The Classification of Substance Use Disorders: Historical, Contextual, and Conceptual Considerations

This article provides an overview of the history of substance use and misuse and chronicles the long shared history humans have had with psychoactive substances, including alcohol. The practical and personal functions of substances and the prevailing views of society towards substance users are desc...

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Main Authors: Sean M. Robinson, Bryon Adinoff
Format: Article
Language:English
Published: MDPI AG 2016-08-01
Series:Behavioral Sciences
Subjects:
Online Access:http://www.mdpi.com/2076-328X/6/3/18
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author Sean M. Robinson
Bryon Adinoff
author_facet Sean M. Robinson
Bryon Adinoff
author_sort Sean M. Robinson
collection DOAJ
description This article provides an overview of the history of substance use and misuse and chronicles the long shared history humans have had with psychoactive substances, including alcohol. The practical and personal functions of substances and the prevailing views of society towards substance users are described for selected historical periods and within certain cultural contexts. This article portrays how the changing historical and cultural milieu influences the prevailing medical, moral, and legal conceptualizations of substance use as reflected both in popular opinion and the consensus of the scientific community and represented by the American Psychiatric Association’s (APA) Diagnostic and Statistical Manual of Mental Disorders (DSM). Finally, this article discusses the efforts to classify substance use disorders (SUDs) and associated psychopathology in the APA compendium. Controversies both lingering and resolved in the field are discussed, and implications for the future of SUD diagnoses are identified.
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spelling doaj.art-ed56a06964454b30be601cc6da70a9522022-12-21T23:32:11ZengMDPI AGBehavioral Sciences2076-328X2016-08-01631810.3390/bs6030018bs6030018The Classification of Substance Use Disorders: Historical, Contextual, and Conceptual ConsiderationsSean M. Robinson0Bryon Adinoff1Veterans Affairs North Texas Health Care System, 4500 S. Lancaster Road, Dallas, TX 75216, USAVeterans Affairs North Texas Health Care System, 4500 S. Lancaster Road, Dallas, TX 75216, USAThis article provides an overview of the history of substance use and misuse and chronicles the long shared history humans have had with psychoactive substances, including alcohol. The practical and personal functions of substances and the prevailing views of society towards substance users are described for selected historical periods and within certain cultural contexts. This article portrays how the changing historical and cultural milieu influences the prevailing medical, moral, and legal conceptualizations of substance use as reflected both in popular opinion and the consensus of the scientific community and represented by the American Psychiatric Association’s (APA) Diagnostic and Statistical Manual of Mental Disorders (DSM). Finally, this article discusses the efforts to classify substance use disorders (SUDs) and associated psychopathology in the APA compendium. Controversies both lingering and resolved in the field are discussed, and implications for the future of SUD diagnoses are identified.http://www.mdpi.com/2076-328X/6/3/18DSMdiagnostic classificationnosologysubstance use disordershistoricalopioidsalcoholcocainecannabisaddiction
spellingShingle Sean M. Robinson
Bryon Adinoff
The Classification of Substance Use Disorders: Historical, Contextual, and Conceptual Considerations
Behavioral Sciences
DSM
diagnostic classification
nosology
substance use disorders
historical
opioids
alcohol
cocaine
cannabis
addiction
title The Classification of Substance Use Disorders: Historical, Contextual, and Conceptual Considerations
title_full The Classification of Substance Use Disorders: Historical, Contextual, and Conceptual Considerations
title_fullStr The Classification of Substance Use Disorders: Historical, Contextual, and Conceptual Considerations
title_full_unstemmed The Classification of Substance Use Disorders: Historical, Contextual, and Conceptual Considerations
title_short The Classification of Substance Use Disorders: Historical, Contextual, and Conceptual Considerations
title_sort classification of substance use disorders historical contextual and conceptual considerations
topic DSM
diagnostic classification
nosology
substance use disorders
historical
opioids
alcohol
cocaine
cannabis
addiction
url http://www.mdpi.com/2076-328X/6/3/18
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