Summary: Iatrogenic Harm In Substance Abuse Prevention

“Harm reduction is based on the premise that people are responsible for their behaviour, that they maker personal choices that affect their health and well-being, and that they can make safer and better decisions if given useful and honest information” (Mathre, 2002, p. 106). Harm reduction recognizes people’s unhealthy choices while also attempting to reduce the harmful effects that come from these unhealthy behaviours (Marlatt, 1998 as cited in Brown, Luna, Ramirez, Vail, and Williams, 2005). Using a harm reduction approach has a positive effect on drug users, as it helps to reduce the negative consequences that come from using drugs. Although harm reduction aims to reduce the harm from illegal drug using, it is viewed as

Substance abuse is a tragedy that touches many lives. Abuse begins with a single use event that, with continued use and overindulgence, transforms into a battle. The abuser most always loses that battle. Personal relationships, social ties, and employment suffers. Irresponsible and erratic behavior becomes the norm, and though the abuser is aware on some level of the reckless and thoughtless acts that they commit, they continue to use and abuse their drug of choice. What starts as experimentation often ends in addiction. The best hope for a person in the grips of substance abuse is immediate,

The question regarding drug use has prevailed in ethics for centuries: is recreational drug use morally permissible? Many argue that it is immoral due to the resulting harms, while others argue that humans have the moral right to engage in such an activity (Richards 2-3)(Huemer 7). Perhaps the answer lies in the circumstances. Under conditions that ensure safety, minimize abuse, and do not risk others, it is morally permissible for adults to use drugs for recreational purposes.

The history of addiction goes back centuries, and unfortunately, there is still a long way to go for people to realize the effects of chemical substances do more harm than good. The difference between drug use and abuse relies heavily on a person’s dependence on the substance. The line between the differences is often very fine. Depending on other factors involved, such as morals, values, environment, and genetic predisposition, the line will most likely be crossed without regard to the consequences until treatment and recovery are the only options left. This is essay compares two theoretical explanations

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 leads to an increase in criminal activity such as neglect of familial duties, robberies to fund their dependency, and violence to defend their habits. The ‘drugee’ becomes a nuisance to society. Some become homeless and exhibit poor health habits such as malnutrition and tooth decay. Other negative effects include the transference of diseases because of needle sharing. Though drug use is a personal choice, the effects on the rest of society are undeniable. The best intentions are formulated on a personal level, but this is overcastted by its negative effects. This argument, however, is a bit one-sided because the reason for using and dependency varies between users.

Substance abuse is the harmful or dangerous use of any psychoactive substances including drugs, alcohol and even tobacco. The term ‘Substance Abuse’, as understood today was first used in 1987’s DSM-IIIR, before that social & cultural factors were not considered. Even with that change, many Americans still today consider drug and alcohol abuse to be moral weakness or character defect.

Thus far, throughout the semester, I have gained so much awareness and understanding for those whom are struggling with substance misuse. Addiction has played a major role in my immediate family life. Over the years, I have realized that addiction does not discriminate on a basis of race, gender, or social status. Based on my personal experiences, the perspective I have of addiction is that it is like a disease. It does not just affect the individual; it also affects everyone the individual comes into contact with. Addiction overall, is not just associated with drugs and alcohol, it is present with gambling, Internet use, sex, or even food (Van Wormer, 2013). In order to understand an individual who suffers from substance misuse, a therapist must first know the definition of addiction, be able to asses and diagnose a client with an addiction, explore the bio-psychosocial-spiritual aspects of their addiction, laws and ethics related to their addiction, and provide the proper treatment that will help them to recover. Throughout this paper, from a bio-psychosocial-spiritual perspective, I plan to explore the causes of Gia’s addiction to Heroin. In addition, I will examine my personal perspective on addiction and what treatment interventions and laws and ethics might come into play in therapy with Gia. Overall, I hope to provide Gia with an understanding of her addiction and provide the proper treatment on her road to recovery.

