Two distinct medical disciplines treat addiction in the United States: Addiction medicine and addiction psychiatry. This article argues that physicians recovering from alcoholism or drug abuse played a key role in creating the field of addiction medicine, and that the development of addiction medicine inadvertently contributed to the formation of addiction psychiatry. Addiction medicine's undercurrent of recovery, specifically questions about the knowledge that recovering physicians call on to treat addiction, remains central to an ongoing professional conflict between addiction medicine and addiction psychiatry.
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References
1.
AbbottA. (1988). The System of Professions: An Essay on the Division of Expert Labor. Chicago, IL: The University of Chicago Press.
2.
Alcoholics Anonymous World Services, Inc. [1957] (1971) Alcoholics Anonymous Comes of Age: A Brief History of A.A.Reprint, New York, NY: Alcoholics Anonymous World Services, Inc.
3.
Alcoholics Anonymous World Services, Inc. [1957] (2001) Alcoholics Anonymous: The Story of How Many Thousands of Men and Women Have Recovered from Alcoholism. 4th ed.New York, NY: Alcoholics Anonymous World Services, Inc.
4.
American Board of Psychiatry and Neurology, Inc. (2005) 2006 Information for Applicants for Certification in the Subspecialties of Addiction Psychiatry, Clinical Neurophysiology, Forensic Psychiatry, Geriatric Psychiatry, Neurodevelopmental Disabilities, Psychosomatic Medicine, Vascular Neurology. Deerfield, IL: American Board of Psychiatry and Neurology, Inc.
5.
American Medical Association (1956) Proceedings of the House of Delegates, Clinical Convention. Chicago, IL: American Medical Association.
6.
American Medical Association (1967) Proceedings of the House of Delegates, Clinical Convention. Chicago, IL: American Medical Association.
7.
American Medical Association Council on Mental Health (1973) The Sick Physician: Impairment by Psychiatric Disorders, Including Alcoholism and Drug Dependence.”Journal of the American Medical Association223:684–687.
8.
AngresD. H.TalbottG. D. & Bettinardi-AngresK. (1998) Healing the Healer: The Addicted Physician. Madison, CT: Psychosocial Press.
9.
Chew-GrahamC. A.MayC. R. & PerryM. S. (2002) Qualitative Research and the Problem of Judgement: Lessons from Interviewing Fellow Professionals. Family Practice19:285–289.
10.
CrothersT. D. (1987) Reformed Men as Asylum Managers. Quarterly Journal of Inebriety19:79–81.
11.
Denizet-LewisB. (2006) An Anti-Addiction Pill?New York Times Magazine, June 25, pp. 48–53.
12.
DurkheimE. [1895] (1982) The Rules of Sociological Method. Translated by HallsW. D., Reprint, New York, NY: The Free Press.
13.
FreidsonE. (1986) Professional Powers: A Study of the Institutionalization of Formal Knowledge. Chicago, IL: The University of Chicago Press.
14.
GalanterM. (1986) Treating Substance Abusers: Why Therapists Fail. Hospital and Community Psychiatry37:769.
15.
GalanterM. & BurnsJ. A. (1993) The Status of Fellowships in Addiction Psychiatry. American Journal on Addictions2:4–8.
16.
GalanterM. & FrancesR. (1992) Addiction Psychiatry: Challenges for a New Psychiatric Subspecialty. Hospital and Community Psychiatry43:1067–1072.
17.
GalanterM.TalbottD.GallegosK. & RubenstoneE. (1990) Combined Alcoholics Anonymous and Professional Care for Addicted Physicians. American Journal of Psychiatry147:64–68.
18.
GoffmanE. [1963] (1986) Stigma: Notes on the Management of Spoiled Identity. Reprint, New York, NY: Simon & Schuster, Inc.
19.
GoodeW. J. (1960) Encroachment, charlatanism, and the emerging profession: Psychology, sociology, and medicine. American Sociological Review25:902–914.
20.
GrahamA. W.SchultzT. K.Mayo-SmithM. F.RichardK.RiesR. K. & WilfordB. B., eds. (2003) Principles of Addiction Medicine. 3d ed.Chevy Chase, MD: American Society of Addiction Medicine, Inc.
21.
GritzerG. & ArlukeA. (1985) The Making of Rehabilitation: A Political Economy of Medical Specialization, 1890–1980. Berkeley and Los Angeles, CA: University of California Press.
22.
Group for the Advancement of Psychiatry Committee on Alcoholism and the Addictions (1991) Substance Abuse Disorders: A Psychiatric Priority. American Journal of Psychiatry148:1291–1300.
23.
GusfieldJ. R. (1981) The Culture of Public Problems: Drinking-Driving and the Symbolic Order. Chicago, IL: The University of Chicago Press.
