I'm disinclined to agree with Psyton's dismissal of the disease model of addiction in that there absolutely is a genetic component to problems like alcoholism. As LRC illustrates, some families have this more than other families.
Also, alcoholism and drug addiction tend to be comorbid with mental illnesses. If a schizophrenic finds that when he drinks he doesn't hear voices so much, I can imagine drinking every day would become attractive. Similarly, cocaine has some of the same properties stimulants like Ritalin do. People with Attention Defecit Disorder can find that really attractive.
I don't know that its at all funny that poor people are more likely to be addicts. Poor people are also more likely to have faced many of life's most depressing experiences, so that something some people use to escape depression might be more of an issue isn't a big shock.
Plenty of diseases have a personal responsibility component. In fact, I would venture to say ALL mental illnesses do. Are you going to listen to your paranoid fantasies when a coworker looks at you funny? If you're so depressed you can barely get off the couch, are you going to go to work anyway? I'm thinking that Psyton knows a guy who finds it very difficult not to get upset in certain circumstances that wouldn't necessarily upset other people and I doubt Psyton would call this person's efforts to keep from getting too upset a personal responsibility issue alone. Those are disease questions, but they are personal responsibility questions too. In short, personal responsibility can be harder for some people than for others and addiction is one of the things that can make it harder.
My issue with Frey is that he is claiming he overcame addiction by willpower ALONE and that is a lie.
If the breast cancer analogy is too far out, perhaps I can make a more reasonable comparison if I say that it is equivilent to him saying "Yes, I had clinical depression, but I just forced myself to cheer up and that worked fine! So people shouldn't go to a psychologist when they are depressed, they shoudl just suck it up like I did!" when he never had clinical depression at all.
The sheer level of scumbaggery still makes me shake my head.