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Fathers and Sons

Markus Heilig

in The Thirteenth Step: Addiction in the Age of Brain Science

Published in print:
2015
Published Online:
November 2015
ISBN:
9780231172363
eISBN:
9780231539029
Item type:
chapter
Publisher:
Columbia University Press
DOI:
10.7312/columbia/9780231172363.003.0013
Subject:
Public Health and Epidemiology, Public Health

This chapter analyzes the extent to which addictive disorders are heritable. It is a fact that alcoholism and other addictions run in families. This does not, on its own, prove that there is a ... More


Learning Mechanisms in Addictive Disorders

Andreas Heinz

in A New Understanding of Mental Disorders: Computational Models for Dimensional Psychiatry

Published in print:
2017
Published Online:
May 2018
ISBN:
9780262036894
eISBN:
9780262342841
Item type:
chapter
Publisher:
The MIT Press
DOI:
10.7551/mitpress/9780262036894.003.0008
Subject:
Neuroscience, Behavioral Neuroscience

Addictive disorders may best be described as attribution of salience to drug-associated cues and drug consumption at the expense of other reinforcers. Dopamine and serotonin dysfunction can ... More


The Journey Ahead

Markus Heilig

in The Thirteenth Step: Addiction in the Age of Brain Science

Published in print:
2015
Published Online:
November 2015
ISBN:
9780231172363
eISBN:
9780231539029
Item type:
chapter
Publisher:
Columbia University Press
DOI:
10.7312/columbia/9780231172363.003.0019
Subject:
Public Health and Epidemiology, Public Health

This chapter identifies a gap between the science of addiction and the treatment of addictive disorders. It also sets out three overarching questions. First, can we tolerate that a large proportion ... More


Introduction

Andreas Heinz

in A New Understanding of Mental Disorders: Computational Models for Dimensional Psychiatry

Published in print:
2017
Published Online:
May 2018
ISBN:
9780262036894
eISBN:
9780262342841
Item type:
chapter
Publisher:
The MIT Press
DOI:
10.7551/mitpress/9780262036894.003.0001
Subject:
Neuroscience, Behavioral Neuroscience

In the introduction, a philosophically informed concept of mental disorders is presented. In order to define a clinically relevant mental malady, it suggests to focus on functional impairments ... More


A Strained Mind

Markus Heilig

in The Thirteenth Step: Addiction in the Age of Brain Science

Published in print:
2015
Published Online:
November 2015
ISBN:
9780231172363
eISBN:
9780231539029
Item type:
chapter
Publisher:
Columbia University Press
DOI:
10.7312/columbia/9780231172363.003.0012
Subject:
Public Health and Epidemiology, Public Health

This chapter focuses on the link between stress and the risk of relapse to addiction. Various studies have confirmed that exposure to stress induces cravings in patients with addictive disorders. ... More


Please Behave

Markus Heilig

in The Thirteenth Step: Addiction in the Age of Brain Science

Published in print:
2015
Published Online:
November 2015
ISBN:
9780231172363
eISBN:
9780231539029
Item type:
chapter
Publisher:
Columbia University Press
DOI:
10.7312/columbia/9780231172363.003.0016
Subject:
Public Health and Epidemiology, Public Health

This chapter begins by discussing the common elements of effective treatments for addiction. First, they all specifically focus on drug seeking and taking. Second, methods that focus on practicing ... More


An Entity in its Own Right

Markus Heilig

in The Thirteenth Step: Addiction in the Age of Brain Science

Published in print:
2015
Published Online:
November 2015
ISBN:
9780231172363
eISBN:
9780231539029
Item type:
chapter
Publisher:
Columbia University Press
DOI:
10.7312/columbia/9780231172363.003.0003
Subject:
Public Health and Epidemiology, Public Health

This chapter asks: Is there really any important difference between people who develop a destructive relationship with a drug and those who do not? Is there a line, however bright, the crossing of ... More


Pills for Addiction Ills

Markus Heilig

in The Thirteenth Step: Addiction in the Age of Brain Science

Published in print:
2015
Published Online:
November 2015
ISBN:
9780231172363
eISBN:
9780231539029
Item type:
chapter
Publisher:
Columbia University Press
DOI:
10.7312/columbia/9780231172363.003.0017
Subject:
Public Health and Epidemiology, Public Health

This chapter first considers medications to treat heroin addiction. These include methadone, buprenorphine, and naltrexone. All three bind tightly to opioid receptors but without activating them at ... More


Us and Them

Markus Heilig

in The Thirteenth Step: Addiction in the Age of Brain Science

Published in print:
2015
Published Online:
November 2015
ISBN:
9780231172363
eISBN:
9780231539029
Item type:
chapter
Publisher:
Columbia University Press
DOI:
10.7312/columbia/9780231172363.003.0001
Subject:
Public Health and Epidemiology, Public Health

This chapter begins with a discussion of people's lack of sympathy and compassion for the plight of alcohol or drug addicts. It explains how most people think that addiction is self-inflicted and how ... More


The Dark Side of Addiction

Markus Heilig

in The Thirteenth Step: Addiction in the Age of Brain Science

Published in print:
2015
Published Online:
November 2015
ISBN:
9780231172363
eISBN:
9780231539029
Item type:
chapter
Publisher:
Columbia University Press
DOI:
10.7312/columbia/9780231172363.003.0008
Subject:
Public Health and Epidemiology, Public Health

