What term replaces the word dependence according to the DSM-5?

The term "addiction" is used in the DSM-5 to replace the word "dependence." In clinical contexts, addiction encompasses a broader range of behaviors and symptoms associated with substance use disorders. The DSM-5 has emphasized the importance of recognizing not just the physical aspects but also the psychological and behavioral components associated with substance use, thereby promoting a more comprehensive understanding of addiction. This shift reflects an understanding that addiction involves patterns of behavior that can lead to significant impairment or distress, moving beyond a simple focus on dependence as a singular concept.

The focus on addiction allows for a more nuanced identification and treatment approach that acknowledges the complex interplay of physical, psychological, and environmental factors that contribute to substance use disorders. This change is significant because it helps to destigmatize those struggling with such issues by framing addiction as a disorder requiring treatment and care rather than merely a weakness or lack of willpower.