What addiction is ( and is not) [Autosaved] · The Biology of Desire Why Addiction Is Not A Disease...
Transcript of What addiction is ( and is not) [Autosaved] · The Biology of Desire Why Addiction Is Not A Disease...
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What addiction is (and is not)
Ulster CountyOpioidPreventionTask ForceMay 24, 2018
Kurt Grovenburg MD
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Definitions of Addiction
Alcoholic Anonymous (Dr. Bob and Bill Wilson)
National Institute on Drug Abuse ( NIDA )
Gabor Mate, MDIn the Realm of Hungry Ghosts
Marc Lewis, PHD The Biology of Desire: Why Addiction Is Not A Disease
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Definition of Addiction
Alcoholic Anonymous(Dr. Bob and Bill Wilson)
A Three Fold DiseaseA Physical Allergy
A Mental ObsessionA Spiritual Malady
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Definition of AddictionNational Institute on Drug Abuse
( NIDA )
Addiction is defined as a chronic, relapsing brain disease that is characterized by compulsive drug seeking and use, despite harmful consequences.
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Definition of Addiction
Gabor Mate, MDIn the Realm of Hungry Ghosts (2010)
Identifies the source of addictions in the“trauma of an emotionally empty childhood”
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Definition of Addiction
Marc Lewis , PHD The Biology of Desire Why Addiction Is Not A Disease (2015)
Addiction is an insidious process of change in our habits and our synaptic patterning as a result of the powerful (drug) experiences occurring over and over and forging new synaptic configurations that settle into habits.
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So what is it ?
Is it a Personal Failing of the Morally Depraved?
Is it a Mental and Spiritual “Malady”?Is it a Disease of the Brain?
Is it a form of Self‐Medication?Is it a Habit?
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The Question
To Use or Not to Use
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To Use or Not to Use
Do we have a Choice?
If we have CONTROL then we have a choice.If we have a choice then we can just say, No.
Thus it is a Question of Control
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To Use or Not to Use
Do we Choice to Use?
This is a Question of Desire
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Two Questions:
That of Control That of Desire
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The Question of Control
What are we really trying to Control?
Our Drug UseOur Pain Our Fears
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The Question of Desire
What desires are we really trying to satisfy?
Getting High Looking for Pleasure
Searching for Feelings of HappinessTrying to Feel Connected
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Understanding Control and Desire
TheAvoidance and Reward System
Of the Human Brain
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What is the Neurobiology of Control and Desire?(Our Avoidance and Reward Systems )
Understanding the Function and Dysfunction of the Avoidance and Reward Centers of our Human
Brains in Health and in Addiction.
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A Brief Review of the Evolution, Anatomy and Function of the Human Brain
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Evolution of the Brain
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Function of the Different Sections of the Brain
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The Avoidance Center of the Brain“ The Lizard Brain”
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The Feeling Brain (The Limbic Brain)
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The Feeling Brain(The Limbic Brain)
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The Feeling Brain(The Limbic Brain)
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The Thinking Brain (The Neo‐cortex)
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Summary of the Three Brain Areas
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A Closer Look at the Limbic Brain
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The Limbic BrainThe Reward Center of the Brain
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Addiction
Dysregulation of the Reward and Avoidance Centers of the Primitive
Brain
Excessive Drug Use and Abuse
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Other Causes of Dysregulation of the Reward
and Avoidance Centers
ToxinsTraumaTerror
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Toxins, Trauma and Terror
ToxinsExcessive Drug Use and Abuse
TraumasTraumatic Brain InjuriesChronic Pain Syndromes
TerrorPTSD
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Dysregulation of the Reward and Avoidance Center
The VoidLoss of Control
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Structural Changes of the Brain Related to Opiate Drug
Addiction
Brain Imaging with SPECT Scans
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Structural Brain Changes Related to Drug Addiction
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What addiction is (and is not)
Is it a Personal Failing of the Morally Depraved?
Is it a Mental and Spiritual “Malady”?Is it a Disease of the Brain?
Is it a form of Self‐Medication?Is it a Habit?
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The Lizard Brain
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