The Disease Model: Because Blaming Your Choices on Biology is Easier
The Ultimate Get-Out-of-Jail-Free Card
Ah, the disease model - the psychological equivalent of "the dog ate my homework" for adults. Can't remember what you did last night? Blame your brain chemistry! Made terrible decisions? It's not you, it's your disease! Woke up in a stranger's bed? Must be those pesky neurotransmitters!
It's almost impressive how we've managed to medicalize personal responsibility. Like turning "I made bad choices" into "I have a disease" is some kind of psychological alchemy. Abracadabra! Your poor decisions are now a medical condition!
The "My Brain Made Me Do It" Defense
Here's a fun fact: your brain is involved in everything you do. That's kind of its job. So technically, you could blame your brain for anything. "Sorry I ate your sandwich - my brain made me do it!" "Sorry I cheated on you - it was my prefrontal cortex!"
But here's the thing: your brain is you. It's not some separate entity that forces you to do things against your will. It's like saying "My hand made me eat that entire pizza!" No, you made you eat that pizza. Your hand was just the delivery system.
The Convenience of Biological Determinism
Biological determinism is like the ultimate excuse generator. Can't control your drinking? Must be your genes! Can't stop gambling? Blame your dopamine receptors! Can't resist that third piece of cake? It's your hypothalamus!
It's almost as if we've created a world where personal responsibility is the real disease, and biological determinism is the cure. "I'm not responsible for my actions - my biology is!" has become the modern equivalent of "The devil made me do it!"
The Science of Convenient Excuses
Let's talk about the science behind this. Yes, alcohol affects your brain. Yes, genetics play a role. Yes, there are biological factors. But here's what they don't tell you in those glossy brochures: biology is not destiny.
It's like saying "I have the genetics for obesity, so I might as well eat this entire cake." No, it means you might need to make different choices than someone without those genetics. Your biology isn't your boss - it's more like a suggestion box.
The "But It's a Real Disease!" Argument
Of course it's a real disease! Just like "shopping addiction" is a real disease! And "video game addiction"! And "social media addiction"! And "chocolate addiction"! We're all just walking disease vectors at this point.
Here's the thing: calling everything a disease doesn't make it one. It just makes the word "disease" meaningless. It's like calling every bad habit a "medical condition" - eventually, we'll need a new word for actual medical conditions.
The Recovery Industry's Favorite Word
Let's talk about why the recovery industry loves the disease model so much. It's simple: diseases need treatment. Treatment needs professionals. Professionals need to get paid. It's the circle of life, recovery-style.
It's almost as if there's a financial incentive to keep people thinking they're sick. Like how the fitness industry profits from people thinking they're not fit enough. Or how the beauty industry profits from people thinking they're not beautiful enough. Funny how that works.
The Power of Personal Responsibility
Here's a radical idea: maybe taking responsibility for your choices is actually empowering. Maybe acknowledging that you have control over your actions doesn't make you a bad person - it makes you an adult.
It's like saying "I chose to eat that entire pizza" instead of "I have the pizza-eating disease." One statement gives you power to change; the other makes you a passive victim of your own actions. Your choice which one you prefer.
The "But Science!" Defense
Yes, science shows that addiction changes the brain. Science also shows that learning to play the piano changes the brain. So does meditation. So does falling in love. Should we start calling these "diseases" too?
The brain changes in response to experience - that's what makes us human. But just because something changes your brain doesn't automatically make it a disease. Otherwise, we'd all be walking around with the "life experience disease."
The Convenience of Victimhood
Let's be honest: being a victim is comfortable. It's like having a permanent "get out of responsibility free" card. "I can't help it - I have a disease!" is the adult version of "I can't help it - I'm just a kid!"
But here's the thing: comfort isn't the same as growth. And growth usually isn't comfortable. It's like working out - it's not fun in the moment, but it's how you get stronger. And nobody ever got stronger by blaming their muscles for being weak.
The Path Forward: Own Your Choices
Here's the thing: whether you call it a disease or a choice, the path to recovery is the same. You have to make different choices. You have to change your behavior. You have to take responsibility for your life.
Maybe instead of focusing on what to call it, we should focus on what to do about it. Maybe instead of debating whether it's a disease, we should be talking about how to make better choices.
Because at the end of the day, labels don't matter nearly as much as actions. And the most powerful action you can take is the choice to change.