The 3 C’s (Common Characteristics of Addiction)
Compulsive Activity (gambling)
-conflict between stated intention & actual behaviour
-overcome by irresistible urges/impulses; strong discomfort if not acted upon
-pathological gamblers may beg, borrow, steal
(once triggered, act as if in trance, broken only when experience ends (relapse indicator)
loss of Control (gambling)
-the chase (trying to win back money lost)
-double down (double bet to eliminate previous loss)
-end of gambling binge similar to alcoholic blackout
-guilt, remorse, anger, cheated out of $
-loss of predictability ( struggle to maintain limits, unpredictable, intermittent
(other entertainments abandoned to devote more time to gambling)
continued use despite adverse Consequences (gambling)
-higher risk for self-destruction than any other behaviour
-longer able to hide behaviour=more debilitating they become
-no obvious signs of addictive intoxication
-family members feel abandoned (wives 4x likely to attempt suicide)
-spouse fears an affair
-gambling not linear like S.A.; up & down
(gambling both the problem & the solution)
Characteristics of Sex Addiction (Level 1/3)
Level 1. Behaviours
-normal, acceptable, tolerable
(masturbation, porn, prostitution, multiple affairs)
Characteristics of Sex Addiction (Level 2/3)
Level 2. Illegal Behaviours
-victimizing, nuisance crimes
(exhibitionism, voyeurism-sexual stimulation by visual means, obscene phonecalls)
Characteristics of Sex Addiction (Level 3/3)
Level 3. Illegal Behaviours
-grave consequences for victims, severe legal consequences for offender
(rape, incest, child molestation)
Progression of the Addiction (Sex) (Phase 1/5)
Progression of the Addiction (sex) (Phase 2/5)
Progression of the Addiction (Phase 3/5)
Progression of the Addiction (Phase 4/5)
Progression of the Addiction (gambling) (Phase 5/5)
5 Processing Addictions (GSSEW)
Compulsive Gambling
Compulsive Shopping
Sex Addiction
Eating Disorders
Workaholism
Bulimia Nervosa
-restraining food intake for period of time followed by over-intake (bingeing) period
-result is guilt, low self-esteem
Anorexia Nervosa
-refusal to maintain healthy body weight thru eating/exercise
-obsessive fear of gaining weight
Binge-Eating
-compulsive overeating
-consume huge amounts of food
-out of control, powerless to stop
Qualities of Addiction (4 listed)
Cerebral Cortex
-largest site of neural integration of CNS
-key role in attention, perception, awareness, thought, memory, language, consciousness
Midbrain
portion of CNS assoc. w/vision, hearing, motor control, sleep/wake cycles, arousal, alertness, temp.regulation
Old Brain
-incl. brain stem, medulla, pons, reticular formation, thalamus, cerebellum, amygdala, hypothalamus, hippocampus
-regulates basic survival functions
-breathing, moving, resting, feeding, emotions, memory
How the Brain gets Addicted
-rewire neural circuits
-repeated behaviours/pursuits rewarding (high) in spite of serious repercussions
Escape Gamblers
-depressant high
-seek emotional numbing, trance-like state, anonymity
-slots are best, solely chance, little skill
-progression from recreational to compulsive in as little as weeks to months
Compulsive Overeating (Food Addiction)
-need to eat high-fat, high-sugar, high-salt foods in large amounts when not hungry
-copious health problems (obesity/mental health)
DSM-V 3 Forms of Chemical Abuse (1)