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The term "substance abuse" was first coined by Dr. Norman J. Miller in 1982. Dr. Miller was a researcher and psychiatrist who worked extensively in the field of substance use disorders and addiction. He played a significant role in shaping the understanding and language used to describe problematic substance use and its associated disorders.

The term "substance abuse" was introduced as a more comprehensive and less stigmatizing alternative to terms like "drug abuse." It aimed to encompass a wider range of substances, including alcohol and various drugs, and highlight the harmful and excessive use of these substances.

Over time, the language surrounding addiction and substance use has continued to evolve, with terms like "substance use disorder" becoming more prevalent in professional and clinical contexts. These changes are often influenced by ongoing research and efforts to reduce stigma associated with addiction.

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