Earlier quoted context omitted.
I thought that one of the requirements for addiction was that you were willing to let the rest of your life go up in flames to get your next "fix." People definitely bandy about the word "addiction" for things that are somewhat less than that. E.g. not many people withdraw from those around them to get their next caffeine fix. (It's worth noting that this doesn't necessarily apply to just drugs. WoW-addiction falls i…
That has a strange bias then for people that are at trivial risk of having their life go up in flames. Howard Hughes, for instance, used hundreds of mg of morphine equivalent a day for decades. But being rich beyond belief, it's not like he'd ever encounter issues with supply. But most people, if told of such levels of use, would consider that an "addiction". It'd certainly be a strong physical dependence.
ADHD might not be a problem if you're living in a wild environment and roaming the woods as a primary activity. Schizophrenia might not be an issue of you live in a society where you're considered a 'seer/prophet' and taken care of by the community for your 'valuable' service. Heroin might not be an issue if you're filthy rich and happy with your lifestyle.
Practically speaking, of course society might value labeling any use of heroin as 'addiction' because it might be too rare for people to be able to live well while using. Similarly, I believe making alcohol a bit more of a 'drug' (as it is commonly seen) is not a bad thing because so many people, relatively, become unhealthily dependent on it.
I've become more and more convinced that it would benefit us all if we 1) let go of our somewhat arbitrary current definitions of 'illegal drugs' and 'addiction' (at least in 'common' conversation), and 2) keep in mind that the goal of criminalizing a substance or labeling someone as 'mentally ill' is to help people function in whatever society their in, and not an attempt to objectively define any of these things.
I have a lot of friends who by many definitions suffer from various 'mental problems'. Many of them function well because they chose a lifestyle, career, and social environment that suits them, rather than taking the path of medication. While this is not an option for everyone, I wish the mental health industry would spend more energy on this rather than simply 're-socializing' people through medication or therapy.
To be clear, I realize this is not a simple issue, and that for many people medication is a lifesaver. I also realize that the impact of incorrectly advising people on these matters can ruin lives. I'm not an expert!)