Critics of the self-medication hypothesis dackis and gold (1984, 1985) assert that depression in cocaine addicts, rather than being the cause of the addiction, is a direct result of abstinence symptomology. Support for the self-medication hypothesis comes from several different lines of research survey studies show high rates of endorsement of “self-medication” among individuals with co-occurring psychological problems and substance use (back, brady, jaanimagi, & jackson, 2006 leeise, pagura, sareen & bolton, 2010.
Chapter 7 self-medication, psychoanalytic, and psychodynamic theories 95 drive behind addiction:being and feeling trapped creates rage the rage at feelings of helplessness is the irresistible force that drives addiction purpose of addiction:to reverse feelings of helplessness and powerless-ness. Self-medication, psychoanalytic, and psychodynamic theories chapter 7 introduction during the 1970s and 1980s, dr ed khantzian did much to humanize addiction his 1999 classic, treating addiction as a human process, gave the field its heart, and this chapter is the heart of this book. The self-medication hypothesis (smh) originated in papers by edward khantzian, mack and schatzberg, david f duncan, and a response to khantzian by duncan the smh initially focused on heroin use, but a follow-up paper added cocaine the smh was later expanded to include alcohol, and finally all drugs of addiction.
The self-medication hypothesis throughout the span of my career, i have adhered to the maxim that to understand and to feel understood is a powerful antidote to relieve human psychological suffering treating individuals with substance use disorders is no exception. The self-medication hypothesis: definition there are two important aspects of the smh: (1) individuals use, abuse, and become dependent upon substances because they relieve states of distress and (2) there is a considerable degree of psychopharmacologic specificity in an individual’s preferred drug.
The self-medication hypothesis of addictive disorders derives primarily from clinical observations of patients with substance use disorders individuals discover that the specific actions or effects of each class of drugs relieve or change a range of painful affect states. The self-medication hypothesis, which proposes that addicts are using their drug of choice to relieve symptoms of an while a great deal of current thought about drug addiction is dominated by the concept of the hijacked brain altered by its exposure to drugs, such theories have little to offer to the clinician. According to the self-medication hypothesis (smh), the individuals' choice of a particular drug is not accidental or coincidental, but instead, a result of the individuals' psychological condition, as the drug of choice provides relief to the user specific to his or her condition.
Critics of the self-medication hypothesis dackis and gold (1984, 1985) assert that depression in cocaine addicts, rather than being the cause of the addiction, is a direct result of abstinence symptomology withdrawal illness encourages increased cocaine use, which in turn results in alterations in brain chemistry (dopamine depletion.
The self-medication hypothesis of substance use disorders: a reconsideration and recent applications khantzian ej(1) author information: (1)consolidated department of psychiatry, harvard medical school, boston, mass, usa. Cocores et al, (1987) also advance a dopamine deficiency hypothesis as an alternative to the self-medication hypothesis, in this case as an explanation of the apparent correlation between attention deficit hyperactivity disorder (adhd) and chronic cocaine abuse. The self-medication theory usually refers to substance use disorders, but it can also be applied to non-substance or behavioral addictions overview the self-medication hypothesis began appearing in medical journals in the 1970s, as clinicians noticed that heroin addicts were using the drug to cope with problems such as stress and loneliness.
Self-medication hypothesis as different drugs have different effects, they may be used for different reasons according to the self-medication hypothesis (smh), the individuals' choice of a particular drug is not accidental or coincidental, but instead, a result of the individuals' psychological condition, as the drug of choice provides relief to the user specific to his or her condition. The self-medication hypothesis of addictions people often turn to drug and alcohol use in order to reduce or manage negative or overwhelming emotional states the “ self-medication hypothesis” is a term coined in the 1980’s by dr khantzian, clinical professor of psychiatry at harvard medical center.