Caitlin Martin
SYP4550
11/23/2015
Paper #2 A Critical Look at "Brain Disease" Addiction, such as drug or alcohol addiction, is explained by a Dr. Nora Volkow in a HBO series on addiction as "a disease of the brain that translates into abnormal behavior." This disease is known as brain disease which "refers to disruptions in the brain 's motivational and reward circuitry that results from the cumulative effect of repeated use of certain substances." The documentary, Addiction, drove home the point that drug addiction is a brain disease that is a chronic condition but one which can be treated and taken care of. These are the claims of Dr. Volkow and others in reference to people who deviantly drink or are addicted to either licit or
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As stated by Orcutt, "there may be no better example of how claims making by powerful groups in government, the media, and private enterprise has advanced the process of medicalization than the HBO Addiction Project."
The brain disease concept from this documentary series restricts our understanding of complex behaviors such as drug addiction or alcohol use as a large population of society wonders why these people don 't simply stop the negative behaviors that they are engaging in. This disease perspective sends a message to the public that an addict 's condition is amenable to a medical cure and that the language used is more to describe conditions such as schizophrenia and other such afflictions that have not been brought on by the sufferer themselves and that cannot modifiable by the person 's desire to do better. From the brain disease perspective; addiction is something beyond these people 's control and is in part contributed by genetic dispositions and a chemical imbalance in the brain among other things, and not something based on an individual 's choice and behaviors leading to heavy drug use. The studies from the video, as well as other sources, typically cite the brain as the organ in which addiction is said to reside yet this is not perfectly clear and has not been thoroughly scientifically explored. Images of the brain are shown in the videos, one of a normal healthy person and one of a person who has an addiction. While this is true to an extent,
It is shown that people that tend to be involved in the use of drugs do so after making a voluntary choice (Heyman, 2009). The major use of drugs for social and non-medical preferences can lead to dependence and further addictions, it is a choice that people tend to make and from that it can lead to wanting it more, do it more with friends and further it becoming an addiction, that then effects the brain and body. When drugs are used in the wrong way they can cause many health issues but some people still tend to refer to drug addiction as a disease. Yes, There has been compelling evidence that addiction is a disease, however the result shown are weak and inconclusive. Results of different brain scans are shown by The National Institute of Drug Abuse (2017) are used to back up that addiction in fact is a disease, however the brain scans used in this research are not symbolic of any abnormal changes. The research by The National Institute of Drug Abuse do point out that changes in an individual’s brain is shown as evidence that addiction is a brain disease, however this argument can be shown as mistaken as changes in many human brains can be seen as not exclusive in addicts, although they can occur when a person is normal (Branch,2011). To top it off the information that is stated by the NIDA however doesn’t show evidence of the behaviour of addicts being involuntary or
Addiction is a “chronic and relapsing brain disease portrayed as an individual pathologically pursuing reward and/or relief
Addiction is a chronic brain disease that often results in some sort of relapse. Addiction is characterized by inability to control drug use which results in problems with one’s behaviors and interpersonal relationships. This disease causes compulsive behaviors such as the need to use drugs despite the many harmful consequences that affect the addicted individual and those around him or her. Although for most people, the initial decision to use drugs is a one time lapse in judgement, the brain is easily affected by these drugs if the person decides to use these drugs multiple times. The changes that occur to the brain over time will cause the addicted person’s ability to resist the intense impulses of drugs to be altered causing the addict to often give into the temptation of these drugs. Like other chronic diseases, addiction often involves cycles of relapse and remission. Without treatment or engagement in recovery activities, addiction is progressive and can result in disability or premature death. Drug addiction is an issue that many people deal with whether they are the addict or the addict is their loved one; but with a good source of support anyone can over come the challenges and consequences of addiction.
Many people believe the misconception that an addiction is a moral problem and not a disease. To better understand the reasons why an additicition is in fact a disease; I will identify several types of addictions, and the problems associated with them. I will examine reasons why certain people are more susceptible for developing an addiction. Also, I will determine why many addicts deny their problems and many recovery methods addicts use to fight their illness. Researching these issues, will help aid my claim that addiction is a disease.
According to Drugabuse.gov, Drug addiction is defined as a chronic, relapsing brain disease that is characterized by compulsive drug seeking and use, despite harmful consequences. Addiction is viewed as brain disease due to the changes that are going on in the brain due to the usage of the drugs, so it alters the structure and how it regularly functions. However, after reading Maia Szalavitz book, “Unbroken Brain: A Revolutionary new way of understanding addiction (2016)”, she has a unique view of what brain addiction is and her experience with addiction. In her novel, she views addiction as a learning disorder, like in her case it started early on in her as a child learning to be addicted to other things that develop habits of pleasure, reaction that makes up their addiction. Her memoir is her personal experience with addiction with using reputable journals and study to convey her point on what her rollercoaster with addictions has been starting early on in early childhood.
