There are several theories that attempt to explain why people abuse and become addicted to drugs. As each theory has developed, parallel models for treating and recovering from addiction have also evolved. Pharmacology plays a large role in many of them, and as the use of drugs to treat addiction has become such common practice it is necessary for any clinician who works with addicts to have an understanding of psychopharmacology. This essay will discuss the academic model of psychopharmacology as it applies within the disease and behavioral/environmental models of drug abuse, addiction, and treatment.
The Academic Model
Looking solely at the physiological effects of psychoactive drugs (GCU, 2014) provides a picture of how various substances
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It states that “addiction is a primary disorder, independent of other conditions, with a biologically inherited susceptibility to the effects of alcohol and drugs” and that it is “not a result of psychological or emotional problems; psychological impairments are often consequences rather than causes of addiction” (Margolis & Zweben, 2011, p. 28). This theory explains why some people seemingly become instant addicts despite having never previously been exposed to drugs, drug culture, or emotional …show more content…
Professionals in the field of addiction treatment know that the influence of environment and learned behavior in an addict’s past and present must be taken into consideration. Hence, cognitive-behavioral counseling theories with goals of adjusting perceptions and changing behaviors are widely employed as a means of recovery from addiction, often supplemented with psychoactive medication to improve the client’s chance of success beyond detoxification.
Disulfarim (Antabuse©), which has a very unpleasant chemical reaction with alcohol, might be prescribed on a short-term basis as an aversion therapy (Sinacola & Strickland, 2012, p. 96) until the client is able to abstain independently. The use of acamprosate (Campral©), which seems to inhibit glutamate and calm the action of GABA at its receptors, has migrated from Europe to the United States (p. 98). Opiate addicts might use methadone (Dolophine©) or buprenorphine (Subutex) to “taper down” until they are able to safely sever their dependence (pp. 98-99). Cocaine addicts can be administered tricyclic antidepressants or dopamine agonists to reduce cravings in the early stages of their withdrawal (p. 99).
Longer-term treatment may include the use of antidepressants to help the addict better cope with anxiety and more successfully adjust to change, thus reducing the chance of
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.
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.
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.
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 of the problems associated with early sobriety do not stem directly from psychoactive substances. Instead they are associated with physical and psychological changes that occur after the substances have left the body. When a person regularly uses psychoactive drugs, the brain undergoes physical changes to cope with the presence of drugs in the body. When the drugs are removed from the body, the brain craves the drugs that it has become accustomed to and as the brain attempts to rebalance itself without the presence of psychoactive drugs the person often experiences feelings of confusion, pain, and discomfort. The symptoms that are experienced immediately after stopping drug use are called acute withdrawal. But often the symptoms do not stop at acute withdrawal. After the body makes initial adjustments to the absence of drugs, the changes that have occurred in the brain still need time to revert back to their original state. During this period, a variety of symptoms known as Post-Acute Withdrawal Syndrome (PAWS) begin to occur. In the book Uppers, Downers, All Arounders, published by CNS Productions, authors Darryl Inaba and William Cohen define PAWS as “a group of emotional and physical symptoms that appear after major withdrawal symptoms have abated” (Inaba & Cohen, 2011).
Several studies have been done to try to determine what makes someone go from using a drug once experimentally to becoming a drug addict. One of the most popular theories was created by Inaba and Cohen that is called the Biopsychosocial Theory. This theory takes many different factors in hand to try to explain further how a drug addiction has been influenced using three different factors, heredity, environment, and the use of psychoactive drugs (Inaba and Cohen 75). It has been found that the “intial structure and chemistry of the nervous system” is passed down through many generations and that “behaviors seem to have an inheritable component (Inaba and Cohen 76). This shows that certain actions that are associated with drugs, gambeling, etc can be influenced by addictive behaviors that were prevalent generations ago. Environment plays a huge factor in determining how drug addiction will affect a person, family dynamics, age, race, peer pressure, and tragedy are reasons someone may feel compelled to use which could lead to later continual drug abuse. Lastly, the use of psychoactive drugs plays an essential part in turning an experimental phase into a full blown drug addiction.
