Scott Alexander argues that pseudoaddiction is a real and important concept, despite being widely denounced as pharma propaganda in the context of the opioid crisis. Longer summary

Scott Alexander argues that pseudoaddiction - the concept that some drug-seeking behaviors are due to undertreated pain rather than addiction - is real and important, despite being widely denounced as pharma propaganda. He presents several case studies from his own practice where patients exhibited 'drug-seeking behavior' for legitimate medical reasons. Scott criticizes a key paper arguing against pseudoaddiction, suggesting its arguments are muddled and flawed. He theorizes that while the concept started well-intentioned, it was co-opted by pharma companies, leading to media exaggeration and expert silence. Scott concludes that the denial of pseudoaddiction represents a failure of epistemics amid moral panic about the opioid crisis. Shorter summary