Drug addiction Is it a disease or is it based on choice? A review of Gene Heyman’s Addiction: A disorder of choice

As problematic as the consequences can be in someone’s life, the process Sober House Rules: A Comprehensive Overview can, through effort, be reversed. Recovery also relies on neuroplasticity; changing behavior rewires the brain. Explore the deadliest effects of drugs, from overdose risks to long-term health consequences.

  • Here, we’ll explain why addiction should be taken more seriously as a disease as a result of genetic, environmental, and developmental factors.
  • Therefore, as your tolerance to certain drug substances increase, your urge to consume relatively large amounts of the substance will also increase.
  • He notes, for example, that there is a genetic association for religious choice between identical twins reared apart (Waller, Kojetin, Bouchard, Lykken, & Tellegen, 1990).
  • Increasing access to treatment and support is crucial for individuals with addiction to recover.

From Moral Weakness to Medical Condition: A Brief History

Furthermore, it is also important to recognize that people can make choices to change their behavior and seek help. Serenity at Summit is a network of addiction treatment facilities in the Northeastern United States, with centers in New Jersey and Massachusetts. We offer comprehensive, evidence-based treatment to support individuals in achieving and maintaining long-term sobriety.

In Recovery, Sometimes You Fake It Until You Make It

Addicts were often ostracized, punished, or left to fend for themselves in a world that viewed their struggles as self-inflicted wounds. But as science progressed, so did our understanding of the human brain and its intricate workings. There is no single cause of addiction; people begin using substances for many reasons and one person’s path to addiction may look drastically different from that of another. Even though science provides evidence that addiction is more of a disease than a choice, a significant number of people still believe that it is one’s choice to develop an addiction. These are the circumstances of your life – where you live, who you live with, and what you’ve been through.

Exploring the Scope of Drug Abuse, Addiction and Treatment

They make their argument by pointing to reports and research that drinking alcohol or using drugs is a behavior, and that as such, it is therefore a choice. Many of those in the choice camp refer to studies that have been done that show that drinking habits can be modified – by choice – at least to a certain degree. Just as those who are predisposed to diabetes can often avoid it by making healthy diet and fitness choices, so can those genetically predisposed to addiction by not using drugs or alcohol.

The Opioid Epidemic and Drugs in America

By embracing this perspective, we can offer hope and healing to millions struggling with addiction, lighting the way toward a future where recovery is not just possible, but probable. In the last part of the chapter, Heyman attempts to make a case for the importance of what he calls prudential rules in preventing drug abuse. No connection is made between choice processes and rule following, so it is not clear how the major argument about the role of choice in drug abuse connects to the prevalence of rule following. Heyman argues that most people do not become drug abusers because they follow established societal rules. A problem with that supposition is that it ignores why people follow those rules. Moreover, to suggest that somehow the long-term benefit afforded by following rules reinforces rule following is also glib.

is addiction a disease or choice debate

If the person is on a recovery path and no longer using the substance, it may take several months before the whole body system adjusts back to normalcy. Eventually, this leads to dependence, meaning that their body cannot function normally without the substance. If usage stops at this point, one will experience a series of severe withdrawal symptoms until when they use the substance again, or their body returns to a normal state. Well, the best way to establish whether addiction is a choice or disease is to evaluate how it works and the effect it causes on one’s cognitive functions.

Caffeine and Nicotine Are Drugs, Why Are They Excused in Recovery?

  • Thankfully, successful recovery is possible for people with substance use disorders, and many programs have been carefully created to help rebuild the parts of the brain that were damaged by drug misuse.
  • Studies show that about 10 percent of the U.S. population are genetically predisposed to addiction and alcoholism.
  • Explore the facts about drinking and pregnancy to empower moms-to-be with informed choices and safe alternatives.
  • Over nearly two years, the panel employed a consensus-building process to craft statements reflecting the evidence and capturing the most extensive possible agreement among its members.
  • Blaming and punishing individuals with addiction is not effective and can be harmful.

Explore the facts about drinking and pregnancy to empower moms-to-be with informed choices and safe alternatives. Discover how increasing alcohol prices decreases alcohol-related deaths and improves public health outcomes. Discover how “my best friend gave me my first drink at age 13” changed everything—reflect on growth and recovery. Discover why drugs are all around us and explore the hidden epidemic affecting society’s well-being. Discover “I loved getting high – why did I change?” and embrace a transformative journey toward growth. Sober socializing can literally feel like a “buzz kill.” It can be hard not to feel different or awkward at events where other parents, friends, and family are using socially.

Can Drug Misuse Cause Bipolar Disorder to Develop?

This is how they counter the changes-in-the-brain argument of the disease model believers. Co-occurring mental health disorders such as depression, anxiety, and bipolar disorder can also increase your risk. Substance use can be a form of self-medication for these conditions, but it often exacerbates the symptoms.

Understanding its definition and the brain changes that occur during addiction is crucial to unraveling the ongoing debate of is addiction a choice or a disease?. Choice arguments are also unable to account for the role of heredity in a person’s risk factors for developing an addiction. Once again, if it were solely choice based, addiction would affect each person as an individual and their family history would play no significant role. Behavioral researchers like Dr. Lewis try to argue this by acknowledging that the brain does change during addiction, but they view it as a situation like playing with clay. The brain is altered by drugs, making poor choices more likely, but they believe that if the drugs are removed, the brain will eventually “remold” itself back to its normal shape. Behavioral therapies, such as cognitive-behavioral therapy (CBT) and motivational interviewing, help individuals understand their addiction, develop coping strategies, and build the skills needed for long-term recovery.

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