Ch 1: Introduction to Psychological Models of Addiction Theories and Biological Basis of Addiction
Our environment, culture, and social circles all play a role in shaping our relationship with substances and potentially addictive behaviors. They provide a more nuanced and comprehensive understanding of addiction, recognizing its complexity and avoiding overly simplistic explanations. This holistic approach can lead to more personalized and effective treatment strategies, addressing multiple aspects of an individual’s addiction simultaneously. Another key component of the biological model is the neurotransmitter imbalance theory. This perspective focuses on how drugs of abuse hijack the brain’s natural reward system, leading to imbalances in neurotransmitters like dopamine, serotonin, and norepinephrine.
How to handle setbacks and learn from relapses
- Scholars have suggested clinical and psychological approaches for treating internet addiction 31, 33, 46, 67, 71, 75.
- Mental health professionals have debated including compulsive shopping, stealing, excessive sexual behavior, and internet use as possible disorders, though there is controversy about whether or not a repetitive behavior in and of itself should constitute an addiction.
- In essence, exposure to the internet can potentially trigger maladaptive thought patterns, and preexisting vulnerabilities can reinforce this relationship 6, 16.
- Again, the observed relationships between resilience and internet addictive behaviors (IA) are shaped significantly by the cultural contexts of Ghana and Saudi Arabia.
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- This relationship was evident across both Ghanaian and Saudi samples, underscoring the importance of addressing resilience within the broader context of IA interventions.
A variety of treatment approaches are utilized by health professionals in order to provide their clients the highest possible level of success to overcome their addictions. There is no one specific approach and often therapists will use multiple techniques. sober house An outpatient treatment option facilitated by a treatment provider and used to expand on the support system the patient already has. When surveying populations based on gender in those ages 12 and older, it was observed that males had a higher substance dependence rate than females. Drug and Alcohol Dependence reports that older adults abuse drugs including alcohol at a rate of 15–20%. It’s estimated that 52 million Americans beyond 12 years old have abused a substance.
This cognitive revolution laid the groundwork for many of the most effective treatments we have today. We don’t require performance or an endorsement of any specific goal as a prerequisite for care. Instead, we offer consistent support and strive to be non-judgmental—the very relational nutrition missing from many individuals’ early developmental experiences. In fact, mothers with SUDs –especially those with comorbid psychiatric problems– are more likely to have their own histories of abuse and neglect (Isosävi et al., 2016; Freeman, Collier, & Parillo, 2002; Medrano, Hatch, Zule, & Desmond, 2002; Suchman et al., 2012). What is more, those with dismissive and intrusive internal representations are also more likely to lose custody of their children (Suchman et al., 2006). Thus, an attachment-based perspective begins to illuminate mechanisms that may underscore intergenerational transmission of risk for addiction vulnerability.
Theories and Biological Basis of Addiction

As one becomes addicted to cocaine, the ventral tegmentum nucleus accumbens in the brain is the organ.5 The defect is stress-induced hedonic regulation. Based upon representative samples of the U.S. youth population in 2011, the lifetime prevalence of addictions to alcohol and illicit drugs has been estimated to be approximately 8% and 2%-3%, respectively. Based upon representative samples of the U.S. adult population in 2011, the https://yourhealthmagazine.net/article/addiction/sober-houses-rules-that-you-should-follow/ 12-month prevalence of alcohol and illicit drug addictions were estimated at roughly 12% and 2%-3% respectively.
Mental Health Conditions
This holistic approach recognizes the multifaceted nature of addiction and aims to provide comprehensive care. Children exposed to stressors such as domestic violence are more susceptible to developing mental health issues that may lead to substance abuse as a coping mechanism. The struggle to manage overwhelming emotions can result in unhealthy habits, reinforcing the cycle of addiction and distress. While psychological dependence focuses on the emotional connections to substances, it can’t be viewed in isolation. Physiological withdrawal symptoms may vary; for instance, depressants like alcohol can induce severe physical symptoms, whereas stimulants primarily elicit psychological challenges. Understanding this interplay is crucial for effective treatment, underscoring the need for an integrated approach.

Symptoms of Psychological Dependence
- The ego is therefore limited to more primitive defensive strategies, including denial, idealization, and projective identification –defense mechanisms that are commonly reported in patients with addiction (Freud, A., 1937; Kernberg, 1975).
- An individual’s stress hormones (cortisol and adrenaline) are chronically elevated (Burke Harris, 2018; van der Kolk, 2014).
