Addiction

Dependence syndrome

Nature

Addiction is the physiological and/or emotional dependence upon a substance, an activity, or a modus operandi that is so strong as to have a harmful physical and/or emotional effect, and which keeps the individual from dealing effectively with his own life and with interactions with society. The addict often loses his power of self-control and his behaviour becomes determined by the source of his addiction and increasingly inconsistent with his personal values, leading him to become more compulsive and obsessive.

Some people say that addiction is a disease. Some say it's a chemical dependency. Some say it's just a question of the wrong mindset. Some say it's lack of willpower/self discipline. Some say it's the brain's attempt to make up for a neurochemical deficiency. They are all right, to various degrees, depending on the person/situation/substance.

The two main types of additions are (a) substance addictions (ingestive addictions) which are addictions to substances that are almost always mood-altering and lead to increasing physical dependence (alcohol, drugs, nicotine, caffeine, food); and (b) process addictions (almost any specific set of actions or interactions can be an addictive agent, for example gambling, accumulating money, sex, work, religion and worry).

Manifestations of addition as individual dependency relationships are: alcoholism, drug addiction, eating disorders, sexual and gambling addictions. Addictions also manifest as symptoms of mental ill health, in conditions such as manic depression, obsessive-compulsive disorders, narcissistic personality and phobias. Addiction on the interpersonal plane may be expressed as dependent relationships (co-dependency), such as marriages where one partner cannot function without the other. On the systemic plane, addictive behaviour may be expressed through compulsive overwork and careerism, or dysfunctional and rigid families, where people have lost true self-determination and effectively become zombies addicted to serving societal norms rather than in touch with, and acting on their own true needs, feelings and values.

Background

The capacity to find therapeutic interventions will be greatly enhanced by our ability to understand neural mechanisms of (1) the brain state prior to engagement of self-destructive behavior, and (2) pharmacotherapies (and even psychotherapies) directed at specific conditions.

Incidence

Addiction affects hundreds of millions globally, with the World Health Organization estimating over 35 million people suffer from drug use disorders alone. The problem spans substances such as alcohol, opioids, and stimulants, as well as behavioral addictions like gambling and internet use. Incidence rates are rising in both developed and developing countries, straining healthcare systems and contributing to social and economic instability. The opioid crisis, in particular, has led to significant increases in overdose deaths worldwide.
In 2023, the United States reported over 100,000 drug overdose deaths, primarily driven by synthetic opioids like fentanyl. This surge has overwhelmed emergency services and highlighted the persistent, evolving nature of addiction.

Claim

The system in which we live is an addictive system. It has all the characteristics and exhibits all the processes of the individual alcoholic or addict. It functions in precisely the same ways, demonstrating the typical addictive behaviours of denial, projection and blame used as defence mechanisms, dishonesty, crisis orientation, confusion and forgetfulness, depression, fear and negativism, ethical deterioration, frozen feelings, tunnel vision and judgmentalism. It calls forth addictive behaviours in susceptible individuals (e.g. addiction to materialism). The promise of an addictive system is that it is possible to have everything we want and need as long as we accept and conform to the system. The promise of an addictive system is that things are going to get better. In the same way as any individual addict, the addictive system engenders and supports co-dependency in all citizens as a positive way to function within it, producing such pathological social diseases as despairing individualism, institutionalized deception, 'chic' nihilism, 'keeping up appearances', escaping reality through popular psychological frameworks, and so on. The awareness that society has an addictive disease is what is missing from other explanations and treatments of the problems we are facing today.

Counter-claim

Frankly, the concern over addiction is vastly overblown. People have always had habits, and labeling them as “addictions” just creates unnecessary panic. Most individuals manage their lives perfectly well, regardless of their so-called “vices.” Society wastes resources exaggerating this issue instead of focusing on real problems. The obsession with addiction is more about control and moralizing than genuine harm. It’s simply not the critical crisis it’s made out to be.