Is Addiction Real?

Bill Quick at The Daily Pundit has posted my latest article on the subject of addiction. Bill also has a link to this related article at LGF. I will post the full article that Bill has put up later today or early tomorrow.

And thanks Bill for the exposure.

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Is addiction real? A very interesting question.I think there is an answer to that question. Obviously I think the answer is not in the affirmative. Why? Well there in lies a tale.

For me it started with Dr. Lonnie Shavelson. In July of 2001 I read a review of his book "Hooked" and learned some things. One of the things I learned was that in his sample of female heroin users 70% were sexually molested before they started heroin use. He also found that male heroin users were 25 to 50 times more likely to have been sexually abused than the general population. I wrote an article on the subject. Heroin. What I suggested in that article was that a large number of heroin users were taking the drug for relief from severe PTSD.

The next piece of the puzzle came to me in November of 2002 when I read this report done on the CB1 receptor in mice. A cannabinoid receptor also found in human brains. The report showed that fear memories which seem to be mediated by the CB1 receptors decay at different rates depending on genetics. I wrote this review of that report: Addiction or Self Medication? What I figured out from the report is that the reason drugs are addictive (long term use) for some and not others was based on genetics. A very big key to the puzzle of addiction. In the past the fact that some get addicted and others do not was ascribed to the "addictive personality". Now no one could tell you what an addictive personality was. It couldn't be defined. So in fact it was mumbo jumbo. I now had another piece of the puzzle. However twin studies showed that genetics only accounted for 50% of the cause for addiction. What was the other 50%? Pretty obvious from Dr. Shavelson's report. Trauma.

Well that lead me to look deeper into the genetics aspect. I wrote an article Genetic Discrimination which goes into some of the genes involved in tobacco addiction and marijuana addiction. It turns out that the genes involved in tobacco addiction vary by race. It also turns out that some people do not produce enough cannabinoids to feel normal. Again the idea that genetics only accounts for 50% of addiction (in this case to pot) comes up.

Looking further into the opiate question I looked into endorphins, the body's natural heroin, and how the body produces them. Sex, food, and exercise. And of course we know about sex junkis, food junkies, and even exercise junkies.I wrote about that in an article called Big Mac Heroin Attack.

What about stimulants? Stimulants seem to work well for people with ADD/ADHD problems. Of course this has got the pharma folks in full hue and cry mode against street drugs.

The War On Unpatented Drugs

To sum up:
1. We now kow that severe PTSD may be the cause of 70% or more of heroin use.
2. We know that there is a genetic connection.
3. We know there is a trauma connection.
4. We know that stimulants treat a different class of problems than opiates

What I have done is come up with a hypothesis that fits the facts. Why some people and not others are susceptable to addiction (as opposed to habituation which we know how to treat: Detox). Surprisingly this is a Well Known Secret in some segments of the medical community.

What we do not know is the true extent of the problem. Exactly how much of what we call addiction is due trauma/genetics? We don't know the answer because the problem is not being studied in any systematic way. We have the most information on pot/PTSD and stimulants/ADD-ADHD. A very few studies on opiates. Most studies so far have been anecdotal rather than statistical. The reason in my opinion is that there is no research money out there to make a statistical study of the self medication hypothesis. Such studies would be very expensive if they included DNA work ups and extensive interviews.

Self medication appears to be a very lage part of our "addiction" problem. In fact we may not even have an addiction problem. What we may have is seriously undertreated population with various mental problems caused by imbalances in the brain.

What is needed is more research. The only way we will get that any time soon is to pressure the government.Obviously the drug companies have no interest in finding out what addiction is because it will impact their bottom line if people take drugs for Problem Solving. In fact there are a lot of actors in this farce who would stand to lose big if such a study showed what I expect it might. The only folks to be benefitted would be "addicts". And they don't have much of a lobby in Washington.

I have also written about soldiers/police and PTSD here:

The Soldiers Disease
Aftermath
A test for PTSD
Police and PTSD

And if you go to my sidebar I have lots of other links to articles on the subject.