Addiction choice or disease
This essay will look to outline the different arguments in that; addiction to a substance is a choice of one’s free will, or is it a disease element in our bio chemical or physical make up? It will consider, if addiction extends from genes inherited from parents or forefathers, or if it is a learned behaviour through day to day lifestyles, and changes through growth from tots to teens, to youths, then to adults. It will also seek to analyse how different approaches and points in this relevant argument can be debated in the academic and medical world, with the views and discussion of recognised professionals in the study of addiction.
The definition of addiction ad-dic-tion (noun) is ‘the state of being
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The user can no longer make rational decisions on where and how much he or she should consume. “This may be the point where an alcohol or drug user is nearing full blown addiction” (Fleeman, 2004).
Addiction to any substance whether it be alcohol ,drugs prescribed or illegal or even the new legal highs can have turbulent effect on a person’s life, whether it be work, social or family life. It has been said that addiction in any form can be treated through intervention by relevant bodies, such as NHS Trust, Twelve Step Programs, Alcoholics Anonymous (AA) and Narcotics Anonymous (NA), to help the person overcome this compulsion through time and guidance, working towards a future clean and sober minded life. Drugs, alcohol, or any other chemical, artificially induced into the body, affects the way people see, speak, walk and hear. Albeit, theorists such as Dr Peele are staunch critics of the 12 steps model as advocated by Alcoholics Anonymous.
According to (Snel & Lorist, 1998) ‘This continuous habitual behaviour, including substances such as caffeine and nicotine, ultimately affects the cognitive system in the brain and causes differences in the way we live our life.’ Normal early morning rising habits such as, shower, teeth brushing, flossing, and often including coffee and cigarettes, are habitual in everyday life. Caffeine and nicotine contain chemical substances which enable the processes
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
The three models of addiction examined in this week’s readings include the medical model, the psychosocial model, and the disease of the human spirit model. The medical model “rests on the assumption that disease states are the result of a biological dysfunction, possibly one on the cellular or even molecular level” (Doweiko, 2012, p. 333). Many consider this model and “maintain that much of human behavior is based on the interaction between the individual’s biological predisposition and the environment” (Doweiko, 2012, p. 333). Individuals under this model view free will “as an illusion” (Doweiko, 2012, p. 333). There is controversy regarding this model as “to the degree to which the
Further, circumstances such as economical, health, or personal issues resulting in a person’s choice to take drugs ironically can be the same reasons for them to either change their pattern, stop taking drugs, or get help versus the unavoidable, involuntary effect of a diseased brain. Additionally, those that choose to continue being addicted over a long period of time illustrates that by making that choice they are not helpless compared to a person who has a chronic disease. “Rather than being the inevitable, involuntary product of a diseased brain, these actions represent the essence of voluntariness. The addict’s behavior can be modified by knowledge of the consequences. Involuntary behavior cannot (Satel, Goodwin, 1998, pg. 5).
The definitions have progressed from tolerance or withdrawal symptoms from a specific drug to chronic intoxication, continued use with increased dosage, dependence, and damaging effects to user (Reinarman 2005). Both of these definitions proved to be too restrictive because all drugs do not have the same effects on every user. The current definition used by physicians and the criminal justice system is based on seven criteria (Reinarman 2005). The constant evolution of how the professional world views drug dependence mirrors society’s change in the understanding of addiction. Historically, “the drink” was viewed as the devil and drugs were often thought to be the cause of many criminal acts (Schneider 2003). After the medicalization of addiction and dawn of decriminalization of drug abuse, public opinion of deviant alcohol and drug use has changed. For the family unit, it is much simpler to accept and approach treatment for addiction if it is classified as a medical disease. In society, drug users can be framed as patients instead of criminals based on current standards. By looking at addiction as a treatable set of signs and symptoms instead of holding the individual accountable for actions they committed while intoxicated, the disease concept releases a lot of the stigma that goes along with
This paper will try to explain the different views of how and why Alcoholics Anonymous and other 12-step programs are accepted and rejected as effective tools in treating alcoholism and other addictions. The articles reviewed contradict the others’ opinion. First, we see that supporting the 12-step programs with a degree of involvement both the doctor and patient will see better results in treating the addiction. The second view will show that 12-step programs can be used as “self-help” treatment and must be used in conjunction with other forms of rehabilitation. When AA and other 12-step programs are not used with other forms of treatment, the patient tends to become codependent on the group.
