Originally Posted by
zbear23 
It is essentially the old nature v. nurture discussion, and IMO the two are so interrelated that it's a losing proposition to even attempt to isolate one or the other.
It's only recently that the mental health community has begun addressing nature
plus nurture. It became unavoidable with so many new medical specialties and diagnostic tools.
I accept addiction is a disease, using the medical definition of disease. It can either be active or in remission. I accept that this disease is chemical by nature, and spiritual by nurture.