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  • AADD Moderators: swilow | Vagabond696

Addiction is a disease: true or false

This has been intriguing to read and comprehensive to say the least. Im on the no side, but I think some were made genetically to enjoy drugs more than others.

Isnt there studies to suggest alcoholics metabolize it into a lesst toxic form than most, and ttherefore derive more pleasure with less side effects? Therefore their brain keeps reinforcing the habit even though its toxic. I remember matthew perry from friends was saying this regarding his vicodin and alcohol addiction. What sort of condition would this be called? Alcohol affinity syndrome? Lol im no doc

Another is codeine. Some metabolize it very well while others feel nothing.

Mdma, some feel anxiety on the come up, while others feel a pleasant wave of empathy and love.

Lsd, body load can really fuck with some ppl and acid gut, while others hardly experience it.

I think its a combination of so many things and factors, I just think people have a predisposition to really gel with drugs, and it works with their psyche and body.
 
disease -
noun1.a disordered or incorrectly functioning organ, part, structure, orsystem of the body resulting from the effect of genetic ordevelopmental errors, infection, poisons, nutritional deficiency orimbalance, toxicity, or unfavorable environmental factors; illness;sickness; ailment.

2.any abnormal condition in a plant that interferes with its vitalphysiological processes, caused by pathogenic microorganisms,parasites, unfavorable environmental, genetic, or nutritional factors,etc.

3.any harmful, depraved, or morbid condition, as of the mind orsociety:His fascination with executions is a disease.



4.
decomposition of a material under special circumstances:



disease (n.)
early 14c., "discomfort, inconvenience," from Old French desaise "lack, want; discomfort, distress; trouble, misfortune; disease, sickness," from des- "without, away" (see dis-) + aise "ease" (see ease). Sense of "sickness, illness" in English first recorded late 14c.; the word still sometimes was used in its literal sense early 17c.

 
Hi Monkey Girl

Addiction and physical withdrawals are two different things.

Recent research by Dr Mark Hutchinson at the University of Adelaide shows that opiate withdrawals are caused by inflammatory molecule attacking the Glial TLR4 receptor. Dr Hutchinson found that the glial is primed during pre/post natal periods due to environmental factors i.e. violence or exposure to cortisone (stress hormone). He proved this by essentially beating up rats babies. He found that these rat babies easily became opiate users. He then cured them of their opiate withdrawals and tolerance by administrating a simple anti-inflammatory.

The rats ceased to exhibit symptoms of opiate withdrawals and were subsequently able to reduce their intake of opiates i.e. stop being addiction. It would appear that the TLR4 receptor in the Glial is responsible for all physical withdrawals from drugs. Drug users however experience far greater physical symptoms then those who aren't primed in early childhood. Long before Dr Hutchinson's research it was theorised by people like Dr. Gabor Maté that stress hormones during early childhood affected the development of the brain, priming it for drug use and things like ADHD.

The problem is that people conflate addiction and withdrawals to be one and the same. How many people here can put there hands up and stay they were ready to quit heroin/meth/coke but it was the physical withdrawals that made them do it again?

This means that the biggest reason for continued opiate use is not addiction by a physiological function in our brains malfunctioning.

There are trials with the particular anti-inflammatory drug but there is very little material on the matter and it would appear that governments and reserachers are fastidiously ignoring this paradigm shift in drug research. Wouldn't surprise me that a simple anti-inflammatory could cure millions of people, freeing their from daily drug/opiate/meth use.

Remember this the global drug trade is worth over a trillion dollars per annum. Drugs are big business now, and unless we wake up from the dream that someone else will legalise drugs, there is no hope from the prisons that is being constructed around our minds and bodies.

sources:

1. The “Toll” of Opioid-Induced Glial Activation: Improving the Clinical Efficacy of Opioids by Targeting Glia - http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2783351/
2. Why we need to end the War on Drugs - http://www.ted.com/talks/ethan_nadelmann_why_we_need_to_end_the_war_on_drugs
3. Dr Gabor Mate - https://www.youtube.com/watch?v=_-APGWvYupU
 
Couldn't agree more! That's one of the main reasons I think the 12 steppers often do their clients a disservice...
 
