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Is addiction an illness?

  • 21-12-2021 1:47am
    #1
    Registered Users Posts: 60 ✭✭katherineconlan


    I have a family member who just got off drugs a month ago. They were addicted to prescription opiates, ADHD meds, alcohol, and cannabis (they live in the US). Their addiction nearly destroyed the entire family.

    Half of my family there disowned them while the other half stayed by them through their addiction despite them pawning off stuff and lying to get money. Even though they are clean, the damage to the relationship is done and neither my uncle nor my mother speak to them. They also scoff at the idea that they had an 'illness'. I would think it's an illness.

    Do you agree?



«1

Comments

  • Registered Users, Registered Users 2 Posts: 25,834 ✭✭✭✭Strumms


    addiction is classed as an illness by every reliable medical person.

    Your body craves the chemical it does not have, and is addicted to…if it isn’t in receipt of it you develop physical symptoms…

    Every major scientific association in addition classes it as an illness.



  • Registered Users Posts: 4,994 ✭✭✭c.p.w.g.w


    Addiction isn't ever really cured, it has a very high relapse rate, and it's unfortunately a horrid cycle...

    There are a few threads on here with regards alcohol addiction and it makes for some eye opening reading...

    I personally know of people who suffer with alcoholism and gambling issues...the buddy with gambling issues, can't have his bank card, his mother has to manage his money, as to remove the temptation to have a bet online of draw money out of the ATM to place a bet on the bookies...his out of treatment 36 months and he still has to do that...



  • Registered Users, Registered Users 2 Posts: 83,517 ✭✭✭✭Atlantic Dawn
    M


    Opiates I'd say yes, alcohol not so much. Watch Dopesick or read up on it, there's a huge wave of addiction in the US as a result of over prescription of highly addictive opiate based drugs by doctors. They should be supported by those around them getting off them for a month, it's a big achievement, thousands have been killed by the addiction.



  • Registered Users, Registered Users 2 Posts: 8,443 ✭✭✭Riddle101


    Addiction is most certainly an illness. Consider how it affects a person both mentally and physically and can lead to death or serious health issues for the person if left untreated.



  • Registered Users, Registered Users 2 Posts: 20,559 ✭✭✭✭El_Duderino 09


    Why is one an illness and not the other? They're both addictions to chemicals?

    Do you mean you have sympathy for one and not the other?



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  • Posts: 0 ✭✭✭✭ [Deleted User]


    Cause they watched a documentary on one and not the other appernetly



  • Posts: 1,263 ✭✭✭ [Deleted User]


    You'd have sympathy for anyone in that position, but there is something especially awful about people ending up as street addicts because a doctor prescribed them pain pills.



  • Registered Users, Registered Users 2 Posts: 10,702 ✭✭✭✭greenspurs


    "hes at it again, hes at it agggaaain...

    Oh Mr fegelian , hes at it again ........"

    "Bright lights and Thunder .................... " #NoPopcorn



  • Registered Users Posts: 8,239 ✭✭✭Pussyhands


    The same people will have differing opinions based on the substance.

    For example, gambling addiction has become the new "mental health" in that every man and his dog is talking about it and how gambling companies are scum etc. Everyone wants to get in early for the social points of being an early adopter in these social causes.

    The twitter opinion is that gambling companies should be regulated to the tits. No offers, no ads, no social media pages with banter, limits on spending, massive taxes etc.

    Yet when it comes to obesity, the same people come out with..."just stop eating so much!!!"

    Apparantly someone with a gambling addiction shouldn't be faced with adverts from gambling companies or else they'll be sucked in. Yet ads for McDonalds and Burger King and Supermacs are on the tv non stop.

    My own opinion is that people have a choice and have personal responsibility. If someone sees and ad for a gambling company on tv and that ad "forces" them to gamble then how are they going to walk down a street and walk by a bookies?



