It’s time to challenge the entrenched Addiction Stigma that continues to influence the perceptions and treatment of people who use drugs (PWUD)

Rethinking Our Approach to Substance Use

As we journey through 2025, it’s astonishing — yet not surprising — how language and addiction stigma shape our views on substance consumption. It’s time to challenge the entrenched stigmatizing language that continues to influence the perceptions and treatment of people who use drugs (PWUD).

The Dichotomy of ‘Clean’ and ‘Dirty’

In the realm of substance use, ‘clean’ and ‘dirty’ are not just words; they are powerful labels that perpetuate addiction stigma. This binary thinking underpins the abstinence-only approach, creating a divisive world where PWUDs are either vilified or valorized based on their adherence to complete abstinence. ‘Clean’ implies a moral high ground, inadvertently casting those who struggle as ‘dirty,’ unworthy, or failing.

The Insidious Nature of Stigmatizing Language

It’s essential to recognize that language is not neutral. Terms like ‘clean’ and ‘dirty’ are laden with judgment and reinforce negative stereotypes. They do not merely describe a state of being; they imply a moral judgment, creating a damaging narrative around substance use.

The Impact on Personal Growth and Recovery

Stigmatizing language hinders personal growth and recovery. It feeds into a vicious cycle of shame, internalized addiction stigma, and isolation, impeding the journey towards healing and self-improvement. It’s not just about the words we use; it’s about the attitudes and beliefs they reinforce.

Destigmatizing Substance Use

To genuinely support those who use drugs, we must shift our language and perspective. This involves moving away from criminalization and moral judgments and towards a more empathetic, health-focused approach. We need to see substance use for what it is — a complex interplay of social, psychological, and biological factors, not a moral failing.

Empowering Through Language

As we embrace a more compassionate approach to substance use, we must adopt language reflecting this change. Instead of ‘clean’ and ‘dirty,’ let’s talk about ‘recovery’ and ‘well-being.’ Let’s focus on the individual’s journey and their strengths rather than their struggles.

The Role of Society and Media

Society and media play a crucial role in shaping perceptions. By consciously using language that respects and uplifts, we can collectively work towards reducing addiction stigma. This change in narrative can lead to more effective policies, better healthcare practices, and a more supportive environment for those dealing with substance use.

Taking Actionable Steps

1. Educate Yourself and Others: Learn about the impact of stigmatizing language and share this knowledge.
2. Practice Empathetic Communication: Use language that respects the dignity of every individual.
3. Advocate for Change: Support policies and programs that prioritize health and recovery over punishment.
4. Build Supportive Communities: Create environments where people feel safe to seek help and share their experiences without fear of judgment.

Conclusion:

The journey towards destigmatizing substance use begins with each of us. Changing our language can change perceptions and create a world where recovery and personal growth are supported and celebrated. Let’s commit to using our words as tools for healing, not harm. Together, we can build a more understanding, compassionate society.

About the Author:

Hi, I’m Johnny, an ex-street junky with 9 years sober. I’m into multiple pathways to recovery, harm reduction, alternative health & personal growth — and loud, raw, noisy guitars. You can check out my band here.

I also dig into creating short guides of resources to help others live with more freedom and intent, work wiser, and recover out loud. Click the link to sign up for free.