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1.
Pleasure Unwoven: A
Personal Journey about Addiction companion handouts to the DVD Adapted from the lecture “Is Addiction Really a Disease?” by Kevin McCauley and produced by the Institute for Addiction Study, Salt Lake City, UT
2.
3.
4.
The Disease Model
(a CAUSAL model)
5.
6.
If ever we
could fit addiction into this model, then it would win admission into ”The Disease Club”. . .
7.
8.
9.
The Key Parts
of the Limbic Brain
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
But addiction does
not begin in the Frontal Cortex … … addiction begins at a deeper (and older) part of the brain: the “Midbrain”
20.
21.
22.
23.
24.
Olds experiments:
25.
26.
27.
28.
In addiction, the
drug is equated with survival at the level of the unconscious (i.e. the drug IS survival)
29.
30.
Addiction is a
disorder in the brain’s Reward (Hedonic) System It is a broken “pleasure sense” in the brain
31.
32.
33.
34.
35.
36.
37.
38.
39.
Drugs cause Dopamine
Surges in the midbrain reward system
40.
41.
42.
43.
44.
45.
46.
47.
STRESS :
a major player in addiction & relapse
48.
49.
50.
Stress change the
brain’s ability to process Dopamine (pleasure)
51.
The Brain has
a Hedonic “Set Point”
52.
Another “set point”
in the brain . . .
53.
The Dopamine System
changes in conditions of severe, chronic stress
54.
High stress hormone
levels reset the brain’s pleasure “set point”
55.
Change in Hedonic
Set Point: Old pleasures don’t show up
56.
57.
Drugs cause Dopamine
Surges in the midbrain reward system
58.
59.
60.
61.
HYPOFRONTALITY: during craving
states the cortex actually shuts off
62.
63.
64.
65.
How do we
restore the Frontal Cortex?
66.
67.
68.
69.
Then . .
.
70.
71.
Addiction fits the
“Disease Model!”
72.