If you have ever seen the movie The Wolf on Wall Street, there is no doubt you have seen the effects drugs can have. Leonardo DiCaprio portrays a high-strung stock broker reliant on a multitude of illegal drugs to keep up with his hectic life style. His addiction gets so severe that at one point in the movie, he is lying on the floor, unable to move due to the drugs’ effects on his body. Even though the movie is set in the 90’s, a decade infamous for its use of drugs, today, drug usage and abuse has never been more of an issue. According to Alice Park (2016), “More people died of drug overdoses in 2014 in the U.S. than in any other year” (p.49). What people fail to realize is that drug abuse effects more than just the individual that uses them. The loved ones trying to support the user, the community the user is in, can all be affected by drug abuse. In fact, all members of society are affected by the abuse of drugs. In short, no one benefits from drug abuse. In the words of the Nation Institute of Drug Abuse, “Drug abuse is a major public health problem that impacts society on multiple levels. Directly or indirectly, every community is affected by drug abuse and addiction, as is every family. Drugs take a tremendous toll on our society at many levels” ( Magnitude, 2016).

The disease model of addiction and the moral model of addiction provide completely different explanation for the tendency of substance abuse. The disease model of addiction predates to 1784 when the American physician Benjamin Rush published a pamphlet which discussed alcoholism in medical terms and outlined treatments for what he considered was a “disease” (Atkins, 2014, p. 52). This model of addiction generally argues that it is not the individuals fault for their addiction to drugs and that not all, but some people, will inevitably become addicts in the future (p. 52). Inversely, the moral model of addiction does not view addiction as something that an individual “cannot control,” rather this model looks at addiction as something that an individual can certainly control but that the individual does not chose to because of “weak moral character” (p.52). Although both of these models have been, and still are, widely applied to other substances, the most common substance that it was used was for alcohol.

Although some people argue for the legalization of drugs, addiction to these substances has caused a huge increase in violent crimes in the home, at school, and on the street. Many people do not understand why individuals become addicted to drugs or how drugs change the brain to create compulsive drug abuse. They mistakenly view drug abuse and addiction as strictly a social problem and may characterize those who take drugs as morally weak. One very common belief is that drug abusers should be able to just stop taking drugs if they are only willing to change their behavior. This is a false and uneducated belief. Drug abuse may start as a social problem or social escape but one the addiction has taken ahold of a person

In order to successfully decrease the cases of drug addiction, society needs to remember that we cannot change the physiological effects of drugs, but we can prevent individuals from turning into them. In other words, the primary focus should be on the individual and not the drug.

Drug and alcohol addiction is a very serious and widespread problem in America, and across the globe. Drug addiction is a constant craving, seeking, and using of a substance, despite the negative consequences it may have on the addict or those around them. When drug use becomes more frequent, it is considered drug abuse. Once an individual’s drug abuse is can no longer be controlled, and they are using the drug to get through everyday life, it beomes an addiction. A person on drugs has an altered way of thinking, behaving, and perceiving. There are treatment facilities all over the world dedicated to help those suffering with drug addictions. All

Substance abuse and addiction have become a social problem that afflicts millions of individuals and disrupts the lives of their families and friends. Just one example reveals the extent of the problem: in the United States each year, more women and men die of smoking related lung cancer than of colon, breast and prostate cancers combined (Kola & Kruszynski, 2010). In addition to the personal impact of so much illness and early death, there are dire social costs: huge expenses for medical and social services; millions of hours lost in the workplace; elevated rates of crime associated with illicit drugs; and scores of children who are damaged by their parents’ substance abuse behavior (Lee, 2010). This paper will look at

Substance abuse is one of the most detrimental social problems found in all societies. It has been the leading cause for generational breakdowns of families and communities, and is probably the most controversial social problem when developing corrective solutions. Substance abuse can be defined as the chemical dependence, or pattern of usage of both legal and illegal substances, that has adverse physical, psychological, and psychomotor effects on the human body. The use of substances does not always have to be a drug, but can also be anything taken into the body that can cause a mood-altering effect, such as inhalants or solvents. Additionally, substance abuse has many different faces and is the one social problem that crosses all