This document discusses addiction from several perspectives. It defines addiction as a pathological relationship between a human and an addictive object like substances or behaviors. Addiction is described as having physical, psychological, and social components. The development of addiction is influenced by social and environmental factors. Treatment approaches discussed include cognitive-emotional-behavioral therapy and a five-phase therapeutic model. The document also notes the issue of drug addiction in Palestine and rehabilitation organizations working to address it.

1. Palestine
Behavior medicine
7/1/2013 Instructor: Dr. Jawwad Fatayer

2. Prepared by :
Ziad Abu Helwa
Mohammed Kirresh
Tahrer Hroub
Donya Hrezat
Maram Natsheh

3. What is Addiction ?
 Serious life style problem.
 One of the most aching rather threatening fact in human
existence.
 Many current definitions of addiction are limited to one
aspect of the problem, on worse are shaped by
misinformation and reduction.

4. ?Addiction as a physical problem
 Disease by which the addict has been physically hooked on
a substance and his body craves another fix and drives him
to seek another high.
 Focus on organic aspect, and one type of addiction, the
chemical.
 One could be an addict even if the body is physically fit and
healthy.

5. ?A psychological problem
 Others define it as a psychological problem as efforts
focused on restoring a healthy psychological state by using
psychotherapy and other psychological treatments.

6. TO US…
 It is a pathological passion between human and an addictive
object be it :
- material : Cigarettes, Alcohol, Heroin…
- immaterial : Gambling, computer games, sex

7. Can addiction be positive?
 There is a difference between addiction and devotion.
 Devotion to good habit have +ve outcomes
for example : A doctor who is devoted to his job does his
work to the fullest , has good reputation b/w his patients
BUT workaholic doctor is going to be disconnected from
his family, friends, social interactions…. Replacing his
family with his job.

8. Types of addiction
Based on mind-body-social effects, it can be classified as
:α, β, and γ type :
Alpha type : Addiction which is the main effect is on the
physical health of the user.
Such as: tobacco and sweats or salts of other food which can
lead to problems such as
cancer, diabetes, obesity, hypertension or hyperactivity.
Can be encouraged and discouraged by social norms.

9. Beta type: Addiction which have more immediate and
destructive effects on the working of the body and the
mind impacting the liver, heart, stomach, brain and other
vital organs.
 Also have a negative impact on how person thinks and
feels, how he relates to other and how he make decisions.
 Medical symptoms are observed.
 Drug and alcohol are best examples.
 Some such cocaine are forbidden but alcohol is a personal
choice.

10. Gamma type: impact the cognition, emotion, and social
life, but less impact on the body.
 Includes addiction to work, sex or pornography , computer
games, internet, TV and gambling.
 Difficult to detect and measure ; no medical symptoms but
mental effects such tension, aggression, and depression are
present.

11. Adrenaline junkie can lead to car crashes
 An adrenaline junkie is a person addicted to the thrill of
the adrenaline rush: the exciting, pleasurable effect
produced when the adrenal glands dump a large dose of
adrenaline into the bloodstream.
 The adrenaline rush wears off after a time and is as
addictive as any drug. The signs of an adrenaline addiction
are not as obvious as you might think.

12.  A true adrenaline junkie may easily fill their life with
drama and conflict instead of extreme sports.
 They may argue or pick fights just for the rush associated
with the experience.
 Adrenaline junkies can also become more reckless in their
everyday lives, putting themselves and others at risk for no
reason,they may cause car crashes.

13. The development of addiction
 Addiction is not inborn trait.
 It is developed through socialization and interaction with
one’s social environment and through various social agents
–parents, friends, colleagues, the media and so on.

14. Stages of development
 Background: Basic common knowledge about the subject
or event that later become the addictive object.
 Initiation through social interactions: Others introduce
us to the addictive object or action and we develop a
familiarity and a base of personal knowledge.

15.  Exploration: Promoted by the
internalization, learning, training and coaching agents .
Leads to pleasure and sense of power.
 Personal contact relationship develops : we have our
own feeling and knowledge about the experience

16.  Potentially for addiction: This is determined by the
physical, mental, emotional, and spiritual status.
 Continuity: serious interest in the addictive object, and
personal sacrifice and changes in life results.
 Pathological attachment: A need and very intimate
relationship with the addictive object is developed.
Struggle between the pain and pleasure.

17. Society’s view of addiction
Society often misunderstands this problem and still
denies any responsibility for this and leaves the addict to
carry all the blame and consequences.
General opinion golds that addicts are liars
, untrustworthy, and it’s true ! But addicts can
change, can recover and be good person again by hard
work and give another chance.

18. Society’s view of addiction…
There are so many social “agents” that affect :
1. Family
2. Peers
3. School , college
4. The media
5. Religious institutions
6. Political institutions

19. Society’s view of addiction…
 The most popular tools of addiction in our society are :
-tobacco
- Net addiction

20. - Tobacco :
In the past, the smoking was seen as cool thing to do !
, but today because of industry's marketing
campaigns and movie stars that become the role models
for teenagers, the smoking has severe affects in our life
especial our social life .
-Example :
The bad smell of cigarette smoke in smokers
clothes, hair and breath that affects on relationships and
people links .

21. -Net addiction _Computer:
 Computers are so much a part of our world today, but
for some people computers are also a new way to
escape the stress, pressure of daily life! .Like
“facebook” which become a new way to share
intimate feeling or establish “friendships” with faceless
strangers and spend hours on chat without even
knowing who is really at the other hand, sometimes
even falling in love over internet because of
emotionally and socially hungry .

22. Treatment
CEBT and CASCO theraputic models
• CEBT (Cognitive Emotional Behavioral Therapy)
Cognitive : addresses the mental system through the
thought of the person. what he thinks of the his
problem, cprocesses omputation of his crisis. therapy
should replace how the addict accepted his ideas about his
addiction replace them with new non-addictive ideas.
Emotional : examines the emotions of the addict, help
him communicate with them, accept them, conquer them
or discard them when needed.therapy must direct the
person back to caring for himself and relationships.

23. CEBT… cont
Behavioral : the result of internal cognitive and emotional
changes that can be noticed from the outside. therapy must
help the addict reacquire a safe, healthy, accepted by
society action that are both rewarding and reasonable for
him.

24. CASCO
The five therapeutic phases the addict goes through:
1. Chaos: phase that wakes the addict up to his own
situation and shakes certain mental constructs he has
adopted.
2. Acceptance: addict deals with his denial, therapy helps in
resocialization, construct new beliefs.addict becomes
familiar with addictive rationale and understands his
problems.
3. Self-search:therapy addresses and improve negative
states that cause the addictive behavior.

25. CASCO .. cont
4. Confrontation : addict confronts reality in all
aspects, with the self, important people in his life, his
job, addictive object to become and stay addiction free.
5. Order :person gets back on track to community , family
, work etc..and ready to resume a healthy lifestyle.

26. Basic condition for recovery
 Active faith in God
 Understanding of oneself and one’s addiction
 Deactivating the addictive belief system and activating
the natural belief system
 Positive social interaction with the world ,with safety
belt on
 Self-realization through work and mission in life

27. Drug addiction in Palestine
 Due to the continuous increase in the # of
addicts, many charitable organizations have been
constructed here in Palestine , from which is ( Huda
Society For The Treatment and rehabilitation of
drug addiction) which was built in 2000.
 This society has 2 centers Alnoor center in Jerusalem
and Tahra center near Jericho
 For more information visit the website of the society
www.hntahara.org ….
 We hope that Palestine become drug addiction free