Addiction is one of the most common problems worldwide from a very long time. For centuries, people used drugs, alcohol, tobacco and struggled with the problem of physical addictions. Nowadays, the problem of addiction became larger including behavioral addictions like gambling, sex, shopping, internet addiction etc. However, there are still different views about its nature and classification. According to West (2013, p. 22), the reason for this uncertainty is that addiction is a multifaceted, socially defined concept rather than something physical that has clear and unique boundaries. Therefore, it is important to know what addiction actually is. Although there are different definitions of addiction, an objective definition that contains its basic features is:
“a person’s physical and psychological dependency on an activity, drink or drug that is beyond conscious control. It is said to occur when there is a strong desire to engage in the particular behavior, an impaired capacity to control the behavior, discomfort and/or distress when the behavior is prevented or ceased, and persistence of the behavior despite clear evidence that it is leading to problems and harming the person” (Gossop, 1989).
So, it can be said that the main components of addiction are dependence, craving, loss of control, tolerance and withdrawal. However there are different theories that interpret these five main components differently.
One important and mostly accepted view of addiction is “The Disease Model of Addiction”. There are several perspectives within the disease model that emphasize different elements of addiction. The disease model of the AA handles addiction as a spiritual disease that can never be fully cured and suggests life-long abstinence ...
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...dividuals with certain characteristics to specific treatments and measure the treatment success along more than one dimension.
In conclusion, there are many different addiction theories that interpret addiction in different ways. However, focusing only on the biological aspects like the disease model, or only to the choosing behaviors like the choice theory cannot succeed to understand addiction in a coherent way. That’s why; the biopsychosocial approach provides a conceptual framework that focus on all factors that are related to addiction. As Fisher and Roget (2009) states, “the beauty of the biopsychosocial model is that is does not refute the validity of existing models”. For these reasons, it is important to handle addiction as a biopsychosocial disorder to earn a better understanding of its nature and to be more helpful to the addicts’ treatment process.
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
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.
If we can use an integrated approach to the study of addiction we should develop a more exact image of the difficulties that are created by addiction and what is required to be addressed in a particular treatment program. The biopsychosocial approach to the comprehension of addiction can also be used to good effect when looking at many different issues. For example, an examination of; early school leaving or the development of a healthy eating lifestyle can also be examined through the multidimensional views of the biopsychosocial approach.
Lash, S. J., Timko, C, Curran, G M., McKay, J R., Burden, J L.; (Jun, 2011). Psychology of Addictive Behaviors; Vol 25(2); 238-251. Doi: 10.1037/a0022608
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 disease is what happens in the body as a result of those choices. As has been noted, many people do believe addiction is a sign of weakness. While the first time may be by choice, once the brain has been changed and affected by addiction. Over time the addict loses substantial control over his or her initially voluntary behavior, and it becomes compulsive (Leshner.) In Marc Branch’s “Drug Addiction. Is It a Disease or Is It Based on Choice? A Review of Gene Heyman’s Addiction: A Disorder of Choice” he discusses and explains Gene Heyman’s opinions on rather addiction is a disease or not. Heyman argues that people do not choose to be drug addicts, rather they make choices that lead to their habit of addiction. Heyman however does not believe addiction is an actual disease. Many others argue that addiction is not an actual disease because people can overcome the addiction without help or treatment. On the other hand, in Alan Leshner’s “Addiction Is a Brain Disease” he declares that addiction is an actual disease and explains “using drugs repeatedly over time changes brain structure and function in fundamental and long-lasting ways that can persist long after the individual stops using them”
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.
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.
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).
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.
Main Point: What defines an addiction? According to Psychology Today, “Addiction is a condition that results when a person ingests a substance…. or engages in an activity….that can be pleasurable but the continued use/act of which becomes compulsive and interferes with ordinary life responsibilities, such as work, relationships, or health.” This can range anywhere from drug use to eating disorders, to gambling, to even texting in today’s generation. Shocking to say the least, especially when most people do not even know they are addicted or are an addict until they realize this definition.
Drug abuse and addiction are issues that affect people everywhere. However, these issues are usually treated as criminal activity rather than issues of public health. There is a conflict over whether addiction related to drug abuse is a disease or a choice. Addiction as a choice suggests that drug abusers are completely responsible for their actions, while addiction as a disease suggests that drug abusers need help in order to break their cycle of addiction. There is a lot of evidence that suggests that addiction is a disease, and should be treated rather than punished. Drug addiction is a disease because: some people are more likely to suffer from addiction due to their genes, drug abuse brought on by addictive behavior changes the brain and worsens the addiction, and the environment a person lives in can cause the person to relapse because addiction can so strongly affect a person.
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.