed, in attitudes and arguments and in a stigmatization of addictive behavior. Therefore, treatment of substance dependence must respect both the individual and the societal values at stake, in designing and implementing therapeutic approaches, avoiding neglect as well as undue coercion. The empirical evidence on what can be achieved, for whom and under what circumstances, is the basis of treatment, in line with the principles of consequential ethics, of human rights and of medical ethics in general. Also, health policy has to minimize the risk factors for and the negative consequences of substance dependence, besides risk factors for and the negative consequences of substance dependence, besides providing treatment and care.

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Abbreviations

AMA:

American Medical Association

APA:

American Psychiatric Association

DATOS:

Drug Abuse Treatment Outcome Study

DSM-IV:

Diagnostic-Statistical Manual of Mental Disorders, 4th revision (APA)

EC:

European Commission

EMCDDA:

European Monitoring Centre on Drugs and Drug Addiction

EU:

European Union

HIV:

Human Immunodeficiency Virus

ICD-10:

International Classification of Diseases, 10th revision (WHO)

NIDA:

National Institute of Drug Abuse

NTIES:

National Treatment Improvement Evaluation Study

NTORS:

National Treatment Outcome Research Study

QCT:

Quasi-Compulsory Treatment

UN:

United Nations

UNODC:

United Nations Office on Drugs and Crime

WHO:

World Health Organisation

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Authors and Affiliations

  1. Research Institute for Public Health and Addiction, Zurich University, CH-8005, Zurich, Switzerland

    Ambros Uchtenhagen

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  1. Ambros Uchtenhagen
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Correspondence to Ambros Uchtenhagen .

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  1. Charité Campus Benjamin Franklin, Klinik für Psychiatrie/ Psychotherapie, Universitätsklinikum Berlin, Eschenallee 3, Berlin, 14050, Germany

    Hanfried Helmchen

  2. chemin Colladon 14, Geneve, 1209, Switzerland

    Norman Sartorius

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Uchtenhagen, A. (2010). Treatment of Substance Dependence. In: Helmchen, H., Sartorius, N. (eds) Ethics in Psychiatry. International Library of Ethics, Law, and the New Medicine, vol 45. Springer, Dordrecht. https://doi.org/10.1007/978-90-481-8721-8_23

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