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Research has consistently shown strong associations between affective disorders and substance use disorders. Specifically, people with mood disorders are at increased risk of substance use disorders. [1] Affect and addiction can be related in a variety of ways as they play a crucial role in influencing motivated behaviours.
The essence of this model is the pragmatic recognition that treatment must meet active substance users ‘‘where they are’’ in terms of their needs and personal goals. Thus, harm reduction approaches embrace the full range of harm-reducing goals including, but not limited to, abstinence. [5]
One of the earliest theories of addiction was the reward effect. This theory suggests that an individual consumes a substance that will elicit a pleasurable effect. The individual continues to use this substance to recreate this same feeling, ultimately becoming addicted to the sensation they receive from the substance. [34]
An addictive personality refers to a hypothesized set of personality traits that make an individual predisposed to developing addictions.This hypothesis states that there may be common personality traits observable in people suffering from addiction; however, the lack of a universally agreed upon definition has marked the research surrounding addictive personality.
Drug use is not evenly distributed in the population. Research has shown that the prevalence of substance use problems varies in fairly reliable ways according to age, sex, and sociodemographic characteristics. Overall, and across drug categories—including alcohol, coffee, cannabis, and nicotine—men make up the primary drug demographic. [47]
Substance misuse, also known as drug misuse or, in older vernacular, substance abuse, is the use of a drug in amounts or by methods that are harmful to the individual or others. It is a form of substance-related disorder .
Dual diagnosis (also called co-occurring disorders (COD) or dual pathology) [1] [2] is the condition of having a mental illness and a comorbid substance use disorder.There is considerable debate surrounding the appropriateness of using a single category for a heterogeneous group of individuals with complex needs and a varied range of problems.
Bejerot claimed that the liberal drug laws that Lindesmith recommended – neglecting smaller amounts of illegal drugs for personal use etc. – therefore would open the doors for a much larger drug epidemic. Then, the society will rebound with much more restrictive laws (compare with the War on drugs). [5] [7]