Scientific Theories Are Objectively Justified

Addiction is defined as a “condition that results when a person ingests a substance or engages in an activity that can be pleasurable but due to compulsivity it interferes with ordinary life responsibilities. ("What is addiction?," 2014, para. 1)” Many individuals may not realize their behavior is out of control or the effect it is having on themselves and others. Alcohol is one of the most commonly used psychoactive drugs in the world. Since the 1980s alcohol consumption has been increasing, especially in developing countries (, 2011, p. 1). Having a support system is very important in all facets of life, especially during times of addiction.

Although the terms “alcoholic” and “addict” are commonly used by lay people, they have typically been avoided in recent years in clinical settings and research to counteract stigma; they have necessarily sometimes been referenced throughout this work (e.g., Alcoholics Anonymous) and are often used by those with dealing addiction with to self-identify. Additionally, although “alcoholism”

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?

Some individuals may dislike the term ‘addiction’ in relation to drugs or other substances, particularly as it infers that a person is powerless over their use of a particular drug or in some circumstances, a number of substances. Whilst others maintain it is this powerlessness that is the foundation of diagnosis and treatment – that treatment is not possible without recognition of addiction itself as the ‘problem’ being

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.

At the end of the course, it would only make sense that we turn to the question that we considered at the beginning of the course: What is addiction? Although the many decades of research on the topic have focused on many of the same topics, there are still disagreements on the answer to this question. Despite differences in opinion related to some of the most basics aspects in the field, there have been improvements in treatment and the way the topic is discussed. When I began this course, I was firmly ground in the belief that addiction is a disease, but there were some different parts of the course that have encouraged me to reexamine my initial understanding of addiction. This final paper will detail the process in which my beliefs at the

Addiction can be a challenging brain disease; individuals afflicted by addiction experience an uncontrollable urge to use a substance or perform a behavior, regardless of the consequences (text). Nearly 23 million Americans suffer with addiction, not including those who are addicted to tobacco (text). The excessive use of these substances or continuous acts of behavior leads to immediate activation of the brain’s central reward system, which results in feelings of euphoria (text), and consequently leads to compulsion for the substance or behavior (text). There are two categories of addiction, substance addiction and process addictions. Someone with a substance addiction might be an alcoholic or a drug user, while someone with a process addiction might shop compulsively, gamble excessively, or have uncontrollable sexual urges.

A “Substance Use Disorder” is new to the DSM-5. Previously, the terms “abuse” and “dependence” where used instead. In general, the DSM-5 considers a Substance Use Disorder to be recurrent drug use that causes impairment and continued use despite substance use related problems. The DSM-5 also focuses on how substance use causes a change in brain functioning. The change is primarily responsible for intense drug cravings, as well as repeated relapses. Finally, the DSM-5 divides the criteria for Substance Use Disorder into four groupings: impaired control (Criteria 1-4), social impairment (Criteria 5-7), risky use (Criteria 8 and 9), and pharmacological criteria (Criteria

Substance Use Disorder’s (SUD) have become an escalating issue in the mental health field over the last few decades. The alarming incline to drug related and co-occurring maladaptive behaviors has created a dedicated science to better understand and define this problematic situation. Definition allows the therapeutic process to evolve around the symptomatic problem in order to deliver the hope of recovery. Social stigmas often view drug abuse and addiction as one in the same, but when viewed by the clinician, they take on an important role in defining treatment. Drug abuse is viewed as a reoccurring use of a substance outside of its intended purpose resulting in negative consequences. The use of drugs in any form, is often voluntary and has a high risk factor of developing dependency that leads to addiction. The American Society of Addiction Medicine has characterized addiction by the inability to consistently abstain, impaired behavior control, craving, diminished cognitive behavior in regards to relationships, and dysfunctional emotional response (ASAM, 2011). At this point, the progressive substance use cannot be changed without a course of treatment. The therapist’s subscription to a particular pharmacological theory, such as the disease model, behavioral/environmental model, or diathesis-stress model can determine the therapeutic approach.

Alcohol is the most commonly abused drug in the United States. Alcohol abuse is defined as a pattern of drinking that results in failure to fulfill responsibilities at work, school, or home; drinking in dangerous situations; having recurring alcohol-related legal problems; and continued use despite having medical, social, family, or interpersonal problems caused by or worsened by drinking (APA, 1994). Approximately fourteen percent of people experience alcohol dependence at some point during their lives (Kessler et al., 1997). Alcohol dependence refers to a more serious kind of alcohol use disorder and involves three or more of the following: tolerance, withdrawal, drinking more over a longer period of time, inability to cut down or stop, spending a great deal of time drinking, and giving up important social, recreational or occupational activities (Cunha, 2014).

Substance abuse in the United States has become an immense complication that affects much of the population. In an article for Psychology Today, “Is Addiction Really a Disease?”, the author, Lance Dodes M.D., argues that addiction should not be seen as a disease, rather as a compulsive behavior. The author, substantially justifies the term “disease” as being explicitly used to label addictions, but rather complicates the reality of addiction for the ones affected and bystanders on looking this current event.

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

Addiction is a complex disease that is influenced by several factors including: genetic, developmental, experiential and environmental factors (Goldstein & Volkow, 2002). Alcohol dependence, otherwise referred to as alcoholism, is characterized by frequent use of alcohol resulting in intoxication, a preoccupation with alcohol, compulsion to seek and consume alcohol, the inability to limit alcohol intake and the emergence of negative emotional state when the drug is absent (Gilpin & Koob, 2008; Ernst et al., 2012; Kunce, & Newton, 1989; Crews, 2012). There is an estimated 85,000 deaths annually caused by unhealthy alcohol consumption. Medical issues such as liver disease, neurological problems and malignancies, in addition to behavioral and

“Substance Dependence: A maladaptive pattern of substance abuse, leading to clinically significant impairment or distress…” (American Psychiatric Association, 2000)

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