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long term recreational heroin users

lets face it what's the difference between Obsessional Compulsive Disorder and addiction

They're both pathologic psychological processes, only one is due to an external agent (a drug), and when you get cognitive therapy to deal with OCD, you dont go through a physical withdrawl syndrome.

If you want to compare OCD with an addiction, then gambling is a valid comparison, but not an opiate addiction
 
Yet...

There are many parallels and in the end I DO think that people are "psyched" into believing they are powerless. From a purely subjective perspective I know that I have had many people right here on B.L. ask how I can regularly go 3 days without my methadone and suffer no ill effects. If an addict were to be educated about the nature of the substance as well as the physiology,etc. then I would imagine the whole nature of addiction might change.

There are actual physical symptoms, without a doubt. It is the severity and frequency that I think has been played up.
 
I was using OCD as an example - possibly a bad one - to try and grapple with the concept of addiction. What I should have gone on to say was that the whole idea of addiction is flawed from its foundation. The investigation into the neural underpinning of addiction has a false premise. The premise 'addiction' and it's definition is guiding this research which is consequently backed up by big pharmaceutical companies. Premise - addiction. Definition - desease. Solution - cure. The scientists find the neural underpinning of addiction and the pharmaceutical companies manufacture and distribute the cure.

The thing is they will find the neural underpinning of addiction. You will find the neural underpinning or the pharmacology of crossing the road. Why? Because humans cross the road. Therefore you can thoroughly examine the physiological and chemical processes at work. But that's all you are doing.

Why did the human cross the road?
Because his girlfriend was on the other side.

Neurology does not explain the motive here and therefore how the hell can it explain addiction??
 
Because there might be lots of reasons to cross the road (meet someone you like, avoid someone you don't, see a dealer to score...), and they all have different origins in the person's psyche, whereas with opiates, it's to do with ensuring the mu opiate receptors have an agonist sitting in them, which is re-enforced by either pain amplification (WD) if you don't or dopamine release in the limbic system (reward) if you do. There can be a multitude of reasons why someone crosses the road, but theres one definite reason why people need to score opiates.

The reason people are originally drawn to opiates maybe many and varied, but there is only one reason for continuing when addicted
 
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