24.
HalpernS. A. (1988) American Pediatrics: The Social Dynamics of Professionalism, 1880–1980. Berkeley and Los Angeles, CA: University of California Press.
25.
JohnsonB. H. (1973) The Alcoholism Movement in America: A Study in Cultural Innovation, Ph.D. dissertation, Department of Sociology, University of Illinois at Urbana-Champaign, Urbana, IL.
26.
JordanG. L. (1985) Presidential Address: The Impact of Specialization on Health Care. Annals of Surgery'201:537–544.
27.
KatzAbram, 2005. “Yale Doc to Study Addiction Drug.”New Haven Register, November 25, p. A3.
28.
LevineH. G. (1978) The Discovery of Addiction: Changing Conceptions of Habitual Drunkenness in America. Journal of Studies on Alcohol39:143–174.
29.
MillerS. I. and FrancesR. (1986) Psychiatrists and the Treatment of Addictions: Perceptions and Practices. American Journal of Drug and Alcohol Abuse12:187–197.
30.
PageP. B. (1988) The Origins of Alcohol Studies: E. M. Jellinek and the Documentation of the Alcohol Research Literature. British Journal of Addiction83:1095–1103.
31.
PageP. B. (1987) E. M. Jellinek and the Evolution of Alcohol Studies: A Critical Essay. Addiction92:1619–1637.
32.
RegierD. A.FarmerM. E.RaeD. S.LockeB. Z.KeithS. J.JuddL. L. & GoodwinF. K. (1990) Comorbidity of Mental Disorders with Alcohol and Other Drug Abuse: Results from the Epidemiologic Catchment Area (ECA) Study. Journal of the American Medical Association264:2511–2418.
33.
RichardsH. and EmslieC. (2000) The ‘Doctor’ or the ‘Girl from the University’? Considering the Influence of Professional Roles on Qualitative Interviewing. Family Practice17:71–75.
34.
RoizenR. (1991) The American Discovery of Alcoholism, 1933–1939, Ph.D. dissertation, Department of Sociology, University of California, Berkeley, Berkeley, CA.
35.
RosenG. [1944] (1972) The Specialization of Medicine with Particular Reference to Ophthalmology. Reprint, New York: Arno Press.
36.
SargentD. A. (1985) The Impaired Physician Movement: An Interim Report. Hospital and Community Psychiatry36:294–297.
37.
SchnollS.DurburgJ.GriffinJ.GitlowS.HunterR. B.SackJ.StimmelB.deWitH. & JaraG. B. (1993) Physician Certification in Addiction Medicine 1986–1990: A Four-Year Experience. Journal of Addictive Diseases12:123–133.
38.
SeeleyJ. R. (1962) Alcoholism is a Disease: Implications for Social Policy,” Pp. 586–593 in Society, Culture, and Drinking Patterns, edited by PittmanD. J. & SnyderC. R.New York, NY: John Wiley & Sons, Inc.
39.
StevensR. (1998) American Medicine and the Public Interest: A History of Specialization. Rev. ed.Berkeley, CA: University of California Press.
40.
SturgesJ. E. & HanrahanK. J. (2004) Comparing Telephone and Face-to-Face Qualitative Interviewing: A Research Note. Qualitative Research4:107–118.
41.
TalbottG. D. (1988) The Impaired Physician Movement. Maryland Medical Journal37:216–217.
42.
TalbottG. D. (1998) Introduction, Pp. xv–xx in Healing the Healer: The Addicted Physician, by AngresD. H.TalbottG. D. & Bettinardi-AngresK.Madison, CT: Psychosocial Press.
43.
TalbottG. D.RichardsonA. C. & AtkinsE. C. (1977) The MAG Disabled Doctors' Program: A Two-Year Review. Journal of the Medical Association of Georgia66:777–781.
44.
TrochimW. M. K. (2001) The Research Methods Knowledge Base. 2d ed.Cincinnati, OH: Atomic Dog Publishing.
45.
WhiteW. L. (1998) Slaying the Dragon: The History of Addiction Treatment and Recovery in America. Bloomington, IL: Chestnut Health Systems/Lighthouse Institute.
46.
WhiteW. L. (2000a) The History of Recovered People as Wounded Healers: II. The Era of Professionalization and Specialization. Alcoholism Treatment Quarterly18:1–25.
47.
WhiteW. L. (2000b) The Role of Recovering Physicians in 19th Century Addiction Medicine: An Organizational Case Study. Journal of Addictive Diseases19:1–10.
48.
WilkersonA. E. (1966) A History of the Concept of Alcoholism as a Disease, D.S.W. (Doctor of Social Work) dissertation, School of Social Work. University of Pennsylvania, Philadelphia, PA.
