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Sociological view of drug addiction
The etiology of addiction
Models of Etiology of Addiction
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“Etiology is the reason a condition occurs or the cause of a condition. There are several etiologies of addictions that influence the onset, severity and course of the addiction. In 1980, the DSM separated the diagnosis of addiction from its etiology” (Miller, 2011).
The first etiology of addition is the personal responsibility model. “In the majority of societies, problems with drugs and alcohol are said to be a failure of self-control, violation of morals, ethics and standards” (Miller, 2011). In many religions, the use of substances such as alcohol are prohibited. There is much controversy that says a person who has an addiction brought it upon themselves, but this is not really the case. If you think about individuals who have hypertension
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This model places the cause of the addiction on the drug or substance itself. The models says that anyone who is exposed to the agent is at risk because of its addictive and destructive properties (Miller, 2011).
The next model is known as the dispositional models. These models places the primary cause of the addiction within a person with emphasis on an individual whose addiction is beyond a person’s willful control. In other words, these individuals do not have any control over the addiction itself (Miller, 2011).
Social learning models emphasize the role of experience in shaping an addiction. This type of models suggests that the addiction comes from peer pressures and the changing environment. Drinking and drug uses are highly influenced by a social environment and modeling (learning by observation) (Miller, 2011).
Sociocultural Models are ever broader and emphasize the influence on cultural and societal factors. This basically means that the ease of the availability and the price of the stimulant affect the use and the level of consumption. High school and college students are highly influenced by social media and advertising (Miller,
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The agent aspect focuses on the characteristics of the drug itself including its addictive property (rapid onset, tolerance and interaction with neurotransmitters). The speed to which a drug reaches the brain increase the more reinforcing its use teds to be. Many individuals increase the amount of a drug because of the effect it has on their primary neurotransmitters in the experiences of pleasure. The effect of the drug can be highly influenced by many other factors such as pregnancy, when driving, weight, etc… There is a certain way that drugs gets classified and it is based upon the effect it has on the body ( ex, alcohol, psychotics, etc…) (Miller,
Many people 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 addressed. The professional and public perception of addiction is complicated. There are many approaches and models to explain addiction, the role of the addict, and their environment. This essay will compare and contrast two of these approaches, the medical/disease and the social model. Initially this essay will describe the origins of each model, and follow by explaining their respective strengths and weaknesses, and finish with an overview of the key differences between them. This essay will conclude by demonstrating that a holistic approach, and a cross-pollination of these models is the most successful approach to treating addicts. As is the case for all diseases, there are multiple treatment options, and as ever person is different, the results in each individual cannot be predicted.
In this paper I will be comparing and contrasting the Psychoanalytic formulations of addiction and the Cognitive models of addiction. According to Dennis L. Thombs, “people tend to get psychoanalysis and psychotherapy mixed up. Psychotherapy is a more general term describing professional services aimed at helping individuals or groups overcome emotional, behavioral or relationship problem” (119). According to Thombs and Osborn, “Cognitive refers to the covert mental process that are described by a number of diverse terms, including thinking, self-talk, internal dialogue, expectations , beliefs, schemas and so much more” (160). I believe these two factors play a major part in an individual’s life that has an addiction.
According to Leshner, drug addiction is a chronic brain disease that is expressed in the form of compulsive behaviors (Leshner, 2001). He believes that drug addiction is influence by both biological, and behavioral factors, and to solve this addiction problem we need to focus on these same factors. On the other hand, Neil Levy argues that addiction is not a brain disease rather it is a behavioral disorder embedded in social context (Levy, 2013). I believe, drug addiction is a recurring brain disease that can be healed when we alter and eliminate all the factors that are reinforcing drug addiction.
Sally Satel, author of “Addiction Doesn’t Discriminate? Wrong,” leads us down a harrowing path of the causes and effects that lead people to addiction. It can be a choice, possibly subconscious, or a condition that leads a person left fighting a lifelong battle they did not intend to sign up for. Mental and emotional health/conditions, personality traits, attitudes, values, behaviors, choices, and perceived rewards are just a few of the supposed causes of becoming an addict.
The cognitive behavioral models say that incentives make way for the right conditions for the need for drug abuse. Drug use is associated with experiences such as self-exploration, religious insights, altering moods, escaping boredom or despair, enhancing creativity, performance, sensory experience or pleasure, and so on (Capuzzi & Stauffer, 2012). Cognitive behaviorism has brought in appreciated data at the same time refining theories and treatments. This model stands out from other addiction models because it stands out from the expressive, organic or public causes for addiction. Because it focuses on the patient's own beliefs rather than the influence is the primary focus. The mental process of cognition is related to perception, judgment and reasoning. Cognitive behaviorism affects a person mentally as well as their physical reaction to stimuli. Example, if a person is depressed, the depression is mental but when a person cannot get out of bed, doesn’t want to eat or don’t want to partake in other activities that they usually do is the physical. The factor that can cause a person to use are become a victim to substance abuse and began drug addiction by using drugs to get away from or numb themselves from their depression.
The model of addiction etiology that best describes why people get addicted and how best to help them is biopsychosocial model. The biopsychosocial model, first developed by cardiologist Dr. George Engel, is today widely accepted by the mental health professions. The biopsychosocial model describes addiction as a brain illness that causes personality and social problems. The biopsychosocial model lets us to make solid and accurate differences between substance use, abuse, and dependence. It also allows the signs of addiction to be recognized and structured into progressive stages.
