Changing the Language of Addiction.

  title={Changing the Language of Addiction.},
  author={Michael Botticelli and Howard Kyongju Koh},
  volume={316 13},
Words matter. In the scientific arena, the routine vocabulary of health care professionals and researchers frames illness1 and shapes medical judgments. When these terms then enter the public arena, they convey social norms and attitudes. As part of their professional duty, clinicians strive to use language that accurately reflects science, promotes evidence-based treatment, and demonstrates respect for patients. However, history has also demonstrated how language can cloud understanding and… Expand
The Language of Stigma and Addiction
Language can be used intentionally or unintentionally to communicate a message about a person or group of people as being “other” and to perpetuate stigma. Historical examples, such as with HIV orExpand
Stigma: how it affects the substance use disorder patient
An effort must be made to normalize destigmatized language when referring to substance use and individuals with substance use disorders, as this article specifically focuses on the impact words have. Expand
Stigma and Addiction Treatment
The history of stigma around addiction and its treatment is long and pervasive. Stigma permeates the public’s perceptions of people with substance use disorders, the self-perceptions of those whoExpand
Cultural factors within the united states promote substance use disorders: a helpful perspective for responding to the opioid misuse epidemic
The subject matter related to cultural factors in medicine, particularly in addiction medicine is vast. Why then discuss these factors ever so briefly? The understanding of cultural factors isExpand
Language and stigmatization of individuals with mental health problems or substance addiction in the Netherlands: An experimental vignette study
It is suggested that subtle differences in language to refer to persons with mental health problems or substance addictions have no effect on stigmatising attitudes by care professionals in the Netherlands, however, more research is needed to determine the effect of language use on other groups, such as individuals with MHPSA. Expand
Considerations for substance-use disorder language: cultivating a shift from ‘addicts in recovery’ to ‘people who thrive’
It is argued 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. Expand
A Concept Analysis of Substance Misuse to Inform Contemporary Terminology
A concept analysis of the term substance misuse is presented and an alternate term for substance misuse that is neither pejorative nor inadvertently stigmatizing: at‐risk substance use is recommended. Expand
In their own words: Language preferences of individuals who use heroin.
Labels preferences by individuals who use heroin and are in early recovery are consistent with general guidelines about use of first-person language and suggest avoidance of language indicative of drug misuse or dependence. Expand
Opioid use and stigma: The role of gender, language and precipitating events.
The findings from this study are the first to show that information about gender, precipitating events and language matter when assessing stigma and opioid use and may affect the delivery of patient care. Expand
"Alcoholic" or "Person with alcohol use disorder"? Applying person-first diagnostic terminology in the clinical domain.
A number of possible benefits from the successful adoption of person-first, patient- centered, diagnostically appropriate labelling standards within clinical notes are hypothesized, including improved alignment with patient-centered care models, institutional values, and professional ethics, as well as reductions in institutional stigma. Expand


Confronting inadvertent stigma and pejorative language in addiction scholarship: a recognition and response.
An appeal for the use of language that respects the worth and dignity of all persons ("people-first language") and focuses on the medical nature of substance use disorders and treatment, which promotes the recovery process and avoids perpetuating negative stereotypes and biases through theUse of slang and idioms is made. Expand
Does Our Choice of Substance-Related Terms Influence Perceptions of Treatment Need? An Empirical Investigation with Two Commonly Used Terms
Substance-related terminology is often a contentious topic because certain terms may convey meanings that have stigmatizing consequences and present a barrier to treatment. Chief among these are theExpand
Does it matter how we refer to individuals with substance-related conditions? A randomized study of two commonly used terms.
Even among highly trained mental health professionals, exposure to these two commonly used terms evokes systematically different judgments about behavioral self-regulation, social threat, and treatment vs. punishment. Expand
Stigma, discrimination, treatment effectiveness, and policy: public views about drug addiction and mental illness.
OBJECTIVE Public attitudes about drug addiction and mental illness were compared. METHODS A Web-based national survey (N=709) was conducted to compare attitudes about stigma, discrimination,Expand
Stigma among health professionals towards patients with substance use disorders and its consequences for healthcare delivery: systematic review.
It is indicated that negative attitudes of health professionals towards patients with substance use disorders are common and contribute to suboptimal health care for these patients. Expand
of Labor
  • Improving Health Coverage for Mental Health and Substance Use Disorder Patients Including Compliance With the Federal Mental Health and Substance Use Disorder Parity Provisions: Report to Congress. Washington, DC: US Dept of Labor;
  • 2016