The notion that people take drugs to alleviate emotional pain rings intuitively true with patients, treatment providers, and many others. Often referred to as a “self-medication” view of addiction, ... More


The blindfold of addiction

Beth Burgess

in Addiction and Choice: Rethinking the relationship

Published in print:
2016
Published Online:
November 2016
ISBN:
9780198727224
eISBN:
9780191833427
Item type:
chapter
Publisher:
Oxford University Press
DOI:
10.1093/acprof:oso/9780198727224.003.0017
Subject:
Psychology, Cognitive Psychology

Addiction can be likened to a state of temporary blindness, wherein addicts are prevented from seeing how to make better choices by the deep-seated biological and psychological mechanisms that ... More


Getting the Cue

Markus Heilig

in The Thirteenth Step: Addiction in the Age of Brain Science

Published in print:
2015
Published Online:
November 2015
ISBN:
9780231172363
eISBN:
9780231539029
Item type:
chapter
Publisher:
Columbia University Press
DOI:
10.7312/columbia/9780231172363.003.0011
Subject:
Public Health and Epidemiology, Public Health

This chapter discusses studies on the critical role of drug-associated cues for relapse. Both patients and clinicians have long known that individuals with addictive disorders report craving and ... More


Basic Learning Mechanisms: Pavlovian Conditioning in Mental Disorders

Andreas Heinz

in A New Understanding of Mental Disorders: Computational Models for Dimensional Psychiatry

Published in print:
2017
Published Online:
May 2018
ISBN:
9780262036894
eISBN:
9780262342841
Item type:
chapter
Publisher:
The MIT Press
DOI:
10.7551/mitpress/9780262036894.003.0002
Subject:
Neuroscience, Behavioral Neuroscience

The second chapter focuses on basic learning mechanisms and specifically on Pavlovian conditioning and its relevance for mental disorder. Pavlovian conditioning has been implicated in addictive ... More


Trick or Treatment

Markus Heilig

in The Thirteenth Step: Addiction in the Age of Brain Science

Published in print:
2015
Published Online:
November 2015
ISBN:
9780231172363
eISBN:
9780231539029
Item type:
chapter
Publisher:
Columbia University Press
DOI:
10.7312/columbia/9780231172363.003.0015
Subject:
Public Health and Epidemiology, Public Health

This chapter assesses treatments for addiction. It argues that any effective treatment must reflect a marriage of two perspectives. One is the perspective focused on building a relationship that ... More


Pray if you Wish, but Please Take your Meds First

Markus Heilig

in The Thirteenth Step: Addiction in the Age of Brain Science

Published in print:
2015
Published Online:
November 2015
ISBN:
9780231172363
eISBN:
9780231539029
Item type:
chapter
Publisher:
Columbia University Press
DOI:
10.7312/columbia/9780231172363.003.0018
Subject:
Public Health and Epidemiology, Public Health

This chapter considers the spiritual aspects of treatment for addiction. It argues that achieving recovery from addiction is a daunting task. To date, treatments that have emerged are, with a few ... More


A Chronic, Relapsing Disorder

Markus Heilig

in The Thirteenth Step: Addiction in the Age of Brain Science

Published in print:
2015
Published Online:
November 2015
ISBN:
9780231172363
eISBN:
9780231539029
Item type:
chapter
Publisher:
Columbia University Press
DOI:
10.7312/columbia/9780231172363.003.0004
Subject:
Public Health and Epidemiology, Public Health

This chapter argues that addiction is inherently a chronic, relapsing disease, not much different from diseases such as hypertension, diabetes, or asthma. Similar to those diseases, the risk for ... More


A Grocery Store that Closed

Markus Heilig

in The Thirteenth Step: Addiction in the Age of Brain Science

Published in print:
2015
Published Online:
November 2015
ISBN:
9780231172363
eISBN:
9780231539029
Item type:
chapter
Publisher:
Columbia University Press
DOI:
10.7312/columbia/9780231172363.003.0002
Subject:
Public Health and Epidemiology, Public Health

This chapter presents the author's account of his early lessons about the destructive force of addiction. He describes one of his previous patients named Eric, an alcoholic and diabetic who refused ... More


Turning on a Bright Light

Markus Heilig

in The Thirteenth Step: Addiction in the Age of Brain Science

Published in print:
2015
Published Online:
November 2015
ISBN:
9780231172363
eISBN:
9780231539029
Item type:
chapter
Publisher:
Columbia University Press
DOI:
10.7312/columbia/9780231172363.003.0010
Subject:
Public Health and Epidemiology, Public Health

This chapter focuses on a fundamental tenet of addiction medicine: reexposing the brain of an addicted person to a small amount of drug is one of the most powerful triggers for relapse. The ... More


Histories, Brains, and Behaviors

Markus Heilig

in The Thirteenth Step: Addiction in the Age of Brain Science

Published in print:
2015
Published Online:
November 2015
ISBN:
9780231172363
eISBN:
9780231539029
Item type:
chapter
Publisher:
Columbia University Press
DOI:
10.7312/columbia/9780231172363.003.0006
Subject:
Public Health and Epidemiology, Public Health

This chapter argues that the processes most obviously relevant for the clinical problems of addiction are also the hardest to measure in an objective and reliable manner. Until we have a more ... More


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