- Ultimately, our understanding of addiction must be as dynamic and multifaceted as the individuals it affects.
- Neuropsychology helps us understand how addictive substances alter brain circuits, particularly the reward system and prefrontal cortex.
- Research has identified several genes that may influence an individual’s risk of developing substance use disorders, including those involved in reward processing and impulse control.
They encompass a person’s mental health, emotional state, and thought patterns, all of which can influence their vulnerability to addiction and how they use substances. Biological factors that increase an individual’s risk of developing an addiction include their genetic makeup, brain chemistry, brain development, and health status. The biopsychosocial model of addiction is a holistic approach that views addiction as arising from a complex interplay of biological, psychological, and social factors. This means that there isn’t just one cause of addiction but rather a combination of influences that can make someone more or less likely to develop an addiction. The biopsychosocial model emphasizes the interaction of biological, psychological, and social factors.
Interrelation of Both Forms of Dependence
Kutuk’s 34 research revealed a significant interplay among internet addiction, anxiety, and resilience. The study’s findings revealed that these variables exhibited noteworthy correlations with one another. Notably, resilience has emerged as a critical mediating factor in the relationship between internet addiction and anxiety levels, playing a pivotal role in shaping the dynamics between these two constructs 34.
The transtheoretical model of change recognizes that recovery isn’t a single event, but a process that unfolds over time. It’s like watching a flower bloom – it doesn’t happen all at once, but in stages, each one building on the last. Family systems theory zooms in on the family unit, suggesting that addiction doesn’t just affect the individual, but the entire family dynamic. It’s like a mobile hanging above a baby’s crib – touch one piece, and the whole thing moves. This leads us to the brain’s reward system, a sort of internal “like” button that gets stuck on repeat in addiction.
The self-medication hypothesis suggests that many individuals turn to substances as a way to cope with underlying mental health issues or emotional pain. This perspective has gained traction in recent years, particularly as we’ve come to better understand the high rates of co-occurring mental health disorders among individuals with substance use problems. Psychodynamic theorists argue that addicts often use substances as a way to cope with uncomfortable emotions or to fulfill unmet needs. It’s as if the drug becomes a stand-in for the nurturing parent they never had or a shield against the pain of past traumas. This perspective sheds light on why some people seem more vulnerable to addiction than others, linking it to early life experiences and personality development.
Integrative Models: A Holistic Approach to Addiction
Such an approach would defy the rules of jouissance (e.g., by only using drugs in social gatherings) but with a resulting quota of guilt or shame for challenging The Other (i.e., social contract). In both cases, addiction would be understood as an act of rebellion against castration, by self-administering an extra quota of jouissance (i.e., plus de jouir) with substance use (Bazan & Detandt, 2013; Lacan, 1969; Loose, 2002). Therefore, addiction in neurosis and perversion may be understood as overindulgence in the hedonic properties of drug-taking behaviors in an attempt to avoid acknowledging, and effectively dealing with, frustration. Some forms of frustration may be social norms and boundaries, social rejection, loneliness, or loss (Bazan & Detandt, 2013; Loose, 2002). Stimulating drugs have a direct effect on dopaminergic neurotransmission from the VTA to the NAcc (Nestler, 2005; Volkow et al., 2011).
By grasping these models, you’re better equipped to comprehend addiction’s complexity and support evidence-based interventions. Remember, no single model fully explains addiction, but together, they offer a comprehensive view of this challenging issue. Your understanding can make a difference in addressing this critical public health concern.
Finally, individuals who have experienced early adversity may have greater difficulties with affect regulation and engaging in rewarding relationships, which may render them vulnerable to turn to drug use as a means of coping (Crittenden, 2015; Fonagy & Target, 2008). Taken together, an attachment perspective affords the opportunity to adopt a developmental stance in the understanding of addiction and the contribution of neurobiology and psychoanalysis in this endeavor. With respect to culture, resilience and internet addictive behaviours, the cross-cultural psychology highlights how cultural norms, values, and social structures influence psychological constructs like resilience and behaviours such as internet addiction 51. This framework is essential for understanding the differences in how resilience operates across diverse cultural contexts, such as Ghana and Saudi Arabia. For instance, while Ghanaian youth may rely on peer networks and community support, Saudi youth might be influenced by family structures and societal expectations. Cultural variations in resilience and internet addiction are critical for developing hypotheses that account for socio-cultural nuances 64, 77.