In relation to drug abuse, relapse is resuming the use of a chemical substance or drug after a period of abstinence. The term can be said to be a landmark feature of a combination of substance abuse and substance independence. The propensity for dependency, repeated use, and tendencies that take the form of the substance being used, are some of the issues that drug users’ experience. Substances that enhance most severe tendencies in users and pose high pharmacological efficacy, are those that are cleared quickly from the body, in addition to those that bring out the highest tolerance. There can be increased substance tolerance with the increasing dependency in relation to drug in question, and withdrawals and cravings when the user stops.
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...
Addiction is a dependence on a substance where the individual who is affected feels defenseless and unable to stop the obsession to use a substance or prevent a particular behavior. Millions of Americans have addictions to drugs, alcohol, nicotine, and even to behaviors such as obsessive gambling. Pharmacotherapy is a treatment process in which a counselor can use a particular drug to counter act an addictive drug or behavior. Not all counselors agree with this type of treatment. However in order to provide a client with an ethical treatment and unbiased opinions they should be made aware of all scientific evidence of different treatment options. “Thus, attention to addiction pharmacotherapy is an ethical mandate no matter what prejudices a counselor may have” (Capuzzi & Stauffer, 2008, p. 196). Some particular pharmacotherapy’s a counselor may use for the treatment of addiction are Bupropion (Wellbutrin, Zyban), Disulfiram (Antabuse), Naltrexone (ReVia, Depade), Methadone (Dolophine), and Buprenorphine (Temgesic, Suboxone).
Drug addiction is often characterized as being a complex brain disease that causes compulsive, uncontrollable, drug craving, seeking and use without any regards to the consequences they may bring upon themselves, or society. As long as the brain is exposed to these large amounts of dopamine on the reward system, it will inevitably develop a tolerance to the current dopamine levels, which it is receiving, lessening the pleasure the user will experience. In order to satisfy the brains “reward...
Addiction, also known as substance use disorder, is the dependence on any type of drug, legal or illegal; alcohol and nicotine being two examples. Addiction occurs because “Drugs contain chemicals that tap into the brains communication system and disrupt the way nerve cells normally send, receive, and process information” (Understanding Drug Abuse). This disruption teaches the brain and person to keep repeating the sensation they get when using drugs, causing the individual to develop addiction problems. The sensation occurs from a rise in dopamine levels in the brain; so when an individual consumes alcohol and drugs, their dopamine levels boost. When the addiction develops, the individual’s brain changes, restricting them from making logical decisions, leading to uncontrollable cravings for whatever drug they are
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.
The biopsychosocial model proposes, and the scientific evidence has tended to confirm, that the interdependent factors ;biological, psychological and social all end up influencing each other and feeding into each other in an interdependent way and for these reasons, the biopsychosocial model has much to offer professionals working in treatment, prevention, and research in the addictions
Volkow, N. (2007, March 1). The Science of Addiction: Drugs, Brains, and Behavior. NIH, 2, 14-17.
There are many addictions in the world, and drug addiction is the biggest. People may experiment with the drug for many reasons. “If your drug use is causing problems in your life, then you likely have a drug abuse or addiction problem”.(Lawrence Robinson pg.1) Many people start out using drugs by peer pressure or out of their own curiosity. Stress, anxiety, lows self-esteem and depression could be another factor to start using drugs. The drug takes over your body and gives you a good feeling that many people tend to enjoy. The urge to use the drug can keep increasing rapidly after the first use. The urge can become so severe that your mind can find many other ways to deny the factor of addiction. Very few drug addicts can feel and realize when they have crossed the line with drugs. A drug addicts mind can build up a very large tolerance for the drug that they start to abandon the activities they used to do on a daily basis like showering, hobbies, socializing and even being associated with family members. The person with the addiction will continue to use the drug knowing that it is harming there body, but they don’t have any remorse. A drug addict will often try to hide their problem, so they can continue to use without anyone’s input. Family and friends may try to use preaching methods or tell the user that they need to stop using the drug. This method is not ...