Abstract
Substance abuse is a major public health problem, with high prevalence in the US population, and many associated economic costs. The problem of substance abuse is a useful example for better understanding the paradox and the challenge of chronic illness. Substance abuse has significant genetic heritability, along with elements of individual choice and family influence. There are also identifiable pathophysiological changes accompanying substance abuse, the presence of objective diagnostic criteria, and a relapse rate similar to many other chronic diseases. The pathways approach for substance abuse is illustrated by a case narrative involving a 46-year-old alcoholic woman.
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McGrady, A., Moss, D. (2013). Substance Abuse Disorders. In: Pathways to Illness, Pathways to Health. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-1379-1_7
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