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The current version of the Diagnostic and Statistical Manual of Mental Disorders (DSM) does not differentiate between substance abuse and substance dependence. Please describe the

  1. The current version of the Diagnostic and Statistical Manual of Mental Disorders (DSM) does not differentiate between substance abuse and substance dependence. Please describe the differences between substance abuse and substance dependence.
  2. Because of the changes in the DSM noted above, please describe at least one problem that could occur when clinicians are not clear about the clinical presentation of the client (e.g. substance abuse vs. dependence).
  3. Explain the strengths to thinking of substance abuse along a continuum.
  4. What are possible weaknesses to this approach?
  5. How is this approach different from the "addict" model described in Alcoholics Anonymous: The Big Book?

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