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According
to the dictionary definition, dependence refers
to a submissive, obedient state characterized by
the loss of personal freedoms.
Many people consider that their
goal in life is to have a pleasant, easy and
active life, a good social status that satisfies
them and those around them, and to control their
life and psychological mental state.
A mixture of these goals can cause a dependence.
A general rule says that if a behaviour
is followed by a pleasant outcome, this behaviour
will be repeated in the near
future. However, this behaviour is
reinforced rather than dropped, if its expected
outcome does not follows the behaviour each time.
From a psychological point
of view,
dependence refers to an excessive, abnormal and
harmful behavior.
It
might sound incredible, but almost all human
activities - such as working, feeding, sex,
collecting valuable materials, taking pills,
drinking alcohol , and taking drugs can turn into
a dependence.
Usually,
the dependence term is only used for
those behaviours that cause, in certain
degrees, a loss
of personal freedom by affecting
the person's judgment capacity.
Even when the person starts realising
that his/her behaviour became a serious
problem that affects them and the people
around them, he/she will still continue
to behave the same. These behaviours are
similar with obsessive or manic
behaviors, and can lead to
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personal dignity injuries.
Once
a person loses his/her freedom, their personality
starts slowly and insidiously to change. A
self-dilusional reality created by the addict
from lies and twisted explanation to protect
him/her from losing the his/her self-esteem and
other people's respect, stops the addict from
becoming aware of these changes.
Many people do not like to be
called substance dependents, because this term is
perceived throught its negative
connotation. Liberty, self-determination,
self-control, social
functions fulfillment, and health
are few of the most valuable society traits. As
long as people are dedicated to their personal
pleasures and pasions without losing their
health, social status, or work ability, they will
not be called substance dependents or maniacs.
These terms (substance dependents and maniacs)
are only used when these values (liberty,
self-determination, self-control, social
functions fulfillment, and health) are
impaired, when the person's life perspective and
interests narrow, and when the addictive
behaviour becomes dominant (without being
followed by its initial satisfaction). Finally,
the alcoholic discovers that drinking offers no
satisfaction. A similar situation is faced by an
workoholic (a person who is work addicted) who
continues to work excessively even when he/she
has lost the interest on the work results and
success. The dependence's inner dymanimcs leads
to a progressive incapacity to perceive pleasure
and a general loss of life appetite.
There are two types of
dependences: physical dependence and
psychological dependence.
The physical dependence
is caused by the constant, frequent and abusive
consumption of harmful substances. The body
adjusts to these substances causing an increased
tolerance. In this state, the addict's body needs
the substance to function normally.
The physical dependence occurs when the addict
stops using the substance, and is characterized
by a so called withdrawl syndrome (unpleasant
physical symptoms). The body will function
normally only when the person start re-using the
substance.
We can talk about a psychological
dependence when the addict displays an
inner desire and then an obsessive need to
consume the harmful substance in order to achieve
pleasurable outcome or to avoid the discomfort.
A psychological dependent uses that substance to
obtain a comfortable psychological state, and to
cope with stressful situation and low spirits.
When the addict cannot consume the substance,
he/she experiences uncomfortable feelings (even
fear).
It is possible for the
psychoholical and physical dependence to develop
independently.
Each substance dependent displays
a typical, unhealthy and disfunctional attitude
long before the actual onset of the dependence.
When the dependence develops, decisive for it's
onset is the person's need to use the substance
in order to achieve certain outcomes, and not the
actual substance use.
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