Addiction refers
to an underlying, chronic disorder of brain reward, motivation, memory and
related circuitry (American Society of Addiction Medicine, 2016). The
dysfunction that occur in these circuits leads to the characteristic
biological, social, psychological and spiritual manifestations that get
reflected in a personal pathologically pursuing reward and relief by drug abuse
and other behaviors. This condition affects neurotransmission and interactions
within reward structures of the brain such as the nucleus accumbens, basal
forebrain, anterior cingulated cortex, and amygdala hence leading to changing
of the motivational hierarchies and addictive behaviors, supplant healthy,
self-care related behaviors. The condition is also associated with the impact on
neurotransmission and interactions between cortical and hippocampal circuits
and brain reward structures hence leading to a craving in addictive behaviors
caused by a biological as well as behavioral response to external cues in the
memory of previous exposures to external cues. The degree of addictive behavior
involvement functions to produce pleasure as well as provide relief from
discomfort to the extent where the costs exceed the benefits. Addiction
problems range from drug and substance use to gambling to eating to sex.
Addictive behaviors are harmful as they adversely impact both the person and
larger societal groups such as families, cultures, and organizations. It is
essential for individuals to make significant changes so as to recover from addictions.
Some of the changes include changing old thought patterns, learning new
behaviors, increasing their maturity as well as improving coping skills
(Horvath, Misra, Epner and Cooper, 2016).
Factors
Contributing to Addiction
The physical
activity of indulging in substance and drug abuse is a personal choice;
however, the addiction concern for addicts is not a personal choice. Addiction
gets characterized by behaviors that include the inability to consistently
abstain, craving for drugs or rewarding experiences, impairment in behavioral
control, a dysfunctional emotional response, and partial pleasure and reduced
recognition of problems. Various factors get attributed to drug or behavior
addiction such as psychological factors, biological factors (such as the brain
reward circuitry and genetic predisposition), environmental factors as well as
cultural factors. The combination and interaction of the different factors
increase the individual’s risk of becoming an addict
Psychological
Factors
Psychologists get
concerned with enhancing the quality of life and their life satisfaction
through considering the behaviors that promote the well-being of people and the
life satisfaction adaptive behaviors. The behaviors that contribute to limiting
people’s ability and diminishing of life satisfaction get referred to as
maladaptive behaviors. In psychology,
addiction gets classified as a maladaptive behavior; hence psychological models
play a critical role in understanding the reasons for addiction. One of the
psychological factors that result in addiction is that individuals may engage
in harmful behaviors due to abnormality or “psychopathology” that manifests as
a mental disease. Psychologists have associated mental disorders such as
cognitive difficulties, mood disturbances, etc. with addiction and addictive
behaviors. Addiction and some mental illnesses may occur together in a
condition known as co-morbidity. Miller, Forcehimes & Zweben (2011) states
that addiction in half of the persons seeking addiction therapeutic
interventions the contributing factor is the mental disorder. Another
psychological factor is that peoples’ thoughts and beliefs create their
feelings, hence determining the behavior of the person. When an individual’s
thoughts and beliefs are unrealistic or dysfunctional, consequently their
resultant behavior gets impacted. The environment also gets proposed by
psychologists as a critical factor leading to the addiction and addictive
behaviors. An addictive personality is also closely related to psychopathology.
Various personality characteristics that are fundamental factors in all
addictive disorders include the denial of obvious personal issues, problems
with emotional regulation and issues with impulse regulation. Personality
disorders frequently co-occur with the addiction problem. Temperament behavior
in an individual that includes attractiveness to excitement, the tendency to be
impulsive, and the intolerant of frustration, influence greatly the emergence
of drug addiction problem. Psychotherapy
has made various efforts to identify as well as resolve core psychological
illnesses. The efforts include restructuring the personality or enhancing the
patient’s cognitive and emotional functioning.
The process of
childhood development can be disrupted at particular points leading to abnormal
developments that cause a disposition to develop and addiction. Three core
functions of addiction in the light of depth psychology are an addiction as a
means of satisfaction, addiction as a means of defense (such as depression and
anxiety), and addiction as a means of compensating (such as for a sense of
inferiority) (Mouzas, 2011). Drug craving makes a person develop a powerful,
uncontrollable desire for drugs and substances such as heroin, alcohol,
nicotine, etc. Various levels of craving exist. For instance, cocaine addicts
experience an acute craving when using the drug, but the ex-cocaine user has
chronic needs that get triggered by familiar environmental cues that elicit
positive memories of cocaine reinforcing impacts. Scholars suggest that the
introduction of pharmacological or psychological therapies that reduce or
eliminate drug cravings could play a critical role in enhancing successful
treatment of drug dependence (Hanson, Venturelli & Fleckenstein, 2011).
