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From the Department of Psychiatry, McGill University, Montreal; Centre for Studies in Behavioural Neuroscience, Departmentof Psychology, Concordia University, Montreal, Que., CanadaAre addictions diseases? Certainly they are included in re-cent and forthcoming versions of the DSM and other widelyused diagnostic schemas. Still, the concept does not have uni-versal support. Particularly widespread is the suspicion thatdrug use is a choice, even for individuals with long-time sub-stance dependence.

Are addictions diseases or choices?