Manufacturing multiple meanings of addiction: Time-limited realities

This article explores how clinicians, patients, and addiction as a youthful science manufacture meaning. Explanations of addictive behavior and addictive disease are viewed as constructs, ideologies, or ways of making meaning. This analysis considers the controversy—over whether addiction qualifies as a disease—to be primarily a matter of epistemology and social perception. Since there is no widespread agreement about what isease means in general, it is not possible to determine whether or not addiction is a disease in particular. The discussion also envisions how treatment for addicted clients might be reformulated as a transactional process utilizing the range of relevant theoretical models as time-limited reframes of addictive reality instead of dichotomizing addiction as either a disease or not.The authors extend thanks to Michelle Bowdler, Nancy Costikyan, Blase Gambino, Teri Loughead, Janet Mann, Peter Monius, Arthur Robbins, and Mitchell Young for their helpful assistance, suggestions, and comments on earlier drafts of this article.