According to the text, what is one legacy from the Puritans regarding addiction?

One significant legacy from the Puritans regarding addiction is punitiveness. The Puritanical worldview was characterized by a strict moral code and a belief in personal accountability, leading to a framework in which behaviors deemed sinful, such as addiction, were met with harsh judgment and punitive measures. This perspective emphasized the idea that individuals had to face the consequences of their actions, often leading to legal and social repercussions for those struggling with substance use disorders. This legacy has influenced contemporary attitudes towards addiction, where punitive approaches, such as incarceration and stigmatization of individuals with substance use issues, persist in many communities. The focus on punishment rather than understanding or rehabilitation reflects the historical roots in Puritan beliefs.

In comparison, the other options—acceptance of alternative treatments, support for community-based care, and emphasis on personal choice—represent more modern or progressive trends in addiction treatment and attitudes. They do not align as closely with the historical context of Puritan ideology, which prioritized moral rectitude over compassionate or alternative approaches to addressing addiction.