There seem to be two different camps on this issue but the growing number of experts and scientists are leaning toward the “choice” rather than the “disease” factor. Dr. Jefferey A. Schaler in his book “Addiction is a Choice,” has stirred up the debate once again, but his position is gaining followers. It is known that people have quit alcohol and drugs as well as smoking without doctors or medications. Ultimately, the power to quit, regardless of which camp you are in, is in yourself. If that is true, then taking that first drink or hit off of a drug and consequently continuing to do so is a choice.
The disease theory, which has been around for years is said to simply soften the blow of being a drug addict or alcoholic. The problem with the theory is that if it is a disease, the person would have no control over it. No control at all, which means no one would really ever be able to quit.
There have been medical studies done of slides of the brain. One is a slide of the brain before addiction and one is after. There is clearly a difference in the two, which suggests that there is a choice in early addiction, once it reaches a certain point, there is no longer a choice. Most agree that taking that first drink or drug is a conscious choice. There is also agreement that whether it is a choice or a disease, treatment is essential.
Both alcoholism and drug addiction can be beaten.
Treatment involves choice. Treatment involves a lot of choice. The addict must continuously choose not to take the drug any more.
Many feel that the disease theory weakens the drug addict and almost allows him to feel pity for himself. AA calls alcoholism a disease and the first step is admitting powerlessness over the alcoholism. Some experts say that is bordering on encouraging alcoholism and drug abuse. Saying one is powerless is a deflating statement. Opponents say people are very powerful, not powerless. By making the right choices and choosing the better lifestyle, they can beat the drugs and alcohol.
This is a debate that is likely to continue for years to come but as psychiatrists and physicians learn more about addictions, more and more people may have to change their views. One thing is certain; choice or disease, addicts need drug addiction treatment.
