{"id":"W7106244308","doi":"10.2139/ssrn.5777882","title":"The Damage Done: How the Disease Model of Addiction Harms Marginalized People in Canada Marginalized People in Canada ","year":2025,"lang":"","type":"preprint","venue":"SSRN Electronic Journal","topic":"Substance Abuse Treatment and Outcomes","field":"Medicine","cited_by":0,"is_retracted":false,"has_abstract":false,"ca_institutions":"University of British Columbia","funders":"","keywords":"Disease; Addiction; Government (linguistics); Stigma (botany); Harm; Perspective (graphical)","routes":{"ca_aff":true,"ca_fund":false,"ca_venue":false,"about_ca":true,"invisible_to_affiliation_only":false},"retraction":null,"screen":null,"direct_labels":[],"prediction":{"model_version":"metacan-v3-hybrid-931329e0061c","candidate_categories":[],"consensus_categories":[],"category_scores_codex":[0.002227003,0.0004099784,0.0006681217,0.001452048,0.01448122,0.008538681,0.002798893,0.002554603,0.01055904],"category_scores_gemma":[0.006089482,0.0003519897,0.001013054,0.002536683,0.01114185,0.003406505,0.005735761,0.006105393,0.0003467298],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.1068933,"about_ca_system_score_gemma":0.137336,"about_ca_topic_candidate":true,"about_ca_topic_consensus":true,"about_ca_topic_score_codex":0.9930828,"about_ca_topic_score_gemma":0.995474,"domain_scores_codex":[0.9966725,0.0009181132,0.00005918089,0.0001856837,0.0004228334,0.001741621],"domain_scores_gemma":[0.9949976,0.0005279077,0.0004025716,0.0001731285,0.001210939,0.002687905],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"theoretical_or_conceptual","study_design_gemma":"theoretical_or_conceptual","study_design_scores_codex":[0.000285835,0.0005383362,0.2966521,0.0003369797,0.0003209094,0.001627388,0.1700591,0.003937866,0.0004174314,0.4258103,0.05263928,0.04737454],"study_design_scores_gemma":[0.0001261535,0.0001963643,0.2920546,0.001832759,0.0005191867,0.0009432483,0.4612336,0.006976031,0.0004083901,0.119127,0.1163016,0.0002810093],"study_design_candidate":"theoretical_or_conceptual","study_design_consensus":"theoretical_or_conceptual","genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.6509992,0.004213971,0.0018464,0.2229667,0.0004612339,0.00018611,0.001638155,0.00003776723,0.1176504],"genre_scores_gemma":[0.9883984,0.001345271,0.0003353931,0.00314451,0.00003244647,0.00002453859,0.0001248482,0.00001555497,0.006579193],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.1068933,"threshold_uncertainty_score":0.7755691,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.01479259458280459,"score_gpt":0.236923477293384,"score_spread":0.2221308827105794,"validation_status":"score_only:v0-immature-baseline","note":"Baseline scores from an immature model (maturity gate not passed). Scores rank; they never assert a category."}}