  • Registered Users, Registered Users 2 Posts: 20,559 ✭✭✭✭El_Duderino 09


    Why would your level of sympathy have any influence over whether it's an illness or not?



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  • Posts: 1,263 ✭✭✭ [Deleted User]



    It doesn't. I think it is an illness and people get there through various means, some of which are more sympathetic than others. Off the top of my head, I know an addict that got there through long term self-indulgence and I know one person at least that was prescribed pain pills and ended up dabbling in heroin. Medically, do these origin stories matter? No. That said, I would have a lot more sympathy for someone that was through state institutions as a child and ends up a street heroin user than I would have for the likes of Gerry Ryan.



  • Registered Users, Registered Users 2 Posts: 20,559 ✭✭✭✭El_Duderino 09


    Yeah fair enough. That's the distinction I was hoping you'd make.

    Deciding whether it's an addiction based on your level of sympathy would be the tail wagging the dog.



  • Registered Users Posts: 60 ✭✭katherineconlan


    I would be interested in hearing about the person who got addicted to heroin through pain pills. It's quite difficult to get a steady supply of opioids in this country. America is an anomaly (no longer but used to be from the 90s to mid-10s) in prescribing pain relief.



  • Posts: 1,263 ✭✭✭ [Deleted User]


    Your instincts were right.. this person is from the US. Was prescribed pain pills after a car accident and found herself in real trouble when the prescription ran out. I've never delved into the details with her as it was such a rough time and she's over it now, but I do admire her for getting through it without ending up homeless etc. (which again can easily happen in certain states in the US).



  • Registered Users, Registered Users 2 Posts: 19,566 ✭✭✭✭Tony EH


    Cancer is an illness/disease.

    Addiction is an habitual exercise that gets out of control due to the addict's lack of self control.

    Certain people can become addicted to something due to an underlying condition, mostly a mental one, and that might be where the actual "disease" is. But the addiction itself is not.

    This idea of calling an addiction an "illness" or a "disease" is a fairly recent development. One that stems from America (quelle surprise) and came about in an effort to de-stigmatise addictions, which in and of itself is not a terrible idea. But it can lead to an abandonment of responsibility and a situation whereby the addict can claim that their addiction wasn't their fault. Which IS a terrible idea.



  • Posts: 0 [Deleted User]


    I'm sure that it's counted as an illness in all the ways that matter

    I'm also sure that this is a theoretical distinction when it comes to each individual deciding how they wish to relate to anyone suffering from an addiction, particularly if they have reason to be wary or find it hard to get over past harm done to themselves by the addict.

    "It's an illness" doesn't undo what's been done for anyone in that situation and tapping the sign saying "it's an illness" as if it does is a fundamental misunderstanding of how relationships and people work.



  • Registered Users, Registered Users 2 Posts: 20,559 ✭✭✭✭El_Duderino 09


    Maybe that's true. But these things matter in terms of shaping policy to deal with it.

    Reclassifying drug use as a medical issue in Portugal has had a massive impact on drug policy and rates of drug use.

    Words matter.



  • Posts: 13,688 ✭✭✭✭ Megan Scarce Rocker


    Addiction is an habitual exercise that gets out of control due to the addict's lack of self control.

    Certain people can become addicted to something due to an underlying condition, mostly a mental one, and that might be where the actual "disease" is. But the addiction itself is not.

    Fundamentally wrong.

    What you've contributed above is mere opinion and has no scientific merit whatsoever. No underlying condition necessary for addiction.



  • Registered Users, Registered Users 2 Posts: 19,566 ✭✭✭✭Tony EH


    I didn't mention any hard and fast "requirements".

    I said CERTAIN people CAN become addicted due to underlying conditions.

    But it's not universal.



  • Registered Users, Registered Users 2 Posts: 4,465 ✭✭✭silliussoddius


    Is it possible that some people are more predisposed to addiction?



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  • Registered Users Posts: 2,150 ✭✭✭Immortal Starlight


    I don’t think addiction is an illness.



