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the way a person uses it. In other words, it is not only the drink, but also the drinker, as illustrated by the following dialogue in Shakespeare’s Othello (Act 2, Scene 3): Cas- sio—“O thou invisible spirit of wine, if thou hast no name to be known by, let us call thee devil” … Iago—“Come, come. Good wine is a good familiar creature, if it be well used.” The etiological complexity of addiction is illustrated by a history of pendulum swings of social and medical opinion. There is no resting equilibrium on unanimous beliefs. It has been common to observe, at the same time and in the same place, the confronta- tion of opposing attitudes on issues such as: strict vs broad definition of addiction (eg including gambling or not); laissez-faire or prohibition; punishing or treating the addict; and individual responsibility. n REFERENCES 1. Vetulani J. Drug addiction. Part I. Psychoactive substances in the past and present. Pol J Pharmacol. 2001;53:201–214. 2. Frank JW, Moore RS, Ames GM. 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World Health Organization. The ICD- 10 Classification of Mental and Behavioral Disorders. Clinical descriptions and diagnostic guidelines. Geneva, Switzerland: World Health Organization; 1992 33. World Health Organization. International Classification of Diseases. 9th Revision. Geneva, Switzerland: World Health Organization; 1977:177–213. 34.American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 4th ed, Text Revision. Washington, DC: American Psychiatric Association; 2000 35.American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 3rd ed, revised. Washington, DC: American Psychiatric Association. 1987 36. O’Brien CP,Volkow N, Li TK.What’s in a word? Addiction versus dependence in DSM-V. Am J Psychiatry. 2006;163:764–765. HEALTHCARE JOURNAL OF ARKANSAS I  MAR / APR 2022 31 COMMENTS? editor@ushealthcarejournals.com

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