sentences:  In the DSM-IV era, abuse was seen as an early form or less hazardous form of the disease characterized with the dependence criteria.However, the APA's 'dependence' term, as noted above, does not mean that physiologic dependence is present but rather means that a disease state is present, one that most would likely refer to as an addicted state.Many involved recognize that the terminology has often led to confusion, both within the medical community and with the general public.