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Wednesday, January 05, 2005

Comments

honestly, isn't every human being addicted to something? its something rather innate. i think the actual problem can be found within the actual diagnoses procedure. clinicians now a days are actually succumbing into a straight forward diagnoses rather than taking into account the psychosocial aspect of the disorders. with this in mind, how many worng diagnoses have already been made? the schaffer model does mention about how behaviour contributes towards a certain "action" but what about the actual genetic side of the individual?which in turn can be influenced either by their surroundings or their previous background?

i honestly find it to be questionable that one can tackle a "disorder" (lets call it that just for the purpose of this topic) in such a straightforward model plan?

In 24 years of treating substance and process behavior addictions, I have regularly seen poly-addiction and addiction switching in the service of a common belief that one can avoid affects (emotions, sensations, feelings) one believes to be "intolerable" by stimulating him- or herself sufficiently to temporarily "mask off" the "intolerable" affects. Such activity unbalances -- and cause structural changes in -- the dopamine, norepinephrine and serotonin chains in the limbic system, especially in the ventral tegmentum, amygdala, orbital-frontal cortex and hippocampus of (for most people) the right brain hemisphere. This cognitive-affective-neurobiological-behavioral linkage appears to me to be universal in addicts of any sort. Many "Class A" treatment facilities are now using various mindfulness meditation and cognitive restructuring techniques (on top of atypical antipsychotic medications, when needed) to put the kybosh on the self-generation of uncomfortable affects, as well as the addiction-induced, neuroplastic modifications. Every bit as much as the brain can change the mind, the mind can be trained to change the brain. RG, Psy.D.

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