“I don’t have to know why it snows, I just have to shovel it!”: Addiction recovery, genetic frameworks, and biological citizenship
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The gene has infiltrated the way citizens perceive themselves and their health. However, there is scant research that explores the ways genetic conceptions infiltrate individuals’ understanding of their own health as it relates to a behavioral trait such as addiction. Do people seeking treatment for addiction ground their self-perception in biology in a way that shapes their experiences? We interviewed 63 participants in addiction treatment programs, asking how they make meaning of a genetic understanding of addiction in the context of their recovery, and in dealing with the stigma of addiction. About two-thirds of people in our sample did not find a genetic conception of addiction personally useful to them in treatment, instead believing that the cause was irrelevant to their daily struggle to remain abstinent. One-third of respondents believed that an individualized confirmation of a genetic predisposition to addiction would facilitate their dealing with feelings of shame and accept treatment. The vast majority of our sample believed that a genetic understanding of addiction would reduce the stigma associated with addiction, which demonstrates the perceived power of genetic explanations in U.S. society. Our results indicate that respondents (unevenly) ground their self-perception of themselves as an addicted individual in biology.
Keywordsaddiction substance use alcohol/alcoholism behavioral genetics
The authors disclosed receipt of the following financial support for the research: The project described was supported by Grant Number R01 DA014577 from the National Institute on Drug Abuse, the Mayo Clinic S.C. Johnson Genomics of Addiction Program, and Grant Number UL1 TR000135 from the National Center for Advancing Translational Sciences.
- 23andMe. (2016) “Know More About You.” https://www.23andme.com/.
- Alcoholics Anonymous. (1984) This is A.A.: An introduction to the A.A. recovery program. Alcoholics Anonymous. http://www.aa.org/assets/en_US/p-1_thisisaa1.pdf.
- American Society of Addiction Medicine. (2015) Definition of addiction. http://www.asam.org/for-the-public/definition-of-addiction.
- AncestryDNA. (2016) Discover the family story your DNA can tell. http://dna.ancestry.com/.
- Center for Drug & Alcohol Programs. (2011) Alcohol addiction. http://www.alcoholanddrugabuse.org/addiction_education/alcohol_addiction/.
- Conrad, P. and Schneider, J.W. (1992) Deviance and Medicalization: From Badness to Sickness. Philadelphia: Temple University Press.Google Scholar
- Corbin, J. and Strauss, A. (2008) Basics of Qualitative Research. 3rd ed. Los Angeles: SAGE Publications.Google Scholar
- David, S.P., Johnson, S.G., Berger, A.C., Gregory Feero, W., Terry, S.F., Green, L.A., Phillips Jr., R.L. and Ginsburg, G.S. (2015) Making personalized health care even more personalized: Insights from activities of the IOM genomics roundtable. Annals of Family Medicine 13(4):373–380.CrossRefGoogle Scholar
- Goffman, E. (1963) Stigma: Notes on the Management of Spoiled Identity. New York: Simon & Schuster Inc.Google Scholar
- Haroutunian, H. (2010) The disease of addiction. http://www.bettyfordcenter.org/recovery/addiction/the-disease-of-addiction.php.
- Hart, A.B. and Kranzler, H.R. (2015) Alcohol dependence genetics: Lessons learned from genome-wide association studies (GWAS) and post-GWAS analyses. Alcoholism: Clinical and Experimental Research 39(8):1312–1327.Google Scholar
- Keane, H. (2002) What’s Wrong With Addiction? Washington Square, New York: New York University Press.Google Scholar
- Levine, H.G. (1978) The discovery of addiction. Journal of Studies on Alcohol 15:493–506.Google Scholar
- Mannarini, S. and Boffo, M. (2015) Anxiety, bulimia, drug and alcohol addiction, depression, and schizophrenia: What do you think about their aetiology, dangerousness, social distance, and treatment? A latent class analysis approach. Social Psychiatry and Psychiatric Epidemiology 50(1):27–37. doi: 10.1007/s00127-014-0925-x.CrossRefGoogle Scholar
- Marteau, T.M., French, D.P., Griffin, S.J., Prevost, A.T., Sutton, S., Watkinson, C., Attwood, S. and Hollands, G.J. (2010) Effects of communicating DNA-based disease risk estimates on risk-reducing behaviors. Cochrane Database of Systematic Reviews 10:CD007275.Google Scholar
- Mayo Clinic. (2007) The Disease of Addiction: Biology. Mayo Clinic.Google Scholar
- McBride, C.M., Bepler, G., Lipkus, I.M., Lyna, P., Samsa, G., Albright, J., Datta, S. and Rimer, B.K. (2002) Incorporating genetic susceptibility feedback into a smoking cessation program for African-American smokers with low income. Cancer Epidemiology, Biomarkers & Prevention 11(6):521–528.Google Scholar
- National Institute on Drug Abuse. (2007) Drugs, brains and behavior: The science of addiction. National Institutes of Health U.S. Department of Health and Human Services.Google Scholar
- Roberts, D. (2011) Fatal Invention. New York: The New Press.Google Scholar
- Sanderson, S.C., O’Neill, S.C., Brown White, D., Bepler, G., Bastian, L., Lipkus, I.M. and McBride, C.M. (2009) Responses to online GSTM1 genetic test results among smokers related to patients with lung cancer: A pilot study. Cancer Epidemiology, Biomarkers & Prevention 18(7):1953–1961.CrossRefGoogle Scholar
- Sharon, T. (2014) Human nature in an age of biotechnology: The case for mediated posthumanism. Philosophy of Engineering and Technology 14.Google Scholar