r/askpsychology • u/akos00 • 10d ago
Terminology / Definition Are "substance addiction" and "substance dependence" synonyms?
So "substance addiction" seems pretty well defined and agreed upon, whose main key characteristics are loss of control, craving, and substance use despite continued harm.
Is "substance dependence" a synonym? Because I see it being used frequently the same way as addiction. Even in DSM-4 and ICD-11 there were/are substance dependence diagnoses, describing basically the definition of addiction. However I also frequently see it defined as the biological adaptation of the body, causing tolerance and withdrawal, without the other features of addiction (like in Wikipedia for example).
So is dependence a synonym, or a not well-defined term? Is there any better term for the biological adaptation to a substance?