This article brings up some interesting points.....

The Likely Cause of Addiction Has Been Discovered, and It Is Not What You Think

It is now one hundred years since drugs were first banned - and all through this long century of waging war on drugs, we have been told a story about addiction, by our teachers, and by our governments. This story is so deeply ingrained in our minds that we take it for granted. It seems obvious. It seems manifestly true. Until I set off three and a half years ago on a 30,000-mile journey for my book 'Chasing The Scream - The First And Last Days of the War on Drugs' to figure out what is really driving the drug war, I believed it too. But what I learned on the road is that almost everything we have been told about addiction is wrong - and there is a very different story waiting for us, if only we are ready to hear it.

If we truly absorb this new story, we will have to change a lot more than the drug war. We will have to change ourselves.

I learned it from an extraordinary mixture of people I met on my travels. From the surviving friends of Billie Holiday, who helped me to learn how the founder of the war on drugs stalked and helped to kill her. From a Jewish doctor who was smuggled out of the Budapest ghetto as a baby, only to unlock the secrets of addiction as a grown man. From a transsexual crack dealer in Brooklyn who was conceived when his mother, a crack-addict, was raped by his father, an NYPD officer. From a man who was kept at the bottom of a well for two years by a torturing dictatorship, only to emerge to be elected President of Uruguay and to begin the last days of the war on drugs.

I had a quite personal reason to set out for these answers. One of my earliest memories as a kid is trying to wake up one of my relatives, and not being able to. Ever since then, I have been turning over the essential mystery of addiction in my mind - what causes some people to become fixated on a drug or a behavior until they can't stop? How do we help those people to come back to us? As I got older, another of my close relatives developed a cocaine addiction, and I fell into a relationship with a heroin addict. I guess addiction felt like home to me.

If you had asked me what causes drug addiction at the start, I would have looked at you as if you were an idiot, and said: "Drugs. Duh." It's not difficult to grasp. I thought I had seen it in my own life. We can all explain it. Imagine if you and I and the next twenty people to pass us on the street take a really potent drug for twenty days. There are strong chemical hooks in these drugs, so if we stopped on day twenty-one, our bodies would need the chemical. We would have a ferocious craving. We would be addicted. That's what addiction means.

One of the ways this theory was first established is through rat experiments - ones that were injected into the American psyche in the 1980s, in a famous advert by the Partnership for a Drug-Free America. You may remember it. The experiment is simple. Put a rat in a cage, alone, with two water bottles. One is just water. The other is water laced with heroin or cocaine. Almost every time you run this experiment, the rat will become obsessed with the drugged water, and keep coming back for more and more, until it kills itself.

The advert explains: "Only one drug is so addictive, nine out of ten laboratory rats will use it. And use it. And use it. Until dead. It's called cocaine. And it can do the same thing to you."

But in the 1970s, a Professor of Psychology in Vancouver called Bruce Alexander noticed something odd about this experiment. The rat is put in the cage all alone. It has nothing to do but take the drugs. What would happen, he wondered, if we tried this differently? So Professor Alexander built Rat Park. It is a lush cage where the rats would have colored balls and the best rat-food and tunnels to scamper down and plenty of friends: everything a rat about town could want. What, Alexander wanted to know, will happen then?

In Rat Park, all the rats obviously tried both water bottles, because they didn't know what was in them. But what happened next was startling.

The rats with good lives didn't like the drugged water. They mostly shunned it, consuming less than a quarter of the drugs the isolated rats used. None of them died. While all the rats who were alone and unhappy became heavy users, none of the rats who had a happy environment did.

At first, I thought this was merely a quirk of rats, until I discovered that there was - at the same time as the Rat Park experiment - a helpful human equivalent taking place. It was called the Vietnam War. Time magazine reported using heroin was "as common as chewing gum" among U.S. soldiers , and there is solid evidence to back this up: some 20 percent of U.S. soldiers had become addicted to heroin there, according to a study published in the Archives of General Psychiatry. Many people were understandably terrified: they believed a huge number of addicts were about the head home when the war ended.

