Pubdate: Wed, 18 May 2011 Source: Globe and Mail (Canada) Copyright: 2011 The Globe and Mail Company Contact: http://www.theglobeandmail.com/ Details: http://www.mapinc.org/media/168 Author: Perry Kendall Referenced: http://www.mapinc.org/drugnews/v11/n317/a04.html ADDICTION IS ... This matter is far more complex than Margaret Wente makes out. Indeed, the logic she uses to de-medicalize addiction could be used to position adult-onset diabetes as a matter of choice (lifestyle) and not an illness. As the U.S. National Institute on Drug Abuse states: "Addiction is ... considered a brain disease because drugs change the brain - they change its structure and how it works. These brain changes can be long lasting, and can lead to the harmful behaviours seen in people who abuse drugs." It is apparent that the high degree of co-morbidity (co-occurrence in the same individual) of mental illness and substance dependence is because these problems are linked through shared neurologic or behavioural abnormalities and may have a shared biologic basis. This understanding underlies the critical importance of viewing drug dependence and addictions as health issues with underlying biological cause. In this context, Insite is clearly as much a part of a health-care system as is an outpatient diabetic-education centre. Perry Kendall, provincial health officer, Victoria - --- MAP posted-by: Richard Lake