Biological
Factors
Genetic
predisposition contributes significantly to the vulnerability for the
development of dependence and relapse in addiction. Scholars estimate that
approximately 40 to 60 percent of the risk of addiction is due to genetic
heritability. The estimates of heredity are the percentage of the variance
attributed to genetic factors by themselves and also the percentage of the
variance attributed to gene-environment interactions. The presence of a
psychiatric and medical illness, the potency of the substance and mode of
administration also get associated with the development of drug and substance
addictions. A study of identical and fraternal twins showed that there is a
higher similarity in the rate of alcoholism for identical twins as compared to
fraternal twins when alcohol abuse commences before the age of 20 years
(Hanson, Venturelli & Fleckenstein, 2011). The aspect is due to identical
twins having 100 percent of their genes in common; while fraternal twins share
only 50 percent of their genes. Genetic factors hence are critical in
determining the likelihood of alcohol dependence. Numerous other biological
factors contribute to addictions. They include poor adrenal function,
malfunctioning neurotransmitters, low thyroid function, hypoglycemia, food
allergies, nutritional deficiencies, adrenal insufficiency, yeast overgrowth as
well as fatigue. The autonomy of biology and the power of biological aspects
and cognitive biases over conscious efforts to change have not fully got
acknowledged in cognitive-behavioral therapeutic approaches to addiction.
Addicted persons have limited abilities to deal with stress issues. It is
evident from the high levels of stress hormones in patients undergoing
detoxification or in the withdrawal state, and also when the persons are
subject to subsequent stress.
Environmental
factors
Various social
and environment factors contribute to addiction. They include peer pressure
(especially in the initial drug experimentation), stressful events, and easy
drug access environment. Peer pressure from individuals who engage in
antisocial behavior and favor drug abuse influence significantly addictive
behaviors. A majority of young adults get initiated into alcohol consumption
through influence from friends and peers at school, work or in the
neighborhood. Stressful life events that include job loss, the death of a
family member, failing an examination, work-related stress, family
circumstances (such as divorce, domestic violence, and conflict) are important
influences of drug addiction, especially alcohol consumption. The community and
the socioeconomic status also influence greatly drug initiation and addiction.
For instance factors such as the community’s attitude towards drug and
substance abuse, low neighborhood attachment, community disorganizations and
lack of employment opportunities for the youth contribute significantly to
addiction. The access to drugs in a neighborhood including schools and work
environments can also influence drug initiation an addiction. The repeated
involvement in addictive behavior leads to neuroadaptation in motivational
circuitry hence resulting into impaired control over further engagement in
addiction. Environmental factors interact with biological factors and influence
the extent to which genetic aspects affect addiction. The resiliencies that a
person acquires through parenting or other life experiences affect the extent
that genetic predispositions result in behavioral and other manifestations of
addiction.
Other factors
that influence addiction include distortion in meaning, purpose and values that
guide attitudes, thinking and behavior, distortions in an individual’s
connection with self, etc.
Conclusion
Psychological,
biological and environmental factors are important factors that contribute to
addictions. The determination of the contributing factor to addiction would
play a core role in improving addiction treatment. It is, however, difficult to
determine the specific contributing factors to drug dependence. Social support
is essential in assisting addicts to deal with the problem regardless of the
influence of addiction.
References
American Society of Addiction Medicine (2016):
Definition of Addiction
Hanson, G., Venturelli, P., & Fleckenstein, A.
(2011): Drugs and Society. Jones & Bartlett Publishers.
Horvath, T. Ph.D., Misra, K. Ph.D., Epner, A. K.
Ph.D., and Cooper, G. M. Ph.D., (2016): The Psychology of Addiction and
Recovery
Miller, W. R., Forchimes, A. A., & Zweben, A.
(2011): Treating addiction: A guide for professionals. New York: Guilford.
Mouzas, I. A. (2011): Alcohol and tobacco. Medical
and sociological aspects of use, abuse and addiction: by Otto-Michael Lesch, Henriette
Walter, Christian Wetschka, Michie Hesselbrock, Victor Hesselbrock 2011
Springer, Wien New York, 353 pages. Annals of Gastroenterology: Quarterly
Publication of the Hellenic Society of Gastroenterology, 24(2), 142.
Sherry Roberts is the author of this paper. A senior editor at Melda Research in nursing writing services if you need a similar paper you can place your order for non plagiarized essay for sale.
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