But in fact, some 95 percent of the addicted soldiers - according to the same study - simply stopped. Very few had rehab. They shifted from a terrifying cage back to a pleasant one, so didn't want the drug any more.

Professor Alexander argues this discovery is a profound challenge both to the right-wing view that addiction is a moral failing caused by too much hedonistic partying, and the liberal view that addiction is a disease taking place in a chemically hijacked brain. In fact, he argues, addiction is an adaptation. It's not you. It's your cage.

After the first phase of Rat Park, Professor Alexander then took this test further. He reran the early experiments, where the rats were left alone, and became compulsive users of the drug. He let them use for fifty-seven days - if anything can hook you, it's that. Then he took them out of isolation, and placed them in Rat Park. He wanted to know - if you fall into that state of addiction, is your brain hijacked, so you can't recover? Do the drugs take you over? What happened is - again - striking. The rats seemed to have a few twitches of withdrawal - but they soon stopped their heavy use, and went back to having a normal life. The good cage saved them. (The full references to all the studies I am discussing are in the book.)

When I first learned about this, I was puzzled. How can this be? This new theory is such a radical assault on what we have been told that it felt like it could not be true. But the most scientists I interviewed, and the more I looked at their studies, the more I discovered things that don't seem to make sense - unless you take account of this new approach.

Here's one example of an experiment that is happening all around you, and may well happen to you one day. If you get run over today and you break your hip, you will probably be given diamorphine - the medical name for heroin. In the hospital around you, there will be plenty of people also given heroin for long periods, for pain relief. The heroin you will get from the doctor will have a much high purity and potency than the heroin being used by street-addicts, who have to buy from criminals who adulterate it. So if the old theory of addiction is right - it's the drugs that cause it; they make your body need them - then it's obvious what should happen. Loads of people should leave hospital and try to score smack on the streets, to meet their habit.

But here's the strange thing. It virtually never happens. As the Canadian doctor Gabor Mate was the first to explain to me, medical users just stop, despite months of use. The same drug, used for the same length of time, turns street-users into desperate addicts - and leaves medical patients unaffected.

If you still believe - as I used to - that addiction is caused by chemical hooks, this makes no sense. But if you believe Bruce Alexander's theory, the picture falls into place. The street-addict is like the rats in the first cage, isolated, alone, with only one source of solace to turn to. The medical patient is like the rats in the second cage. She is going home - to a life where she is surrounded by the people she love. The drug is the same, but the environment is different.

This gives us an insight that goes much deeper than the need to understand addicts. Professor Peter Cohen argues that human beings have a deep need to bond and form connections. It's how we get our satisfaction. If we can't connect with each other, we will connect with anything we can find - the whirr of a roulette wheel or the prick of a syringe. He says we should stop talking about 'addiction' altogether, and instead call it 'bonding'. A heroin addict has bonded with heroin because she couldn't bond as fully with anything else.

So the opposite of addiction is not sobriety. It is human connection.

When I learned all this, I found it slowly persuading me, but I still couldn't shake off a nagging doubt. Are these scientists saying chemical hooks make no difference? It was explained to me - you can become addicted to gambling, and nobody thinks you inject a pack of cards into your veins. You can have all the addiction, and none of the chemical hooks. I went to a Gamblers' Anonymous meeting in Las Vegas (with the permission of everyone present, who knew I was there to observe) and they were as plainly addicted as the cocaine and heroin addicts I have known in my life. Yet there are no chemical hooks on a craps table.

But still - surely, I asked, there is some role for the chemicals? It turns out there is an experiment which gives us the answer to this in quite precise terms, which I learned about in Richard DeGrandpre's book 'The Cult of Pharmacology.'

Everyone agrees cigarette smoking is one of the most addictive processes around. The chemical hooks in tobacco come a drug inside it called nicotine. So when nicotine patches were developed in the early 1990s, there was a huge surge of optimism - cigarette smokers could get all of their chemical hooks, without the other filthy (and deadly) effects of cigarette smoking. They would be freed.

But the Office of the Surgeon General has found that just 17.7 percent of cigarette smokers are able to stop using nicotine patches. That's not nothing. If the chemicals drive 17.7 percent of addiction, as this shows, that's still millions of life ruined globally. But what it reveals again is that the story we have been taught about The Cause of Addiction lying with chemical hooks is, in fact, real, but only a minor part of a much bigger picture.

