Theories Of Substance Abuse

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When I think about the different reasons why people abuse substances I do not automatically believe that one etiological theory is better than another. Over the years addiction has been understood in various ways – “a sin, a disease, a bad habit – each a reflection of a variety of social, cultural, and scientific conceptions” (Hammer, Dingel, Ostergren, Nowakowski & Koenig, 2012). Each etiological theory presented in our textbook has compelling points that I believe can be mixed with other theories’ points to form a better understanding of why some people become addicted to substances while others do not. As for myself, I believe that it depends on each unique individual as to why they abuse substances. The Bible states in Matthew 26:41b
This theory does not address ‘why’ a person would initially start drinking or taking drugs. What I like about this theory is that “an alcoholic or addict is never considered cured”, therefore the person holds a responsibility to themselves to stay sober or addiction free (Stevens & Smith, 2013, p. 103). Along these lines is the Genetic Theory, which states one is predisposed through genetics to addiction. Then there are the Behavioral Theories which state that “behavior is learned thus lending credence to an environmental perspective” (Stevens & Smith, 2013, p. 110). This theory states that dependence is dependent on positive experience/reward that reinforces a particular behavior. The Sociocultural Theories look at “social and cultural factors that can lead to substance abuse” (Stevens & Smith, 2013, p. 114). These theories each bring a unique perspective on why people abuse
I believe addictions take many forms and cannot be understood by only one theory, therefore I believe that the best way to describe a theory of addiction is through integration. Humans are not one dimensional, so why treat someone suffering from addiction as if there is only one reason for their addiction. I believe it takes a culmination of reasons why a person abuses substances. By integrating disease, genetic, behavioral and sociocultural theories you are able to get a better picture of addiction. James Macdonald (2013) states that “God created humans as psychosomatic creatures” meaning the “heart/soul is the initiator of lifestyle choices and the body is the instrument it uses to carry out its desires” (p. 127). Ephesians 2:10a states “we are God’s handiwork”, God has made humans unique and complex, so those with addiction need to address all issues from an integrated standpoint. Addiction is not a subject that is easily understood when it comes to figuring out ‘why’ someone is more prone to addiction than others. I believe it takes a thorough understanding of someone to even start figuring out ‘why’ addiction is present in their life. There are so many factors that affect people in different ways, including one’s environment, social life, family background, etc. By integrating theories and taking a look at the whole

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