Extracts:
"Definition of Addiction
Public
Policy Statement: Definition of Addiction
Short
Definition of Addiction:
Addiction
is a primary, chronic disease of brain reward, motivation, memory and
related circuitry. Dysfunction in these circuits leads to
characteristic biological, psychological, social and spiritual
manifestations. This is reflected in an individual pathologically
pursuing reward and/or relief by substance use and other behaviours.
Addiction
is characterized by inability to consistently abstain, impairment in
behavioural control, craving, diminished recognition of significant
problems with one’s behaviours and interpersonal relationships, and
a dysfunctional emotional response. Like other chronic diseases,
addiction often involves cycles of relapse and remission. Without
treatment or engagement in recovery activities, addiction is
progressive and can result in disability or premature death.”
“Genetic
factors account
for about half of the likelihood that an individual will develop
addiction. Environmental factors interact with the person’s biology
and affect the extent to which genetic factors exert their influence.
Resiliencies the individual acquires (through parenting or later life
experiences) can affect the extent to which genetic predispositions
lead to the behavioural and other manifestations of addiction.
Culture also plays a role in how addiction becomes actualized in
persons with biological vulnerabilities to the development of
addiction.
Other
factors that
can contribute to the appearance of addiction, leading to its
characteristic bio-psycho-socio-spiritual manifestations, include:
- The presence of an underlying biological deficit in the function of reward circuits, such that drugs and behaviours which enhance reward function are preferred and sought as reinforcers;
- The repeated engagement in drug use or other addictive behaviours, causing neuroadaptation in motivational circuitry leading to impaired control over further drug use or engagement in addictive behaviours;
- Cognitive and affective distortions, which impair perceptions and compromise the ability to deal with feelings, resulting in significant self-deception;
- Disruption of healthy social supports and problems in interpersonal relationships which impact the development or impact of resiliencies;
- Exposure to trauma or stressors that overwhelm an individual’s coping abilities;
- Distortion in meaning, purpose and values that guide attitudes, thinking and behaviour;
- Distortions in a person’s connection with self, with others and with the transcendent (referred to as God by many, the Higher Power by 12-steps groups, or higher consciousness by others); and
- The presence of co-occurring psychiatric disorders in persons who engage in substance use or other addictive behaviours.
Addiction is
characterized by:
- Inability to consistently Abstain;
- Impairment in Behavioural control;
- Craving; or increased “hunger” for drugs or rewarding experiences;
- Diminished recognition of significant problems with one’s behaviours and interpersonal relationships; and
- A dysfunctional Emotional response.”
Cheers
The
Fellas (Friends of Alcoholics Anonymous)
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