{"id":12111,"date":"2016-10-01T15:57:02","date_gmt":"2016-10-01T15:57:02","guid":{"rendered":"https:\/\/drugprevent.org.uk\/ppp\/?p=12111"},"modified":"2016-12-31T21:13:21","modified_gmt":"2016-12-31T21:13:21","slug":"nora-volkow-explains-addiction","status":"publish","type":"post","link":"https:\/\/drugprevent.org.uk\/ppp\/2016\/10\/nora-volkow-explains-addiction\/","title":{"rendered":"Nora Volkow Explains Addiction"},"content":{"rendered":"<p><span style=\"color: #0000ff;\">The foremost authority on drugs in the US just smashed a huge misconception about addiction.\u00a0\u00a0\u00a0 If drug addiction is a disease like cancer or Alzheimer&#8217;s, how do you explain the seemingly amoral behaviour \u2014 the lying, cheating, and hiding \u2014 that has come to be linked with so many addicts?<\/span><\/p>\n<p><span style=\"color: #0000ff;\">The answer has less to do with morality and much more to do with physical changes in the brains of those who become addicted, as\u00a0<a style=\"color: #0000ff;\" href=\"https:\/\/www.drugabuse.gov\/\">National Institute on Drug Abuse<\/a>\u00a0director Dr. Nora Volkow perfectly explains in a recent\u00a0<a style=\"color: #0000ff;\" href=\"http:\/\/www.thirteen.org\/openmind\/science\/disease-free-will\/5457\/\">PBS episode of &#8220;The Open Mind,&#8221;<\/a>\u00a0on addiction.<\/span><\/p>\n<p><span style=\"color: #0000ff;\">It makes a lot of sense \u2014 especially when explained with chocolate.\u00a0 Volkow is a chocolate lover, you see. She has a special weakness for dark varieties. Most of the time, she can control her cravings. But occasionally \u2014 usually when she&#8217;s frustrated or tired or bored \u2014 she gives in. Then she&#8217;ll overdo it, eating too much of the stuff.<\/span><\/p>\n<p><span style=\"color: #0000ff;\">Sound familiar?<\/span><\/p>\n<p><span style=\"color: #0000ff;\">If so, that&#8217;s because it&#8217;s a fairly common type of experience. Most of us can abstain some of the time and give in occasionally, but more often than not, most of us easily follow the rule of moderation. But in people who are vulnerable to addiction (via a mesh of factors including genetics, environment, behaviour, and exposure), this is\u00a0<a style=\"color: #0000ff;\" href=\"http:\/\/www.businessinsider.com\/maia-szalavitz-unbroken-brain-treating-addiction-as-a-learning-disorder-2016-4\">where things start to look different<\/a>, Volkow explains. And it&#8217;s at this point where the long-held notion that addiction is merely a problem of a lack of self-control begins to crumble.<\/span><\/p>\n<p><span style=\"color: #0000ff;\">&#8220;When you transition from that stage where most of the time you are able to self-regulate the desires and control and manage your behaviour even though you want to do it, you say it&#8217;s not a good idea \u2014 when you lose that capacity consistently, that&#8217;s when you start to get into the transition of addiction,&#8221; she says.<\/span><\/p>\n<p><span style=\"color: #0000ff;\">But, as she continues to explain, the problem is\u00a0<a style=\"color: #0000ff;\" href=\"http:\/\/www.businessinsider.com\/maia-szalavitz-unbroken-brain-treating-addiction-as-a-learning-disorder-2016-4\">not simply a behavioural one<\/a>. It&#8217;s also influenced by physical changes that happen in the brain \u2014 changes that produce\u00a0<a style=\"color: #0000ff;\" href=\"http:\/\/www.nature.com\/nrn\/journal\/v5\/n12\/full\/nrn1539.html\">marked differences<\/a> between the brains of people who are addicted and those who are not.