By Christa Jarvis


The popular view of dependence evolves around advanced science or regulations. Until the 1960s, the drug is almost considered a trivial problem. In 1970s, the problematic use (including illicit drugs) explodes in West to become a public health problem while at same time sets up international regulation (drug addiction intervention Lafayette CA). The addict at time was so often seen as a patient, a victim of consumption, forced into crime and whose only salvation was in abstinence. It often gives off a negative and dangerous image and transgression.

In this context, more than the product, it is the personality of user that determines dependence, defined as having "abnormal appetite and prolonged" whose origin is to be attributed to emotional problems. Pharmacology, and in recent years, the term drug-seeking behavior has emerged, it represents an earlier stage where the drug psychic component of substance dependence prevails, it is mainly used to describe the addictive potential of some drugs such as benzodiazepines.

The rapid development of this type of dependence often leaves poor professional knowledge of field is undeveloped; care most often falls or psychiatric services or therapeutic communities. Individual psychotherapy psychoanalytic inspiration, or the group are among the most common techniques of outpatient treatment for drug addicts with the residential treatment in communities based on a behavioral model (or, in another register, sectarian Scientologists, etc.).

In 1950s, the decline of a century of research and developments in psychology differentiate physical dependence (previously treated as only one visible manifestation of problem) and psychological dependence (implicated in relapse despite withdrawal). This distinction is sometimes difficult to establish clinically.

Their involvement in psychotherapy is often random, frequent relapses what makes a certain resignation begins to gain psychiatric practitioners who then begin to use the alternatives before the AIDS epidemic will come rushing this remedy, especially methadone, like health emergency solution. It is in 1980s, the onset of AIDS and hepatitis require a radical change in strategy by the establishment of policies to reduce risks - especially in Switzerland and the Netherlands. The priority appears therefore slower in some countries, France in particular, to limit the spread of AIDS rather than eradicate consumption. Are then established, alternative programs, including with prescribed heroin in specialized centers. Theses although sometimes opposed because ofir research fields are not exclusive of each other. The mechanism of drug involves many factors.

According to a report from the UN UNOD there are over 27 million regular drug users. Approximately 230 million drug addicts in all types and about 200,000 die from drugs abuse each year. We are talking in plural because of dependences consumption practices have evolved side of polydrug use (alcohol, drugs, various synthetic or natural drugs, etc.). Practice moving towards an uncontrollable urge to continue using the product, with dependence. The term dependence is often wrongly connoted psychiatric condition (mania = insanity) and for some too pronounced.

Genetic assumptions are based on a model of personality development which explains the recurrent connections between dependence and teens dependence by putting in a comprehensive framework for promoting adolescent pipes passage to act as "the crisis of originality juvenile", play with death or belonging to a bande8. In current teenagers who smoke hemp to sleep at night for example, the "seal" is used as a pseudo "transitional object" artificially replacing the feeling of a comforting maternal presence.

This ritual is accompanied by a tradition of use of product conveying instructions for use, the quantities to be used, the dangers relating to use, etc. This socio-cultural tolerance explains why some highly addictive product and generating public health problems (including substance abuse) are considered relatively harmless sometimes unregulated in some parts of world.




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