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    Yet these patients often make the biggest impressions on clinicians and shape their views of addiction, if only because clinicians are especially likely to encounter them.Researchers and medical professionals err in generalizing from the sickest subset of people to the overall population of patientsContact Us Work With Us Advertise Your Ad Choices Privacy Terms of Service Terms of Sale Site Information Navigation Site Map Help Site Feedback Subscriptions Churchland PMLam DCK, Salkovskis PBut, speaking of literacy, there is indeed value in examining the language people use when talking about the relationship between the brain and the mindBut the decision to quit can be long in coming, far too long for those who destroy their health, families, or careers in the meantime.The paradox at the heart of addiction is this: How can the capacity for choice coexist with self-destructiveness? “I’ve never come across a single person that was addicted that wanted to be addicted,” says neuroscientist Nora Volkow, who succeeded Leshner as director of NIDA in 2003 (31)Published online 2014 Mar 3Brain research is yielding valuable information about the neural mechanisms associated with desire, compulsion, and self-control – discoveries that may one day be better harnessed for clinical useNext, you analyze which option is most efficient the one that most directly lets you get the most of what you want while costing you the least of your resourcesThe maturing science of addiction biology would mean that once and for all, the condition would be taken seriously as an illness – a condition that began with the explicit, voluntary decision to try drugs but transitioned into an involuntary and uncontrollable state


    Every subjective experience, from the ache of nostalgia to the frisson of a Christmas morning, corresponds to physical events in the brainGugliotta GNor are these sentiments the luxury of memoiristsOxford: Oxford University Press; (1999)AMY GOODMAN: Why do we need intoxicants?7 Comments Filed under Controversies, Research Tagged as addiction, Carl Hart, Cocaine, Crack cocaine, Hart, New York Times, Substance dependence by Jason Schwartz September 18, 2013 5:59 am If it wasnt rational, they wouldnt be doingit UghWhat he drew from that idea was that perhaps the evidence we see of drug addiction in our culture is more heavily influenced by the situations surrounding those people rather than the actual physiological basis itselfThus far, success has been elusiveThose who failed could attend an army-sponsored detoxification program (3).Operation Golden Flow, as the military called it, succeededCARL HART: Well, when we say "a regular kind of way," for example, I use alcoholOverall, success to date has been genuine but modesteditorsAs one psychiatrist put it memorably, “The war on drugs is a war between the hijacked reward pathways that push the person to want to use, and the frontal lobes, which try to keep the beast at bay” (20)And thats exactly righteditorsSubstance abuse and other substantive mattersMethamphetamine dependence is associated with neurocognitive impairment in the initial phases of abstinenceHart brought meth addicts into his laboratory for similar experiments and the results showed similarly rational decisionsPowell had surely experienced many alcohol-induced brain changes, but they did not keep him from making a choice that morning.If Powell came before a judge today, his lawyer might well introduce a scan of his brain “craving” alcohol as evidence of his helplessness 75d6b6f5ec

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