Addiction as a Disease

Addiction as a Disease - Addiction as a Disease Arlin...

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Unformatted text preview: Addiction as a Disease Arlin J.Silberman D.O.,FAOAAM Certified in Addiction Medicine Certified in Addiction Psychiatry Fellow of the American Osteopathic Academy of Addiction Medicine Abuse vs Dependence There is a difference between intentional drug abuse and pathological drug dependence. The latter is what is referred to as addiction. Chemical Abuse Maladaptive pattern of drug use leading to impairment or distress,presenting as one or more of the following over a 12 month period-failure to fulfill obligations,use that is physically hazardous,drug related legal problems,and continued use despite social/interpersonal problems. Chemical Dependence 3 or more of the following:tolerance,withdrawal,drug used more than intended,inability to control use,effort to obtain drug,important activities replaced by drug use,use despite negative consequences. Present Understandings Drug abuse causes short-term and long-term changes in brain function. Medial forebrain bundle(mesolimbic dopamine system) History References made in the civilizations of ancient Egypt and Greece,called ‘drink madness’. In colonial America, Anthony Benezet noted drunkenness to self accelerate. In 1784 Dr.Benjamin Rush wrote a pamphlet describing an ‘odious disease’and a ‘disease induced by a vice.’ History cont....
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This note was uploaded on 01/12/2012 for the course STEP 1 taught by Professor Dr.aslam during the Fall '11 term at Montgomery College.

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Addiction as a Disease - Addiction as a Disease Arlin...

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