Thank you for this article. What is clear to me from the majority of published writing is the prevailing cultural belief is that alcohol and other drugs cause addiction. We are in the current shit storm of an overdose crisis for this very belief. The use of the word abuse from professionals and the public is proof positive that we totally misunderstand the experience of addiction. I hope that more and more people read about personal, public and social stigmas. Words matter. People who write certainly can appreciate that sentiment. See, "The Stigma Effect" by Patrick W. Corrigan, also read anything by www.williamwhitepapers.com