A Concept Analysis of Substance Misuse to Inform Contemporary Terminology

Khadejah F. Mahmoud; Deborah Finnell; Christine L. Savage; Kathryn R. Puskar; Ann M. Mitchell

doi:10.1016/j.apnu.2017.06.004

A Concept Analysis of Substance Misuse to Inform Contemporary Terminology

Khadejah F. Mahmoud
, Deborah Finnell
, Christine L. Savage
, Kathryn R. Puskar
, Ann M. Mitchell

Nursing Dean's Office Wide

University of Pittsburgh
Johns Hopkins University

Research output: Contribution to journal › Article › peer-review

24 Scopus citations

Abstract

Previous diagnostic categories of substance abuse and dependence have given way to the current view that substance use disorders occur on a continuum with a broad range of severity. This current view is featured in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM V). In recognizing the role of stigma in preventing persons from seeking substance use treatment, advocates have called attention that particular terminology can fuel such stigma. To mitigate the negative effects of such stigmatizing language, the International Society of Addiction Journal Editors (ISAJE) recommends against using previously-used and possibly pejorative terminology for substance abuse and dependence, unless a particular scientific justification exists. The purpose of this paper is to: (1) present a concept analysis of the term substance misuse and (2) recommend an alternate term for substance misuse that is neither pejorative nor inadvertently stigmatizing: at-risk substance use.

Original language	English
Pages (from-to)	532-540
Number of pages	9
Journal	Archives of Psychiatric Nursing
Volume	31
Issue number	6
DOIs	https://doi.org/10.1016/j.apnu.2017.06.004
State	Published - Dec 2017

Keywords

At-risk use
Concept analysis
Misuse
Substance use

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10.1016/j.apnu.2017.06.004

Cite this

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title = "A Concept Analysis of Substance Misuse to Inform Contemporary Terminology",

abstract = "Previous diagnostic categories of substance abuse and dependence have given way to the current view that substance use disorders occur on a continuum with a broad range of severity. This current view is featured in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM V). In recognizing the role of stigma in preventing persons from seeking substance use treatment, advocates have called attention that particular terminology can fuel such stigma. To mitigate the negative effects of such stigmatizing language, the International Society of Addiction Journal Editors (ISAJE) recommends against using previously-used and possibly pejorative terminology for substance abuse and dependence, unless a particular scientific justification exists. The purpose of this paper is to: (1) present a concept analysis of the term substance misuse and (2) recommend an alternate term for substance misuse that is neither pejorative nor inadvertently stigmatizing: at-risk substance use.",

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AU - Mahmoud, Khadejah F.

AU - Finnell, Deborah

AU - Savage, Christine L.

AU - Puskar, Kathryn R.

AU - Mitchell, Ann M.

PY - 2017/12

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AB - Previous diagnostic categories of substance abuse and dependence have given way to the current view that substance use disorders occur on a continuum with a broad range of severity. This current view is featured in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM V). In recognizing the role of stigma in preventing persons from seeking substance use treatment, advocates have called attention that particular terminology can fuel such stigma. To mitigate the negative effects of such stigmatizing language, the International Society of Addiction Journal Editors (ISAJE) recommends against using previously-used and possibly pejorative terminology for substance abuse and dependence, unless a particular scientific justification exists. The purpose of this paper is to: (1) present a concept analysis of the term substance misuse and (2) recommend an alternate term for substance misuse that is neither pejorative nor inadvertently stigmatizing: at-risk substance use.

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KW - Concept analysis

KW - Misuse

KW - Substance use

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A Concept Analysis of Substance Misuse to Inform Contemporary Terminology

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Keywords

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