The meaning of a word portrays what it encompasses and if the phrase itself is misunderstood then defining what it’s trying to explain can be a studious task. Addiction has been defined by many and holds different meanings based on the context it’s used in. Addiction can be defined as a condition in which a person undertakes the use of substance, or engages in activities, which in turn brings pleasure, and tends to divert oneself from their day-to-day duties and responsibilities. Addiction is mostly related to drug use but it is also used to describe non-drug entities, such as gambling, and Internet addictions (Avena et al, 2008). Researchers (Herbert, J. D., Forman, E. M., 2010) have been keen on identifying the factors that lead to
Addiction is thought of a biological nature that is past through genetics according to the biological theory as explained in P2. A contrasting theory of the biological theory would be the classical and operant conditioning theory, this was made by Pavlov. The basis of conditioning theories is that addiction is the end result of the reinforcement of drug use. The drug acts as a reinforcer and gains control over the user’s behavior. In contrast to the biological models of the exposure theories, these conditioning models suggest that anyone can show addictive behavior if they are given reinforcements, regardless of their genetics. The advantage of this
It is paramount to attempt to understand why individuals become ‘addicts’/ drug dependent, as in doing so treatments and therapies may be adopted in line with the needs of the drug dependent individual. A greater understanding in the area of causality may produce more effective interventions at earlier stages of drug misuse.
To begin with, studies have found that inherited genes are responsible for a considerably large part of the probability that someone will become addicted to any kind of substance or behavior. Addiction is strongly influenced by genetic factors in the later stages of addiction, such as problem use and dependence of an addictive substance. Some genetic factors can make an individual more likely to become addicted to only one specific drug. On the other hand, some genes can make an individual more likely to become addicted in general. Some individuals might be genetically inclined to risk-taking behavior such as receiving large jolts of dopamine through what they consider to be the “excitement” of drug use. These individuals could be subject to keep returning to the illicit and harmful drugs that they find enjoyable despite what they know of the harmful effects. These genetic influences could make them more likely to become addicted to alcohol, cocaine, tobacco, gambling, or any number of substances or activities. Addiction has an inherited component and it
The definition provided above is accessible and easy to understand; however, it initiates false beliefs among individuals because it fails to acknowledge that drug addiction is a mental health problem. Moreover, when words such as, “dependence”, “control” and “craving” are used to define drug addiction, it leaves an impression to the reader that addicts are indeed “people who cannot control their impulses.” Consequently, when we fail to recognize that drug addiction is a mental health problem, our focus is diverted towards the physical aspect of drug addiction. This could cause the belief among individuals that drugs alone cause the addiction. It is essential to acknowledge that there are chemical hooks in drugs; however, individuals need to understand that drugs alone do not cause the addiction. We need to identify and distinguish the “root cause” of addiction and ask ourselves: what caused the individual to take the drug in the first place?
Addiction is formed by an initial choice fueled by external beguiling factors. From the time we are born, we know absolutely nothing, our minds are a blank slate. In fact, according to Jean Piaget’s cognitive stages of development, the mind does not begin to think abstractly from concrete ideas or reason until the final stage (formal operational), which lasts all the from age twelve and on. Because of this, we can deduce that at any age in our development, we are susceptible to external factors influencing our behavior. With that being said, a person’s decision to participate in the use of any substance is influenced by much more than their knowledge that it is “wrong”. Peer pressure, stress, curiosity or even medical practices can ignite the choice to abuse substances. The majority of addictions that begin in the pre-teen and teenage years stem from their exposure to drugs and alcohol in the media, many even claim that
Addiction is like all behaviours “the business of the brain”. Addictions are compulsive physical and psychological needs from habit-forming sustenances like nicotine, alcohol, and drugs. Being occupied with or involved in such activities, leads a person who uses them again and again to become tolerant and dependent eventually experiencing withdrawal. (Molintas, 2006).
To start, addiction is defined as the ongoing use of mood-altering substances, such as alcohol and drugs, despite adverse consequences (Morse & Flavin, 1997). From the year zero, addiction has been a rising crisis all over the world. As long as addiction as been around so have the ideas of whether or not addiction is a choice or a disease. In this paper, I will discuss the medical model which provides supporting information as to how it is possible that addiction is in fact a mental illness. I will also discuss the opposing view stating that addiction is a choice and that addicts are not “sick”. The medical model argues that “The disease of chemical dependency can be traced to neural pathways in the brain predating a diagnosis of addiction” (Angres, 2001). The opposing view argues that the free-willed first decision to first try the drug is the foundation for the stigma that addiction is a choice. Because of the two drastically opposing views, it is important to be more informed about
To conclude, alcohol addiction and drug addiction can easily be caused by the contributing factors of both nature and nurture. I am personally interested in these problems because the nature vs. nurture debate is so widely talked about. Researching this debate specifically in addiction cases could potentially help psychologists learn more about what causes drug
The idea that addiction is a disease is an article of faith in the study of drug and alcohol dependence, providing the foundation for much of the treatment and public policy related to addiction since the early 1900s. In a forthcoming book, psychologist Dr. Heyman dismantles this time-honoured assumption, arguing that addiction is first and foremost governed by personal choice, and does not therefore fit clinical conceptions of behavioural illness. Heyman has done research on choice, cognition and drug use. He has done volunteer work at a methadone clinic and he currently teaches courses on addiction at Harvard University (Addiction: New Research Suggests It’s a Choice).