This has huge implications for the one hundred year old war on drugs. This massive war - which, as I saw, kills people from the malls of Mexico to the streets of Liverpool - is based on the claim that we need to physically eradicate a whole array of chemicals because they hijack people's brains and cause addiction. But if drugs aren't the driver of addiction - if, in fact, it is disconnection that drives addiction - then this makes no sense.

Ironically, the war on drugs actually increases all those larger drivers of addiction: for example, I went to a prison in Arizona - 'Tent City' - where inmates are detained in tiny stone isolation cages ("The Hole") for weeks and weeks on end, to punish them for drug use. It is as close to a human recreation of the cages that guaranteed deadly addiction in rats as I can imagine. And when those prisoners get out, they will be unemployable because of their criminal record - guaranteeing they with be cut off ever more. I watched this playing out in the human stories I met across the world.

There is an alternative. You can build a system that is designed to help drug addicts to reconnect with the world - and so leave behind their addictions.

This isn't theoretical. It is happening. I have seen it. Nearly fifteen years ago, Portugal had one of the worst drug problems in Europe, with 1 percent of the population addicted to heroin. They had tried a drug war, and the problem just kept getting worse. So they decided to do something radically different. They resolved to decriminalize all drugs, and transfer all the money they used to spend on arresting and jailing drug addicts, and spend it instead on reconnecting them - to their own feelings, and to the wider society. The most crucial step is to get them secure housing, and subsidized jobs - so they have a purpose in life, and something to get out of bed for. I watched as they are helped, in warm and welcoming clinics, to learn how to reconnect with their feelings, after years of trauma and stunning them into silence with drugs.

One example I learned about was a group of addicts who were given a loan to set up a removals firm. Suddenly, they were a group, all bonded to each other, and to the society, and responsible for each other's care.

The results of all this are now in. An independent study by the British Journal of Criminology found that since total decriminalization, addiction has fallen, and injecting drug use is down by 50 percent. I'll repeat that: injecting drug use is down by 50 percent. Decriminalization has been such a manifest success that very few people in Portugal want to go back to the old system. The main campaigner against the decriminalization back in 2000 was Joao Figueira - the country's top drug cop. He offered all the dire warnings that we would expect from the Daily Mail or Fox News. But when we sat together in Lisbon, he told me that everything he predicted had not come to pass - and he now hopes the whole world will follow Portugal's example.

This isn't only relevant to the addicts I love. It is relevant to all of us, because it forces us to think differently about ourselves. Human beings are bonding animals. We need to connect and love. The wisest sentence of the twentieth century was E.M. Forster's - only connect. But we have created an environment and a culture that cut us off from connection, or offer only the parody of it offered by the internet. The rise of addiction is a symptom of a deeper sickness in the way we live - constantly directing our gaze towards the next shiny object we should buy, rather than the human beings all around us.

The writer George Monbiot has called this "the age of loneliness." We have created human societies where it is easier for people to become cut off from all human connections than ever before. Bruce Alexander - the creator of Rat Park - told me that for too long, we have talked exclusively about individual recovery from addiction. We need now to talk about social recovery - how we all recover, together, from the sickness of isolation that is sinking on us like a thick fog.

But this new evidence isn't just a challenge to us politically. It doesn't just force us to change our minds. It forces us to change our hearts.

Loving an addict is really hard. When I looked at the addicts I love, it was always tempting to follow the tough love advice doled out by reality shows like Intervention - tell the addict to shape up, or cut them off. Their message is that an addict who won't stop should be shunned. It's the logic of the drug war, imported into our private lives. But in fact, I learned, that will only deepen their addiction - and you may lose them all together. I came home determined to tie the addicts in my life closer to me than ever - to let them know I love them unconditionally, whether they stop, or whether they can't.

When I returned from my long journey, I looked at my ex-boyfriend, in withdrawal, trembling on my spare bed, and I thought about him differently. For a century now, we have been singing war songs about addicts. It occurred to me as I wiped his brow - we should have been singing love songs to them all along.

