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What is it about?

The current psychiatric diagnostic manual (DSM-5) criteria for Opioid Use Disorder were adapted to make room for long-term opioid therapy for chronic pain, which was very popular at the time of its publication. We argue that the opioid-adapted and pain-adapted versions of these criteria are NOT more valid than the unadapted criteria.

Why is it important?

Our endogenous opioid system (e.g. endorphins) evolved to modulate both physical pain and social pain to promote our survival. It is not possible to separate these using laws or policies into legitimate opioid use for physical pain and illegitimate opioid misuse for social or emotional pain.

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The following have contributed to this page:
Mark Sullivan
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