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Addiction may refer to Substance dependence (drug addiction) or to Behavioral addiction.

Historically, addiction has been defined with regard solely to psychoactive substances (for example alcohol, tobacco and other drugs) which cross the blood-brain barrier once ingested, temporarily altering the chemical milieu of the brain.

Many people, both psychology professionals and laymen, now feel that there should be accommodation made to include psychological dependency on such things as gambling, food, sex, pornography, computers, video games, internet, work, exercise, spiritual obsession (as opposed to religious devotion), pain [1], cutting and shopping so these behaviors count as 'addictions' as well and cause guilt, shame, fear, hopelessness, failure, rejection, anxiety, or humiliation symptoms associated with, among other medical conditions, depression and epilepsy.[1][2][3][4]


Drug addiction

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The related concept of drug addiction has many different definitions. Some writers give in fact drug addiction the same meaning as substance dependence, others for example provide drug addiction a narrower meaning which excludes drugs without evidence of tolerance or withdrawal symptoms.

Substance dependence

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According to the current Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), substance dependence is defined as:

"When an individual persists in use of alcohol or other drugs despite problems related to use of the substance, substance dependence may be diagnosed. Compulsive and repetitive use may result in tolerance to the effect of the drug and withdrawal symptoms when use is reduced or stopped. This, along with Substance Abuse are considered Substance Use Disorders...." [5]

Substance dependence can be diagnosed with physiological dependence, evidence of tolerance or withdrawal, or without physiological dependence.

DSM-IV substance dependencies:

Behavioral addiction

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The term addiction is also sometimes applied to compulsions that are not substance-related, such as problem gambling and computer addiction. In these kinds of common usages, the term addiction is used to describe a recurring compulsion by an individual to engage in some specific activity, despite harmful consequences, as deemed by the user himself to his individual health, mental state, or social life.

References

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  1. ^ Taylor, C.Z. (March 2002). "Religious Addiction: Obsession with Spirituality". Pastoral Psychology. 50 (4). Springer Netherlands: 291–315. doi:10.1023/A:1014074130084. Retrieved 2008-03-24.{{cite journal}}: CS1 maint: date and year (link)
  2. ^ "Depression". The Columbia Electronic Encyclopedia. Columbia University Press. 2007. Retrieved 2008-03-24.
  3. ^ Nowack, W.J. (2006-08-29). "Psychiatric Disorders Associated With Epilepsy". eMedicine Specialities. WebMD. Retrieved 2008-03-24.
  4. ^ Beck, D.A. (2007). "Psychiatric Disorders due to General Medical Conditions" (PDF). Department of Psychiatry, University of Missouri-Columbia. Retrieved 2008-03-24.
  5. ^ DSM-IV & DSM-IV-TR:Substance Dependence