  • Registered Users Posts: 1,850 ✭✭✭Lillyfae


    Opioid abuse, unlike other addictions, leads to altered brain chemistry so at some point it becomes almost impossible to get clean. It’s not as simple as personal responsibility at that point.



  • Registered Users Posts: 279 ✭✭global23214124


    Addiction just results out of self medicating to cover depression, anxiety, feelings of inadequacy or whatever. It's not really a choice for people at the point when they come addicted. It's a very hard cycle to get out of as well. It probably needs to be treated more as a mental health issue rather than a criminal issue sometimes too with regards prison sentences and reoffending.



  • Posts: 0 [Deleted User]


    ..

    Post edited by [Deleted User] on


  • Registered Users Posts: 492 ✭✭Fritzbox


    It's not fundamentally wrong, it's fundamentally right. The poster's wording leaves a lot to be desired though.


    Many people do develop debilitating addictions due to already having various mental conditions - people who have suffered serious traumatic experiences in the past, for example.



  • Posts: 0 [Deleted User]


    In truth I couldn’t argue strongly for any definition of addiction, I am not trained in any of the medical fields such as psychology, psychiatry, medicine etc. I’m not sure too many on this thread are either.



  • Registered Users, Registered Users 2 Posts: 1,071 ✭✭✭Notmything


    And has admitted stealing prescription pads, tried to buy medication online etc. Looks like it runs in the family.



  • Registered Users Posts: 492 ✭✭Fritzbox


    Are there any people on this thread qualified to get into the root causes of addiction? I'm certainly not one of them - but I do think that I have enough experience/exposure to both trauma and addiction to make my own small and humble observations.

    In any case I will provide a Youtube link to a person who is certainly more than academically and professionally qualified to hold forth on the topic. In the first 2 and a half minutes he provides an explanation as to what causes, in his words, the majority of serious substance addictions. Well worth viewing.





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  • Registered Users, Registered Users 2 Posts: 4,445 ✭✭✭PokeHerKing


    What about addictions that aren't substance abuse though? Like porn or gambling?



  • Registered Users, Registered Users 2 Posts: 20,559 ✭✭✭✭El_Duderino 09


    The addiction substance is the thing that makes the brain chemicals happen. It doesn't really matter if that's porn or a chemical like alcohol. They both make the brain produce the happy hormones and that's the addiction. The addiction method is pretty irrelevant.



  • Posts: 1,010 ✭✭✭ [Deleted User]


    Addiction is not a disease, but the disease model can be very useful in understanding it and providing interventions,

    The main problem with labelling addiction a disease is that it can be quite counter-productive, removing responsibility from the addicted person on getting clean, and places the responsibility on the treating therapist or medic. The amount of people who are awaiting "detox" or rehab beds but won't take the first step otherwise! I would suggest the family who stuck with the OPs relative during all the horrors were enabling the behaviour



  • Registered Users, Registered Users 2 Posts: 24,375 ✭✭✭✭Larbre34


    Yes, its a chronic illness characterised by discernable and measurable neurological changes in the brain.



  • Registered Users, Registered Users 2 Posts: 4,445 ✭✭✭PokeHerKing


    But loads of activities release dopamine/endorphins etc. So it's a natural occurrence, surely you can't lump a gambling addiction into the same category as an opiate addiction?



  • Registered Users, Registered Users 2 Posts: 12,630 ✭✭✭✭mariaalice


    Why can't it be an illness with significant psychological and spiritual elements?

    Defining it as strictly an illness is also a very political statement.



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  • Registered Users, Registered Users 2 Posts: 20,559 ✭✭✭✭El_Duderino 09


    I don't say they're both an opiate addiction. But they're both addictions.

    We talk about loads of things as addictions. Are you looking at the kind of harm they do an classifying them based on that? In the brain they're the same. The action releases the happy hormones in the brain. Whether that's gambling or opiates.

    How do you think addiction works in the brain?



