Some assumptions about alcohol and drug addiction by CarlyB2B


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									           Some assumptions about alcohol and drug addiction

Alcohol and drug addiction in the United States is increasing at the rate of one percent each
year and this meant that there are about 25,000 more drug users each year or about
150,000 more during the last six years combined. There is requirement of more inpatient
alcohol and drug rehab centers in the United States. However, to successfully implement
the national prevention and drug rehab strategies, there must be an awareness needed to
be created about some rumors and assumptions about alcohol and drug addiction.

It is observed that even though doctors and health experts along with scientists have found
evidences that alcohol and drug addiction is a heritable disease requiring some form of
addiction and alcoholism treatment. Studies have compared the incidence of alcoholism in
identical twins with the incidence of alcoholism in fraternal twins. Fraternal twins who are
generally different individuals born at the same time would be more likely to differ in their
tendencies to develop alcoholism. In general, researchers using the twin method have found
the expectations to be true.

Alcoholism (alcohol dependence) and alcohol abuse are two different forms of drinking
problems. Alcoholism can be defined when a person has signs of physical addiction to
alcohol and continues to drink in spite of the problems with physical health, mental health,
social and family or job responsibilities. Alcohol abuse on the other hand results in the
problems due to drinking but not physical addiction. There are two common basic
assumptions over the causes of substance or drug abuse and these are: (1) People either
abuse drugs and alcohol out of sheer pleasure seeking drives that run amok (2) To escape
or assuage aversive states of co morbid anxiety or depression.

 There are different models of addiction that include moral, psychological (cognitive-
behavioral, learning, psychodynamic and personality), biological and socio-cultural. Each of
these different models operates on different set of assumptions. Substance abuse
counselors generally adopt 12-step approach to the disease model as they themselves have
experienced and experimented with the approach. The disease model of addiction lays
stress on three primary assumptions and these are: (I) a predisposition to use a drug (II)
Loss of control over use and (III) Progression. For success of alcohol and drug rehab
treatment being provided in various alcohol and drug rehab centers, there is a necessity
to replace inaccurate assumptions with better alternatives that include the following ones:

   1. Differentiating between problem users and non-problem users,

   2. Shifting from the policy of punishing and marginalizing problem users to one of harm
      reduction and attempting to reintegrate them into society,

   3. Shifting from a policy of compulsory treatment to one of voluntary treatment,

   4. Shifting from a near exclusive treatment focus on the substance itself to building on
      positive aspects of people’s live such as family, friends, voluntary activities and

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