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Northern Michigan University

THE HISTORY OF THE DISEASE CONCEPT OF SUBSTANCE DEPENDENCY

Abstract

dc:description.abstract

<p>The nomenclature used to signify substance dependence has evolved throughout history. Previously, substance dependence was referred to as specific forms of mania, as addiction, and as a habit. The origins of the disease concept of substance dependence have been disputed. Benjamin Rush (1746-1813) and Thomas Trotter (1760-1832) have been credited as being the founders of the movement to acknowledge substance dependence as a disease. Through efforts of scientists of the 19th and 20th centuries, the concept of substance dependence as a disease has become widely accepted by professionals, the medical community, and the government. Significant contributors to this concept include T. D. Crothers (1842-1918) and E. M. Jellinek, (1890-1963) as well as groups such as the World Health Organization, American Society of Addiction Medicine, and the American Psychiatric Association. Criticisms (Gori, 1996; Jellinek, 1960; Peele, 1989) of this concept include the vagueness in definitions in addition to changes of these definitions of substance dependence over time. Considering substance dependence to be a disease is of importance due to the stigma often associated with the condition, which can be a barrier to treatment. Government policy has acknowledged substance dependence as a disease that requires treatment. Recognition of substance dependence as a disease has evolved over time and is advancing through further research on the subject. </p>

Degree

thesis:*
Name thesis:degree_name
Master of Science
Level thesis:degree_level
Thesis
Discipline thesis:degree_discipline
Psychological Science
Year dc:date.available
2016

Author and committee

dc:creator, dc:contributor.*
Author dc:creator
  • Lewis, Brooke A
Contributors dc:contributor
  • Dr. Harry Whitaker

Subjects

dc:subject × 5

Identifiers

dc:identifier.*
Repository record dc:identifier
https://commons.nmu.edu/theses/99
OAI identifier oai:identifier
oai:commons.nmu.edu:theses-1109

Chain of custody

source
Harvested from
Northern Michigan University
Base URL
commons.nmu.edu/do/oai/
Last updated
2026-07-24
Source record
OAI-PMH GetRecord
citation

Lewis, Brooke A. THE HISTORY OF THE DISEASE CONCEPT OF SUBSTANCE DEPENDENCY. Thesis thesis, 2016. https://commons.nmu.edu/theses/99