For philosophers, ‘substance’ often meant the fundamental stuff of which reality is made. In ordinary speech, any kind of matter — water, chocolate — is a ‘substance’ as well. But in psychiatric parlance, a ‘substance’ is always something bad. Hence ‘substance-use disorder’, which doesn’t mean reckless employment of water and chocolate, but only the exploitation of naughty compounds such as tobacco, alcohol, or drugs not manufactured by Big Pharma.
Substance Use
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