Link to original article: http://www.huffingtonpost.com/johann-hari/the-real-cause-of-addicti_b_6506936.html
 
Very interesting read ^. I couldnt read any of this before due to a binge last night but vision restored and its an interesting topic.

I do not think addiction is a disease.

I have referred to myself as an addict and even tried treatment to stop due to using meth for nearly 10 years. I cave at the drop of a hat and use, but for me its just become a 'habit' I cant break.. liked binge drinking when you watch footy with mates or eating junk food too often. But I cant do it every day, I need and want to have days off.. and you cant generally just have a day off if you have a disease.

I think WHY a person needs to use is what causes one person to develop a full blown addiction while others dont, even if they use a lot.

If someone is lacking confidence, has low self esteem, or is trying to erase past traumas etc etc using just to feel normal or function may quickly spiral out of control.. not because they have a diseases but life on drugs is more tolerable.

I believe addiction grows from why you use, but I also acknowledge that for some recreational users it can becomes something they no longer have control of.
 
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that a great basic article that does get to the heart of the issues, in an intuitive way that;
Addiction is when something comes between you and life (which then includes factors which affect the person; chemical, biological, social, psychological issues that comes with addiction).
the trick with "recovery/remission/healing" is to reverse that and bring life back between you and addiction. the more potent & engaged you are with life at a deeper level the less likely you are to use substances in a way where addiction can take hold, and makes it difficult to make the decision to compromise on life by re enacting those behaviors.

in some ways it relates to existential motivation; what really is meaningful to you and what makes you tick in life. the rat park experiments are interesting in america and revolutionary in their long held temperance belief system. but to the rest of the world its a little too intuitive... a kinda of "um no shit!" bit of research. but at least it is done and allows the psycho social disciplines a greater voice in the discourse once again.
 
that article above was amazing, especially for non users or impartial readers who don't quite fully grasp the concept of the drug war and reasoning behind it. Also, the addiction side was well put.

Although, i definitely think the addiction evolves and grows beyond that over time to a point where its just been etched into your existence that you know no other process to day to day life.
 
FALSE!!!!!! Mental disorder I could see but to call it a disease honestly you would have to change the definition of disease.
 
Definitely not a fan of the 'disease' addiction model... Really stupid way of looking at things in my opinion.
 
put into the most simple form a disease is something that afflicts a person that can lead to their death. in that logic addiction could be looked upon as a disease.
 
I don't like the "disease" model because it takes power away from the person rather than encourage autonomy and responsibility.

If you have a disease, what do you do about it? You fight it. If I thought of my addictions as a disease, it'd ease my conscience, but not improve my life.
 
The term just doesn't seem right to me. Not really into etymology though...or would it be the dictionary people who decide if it's correct? :p I kid.

If you have a disease, what do you do about it? You fight it. If I thought of my addictions as a disease, it'd ease my conscience, but not improve my life.

Yeah can kind of see that mindset.

When I was born I came out backwards with the cord around my neck, got forciped pretty hard and yanked out. Doctor did mention potential damage to my brain to my parents. They never told me about it until I was much older because they were worried I wouldn't try so hard if I had that excuse to use. Good call on that one Mum and Dad :D - can just imagine my teenage self using that as an excuse for something.
 
The teachings of my rehab was based on the disease model and I followed the 12step way for years after that. I was constantly challenging the model & steps until they failed to provide me with what I required.


I then found a guy called Marc Lewis , author of "Memoirs of an Addicted Brain" who is an ex addict come developmental psychologist come neuroscientist. His aim is to demonstrate that from a neurological perspective addiction is not a disease. His book, website and blogs are excellent.




So to get the perspective of two doctors I'd recommend checking these out:


Disease of Addiction Model
Dr. Kevin McCauley
"Pleasure Unwoven"
http://www.youtube.com/playlist?list=PLA8F89537FD4C3FD1


Non-Disease of Addiction Model
http://www.memoirsofanaddictedbrain.com


but pfft! Studying both hasn't help me much with my out of control addiction....


they talk about "rock bottom" but not how many there are


peace brothers
 
Hey Bluelighters
I was reading something on an NA website that really did my head in
The passage read

"...Our disease always resurfaced or continued to progress until, in
desperation, we sought help..."


