"You can't punish an ailment"

The Lexington (KY) Herald-Leader is running a package of stories this week about one woman's experience working her way through drug court, a program aimed at keeping addicts out of jail by providing counseling, frequent testing and structure. From one of the articles:

It's a recognition that to address drug crimes, the system must address the disease of addiction.

"You can't punish away an ailment. It's that simple. Why should we punish people for what is clearly a brain disease?" said Doug Marlowe, director of law and ethics research at the Treatment Research Institute at the University of Pennsylvania.

The first drug court started 20 years ago in Miami. According to the Herald-Leader piece, there are now about 2000 of these programs nationwide. A 2005 GAO review of drug courts (pdf) reported that the programs seemed to lower rates of recidivism, though their record at actually reducing relapses in drug use were mixed.

(via)

-Greg Dahlmann

comments

Alcoholism and drug addiction are not diseases. They are habitual behavior. There is no such thing as a "spiritual disease". A.A. has been pushing that piece of nonsense for 70 years now, and it's still untrue. It's also counter-productive. If an alcoholic has no control over the situation -- is "Powerless Over Alcohol" -- then he has no responsibility for his condition, and has no obligation to quit drinking and get his life together. The same goes for drug addiction.

Of course, A.A. has been very two-faced about this. After declaring that you have a disease and should not feel guilty about it, they turn around and define alcoholism as a moral failing that is caused by unconfessed sins. Even the A.A. founder Bill Wilson declared:
"We AA's have never called alcoholism a disease because, technically speaking it is not a disease entity."
== Bill Wilson, speaking to the National Catholic Clergy Conference On Alcoholism.

If it isn't a disease, then what is "treatment" for the non-disease, and what are we paying for when we shell out $6.2 billion per year to the double-talking treatment centers to treat this non-existent disease?

Have a good day anyway.

The disease metaphor is a way for managing the degree or responsibility/blame to produce the greatest possible positive behavioural change. If it works, great.

contribute a comment

Your contributions to the conversation are very much appreciated. We do have a few simple guidelines, though. Be civil. Stay on topic. We reserve the right to remove comments that violate the aforementioned guidelines. One more thing: comments are moderated, so it may take a little while for your comment to be posted. Thanks.

what is this?

A 'Nature Top 50' science blog by the editors, staff and friends of The American Journal of Bioethics. Science writes: "To follow the latest twists in ... science stories with social impact, dive into this Web log"

The original story behind this blog

What people are saying about blog.bioethics.net

recently on blog.bioethics.net

Is Hope a Culprit in Cancer Clinical Trials?

A recent study conducted by Emory University School of Medicine found that therapeutic misconception is alive and well in Phase I cancer research. According to... (more)

Gingrich on IVF: Bad for Families, Bad for Bioethics

Scientists, reproductive specialists and andrologists had better prepare. If Newt Gingrich has his way (and wins the Presidency), he will have a whole new world... (more)

Canadians have Bieber Fever...For Organ Donation

Yes, it's true. Bieber Fever has spread far and wide. But it isn't just tweens who are following the pop star, Justin Bieber's, every move.... (more)

Caplan: Say No to Sterilization, Forced Abortion

Art Caplan discusses a troubling case regarding a 32-year-old pregnant woman known as "Mary Moe" who is pregnant for the third time and who suffers... (more)

Rallying Around Amelia: A Debate on Disability

The blogosphere and the airwaves are filled with indignation regarding what has happened to Amelia Rivera, a three year old who has a rare genetic... (more)

this blog's feed

  • Subscribe
    • XML
    • Google Reader or Homepage
    • Add to My Yahoo!
    • Subscribe with Bloglines
    • Subscribe in NewsGator Online
    • Add to My AOL
    • Convert RSS to PDF
    • Add to Technorati Favorites!
    • Add to your phone
    • Get RSS Buttons

info

archives

tags