Introduction to Addictions and Substance Use Disorders Cognitive-Behavioral Models 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. According to A. Ellis and A. T. Beck recognized a concept about the position of cognition and abnormal behavior by working with clients in therapy. A. Ellis proposed an explanation of how the ABC system works; A is the activating experience; B the thinking or view that he realistically follow; and C, penalty for the individual, and behavioral. Erin T Beck has pointed out that psychological disorders often associated w... ... middle of paper ... ... J. H., & Manos, M. J. (2004). Abnormal Psychology: Current Perspectives 9th ed. In L. B. Alloy, J. H. Riskind, & M. J. Manos, The Behavioral, Cognitive, and Sociocultural Perspectives (pp. 75-104). New York: McGraw Hill. Capuzzi, D., & Stauffer, M. D. (2012). History and Etiology Models of Addiction. In D. Capuzzi, Foundations of Addictions Counseling (pp. 13-24). Upper Saddle River, New Jersey: Pearson Education, Inc. Retrieved April 26, 2014 Koob, G. F. (2011, Winter -). Neurobiology of Addiction. Retrieved from Focus: The Journal of Lifelong Learning in Psychiatry: http://focus.psychiatryonline.org/data/Journals/FOCUS/4266/foc00111000055.pdf Koob, G. F., & Simon, E. J. (2009). The Neurobiology of Addiction: Where We Have Been and Where We Are Going. NCBI, 115-132. Retrieved APRIL 26, 2014, from www.ncbi.nih.nlm.go/pmc/articles/PMC2901107
Volkow, N., Wang, G., Fowler, J., Tomasi, D., & Telang, F. (2011). Addiction: beyond dopamine reward circuitry. Proceedings Of The National Academy Of Sciences Of The United States Of America,108(37), 15037-15042. doi:10.1073/pnas.1010654108
Addiction causes people to lose self-control so it is harder to resist the urge to go back to the addictive substance or drug (Jellinek 1952). For example, some people might have a harder time quitting an addiction if they have frontal lobe lesions. These lesions make it harder for people to make smart decisions of self-regulation therefore making them more susceptible to addiction (Peterson, Rothfleisch, Zelazo, & Pihl, 1990). The lesions are a physical thing that makes it easier for addictions to control people, but addictive substances and drugs also make it easier for people to lose control and make it easier for their addiction to control their actions and their wants.
Addiction is a complex psychiatric disorder that consists of social and psychological factors, but at its most basic level it is a biological process. Addiction may come in many forms, but its primary choice of substance is drugs. In particular, prescription medications in the form of pills have become a major health problem, not only to those addicted but the clinicians who prescribe them. In order to fully understand this disorder, considering what brain mechanisms and functions are involved with addiction, the next area to look into is the factors that make the prescription drugs so addictive, along with long term effects, and to discover any new treatment options out in practice today, whether it be through medicine and/or counseling.
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
There are many biological factors that are involved with the addicted brain. "The addicted brain is distinctly different from the nonaddicted brain, as manifested by changes in brain metabolic activity, receptor availability, gene expression, and responsiveness to environmental cues." (2) In the brain, there are many changes that take place when drugs enter a person's blood stream. The pathway in the brain that the drugs take is first to the ventral tegmentum to the nucleus accumbens, and the drugs also go to the limbic system and the orbitofrontal cortex, which is called the mesolimbic reward system. The activation of this reward system seems to be the common element in what hooks drug users on drugs (2).
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...
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.
University Digest of Addiction Theory & Application 27.11 (2008): 8-8. Academic Search Premier. Web. 25 Oct. 2011.
The fact that addiction is a brain disorder is a new detail that I learnt from the HBO video. As pointed out by Dr. Volkow, addiction as a brain disease renders the addicts unable to control themselves in relation to curbing their addiction problem. In conceptualizing addiction as a brain disease, Volkow illustrates this standpoint with the fact that the brain has a “natural reward system” that facilitates the learning of “behaviors that are necessary for survival” (NIDA 2006). Learning that the abused drugs take over this system – the dopamine system of the brain - was pivotal in finally grasping the rationale behind referring to addiction as a brain disorder. The brain with time becomes dependent on the abused drugs. This arises from the fact that natural rewards no longer have the capability to produce “normal levels of dopamine or pleasure” (NIDA 2006). As time goes on, the continued intake of drugs subsequently makes the addict lose all control over their use and dependen...
"Drugs, Brains, and Behavior: The Science of Addiction." Drugs, Brains, and Behavior: The Science of Addiction. Feb. 2007: 1-30. SIRS Government Reporter. Web. 20 Jan. 2014.
Understanding addiction is a complicated subject that inspires controversy and debate. Not only do people want to understand addiction because of the curiosity to understand human beings and human nature, but there are factors that go into the defining of addiction such as public policy and health care coverage. There are two theories that are on the opposite spectrum when it comes to addiction which include the “disease concept” and the “choice theory”. One defines addiction as a disease, something that is out of one’s control, while the other thinks of it as a choice or a moral deficiency that resides in a person. The consequence of this gap is the delay in gaining control over drug abuse. While the people who support the choice theory see
“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).
crashes.." Addiction 103.5 (2008): p749-757. Academic Search Premier. EBSCOhost. UMBC, Baltimore, Albin O. Kuhn Lib. 4 Mar 2011.
A major theme that we have discussed at length is how impulsivity can drive compulsive drug use, a defining factor of addiction. We discussed how drug addiction is the transition from impulsivity that involves positive reinforcement to a compulsive disorder that involves negative reinforcement. In other words, an individual’s impulsivity may lead him/her to engage in drug use, which is positively reinforced from the pleasurable effects of the drug. However, once the addiction progresses, this impulsivity shifts to compulsivity in which the drug serves as negative reinforcement for extreme stress and discomfort that arises from a lack of the drug. The Belin article expands on this shift from impulsivity to compulsivity by demonstrating through experimentation on rats how impulsivity is a key component in the development of compulsive drug use.
Everitt, B. Robbins, T. (1999) Drug addiction: bad habits add up. Macmillian Magazines, volume 389, pg 567-570.