Brendon Harrison
Mrs.Duncan
English X H
4.12.15
The Self Medication Hypothesis Most of the current thought regarding drug abuse and drug addiction is controlled by the “hijacked brain” concept, which states that a user’s brain is altered by a drug at exposure and can eventually lead to addiction. Such theories are only just that: theories, with little to no clinical evidence to support their claim. On the other hand, some clinicians believe that addicts use drugs in a continuing cycle of self regulation. The general model of addiction that supports how people use substances in a self-regulatory manner, the self-medication hypothesis, concludes that a person’s choice of substance is directly correlated to an underlying sign of distress or emotion they are trying to manage.
Even though there is very little clinical proof, the majority of thought about drug addiction is still dominated by the “hijacked brain” theory. A completely different view of the perplexing concept behind addiction, the self-medication hypothesis, a much more recent theory, provides a logical explanation for addiction that is clinically acceptable. The theory was given life in the mid 1970’s by Edward J. Khantzian and his colleagues at Harvard Medical School. Khantzian had vast clinical experience in treating and evaluating heroin addicts. He noted that a striking number of his patients had problems with aggression, depression, and loneliness that far preceded their use of illegal drugs. He
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 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.
The most commonly abused substances are Nicotine, Inhalants, Alcohol, Cocaine, Amphetamines, Prescription medications, Heroin, Ecstasy and Marijuana. 1a(National Institute on Drug Abuse, 2011) Initially, a person may find themselves using substances voluntarily and with confidence that they will be able to dictate their personal use. However, over the period of time that drug use is repeated, changes are taking place throughout the brain, whether it is functionally
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).
It is believed that certain individuals are predisposed or vulnerable to addiction based on biological, psychological and social influences. The euphoric high produced by many addictive substances is the result of overstimulation of the “pleasure center” of the brain. This is the same area that controls emotions, fear, self-control and overall feelings of wellness. The presence of these foreign chemicals creates a response that the brain will crave as soon as it fades. The brain’s chemistry works against its own health, as it rewires its decision making faculties around the primary goal of finding and taking more of the drug” (1). Many people mistakenly believe that psychological addiction is somehow less serious or real than physical addiction. The psychological aspects of addiction are much more challenging to repair and recover from than the physical addiction. Psychological addiction can last for years or even a lifetime.
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.
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 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?
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
Drug abuse is on the rise. While the use of drugs like cocaine and heroin is in a state of decline in certain parts of the world, prescription drugs abuse is on the rise (UNODC, 2013). Prescription drugs that were prescribed with the intention to do well are now one of the leading causes of self-harm. Drug abuse has no gender or social class, it can affect people regardless of social status and wealth, and now more than ever we need to understand the reason behind the abuse. What psychological factors could cause an individual to abuse drugs in the first place? In this research essay, I will discuss how each one of the major school of psychology perspectives could attempt to explain a
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
Imagine laying on the floor in your own pool of sweat—miserable, your mind bouncing off the walls while the cloud of your darkest thoughts looms over you. Teeth chattering anxiously, waiting to receive the next second, minute, hour of painless bliss. This—this is the life of an addict; does this horror appear to be a choice or more like a disease haunting the mind of the user? Despite the fact a choice was needed to initiate the result, addiction itself is a debilitating disease NOT a choice due to initial influences and anatomical changes to the brain.
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).
There are a selective few that may feel that addiction is a choice and not a brain disease. There are various possibilities that may lead to an individual voluntarily using drugs. It is very doubtful that it is due to brain disease but in fact to stimulate a craving that is not essential to sustaining life. Psychologist Marc Lewis argues; “The brain changes with addiction,” he writes. “But the way it changes has to do with learning and development — not disease.”
Among the numerous definitions for addiction, there lies yet another to define it from a biochemical perspective. Milkman (1983) defines it as “self-induced changes in neurotransmission that result in social problem behaviors." This definition encompasses the psychological, biochemical and social aspects of addictive processes. It is not limited to substance abuse and can be applied to any activity characterized by compulsion, loss of control and continuation of the substance despite harm. This has helped investigators gain a better understanding of the nature of addiction.