Drug Abuse and The Theories Behind Addiction

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The multi-causal model of drug abuse takes into account social and individual causes of addiction, both distant and immediate, that lead to a disposition to using drugs, drug use and the social and individual consequences. Why a person becomes addicted to drugs or alcohol is different for everyone. Some are genetically predisposed, some learn it from their environment (i.e. family or friends), and still others use it to avoid a trauma they have experienced. The case history describes a client that had both social and individual causes for her alcohol use and subsequent dependence. From the individual perspective, the client was a victim of child abuse, which led to feelings of fear and sadness and a desire to avoid these emotions. Socially, she came from a family of alcoholics giving her easy availability. There was also the pressure of keeping up appearances due to her mother’s status in society. The initial individual consequences of the client’s alcohol use were reinforcing. She felt invincible, warm, and it helped her avoid the thoughts in her head. Everything was right with the world as long as she was intoxicated. After long-term use the consequences were unpleasant. She neglected her children and could not maintain a romantic relationship. Her excessive drinking embarrassed her family. It seems she was not getting the same relief from the alcohol causing her to find ways to drink more (i.e., making herself sick). As a result of years of use she had entered a neuro-adaptive state where tolerance had caused an increased need for alcohol. This state also accounts for the extreme withdrawal symptoms she experienced when she quit drinking. Just as there are many models and causes of abuse, there are also many theories of addic... ... middle of paper ... ...ence of alcoholism. In the same way a family history of alcohol could be a genetic factor in the client’s drinking problem, so could the acceptance of alcohol as a tool of avoidance. This client was given alcohol at 6 years old by her teenage sister to numb her pain. We do not know why her sister began drinking, but an assumption can be made that the practice is not generally disapproved of since underage drinking appears to be a norm in this family unit. As illustrated the model of drug abuse and the theories behind addiction are varied. There is no concrete reason for one person who drinks to become alcohol dependent versus the person who does not. Several factors contribute to why a person begins drinking and why they continue to do so despite reasons to stop. The case history exhibits a client with many risk factors associated with alcohol use and dependence.

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