  • Registered Users Posts: 93 ✭✭Karlos77


    Is addiction an illness


    I will quote the following

    "Being weak is achoice

    So is being strong""


    Addiction is weakness and it's not an illness that is the pc culture sh1t of the modern age


    A junky is not ill they took the choice to be weak in the first instance when they first took drugs



  • Registered Users, Registered Users 2 Posts: 4,445 ✭✭✭PokeHerKing


    No I'm saying your brain naturally releasing happy hormones in reaction to activities such as running/sky diving/gambling can not be classified in the same bracket as somebody with an opiate addiction. A foreign substance that is literally altering your brain chemistry.



  • Posts: 0 [Deleted User]


    The term used in the OP was illness not disease, the term is widely used for mental illness.



  • Registered Users Posts: 1,106 ✭✭✭katiek102010


    I was married to an addict for 15 years. Initially I saw it as an illness.


    Now no so much, people who are ill seek medical help and listen and do what doctors tell them.

    I don't know what addiction is but it definitely causes illness, it caused me to be ill.

    It's terrifying to deal with. My ex even tried to refuse to see gp when he had skin cancer and even turned up to hospital drunk for surgery.

    Viewing addi as an illness leads people to wrongly believe it can be cured, it can never be cured



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  • Registered Users, Registered Users 2 Posts: 25,834 ✭✭✭✭Strumms


    Is that quote from a medical person.. ?

    its an illness, diagnosed as such and treated as such.



  • Registered Users, Registered Users 2 Posts: 24,375 ✭✭✭✭Larbre34


    It is an illness, not a disease.

    A disease is a failure of some structure or form in any flora or fauna, as a result of a pathogen or a spontaneous physical failure in the subject, not resulting from external physical trauma.

    An illness can be a disease, but a disease cannot be an illness.

    Addiction, like other mental illnesses (note the absence of any reference ever to disease), is discernable by chemical and electrical anomalies in the central nervous system, not a failure of the physical form of that system. In other words, its bad fuel or oil, not a broken engine.

    So, its an illness.



  • Registered Users, Registered Users 2 Posts: 20,559 ✭✭✭✭El_Duderino 09


    Yeah but that's just a direct chemical. The others are just one step removed. But what difference does it make? The addiction is exactly the same. Gambling produces the happy hormones and some people become addicted to the chemicals they get from Gambling. Opiates are a happy hormones (figuratively speaking) and some people become addicted to those chemicals.

    Both addicts have a chemical dependency. One has a chemical dependency to a chemical which acts as a chemical in the brain, the other has a chemical dependency to a behaviour which produces the chemical on the brain. Why do you see such a huge distinction based on the behaviour that produces the chemical?



  • Registered Users, Registered Users 2 Posts: 29,909 ✭✭✭✭Wanderer78


    yes its an illness, but primarily a psychological one, theres underlying psychological/mental health issues at play, which needs the appropriate professional attention, since such services are virtually none existing here in ireland, i wish you luck with finding them in the us!



  • Posts: 0 [Deleted User]


    You’d be the sort of person who’d say to a depression sufferer to pull themselves together. Or to someone with anorexia to just get that dinner into you you look terribly thin.



  • Registered Users, Registered Users 2 Posts: 29,909 ✭✭✭✭Wanderer78


    we call those kind of folks, fcuking arseholes!



  • Registered Users, Registered Users 2 Posts: 19,566 ✭✭✭✭Tony EH


    A bit of a backhanded complement there, but yeah...bingo. 🙂

    The "illness" factor can be said to come from the mental issues that the addict may have had, or still be, suffering from before their addiction. But calling the addiction an illness or a disease is wrong to my mind.

    Sure, the addict's body chemistry changes and becomes dependent on the dopamine hits that come from their dependency and it can be extremely difficulty to kick the habit. But that alteration is not really a disease.

    Smokers are addicted to nicotine. But it isn't a disease that they have. It's an addiction to a substance that causes a specific dependency.

