Consider "child abuse": Who gets hurt? The child.
Now consider "Drug abuse." Who gets hurt? The drug? Hardly.
One who "abuses drugs" hurts oneself.
I propose we abandon the old use of the term. Who uses it that way anymore anyway? The light bulb flashed on in my head as I became embroiled in yet another dispute over the notion of "self medication," once more misapplied to an individual using drugs and alcohol in the context of another separate (presumed) psychiatric disorder.
As in most such cases the drugs and alcohol more likely hurt rather than help the patient, as I argued in my earlier post: A Working Definition for Self Medication
So when you hear or see the term self medication in the future think self abuse and see if it doesn't lead to more accurate conceptualization of the case.