When you look across the entire landscape of addiction treatment in North America, it generally splits into two camps: Those who believe addiction is a decision (who tend to be more empowered) and those who believe addiction is a disease (who tend to be more compassionate.)
While those who hold these views do so sincerely and deserve so much honour for how they have attempted to help others, neither position really makes any sense at all. No one ever woke up one morning and decided, "Today is the day I commence wreaking my health, destroying my liver and risking terminal illness," and, likewise, no one has ever managed to explain why there are so few alcoholics around when nearly everyone on the planet has had at least one drink.
Both positions are wrong.
Addiction is neither a decision nor a disease, it's a result of trauma. It's a rather reasonable result of having survived extraordinary and deeply painful circumstances that became accepted as a definition of the self.
Children can not differentiate between their environment and their identity. If children live in an abusive environment, they come to believe they are bad persons and deserve to be hurt. The child, having believed that lie, then seeks to live in a way that avoids abuse by trying to become whatever that deranged environment deems to be the opposite of, "Bad."
So many of the addicted people I have worked with have sacrificed themselves in astounding ways; protecting siblings and even taking abuse upon themselves to do so. They are intelligent, empathetic and socially concerned lovers of God and other people I feel honoured to know. In short, they are anything but, "Bad."
However, they still believe they are bad. And, if healing is ever going to happen, then that's the first belief that has to change. Click the above link to find out how!