<\/span><\/p>\n<p><span style=\"color: #0000ff;\">One of those differences, Volkow says, is a dysfunction in areas of the frontal cortex, a part of the brain that plays a key role in helping us analyse situations and make decisions. &#8220;But if these areas of the brain are not functioning properly, which is what repeated drug use [can do] to your brain, it [can erode] the capacity of frontal cortical areas.&#8221;<\/span><\/p>\n<p><span style=\"color: #0000ff;\">When that happens, your ability to say no to that chocolate bar gets diminished, or in Volkow&#8217;s words, &#8220;your ability to make optimal decisions gets dysfunctional.&#8221;<\/span><\/p>\n<p><span style=\"color: #0000ff;\">Volkow&#8217;s ideas are bolstered by decades of\u00a0<a style=\"color: #0000ff;\" href=\"http:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC1201373\/\">research<\/a>, including a\u00a0<a style=\"color: #0000ff;\" href=\"http:\/\/www.nature.com\/nrn\/journal\/v12\/n11\/full\/nrn3119.html\">2011 review of studies<\/a>\u00a0that she co-authored for the journal Nature. The authors of a\u00a0<a style=\"color: #0000ff;\" href=\"http:\/\/www.nature.com\/nrn\/journal\/v5\/n12\/full\/nrn1539.html\">2004 paper<\/a>\u00a0built upon similar research, concluding that addiction is a learned behaviour linked with fundamental changes to the brains of addicts.<\/span><\/p>\n<p><span style=\"color: #0000ff;\">For this reason, it&#8217;s not as simple as just choosing to use drugs \u2014 or, in Volkow&#8217;s example, overdo it on the chocolate. And the more we know about the neurological basis of addiction, the better we will be able to treat it.\u00a0\u00a0 See\u00a0 <strong>the\u00a0<\/strong><a style=\"color: #0000ff;\" href=\"http:\/\/www.thirteen.org\/openmind\/science\/disease-free-will\/5457\/\"><strong>full &#8220;Open Mind&#8221; episode<\/strong><\/a><strong>\u00a0on PBS:<\/strong><\/span><\/p>\n<p><span style=\"color: #0000ff;\">Source:\u00a0\u00a0\u00a0\u00a0<\/span><\/p>\n<p><span style=\"color: #0000ff;\"><a style=\"color: #0000ff;\" href=\"http:\/\/uk.businessinsider.com\/watch-nora-volkow-explain-addiction-with-chocolate-2016-6\">http:\/\/uk.businessinsider.com\/watch-nora-volkow-explain-addiction-with-chocolate-2016-6<\/a><\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>The foremost authority on drugs in the US just smashed a huge misconception about addiction.\u00a0\u00a0\u00a0 If drug addiction is a disease like cancer or Alzheimer&#8217;s, how do you explain the seemingly amoral behaviour \u2014 the lying, cheating, and hiding \u2014 that has come to be linked with so many addicts? The answer has less to [&hellip;]<\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[73,63,11],"tags":[],"class_list":["post-12111","post","type-post","status-publish","format-standard","hentry","category-addiction","category-brain-and-behaviour","category-effects-of-drugs"],"_links":{"self":[{"href":"https:\/\/drugprevent.org.uk\/ppp\/wp-json\/wp\/v2\/posts\/12111","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/drugprevent.org.uk\/ppp\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/drugprevent.org.uk\/ppp\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/drugprevent.org.uk\/ppp\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/drugprevent.org.uk\/ppp\/wp-json\/wp\/v2\/comments?post=12111"}],"version-history":[{"count":0,"href":"https:\/\/drugprevent.org.uk\/ppp\/wp-json\/wp\/v2\/posts\/12111\/revisions"}],"wp:attachment":[{"href":"https:\/\/drugprevent.org.uk\/ppp\/wp-json\/wp\/v2\/media?parent=12111"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/drugprevent.org.uk\/ppp\/wp-json\/wp\/v2\/categories?post=12111"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/drugprevent.org.uk\/ppp\/wp-json\/wp\/v2\/tags?post=12111"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}