Is Addiction a Disease?

How's that for a hot topic of debate. I have been seeing this a lot in various websites I have been viewing. Some believe it is a disease, some not, some advocate additional drugs to help regulate the addiction and some advocate a completely drug free holistic approach. Narconon which is the drug rehab I used to get clean and sober over 7 years ago advocates an approach based on an understanding of the actual life cycle of addiction. It also covers the three barriers to recovery. I am presenting the opening of this article from their website and a link to view the entire article. I am interested in thoughts and opinions on this so comment if you like

Is Addiction A Disease?

Whether a person is genetically or biochemically predisposed to addiction or alcoholism is a controversy that has been debated for years within the scientific, medical and chemical dependency communities. One school of thought advocates the "disease concept" which embraces the notion that addiction is an inherited disease, and that the individual is chronically ill at a genetic level, even those who experience long periods of sobriety.

Another philosophy argues that addiction is a dual problem composed of a physical and mental dependency on chemicals, compounded by a pre-existing mental disorder (i.e., clinical depression, bipolar disorder or some other mental illness) and that the mental disorder needs to be treated as the primary cause of the addiction.

A third philosophy subscribes to the idea that chemical dependency leads to permanent chemical imbalances in the brain that must be treated with psychotropic medications (drugs that act on the mind, altering mood or behavior) and sometimes antipsychotic medications after the person withdraws from the drug to which they are addicted.

While it is true that there is some scientific research that supports each of these concepts, it is also true that none of these theories are absolute. A review of national averages shows that addiction treatment programs based on these theories result in recovery rates of just 16% to 20%. There is a fourth school of thought that has proven to be more accurate. To understand this way of thinking, it is necessary to understand the life cycle of addiction.

This data is universally applicable to addiction, no matter which theory is used to explain the phenomenon of chemical dependency. The life cycle of addiction begins with a problem, discomfort or some form of emotional or physical pain for a person. This person is, like most people in our society, basically good. But he encounters a problem that is causing him physical or emotional pain and discomfort and for which he does not have an immediate answer. Perhaps, as a child or teenager, he has difficulty "fitting in."

Or maybe there are physical injuries such as a broken bone, a bad back or some other chronic physical condition, or the person has suffered losses in life.

Whatever the origin of the difficulty, the discomfort associated with it presents the individual with a real problem. He feels that his problem is major, persistent and without solution or relief. Most of us have experienced this type of problem in our lives to a greater or lesser degree. So for these reasons, some people, young or old, male or female, high income or low, begin to use alcohol or drugs that have the potential to be addictive.

Once the person takes the drug, he feels relief from the discomfort. Even though the relief is only temporary, the drug is adopted as a solution to the problem and therefore, the individual places value on the drug or drink. This assigned value is the only reason the person ever uses drugs or drinks alcohol a second, third or more times.

There are a couple of key factors involved in this life cycle that determines which ones of us become addicts and which ones do not. The first factor is peer pressure. If, at the time of this discomfort, a person is subjected to pro-drug or pro-alcohol influences through some sort of significant peer pressure, that influence can affect his decision-making with regard to finding relief from this discomfort.

Peer pressure manifests itself in many different ways. It can come from friends or family or through some channel of advertising. Peer pressure combined with relief of the discomfort or problem can determine the severity of drug use.

Second, the person felt bad in some way before he used drugs or alcohol and he feels better afterward. That relief has value.

Simply put, the bigger the problem, the greater the discomfort the person will experience. The greater the discomfort, the more importance the person places on relieving it and the greater the value he assigns to that which brings about the relief.

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