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7/1/2013 Palestine Behavior medicine Instructor: Dr. Jawwad Fatayer
28

Addictions

Nov 22, 2014

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Abbas W Abbas

presentation about addiction's types and treatment prepared by medicine students 2nd year at an-najah
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Page 1: Addictions

7/1/2013

Palestine

Behavior medicine Instructor: Dr. Jawwad Fatayer

Page 2: Addictions

Addiction Prepared by :

Ziad Abu Helwa Mohammed Kirresh

Tahrer Hroub Donya Hrezat

Maram Natsheh

Page 3: Addictions

What is Addiction ?Serious life style problem.One of the most aching rather threatening fact in

human existence.Many current definitions of addiction are limited

to one aspect of the problem, on worse are shaped by misinformation and reduction.

Page 4: Addictions

Disease by which the addict has been physically hooked on a substance and his body craves another fix and drives him to seek another high.

Focus on organic aspect, and one type of addiction, the chemical.

One could be an addict even if the body is physically fit and healthy.

?Addiction as a physical problem

Page 5: Addictions

?A psychological problem Others define it as a psychological problem as

efforts focused on restoring a healthy psychological state by using psychotherapy and other psychological treatments.

Page 6: Addictions

TO US… It is a pathological passion between human and an

addictive object be it : - material : Cigarettes, Alcohol, Heroin… - immaterial : Gambling, computer games, sex

Page 7: Addictions

Can addiction be positive?There is a difference between addiction and

devotion. Devotion to good habit have +ve outcomes for example : A doctor who is devoted to his job

does his work to the fullest , has good reputation b/w his patients BUT workaholic doctor is going to be disconnected from his family, friends, social interactions…. Replacing his family with his job.

Page 8: Addictions

Types of addictionBased on mind-body-social effects, it can be

classified as :α, β, and γ type : Alpha type : Addiction which is the main effect

is on the physical health of the user. Such as: tobacco and sweats or salts of other food

which can lead to problems such as cancer, diabetes, obesity, hypertension or hyperactivity.

Can be encouraged and discouraged by social norms.

Page 9: Addictions

Beta type: Addiction which have more immediate and destructive effects on the working of the body and the mind impacting the liver, heart, stomach, brain and other vital organs.

Also have a negative impact on how person thinks and feels, how he relates to other and how he make decisions.

Medical symptoms are observed. Drug and alcohol are best examples. Some such cocaine are forbidden but alcohol is a

personal choice.

Page 10: Addictions

Gamma type: impact the cognition, emotion, and social life, but less impact on the body.

Includes addiction to work, sex or pornography , computer games, internet, TV and gambling.

Difficult to detect and measure ; no medical symptoms but mental effects such tension, aggression, and depression are present.

Page 11: Addictions

Adrenaline junkie can lead to car crashes

An adrenaline junkie is a person addicted to the thrill of the adrenaline rush: the exciting, pleasurable effect produced when the adrenal glands dump a large dose of adrenaline into the bloodstream.

The adrenaline rush wears off after a time and is as addictive as any drug. The signs of an adrenaline addiction are not as obvious as you might think.

Page 12: Addictions

A true adrenaline junkie may easily fill their life with drama and conflict instead of extreme sports.

They may argue or pick fights just for the rush associated with the experience.

Adrenaline junkies can also become more reckless in their everyday lives, putting themselves and others at risk for no reason,they may cause car crashes.

Page 13: Addictions

The development of addictionAddiction is not inborn trait.It is developed through socialization and

interaction with one’s social environment and through various social agents –parents, friends, colleagues, the media and so on.

Page 14: Addictions

Stages of development Background: Basic common knowledge about

the subject or event that later become the addictive object.

Initiation through social interactions: Others introduce us to the addictive object or action and we develop a familiarity and a base of personal knowledge.

Page 15: Addictions

Exploration: Promoted by the internalization, learning, training and coaching agents . Leads to pleasure and sense of power.

Personal contact relationship develops : we have our own feeling and knowledge about the experience

Page 16: Addictions

Potentially for addiction: This is determined by the physical, mental, emotional, and spiritual status.

Continuity: serious interest in the addictive object, and personal sacrifice and changes in life results.

Pathological attachment: A need and very intimate relationship with the addictive object is developed. Struggle between the pain and pleasure.

Page 17: Addictions

Society’s view of addiction

Society often misunderstands this problem and still denies any responsibility for this and leaves the addict to carry all the blame and consequences.General opinion golds that addicts are liars , untrustworthy, and it’s true ! But addicts can change, can recover and be good person again by hard work and give another chance.

Page 18: Addictions

Society’s view of addiction…There are so many social “agents” that affect :1. Family2. Peers3. School , college4. The media5. Religious institutions6. Political institutions

Page 19: Addictions

Society’s view of addiction…

The most popular tools of addiction in our society are :

-tobacco - Net addiction

Page 20: Addictions

- Tobacco :In the past, the smoking was seen as cool thing to do ! , but today because of industry's marketing campaigns and movie stars that become the role models for teenagers, the smoking has severe affects in our life especial our social life .-Example :The bad smell of cigarette smoke in smokers clothes, hair and breath that affects on relationships and people links .

Page 21: Addictions

-Net addiction _Computer:

Computers are so much a part of our world today, but for some people computers are also a new way to escape the stress, pressure of daily life! .Like “facebook” which become a new way to share intimate feeling or establish “friendships” with faceless strangers and spend hours on chat without even knowing who is really at the other hand, sometimes even falling in love over internet because of emotionally and socially hungry .

Page 22: Addictions

Treatment

• CEBT (Cognitive Emotional Behavioral Therapy)

Cognitive : addresses the mental system through the thought of the person. what he thinks of the his problem, cprocesses omputation of his crisis. therapy should replace how the addict accepted his ideas about his addiction replace them with new non-addictive ideas.

Emotional : examines the emotions of the addict, help him communicate with them, accept them, conquer them or discard them when needed.therapy must direct the person back to caring for himself and relationships.

CEBT and CASCO theraputic models

Page 23: Addictions

CEBT… cont

Behavioral : the result of internal cognitive and emotional changes that can be noticed from the outside. therapy must help the addict reacquire a safe, healthy, accepted by society action that are both rewarding and reasonable for him.

Page 24: Addictions

CASCOThe five therapeutic phases the addict goes

through:1.Chaos: phase that wakes the addict up to his

own situation and shakes certain mental constructs he has adopted.

2.Acceptance: addict deals with his denial, therapy helps in resocialization, construct new beliefs.addict becomes familiar with addictive rationale and understands his problems.

3.Self-search:therapy addresses and improve negative states that cause the addictive behavior.

Page 25: Addictions

CASCO .. cont4. Confrontation : addict confronts reality in all

aspects, with the self, important people in his life, his job, addictive object to become and stay addiction free.

5. Order :person gets back on track to community , family , work etc..and ready to resume a healthy lifestyle.

Page 26: Addictions

Basic condition for recovery Active faith in GodUnderstanding of oneself and one’s addictionDeactivating the addictive belief system and

activating the natural belief systemPositive social interaction with the

world ,with safety belt onSelf-realization through work and mission in

life

Page 27: Addictions

Drug addiction in Palestine Due to the continuous increase in the # of

addicts, many charitable organizations have been constructed here in Palestine , from which is ( Huda Society For The Treatment and rehabilitation of drug addiction) which was built in 2000.

This society has 2 centers Alnoor center in Jerusalem and Tahra center near Jericho

For more information visit the website of the society www.hntahara.org ….

We hope that Palestine become drug addiction free

Page 28: Addictions