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Theories of etiology of addiction
Biological basis for addiction
Outline on addiction
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“If the field of addictions is to mature as have other domains of science, we must diligently work toward conceptual clarity” (Freed, 2012). There are many models or theories that attempt to explain addiction. Some refer to addiction as a disease while others find addiction to be a moral issue. I have selected four models that I find to be most interesting.
The first model I will discuss is the Syndrome model of addiction. According to Historical perspectives on addiction, “It proposes that addiction is a disorder with “multiple and interacting biopsychosocial antecedents, manifestations, and consequents— within and among behavioral and substance-related patterns of excess”. The syndrome model believes that addiction is unique to the individual.
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This model believes that addiction is a form of learning supported by the dopamine system. The learned behavior becomes stronger with prolonged use of the substance and influences of social, cultural, societal and economic factors. The Neurodevelopmental model describes how addictive substances play a crucial role on the reward system. “The rewarding effects of drugs disappear quickly, leaving frustration, loss and depression in their wake, prompting more drug use” (Hall, 2017). Another drawback of the model is that neurobiology has not been researched enough to support this theory. Nevertheless, there are many positive components of the neurodevelopmental model. This model encourages individuals to search out social connections as a protective factor against substance use. The most significant aspect of this theory is that it believes that addiction is reversible. As stated in disease or developmental disorder, “neuroplastic developmental process provides a more optimistic view of the prospects of recovery than the BDMA” (Hall,2017). This claim is very different from any other model I have …show more content…
This model believes that addiction is not a lifestyle choice rather a disease such as diabetes or hypertension. As stated on addiction.surgeongeneral.gov, “All of these disorders are chronic, subject to relapse, and influenced by genetic, developmental, behavioral, social, and environmental factors”. This model brought forth a very important issue of terminology change. “By changing the way we talk about addiction, we change the way people think about addiction, both of which are critical steps in getting past the social stigma too often associated with this disease” (Freed, 2012) The neurobiological model supports that treatment should be handled by medical professionals and covered by medical insurance policies. Along those same lines treatment can be costly to an individual with a substance use disorder if they do not have insurance or adequate insurance
There are many different definitions in which people provide regarding addiction. May (1988) describes that addiction “is a state of compulsion, obsession, or preoccupation that enslaves a person’s will and desire” (p. 14). Individuals who suffer from addiction provide their time and energy toward other things that are not healthy and safe. The book
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.
Before giving a broad overview on the definition of the Biopsychosocial (BPS) Model of Addiction, it must be understood that there is no simple unified theory of addiction that is universally accepted in the health world. This makes the definition of the BPS Model of Addiction not just a simple, one to two sentence definition of what this is, but rather a description of the components within the BPS model of addiction. In a broad sense, this model takes the stand that biological, psychological, and social aspects all contribute to the understanding of addiction. In short, the BPS model of addiction is an attempt to further explain addiction – how it occurs, and how it is maintained. Below is an image (Basic Representation of the BPS Model, 2017) representing this model
Toates, F. (2010) ‘The nature of addictions: scientific evidence and personal accounts’ in SDK228 The science of the mind: investigating mental health, Book 3, Addictions, Milton Keynes, The Open University, pp. 1-30.
In the book, Addiction & Grace: Love and Spirituality in the Healing of Addictions, May explores how addiction develops and can be treated from a psychological, physiological, and spiritual standpoint. This theme is clearly shown throughout the text as it shows addiction from a whole person's perspective. The book covers the development of addiction from desire through the experience of addiction. The key focus is on looking at the matter of addiction from multiple stand points then broken down by explaining how addiction is an issue psychologically, physiologically, and spiritually. By focusing on these three areas, the author is able to present the reader with a clear understanding of addiction from all sides of the problem.
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.
Addiction is defined as a chronic, relapsing brain disease that is characterized by compulsive drug seeking and use, according to the National Institute on Drug Abuse. Addiction is normally thought of as drug abuse and alcoholism but people can also be addicted to things such as gambling and sex as well. The controversy on if addiction is a disease or a choice is a continuous debate. Everyone has an opinion on this topic, one side believes it’s a disease, while the other believes it is a choice. Although addiction has been assumed to be a lack of willpower and a weakness, addiction is actually a complex disease that changes the wiring of the brain. Addiction is a brain disease expressed in the form of compulsive behavior (Leshner.) Both devolping
A summary of the article “Addiction: Choice or Compulsion” will explain the theories and models of addictive behavior. The moral model shows addiction as a voluntary act, which the addict can control. The medical model portrays addiction as a disease and compulsive behavior that the addict has no control over. The introduction of the third model will suggest that it is neither compulsive nor voluntary (Henden, Melberg, & Rogeberg, 2013).
... perform its job, which it was assigned to for its evolutionary history for its organism (Millikan, 1984). Just like liver disease counts as a disease because it threatens to interfere with the function of the liver. This however is also completely true for addiction in the case of threatening the brain’s function. Addiction steals the brain’s natural reward system and makes the brain have a new dependency on the substance that is abused (Satel & Lilienfeld, 2014). Once this happens addiction has threatened the brain’s natural functions. A person’s reaction might be affected; judgment might be affected depending on the type of substance that is being used. Many things in the brain can be impaired while a person is addicted, which disrupts the brain’s normal functions. This information helps fight the argument that addiction is indeed a brain disease.
So, it is clear that addiction is all around us and can attack anyone of us at any given time. Even studies conducted show that people neglect to speak around their dependency for two primary reasons. Foremost, because people do not comprehend, or they bear a total misconception to their addiction, that they do not realize that addictions can be critical to their overall wellness. Moreover, second, many people believe being an addict will never happen to them, but, in reality, most addictions start off as simple little habits. Such as starting with one drink after dinner and before you know it you are drinking several drinks a day. However, one does not opt to be addicted to a substance, because addictions are physical defects in the brain, a disease, and not one’s choice.
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.
Volkow, N. (2007, March 1). The Science of Addiction: Drugs, Brains, and Behavior. NIH, 2, 14-17.
Leshner, A. (2011) Addiction Is a Brain Disease, and it Matters. Frontiers in Neuroscience: The Science of Substance Abuse.