Historically, drugs have been used for medicine purposes, for ceremonies and rituals (Ouzir & Errami, 2016, p. 59). Nowadays, the majority of legal and illegal drug consumption remains occasional and recreational, with about 15-35% of individuals developing an addiction (Lenoir & Noble, 2016, p. 1096). The term “addiction” typically refers to psychoactive substance abuse such as tobacco, alcohol, cocaine or opioids and is characterized by impaired control, functional impairment, risky use, tolerance and withdrawal (Chamberlain et al., 2016, p. 841). Several repetitive behaviours share these core aspects of addictions, such as gambling disorder, Internet addiction (Chamberlain et al., 2016, p. 841), exercise dependency (Berczik et al., …show more content…
64). Perhaps the most poignant example of addictions triggered by biology is iatrogenic drug dependence: while opioids like morphine are prescribed for short-term pain management, recent studies have shown that up to 56% of patients develop a long-term addiction (Beauchamp, Winstanley, Ryan & Lyons, 2014, p. 2024). In such cases, the catalyst for the addiction is pain, not emotional stress, and individuals with genetic predispositions may develop a long-term substance dependency. An example of behavioural addiction triggered by biological factors is exercise, with about 2.5% of the exercising population showing symptoms of addiction (tolerance, withdrawal, lack of control, continuance etc.) and up to 52% for athletes (Berczik et al., 2012, p. 412). Although initiated by a desire for physical fitness, some individuals with genetic predisposition will progress to a full addiction to exercise. Somewhat related to biology, an individual’s personality also refers to patterns of thinking, feeling and behaving. Although some personality characteristics are innate, other traits are acquired and develop over time, for example through socialization (Wakefield, 2013, p. 171). The role of personality with the use of different substances such as alcohol, tobacco and marijuana has
The biological aspect of addiction takes into account the genetic and inherited components of addiction, as well as the effects of addiction on the body itself. It also includes the neurobiological and neurobehavioral theories and studies, which are becoming the most popular ways in studying addiction. The physical component of addiction primarily relies on the dependence of the substance, the tolerance that the body creates as a result, and the experience of withdrawal symptoms. The psychological
Addictions are a diverse set of common and complex diseases that are to some extent tied together by shared genetic and environmental factors. Addiction includes alcohol use disorders, cannabis and cocaine use disorders, nicotine dependence, as well as non-substance–related behaviors. Both genetic and environmental variables contribute to the use and abuse of addictive substances, which may eventually lead to addiction.
The disease model of addiction rests on three primary assumptions predisposition to use a drug, loss of control over use, and progression (Krivanek, 1988, p.202). These physiological alterations cause an undeniable desire to take more drugs (McNeece & DiNitto, 2012). Addicts are viewed as individuals with an incurable disease with drug addiction as the symptom. The disease model argues users cannot be held accountable for their addictions (Kirvanek, 1988).
Modern society has failed bring the burgeoning problems of addiction under control. The word “addiction” was applied to drug use in the 20th century, but now it refers to a wider variety of non-drug hobbies, such as eating, gambling and sex. To treat the devastating flood of addiction problems, it is important to understand that addiction is not just a physical problem but more of a social and psychological problem. Dislocation caused by the free market society and the pressure from family can lead to addiction.
Addiction is a condition that the patients lose control over drug use. The patients tend to overuse and grave for opioids despite the harmful impact on themselves and on the society. (Kaye et al., 2017, S95)
According to the National Institute on Drug Abuse 2014, the disease model addiction is considered a brain disease that can affect multiple circuits in the brain, which involve motivation, learning, memory and inhibitory control over one’s behavior. Because drug addiction and abuse have so many dimensions and disrupts aspects of one’s life, treatment is just not that simple. Addiction treatment must be able to stop an individual from using drugs and continuously maintain a drug free lifestyle, and achieve productive functioning in working, family and society. Because a person’s addiction is typically considered a chronic disease, those who have the disease cannot simply stop using drugs in a few days and totally be cured. Some require long-term and repeated episodes of care to be able to achieve one’s ultimate goal of sustaining abstinence and recovery of their lives. A report conducted by the Substance Abuse and Mental Health Services Administration and National Survey on Drug Use and Health (NSDUH), the
Illegal drugs have addictive properties that make it hard to stop abusing them. According to the National Institute on Drug Abuse more than sixty percent of patients suffering from drug addiction relapse into abuse(National Institute on Drug Abuse, 2000). Depending on the type of illegal drug, the level of addictive
A prevailing belief in the field of addiction is that drug addiction is a “brain disease” characterized by “uncontrollable, compulsive drug craving, seeking, and use, even in the face of negative health and social consequences” (Leshner 2). In his article “Addiction Is a Brain Disease,” Alan I. Leshner claims that repeated use of drugs alters brain structure and function (1) and that once addicted, few are able to revert back to occasional use (2). Because of their “uncontrollable” behavior, he believes addicts cannot quit on their own and need formal treatment (4). Although Leshner’s ideas represent wide held beliefs in the psychiatric field, recently an array of studies, such as Rat Park and the Vietnam veterans, produce evidence that disproves Leshner’s beliefs that addiction is compulsive, does not exist on a spectrum, and needs professional intervention to resolve, and instead suggests that environmental factors play a larger role in addiction and recovery than was previously believed.
An understanding of addiction must remain broad: addiction as a possible consequence of the human desire to alter consciousness; a chief public health concern for its dramatic negative impact on society through the destructive behaviors of the addiction; a chronic, relapsing, biopsychosocial disorder that cannot be understood apart from social context—not simply as a brain disease (Hammer et al., 2013). It is much more than a brain disease and everyone deserves to be treated for their individual issues and/or traumas. The challenge of providing quality care for the addicted is layered not only with careful consideration and social context of the addicts—their ability to cope, their understanding of the nature of
Scientists and physicians say that addiction is a complex, but treatable disease that affects brain function and behavior. The use of
It is widely known that there are multiple biological theories and psychological theories of addiction. In this paper, I will select the genetic inheritance theory of biological theories of addiction and the addictive personality theory of psychological theories of addiction to illustrate how both theories are different and similar. In addition, I will discuss if I would use these theories in my future practice.
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).
The biopsychosocial model doesn’t rely on one factor as some of the other theories do. It would appear to be a more suitable means of diagnosing why someone has become addicted, as it has a multifaceted approach which incorporates social, cultural, physical and psychological factors ( Donovan & Marlatt, 2005).
Cocaine, cannabinoids, opioids, alcohol and nicotine are the drugs of abuse that are recurrently used. Most of these drugs can alter a person’s thinking and judgment, leading to health risks, including addiction. Over the past 30 years, it has shown that drug addiction is a chronic, relapsing disease that causes compulsive drug seeking, which embeds behavioral and social-context aspects that are important parts of the disorder itself. Thus, the treatment approach includes biological, behavioral, and social-context components.
Aside from the purely psychological component, there is a chemical component to how addiction functions in humans. When studying drug addiction, two fields of study are involved. The first is Neuropharmacology. Neuropharmacology focuses on the drug induced changes to the functions of cells in the nervous system. The other is Psychopharmacology. Psychopharmacology deals with the changes in mood, thinking, and behavior caused by drug use. Both branches of medicine are equally important to explaining the nuances addiction. The work being done in these fields of study is making strides to help addiction become more widely understood.