Addiction is a DISEASE? Seriously?

Agree or Disagree?

Having not only worked as an addictions counsellor, but also having a heroin addiction I have strong feelings about this particular concept

I want to know what you guys think..?

Cheers

MG

I would have to disagree. An addiction is characterized by all the things revolving around why you do it in the first place. You have the obvious positive effects of the drug in which this is why the drug is used then you have the neutral component of the high which is where the user takes time to sometimes or possibly reflect on why they use the drug in the first place going over a host of things in there mind, others will choose to see the neutral part of the high as a time to be respectful to the drugs they choose to use and understanding that they are high and its a good time to think about lifes actions/goals etc as for the negative sides of drug use revolving around the comedown and withdrawals to drugs these should be looked at as none other than that and should not be looked into. The negative aspect of drugs as in the comedowns etc are for the most part a time where the users feel bad and they reflect on such things as "am i addictied", "am i a junkie"

You might often notice that soicetys opinions on the age old followed stigmas that they all seem to adhere to having possibly never touched drugs themselves yet formulating a strong opinion from a society orientated perspective as a whole in which society is quick to judge the user when the user could very well be using drugs like heroin and methamphetamine with high end jobs travelling quite niceley just for an example.

You know what ? It is societys misunderstandings of drug culture, drugs themselves, drug use and drug ettiquite that cause me to believe it is infact society is the disease from there constant pack mentality choices revolving the overall perceptive outlook as a whole by the non drug using communinity and there unconscious collective mind somewhat nieve at times to cause the overall negative domino effect that we see day in day out aimed at the "poor misguided junkie drug users" 8(

Society is just as bad as the users i mean pick a side, there will never be an agreement as there are so many factors upon factors keeping both sides in disarray. Power to the positive minded educated conscious chemical users out there. Nothing can stop us.

No addiction is not a fucking disease. It's a lifestyle choice and those of us who don't fit the lifestyle in a positive way will quit and move on or continue looking for a compound suitable for them. In all fairness though i spose to most mainstream society a user that users to escape and starts going through a host of negative effects should probably quit if they fear they will be ridiculed with the "addiction is a disease" attititude because when you get so far down the rabbit hole with addiction its any wonder society calls it a disease.

Rule of thumb. Moderation is the key. I mean after all that's one of the thing bluelight is about and only throught drug education may new users see that addiction can be fought in a number of positive ways leading to many things that keep most of us here respectable drug users. So yeah if your in a bad way and its seen as disease ridden, ffs just quit or go cold turkey and reevaluate your administration method and just be happy with a less is more approach. You should be thankful with a new approach having sunk so low if any of you have sunk so low that you indeed still get to use drugs, and that's one of the most positive things a lot of us have to look forward to i know sounds junkie like doesnt it, but you know what i mean.

Maybe look to plants. Those god damn disease ridden shamans with a plant addiction. SHAME on them.
 
if one makes the choice to exchange blood with a disease ridden person (be it through needles or otherwise) does that somehow make it less of a disease?

I really love this analogy. This right here should shut up anyone who thinks just because something is self afflicted, that somehow negates it from being a disease.

Drug addiction is most certainly with out a doubt a full blown disease.

Is it a contagious disease transmissible trough blood or air? No

Are some people more susceptible to this disease than others? Yes

Do GENETICS play a HUGE role in WHO gets this DISEASE? YES

Are there observable physiological signifiers that someone has this disease? MOST DEFINITELY.

To those of you convinced drug addiction is just a life style choice, I'm assuming that by your logic diabetes and heart disease are just "life style choices" too, right? Environment and these little things called Genetics play absolutely no role in someone being susceptible to these supposed "life style choices". Also, that would mean that various forms of cancer that have been scientifically proven to be caused by poor health decisions such a smoking, are also just Life style choices.

Contradiction much?

LOL


Give me a break.

Listen kiddies, I'M A TOP DOG!

I'm a professional!

You aint ready to play in the big leagues.

Stay in school and do your homework.
 
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