George F. Koob defines addiction as a compulsion to take a drug without control over the intake and a chronic relapse disorder (1). The Diagnostic and Statistical Manual of Mental Disorders of the American Psychiatric Association defined "substance dependence" as a syndrome basically equivalent to addiction, and the diagnostic criteria used to describe the symptoms of substance dependence to a large extent define compulsion and loss of control of drug intake (1). Considering drug addiction as a disorder implies that there are some biological factors as well as social factors.
A big challenge that I will face is deciding which side I will take on a big debate in substance abuse counseling. Some people say that addiction is purely physical, while others disagree and believe that addiction is mostly psychological. Those who believe that it is psychological believe that it usually stems from abuse or as Jane Adams (2003) thinks an over dependence on parents. This side also says that addiction is operant conditioning and that cycle has to be broken (Silverman, Roll, & Higgins, 2008, p. 472). The other physical side of addi...
Many environmental factors contribute to a person’s proneness to substance abuse. These factors include but are not limited to stress, early physical or sexual abuse, witnessing violence, peers who use drugs, and drug availability. (Addiction Science) The desire to be accepted within a particular group often creates an enormous amount of stress in teens. This stress and feeling of alienation is a driving force towards drug use. Research has shown that, “Another important environmental factor is the amount and quality of emotional and social support a person receives. Teens who reported having an adult they trusted and could talk to, for example, have a lower risk of addiction than those who don’t.”(Environmental Factors) An impoverished environment increases the likelihood of substance abuse and addiction as well. Those who are apart of a lifestyle of poverty often experience incarceration and dropping out of school. Those who drop out of school, are unemployed or live in unsafe areas are at “higher risk, especially if their home environment has already exposed them to dru...
Addiction, like other diseases, has the tendency to be genetic. “Addictive drugs induce adaptive changes in gene expression in the brain’s reward regions” (Bevilacqua and Goldman 359–361). The disease is also influenced by environmental conditions and behavior. Addiction genes can be passed down through family members of many generations. If one has addiction in their genes tries a drug and someone who does not have addiction in their genes and tries the same drug, it is more likely that the person with the gene will become addicted over the one without. Environmental conditions can also be a factor because someone’s lifestyle could contribute to addiction. Factors such as stress and peer pressure can influence drug or alcohol abuse. Behavior can also contribute to addiction because if a person’s attitude is obsessive and they have an addictive personality, they could become addicted to a substance. In “Addiction is Not a Disease” Daniel Akst explains actual diseases are Alzheimer’s and Schizophrenia, not addiction. For example, Akst mentions that “addicts tend to quit when the going gets hard” (Akst.) He also clarifies that addicts have the choice to have that extra drink or those extra pills every
Drug addiction is a condition typically viewed by society as one of choice. However, emerging studies show that addiction may be beyond the control of an addict; instead, due to outside forces or even chance. These contrasting views demonstrate the difference of opinion on the existence of causality and the role of free will in human decisions and actions. The idea of causality forms the basic principle of determinism, which states every event is caused and then acts in accordance with the physical laws of nature. There is variation within the framework with which determinism is argued, from hard determinism to soft determinism and all the way to the contrary, indeterminism. Applying the example of addiction to these views allows for comparison allowing clear similarities and differences to surface. Hard and soft determinism both accept the idea of causality, to an extent, while indeterminism directly opposes this principle;
A person can become addicted, dependent, or compulsively obsessed with anything. Research has implied similarities between physical addiction to various chemicals, such as alcohol and heroin, and psychological dependence on activities like gambling, sex, work, running, shopping, or eating disorders. The belief is that these behavioral activities can produce beta-endorphins in the brain, which makes the person feel high. If someone continues in the activity to get this feeling of well-being and euphoria, they may get into an addictive cycle. Doing this makes the person physically addicted to their own brain chemicals. This can lead to continuation of the behavior even though it may have negative health or social consequences.
There are many assumptions of why an individual may use different substances and perhaps go from a “social” user to becoming addicted. Understanding the different theories models of addiction many help in the process of treatment for the addict. Although people in general vary in their own ideologies of addiction when working as a clinician one must set aside their own person beliefs. Typically as a clinician it is best for the client to define how they view their addiction and their view may encompass more than one of the five theories. Some theories suggest genetic and other biological factors whiles others emphasize personality or social factors. In this study three theories are defined and given to three different people with different cultural backgrounds, different ideologies, different experiences, and most importantly different reference point of addiction.
Without contrast, the primary reason for drug abuse in individuals comes from the conscious state of addiction. According to Webster’s, addiction is described as “the fact or condition of being addicted to a particular substance, thing, or activity (Hacker, 2011).” Sure, human nature’s desire to conform to peer pressure might cause one to first try a certain drug, but the euphoric mental states found in drugs mentally trap many individuals into becoming dependent upon these sensations. With that being said, these sensations vary depending on the type of drug used.
In furthering a genetically predisposed and socially-influenced explanation, there is an abundance of considerations when explicating criminal behaviour; for example, a non aggressive, psychologically sound individual may be influenced by peer pressure into recreational drug usage, as “Psychoactive drug abuse commonly results from a combination of low self-esteem, peer pressure, inadequate coping skills, and curiosity.” (Lippincott Williams & Wilkins, 2005) therefore suggesting that light recreational drug abuse can accrue to a dependence due to a multitude of social influences, which invariably leads to further crime in order to financially support an addiction.