Wise and Koob state that addiction begins with positive reinforcement, habits, a person feels the “high” of the habit, however, then the tolerance sets in which conditions the brain for negative reinforcements and one increases the use to enjoy the habit (2014). According to the National Institute on Drug Abuse (2012), drug addiction is a chronic brain disease. This disease is complex disease that is treatable, however it is a lifetime of treatment, sending many into relapses over and over again. The Diagnostic and Statistical Manual of Mental Disorders (DSM-5)
The brain-disease model of addiction was discussed, which has been a widely accepted model of addiction; for example, drug counselors and medical schools generally accept the brain-disease model. Have we moved away from the brain-disease model at all? Satel and Lilienfeld (2013) made some excellent arguments against the brain-disease model and I realized why the brain-disease model is problematic. It assumes that the addict has no choice, because they have a disease. In addition, the brain-disease model does not emphasize the psychological and social aspects of drug addiction (Satel & Lilienfeld, 2013). This reading and my Alcoholics Anonymous experience, from Drugs class, tied in nicely. I remembered that the speakers/leaders regarded alcohol addiction as a disease and that alcoholics could never drink moderately again. It was strange to hear alcohol addiction as a disease, but I never thought about the aspect of lack of choice. I also found it interesting that clinicians generalize from those with the worst form of addiction (i.e., clinician’s illusion). I thought clinicians were scientifically-inclined and would not make such generalizations, however, the authors explain that the medical world applies generalizations (Satel & Lilienfeld, 2013). Another interesting piece of the reading was about how addicts can employ self-control, especially when rewards are involved. I was wondering if there are any other reward programs in the US, apart from Project HOPE in
Across all addictions, there is a central theory as to how such an addiction can occur. The common mechanism of all addictive substances is the activation of the brain’s “reward system”, made up of dopaminergic neurons of the midbrain and their extensions to the limbic system (http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3272277/). This system is normally used in advancing evolutionary fitness promoting activity, such as sex, food, or social interactions (http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3272277/). In such normal natural behaviors, the reward system activity is relatively brief and weak. However, addictive substances abuse the system’s circuitry, causing
Drug addiction, disease or choice, the National Institution of Drugs Association (NIDA) has determined Drug Addiction a chronic, relapsing brain disease while opposing views debate Drug Addiction as solely a choice controlled voluntarily? Drug addiction is now recognized as a chronic relapsing brain disease expressed in the form of compulsive behaviors. Hence, the estimated economic cost contributed to
This learner believes that behavior and addiction should be accepted as the same as addiction to substances. Working in a substance abuse recovery program has allowed this learner to understand addiction as a behavior. Many individuals have a substance abuse addiction and issues because of their behavior. They have made a choice to use substances and their behavior has taken over their life. Overall, this learner believes that all addictions are just as important as a substance abuse addiction. In fact, it should not be considered the same type of illness despite of it being a food, sex, or even gambling addiction. However, the addictions have to be treated differently based on the type and the individuals. According Smith (2012), “Developing brain science brain science has set the
Is addiction a brain disease? The definition of disease is a disorder in an organism that produces specific signs/symptoms that affects a specific location and isn’t a direct result of any kind of physical injury. Addiction is a compulsive need for any substance or service that can cause a person or organism to form a habit, and is a chronic disease of brain reward and causes dysfunctions in the circuits. Addiction is also characterized by the inability to consistently abstain impairment in behavioral control. The idea that addiction is a brain disease is just about universally accepted among scientist that focus on addiction (Corrigan,2008). However few believe that addiction is not a brain disease because they claim that neural dysfunction is not sufficient for disease. (NCBI, 2012). Some agree that addiction occurs in the brain but should not be considered a brain disease or a disease at all(Lawrence 2013). Substance abuse is the most common addiction that people base their decision upon. These drugs affect the brain and cause different reactions to the rest of the of the body. The types of drugs include: hallucinogens, opioids, sedatives, stimulants, etc. cause different
The National Institute for Drug Abuse agrees by breaking down a more biological understanding of addiction. Their method is known as a "disease model." They believe that it is quite clear that drug addiction is "considered a brain disease because drugs change the brain-they change it's structure and how it works." The disease model consists of some well thought out points. It states that drug addiction is a brain disease because repeated use and abuse of drugs changes the brain. Drug addiction alters brain pleasure centers, so that normal happiness requires higher and more frequent drugs. Brain imaging studies show changes in the brain that are critical to judgement, decision making, and behavior control. The risk for becoming an addict is greatly dependent on one's biology, such as gender or ethnicity. The prepondrance of research indicates neurological effects of repeated drug
A vast argument that many people have regarding this epidemic is that drug addiction does not come as the fault of an individual who suffers from it, but rather the
Addiction is a choice and by classifying addiction as a disease, we are just enabling drug addicts to take no responsibility for their own actions in their lives. By labeling addiction as a medical condition it creates a false assumption that addicts have no control over their own behavior. People become addicts because of their behavior, not their brain chemistry. The disease concept is so popular because it gives people an easy way out; if they inherited their addiction they can’t be responsible for their own behavior. The disease model of addiction is flawed for a number of reasons; first, most people who take drugs do not become addicted, but may take drugs for a period of time, then stop when they choose to do so. Many well respected professors and scientist claim addiction is a scapegoat behavior that has been incorrectly identified as a physical or mental illness, an addict is only a victim of bad science and misguided policy.
Many people do not understand why or how other people become addicted to drugs. It is often mistakenly assumed that drug abusers lack moral principles or willpower and that they could stop using drugs simply by choosing to change their behavior. In reality, drug addiction is a complex disease, and quitting takes more than good intentions or a strong will. In fact, because drugs change the brain in ways that foster compulsive drug abuse, quitting is difficult, even for those who are ready to do so. Through scientific advances, we know more about how drugs work in the brain than ever, and we also know that drug addiction can be successfully treated to help people stop abusing drugs and lead productive lives.In some cases criminal or anti-social behavior occurs when the person is under the influence of a drug, and long term personality changes in individuals may occur as well. In addition to possible physical, social, and psychological harm, use of some drugs may also lead to criminal penalties, although these vary widely depending on the local jurisdiction.The initiation of drug and alcohol use is most likely to occur during adolescence, and some experimentation with substances by older adolescents is common.Drug addiction is a chronic, often relapsing brain disease that causes compulsive drug seeking and use, despite harmful consequences to the drug addict and those around them. Drug addiction is a brain disease because the abuse of drugs leads to changes in the structure