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By classifying the self\u2010reported reasons for substance use from 33 participants in a NIMH\u2010funded qualitative study of dual diagnosis and homelessness, this study aims to evaluate the applicability of SMH. How one conceptualizes SMH will determine whether SMH is empirically supported. When SMH refers to using substances strictly to cope with symptoms of mental disorders, only 11 out of 72 attributions support it. When SMH refers to using substances to cope with painful feelings in general, more than half of all attributions support SMH. The significance of accurately understanding the various reasons people give for why they use substances is discussed.<\/jats:p>","DOI":"10.1080\/10550490701375368","type":"journal-article","created":{"date-parts":[[2007,6,25]],"date-time":"2007-06-25T11:24:05Z","timestamp":1182770645000},"page":"160-165","source":"Crossref","is-referenced-by-count":30,"title":["Reevaluating the Self\u2010Medication Hypothesis among the Dually Diagnosed"],"prefix":"10.1111","volume":"16","author":[{"suffix":"LMSW","given":"Benjamin","family":"Henwood","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"suffix":"PhD","given":"Deborah K.","family":"Padgett","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2010,4,19]]},"reference":[{"key":"e_1_2_6_2_2","first-page":"463","article-title":"The young adult chronic patient: overview of a population","volume":"32","author":"Pepper B","year":"1981","journal-title":"Hosp Community Psychiatry"},{"key":"e_1_2_6_3_2","first-page":"475","article-title":"The new chronic patient and system of community care","volume":"32","author":"Caton CLM","year":"1981","journal-title":"Hosp Community Psychiatry"},{"key":"e_1_2_6_4_2","doi-asserted-by":"publisher","DOI":"10.1093\/schbul\/16.1.31"},{"key":"e_1_2_6_5_2","doi-asserted-by":"publisher","DOI":"10.1093\/schbul\/23.2.181"},{"key":"e_1_2_6_6_2","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.1996.01830110060007"},{"key":"e_1_2_6_7_2","doi-asserted-by":"publisher","DOI":"10.1093\/oxfordjournals.schbul.a033339"},{"key":"e_1_2_6_8_2","doi-asserted-by":"crossref","first-page":"2511","DOI":"10.1001\/jama.1990.03450190043026","article-title":"Comorbidity of mental disorders with alcohol and other drug abuse: results from the Epidemiological Catchment Area Study","volume":"264","author":"Regier DA","year":"1990","journal-title":"JAMA"},{"key":"e_1_2_6_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0920-9964(98)00162-5"},{"key":"e_1_2_6_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0924-9338(00)00203-0"},{"key":"e_1_2_6_11_2","doi-asserted-by":"publisher","DOI":"10.3109\/10673229709030550"},{"key":"e_1_2_6_12_2","doi-asserted-by":"crossref","first-page":"224","DOI":"10.1176\/ajp.148.2.224","article-title":"Drug abuse in schizophrenia patients: clinical correlates and reasons for use","volume":"148","author":"Dixon L","year":"1991","journal-title":"Am J Psychiatry"},{"key":"e_1_2_6_13_2","doi-asserted-by":"publisher","DOI":"10.1097\/00005053-199107000-00004"},{"key":"e_1_2_6_14_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0447.1997.tb09925.x"},{"key":"e_1_2_6_15_2","doi-asserted-by":"publisher","DOI":"10.1080\/10550490490435795"},{"key":"e_1_2_6_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0306-4603(98)00073-2"},{"key":"e_1_2_6_17_2","doi-asserted-by":"publisher","DOI":"10.1176\/ajp.142.11.1259"},{"key":"e_1_2_6_18_2","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.94.4.651"},{"key":"e_1_2_6_19_2","volume-title":"Qualitative Research and Evaluation Methods","author":"Patton MQ","year":"2002"},{"key":"e_1_2_6_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0005-7967(99)00029-7"},{"key":"e_1_2_6_21_2","doi-asserted-by":"publisher","DOI":"10.1034\/j.1600-0447.2001.00284.x"},{"key":"e_1_2_6_22_2","doi-asserted-by":"publisher","DOI":"10.1037\/0002-9432.74.3.365"}],"container-title":["The American Journal on Addictions"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1080%2F10550490701375368","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1080\/10550490701375368","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,31]],"date-time":"2023-10-31T02:57:04Z","timestamp":1698721024000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1080\/10550490701375368"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2007,5,6]]},"references-count":21,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2007,5,6]]}},"alternative-id":["10.1080\/10550490701375368"],"URL":"https:\/\/doi.org\/10.1080\/10550490701375368","archive":["Portico"],"relation":{},"ISSN":["1055-0496","1521-0391"],"issn-type":[{"value":"1055-0496","type":"print"},{"value":"1521-0391","type":"electronic"}],"subject":[],"published":{"date-parts":[[2007,5,6]]}}}