Hi, Ed--

I'm aware of this.
But while the medical profession talks professionally about cancers (knowing 
that it refers to a broad category of diseases with many varied causes), when 
they're trying to raise money they simplify it and talk about a 'war against 
cancer'.  Talking about it as A disease makes it easier to sell.
There's a difference between the medical literature and 'medicalization'. which 
is a PR/guild battle.
Same thing with addiction.

On Oct 21, 2011, at 8:03 AM, Pollak, Edward (Retired) wrote:


 Brandon, Paul K wrote, How could one say that the differences DON'T matter? 
Personally, I have always thought that the concept of 'addiction' as a 
monolithic entity was a consequence of its medicalization; that there is such a 
thing as a 'disease' called 'addiction'. If instead we look at addiction as a 
behavior pattern, we should apply the basic principle that the same effect can 
have different causes."



There's nothing in "medicalization" that would make one see a disease (or 
problematic behavior) as a "monolithic entity."  Many (most?) medical diseases 
have multiple causes..... genetic, environmental, developmental, traumatic, 
etc,  And there could easily be a common link among all addictions (e.g., DA 
transport molecules) and still have dramatically different characteristics of 
other facets of the disease(s). e.g., Diabetes mellitus has a common feature of 
high blood glucose & (real or functional) lack of adequate insulin but the 
causes & clinical pictures of type I & type II diabetes are quite different. 
And have we, for many years, recognized that depression may be viewed as a 
"final common path" resulting from any number of factors or combinations of 
factors.



Ed



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