What’s In A Name?
~ Brian Sherman, PhD, Center for Motivation and Change
“By continuing to use the term “addict” and “alcoholic,” treatment providers are doing a disservice to their patients and potentially negating progress towards destigmatization and successful long-term treatment.”
What’s in a name? Sure, by any other name a rose may smell so sweet, but by any other name would an “addict” feel so stigmatized? Were Shakespeare alive today I would ask that he reconsider his stance. With the gradual pace of change in addiction treatment highlighted by the continued advancement and implementation of evidence-based treatments, why is the field so far behind in not using more clinically appropriate and de-stigmatizing — albeit a bit cumbersome – language such as: “person with a substance use disorder” or “person suffering from addiction”? It has been years now that the field of clinical psychology did away with stigmatizing terms such as “schizophrenic”, “manic-depressive”, or “autistic.” Why then does the field of addiction remain so far behind?
As an addiction psychologist I do not discourage my patients for whom the term “addict” works. If it motivates them to change, fantastic. For many people, the term “addict” is a helpful way of identifying symptoms and issues, and finding a way to connect and bond with others in a healthy way that promotes change. However, when that term creates a prolonged sense of failure or guilt which ultimately may lead to relapse (negative emotions are one of the strongest predictors of relapse) or prevent someone from seeking help in the first place (because they don’t want to accept the label, and the stigma that is associated with it), I question its utility. Continue reading