    That activity may lead to actual illness, like COPD or cancer. But the addiction caused by smoking itself is not an illness.

    Frankly I think it's kinda dangerous to try and classify addictions as "illnesses" or "diseases".



  • Registered Users Posts: 8,239 ✭✭✭Pussyhands


    The world is getting fcuked up more and more. Personal responsibility is being dissolved into nothing.

    Reminds me of Alan Hawe when he killed his family and then himself. If he just killed himself people would be like "poor guy, depression is a terrible illness" yet when he kills others as well as himself it's "dirty rotten scum, rot in hell!". Why doesn't mental illness not cover harm to others as well as themselves? How was Hawe not mentally ill when he did such a thing?

    Same people talking about gambling being a scourge and a curse and want it banned are the same people saying government should legalise weed as people should be allowed make their own choice.



  • Registered Users Posts: 92 ✭✭walkonby


    Most medical science is a “fairly recent development”, if you take fairly recent as meaning within the last 150 years or so (alcoholism has been considered a disease since at least the 1950s).

    Using the word “disease” itself to refer to physical sickness is actually a somewhat recent development too. It originally meant literally dis-ease, a state of being or feeling uneasy. It only took on its modern sense in the 16th century.



  • Registered Users, Registered Users 2 Posts: 19,566 ✭✭✭✭Tony EH


    Alcoholism was classed as a "disease" first in America in the 50's, correct. It took longer for that to travel elsewhere. But there has been much dispute about calling alcoholism and other addictions "diseases" for as long as it's been classed as one.



    Some physicians, scientists and others have rejected the disease theory of alcoholism on logical, empirical and other grounds. Indeed, some addiction experts such as Stanton Peele are outspoken in their rejection of the disease model, and other prominent alcohol researchers such as Nick Heather have authored books intending to disprove the disease model.

    These critics hold that by removing some of the stigma and personal responsibility the disease concept actually increases alcoholism and drug abuse and thus the need for treatment. This is somewhat supported by a study which found that a greater belief in the disease theory of alcoholism and higher commitment to total abstinence to be factors correlated with increased likelihood that an alcoholic would have a full-blown relapse (substantial continued use) following an initial lapse (single use). However, the authors noted that "the direction of causality cannot be determined from these data. It is possible that belief in alcoholism as a loss-of-control disease predisposes clients to relapse, or that repeated relapses reinforce clients' beliefs in the disease model."

    One study found that only 25 percent of physicians believed that alcoholism is a disease. The majority believed alcoholism to be a social or psychological problem instead of a disease. A survey of physicians at an annual conference of the International Doctors in Alcoholics Anonymous reported that 80 percent believe that alcoholism is merely bad behavior instead of a disease.

    Thomas R. Hobbs says that "Based on my experiences working in the addiction field for the past 10 years, I believe many, if not most, health care professionals still view alcohol addiction as a willpower or conduct problem and are resistant to look at it as a disease."

    Lynn Appleton says that "Despite all public pronouncements about alcoholism as a disease, medical practice rejects treating it as such. Not only does alcoholism not follow the model of a 'disease,' it is not amenable to standard medical treatment." She says that "Medical doctors' rejection of the disease theory of alcoholism has a strong basis in the biomedical model underpinning most of their training" and that "medical research on alcoholism does not support the disease model."

    "Many doctors have been loath to prescribe drugs to treat alcoholism, sometimes because of the belief that alcoholism is a moral disorder rather than a disease," according to Dr. Bankole Johnson, Chairman of the Department of Psychiatry at the University of Virginia. Dr Johnson's own pioneering work has made important contributions to the understanding of alcoholism as a disease.

    Frequency and quantity of alcohol use are not related to the presence of the condition; that is, people can drink a great deal without necessarily being alcoholic, and alcoholics may drink minimally or infrequently.

    https://en.wikipedia.org/wiki/Disease_theory_of_alcoholism



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