Our lives are filled with moral issues; almost everything we do has a moral component. Issues of right and wrong are inherent in almost every decision and for some decisions they represent the central concern. Very few people appreciate how prevalent moral issues are. Moral issues span the good, and the bad; care, responsibility, fairness, equality, freedom, opportunity, cooperation, trust, and honesty; stealing, lying, fraud, abusive influence, manipulation, personal decadence, violating human rights, and unethical acts.

Society views addictions and substance abuse very similarly. Most of society believes that the addict is simply somewhere within the realm of a moral dilemma, a dilemma which likely [supposedly] originated from a moral turpitude. Society may consider substance abuse to be a moral problem rather than a psychological problem because of this. Society has many expectations of morals and ethics. A prevalent expectation is that a person should be accountable. We are taught that most addicts are in a state of denial. The addict believes everything is happening to them, they are the victim, that it’s not their fault. If society holds on to this belief as a rigid truth, then the perception of moral turpitude prevails. Last on the list of causes is the possibility that there may be a biological influence or a psychological explanation for the addiction.