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Etiology of drug abuseaddiction

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Explore the theories that attempt to explain the phenomenon of substance abuse ... Substance abuse results from the interaction of predisposing factors, ... – PowerPoint PPT presentation

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Title: Etiology of drug abuseaddiction


1
SW24D Drugs Society
  • Etiology of drug abuse/addiction

2
Aim of the session
  • Explore the theories that attempt to explain the
    phenomenon of substance abuse

3
Contemporary/Current perspectives
  • Genetic
  • Systems
  • Behavioral
  • Sociocultural
  • Biopsychosocial theories

4
Genetic Theories
  • Biologically inherited
  • Heredity or environmental???
  • Based on a medical model of addiction

5
Genetic Theory
  • Theories leaning towards biological inherited
    reasons for development of addiction/substance
    abuse
  • Intergenerational studies
  • Twin studies,
  • Adoption studies

6
Genetic Theory
  • Findings though not establishing a definite cause
    of alcoholism demonstrates statistically a strong
    association between genetic factors and alcohol
    abuse

7
Genetic theory
  • (1) alcoholism occur more frequently in some
    families than in others
  • (2) concurrent alcoholism rates are higher in
    monozygotic twins than in dizygotic twins

8
Genetic theory
  • (3) animal strains can be bred which have a
    preference for alcohol
  • (4) adopted children closely resemble their
    biological parents than adoptive parents in their
    use of alcohol

9
Systems theory
  • Interactions with others, notably the family of
    origin is the basis for intergenerational
    transmission of substance abuse

10
Systems theory
  • Considers the family and larger social system for
    clues to the development of substance abuse
  • Treats the family system as the patient, changing
    its structure or interactions as part of the
    recovery process

11
Systems theory
  • Assumes the families change in the presence of a
    substance abuser. These changes can actually
    support the substance abuser
  • Substance abuse can be a symptom of a larger
    malfunction within the family

12
Systems theory
  • Considers family characteristics such as family
    member roles, boundaries and developmental stages
    when evaluating malfunctions of the family system

13
Systems theory
  • Larger social systems
  • Assessment of client takes into account micro,
    mezzo and macro systems within the clients
    social environment

14
Biopsychosocial theory
  • Substance abuse results from the interaction of
    predisposing factors, sociological and
    psychological factors

15
Biopsychosocial theory
  • Substance abusers are seen with the larger
    context encompassing all know influences for
    development of substance abuse

16
Sociocultural theories
  • Multiple social pressures, such as unemployment,
    single-parent families and poverty foster the
    development of substance abuse
  • Societal attitudes toward alcohol and drugs
    contribute to their use or non-use

17
Sociocultural theories
  • Cultural factors, social pressures and
    environmental conditions foster the development
    of substance abuse and addictions.

18
Sociocultural theories
  • Family and peer attitudes toward substances
    influence their usage

19
Behavioral theory
  • Addictive behavior is maintained by reinforcement
    i.e. the rewarding aspects of drug consumption
    and the social setting.
  • Reinforcement Behavior formation and maintenance

20
Behavioral theory
  • Faulty learning patterns and trying to reduce
    stress is major component in the establishment
    and continuation of substance abuse

21
Behavioral theory
  • Addictive behaviors are formed
  • (1) the more rewarding or positive the
    experience, the greater the likelihood the
    behavior leading to the experience will be
    repeated
  • (MacKay, Donovan Marlatt, 1991)

22
Behavioral theory
  • (2) The greater the frequency of obtaining
    positive experiences through drug consumption the
    more likely that the drugs will be consumed again
  • (MacKay, Donovan Marlatt, 1991)

23
Behavioral theory
  • (3) the more closely in time the behavior (drug
    consumption) and the consequences of the behavior
    are experienced the more likely the behavior will
    be repeated (Childress, Ehrman, Rohsenow et al,
    1992) Conversely, the further
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