Track Nation Next on Social Media

Uncategorized

Psychiatrist Dr Neha Bhave Salankar on whether addiction is an illness or choice

Addiction is defined as the ongoing use of mood-altering substances or activity, such as alcohol and drugs, despite adverse consequences.
Dr Neha Bhave Salankar

Dr Neha Bhave Salankar is an MD in Psychiatry, who works as a Consultant Psychiatrist in Nagpur. Read what Neha has to say about addiction – whether it’s an illness or it happens by choice?

Addiction is defined as the ongoing use of mood-altering substances or activity, such as alcohol and drugs, despite adverse consequences. The inherent tendency in most of us is to negatively judge a person who is suffering from any addiction. Our judgement implies, we believe there is an element of voluntariness in the condition.

So what causes addiction?

A percentage of the population has a biological predisposition to addictive behaviours; factors like genes, early-life experiences, such as isolation or abuse, certain personality problems, such as impulsivity and poor coping skills can contribute to a predisposition to addiction. However, a predisposition alone is generally not enough to cause the disease. Often, a person is influenced by social factors, such as peers, societal and familial norms and associated psychiatric problems (e.g. presence of anxiety, depression).

Addiction is ?disease-like? in the sense that it persists even though its costs outweigh the benefits. Studies have repeatedly demonstrated a genetic predisposition for addiction. The idea is that if genes influence an activity, then it can’t be voluntary. Drug-induced brain changes are also an evidence in this direction. The fundamental assumption is that individuals make choices that are in their best interests. Since addiction is self-destructive, the logical implication is that addicts cannot be voluntarily choosing to use drugs. Since the symptoms of diseases are involuntary, then addiction must be a disease.

However, there is another school of thought, which believes that addiction is voluntary. Society commonly believes that we all possess free will, and that human behaviours arise out of it. But do we really possess free will? Looking at things from a scientific perspective, our behaviours arise out of a complex interplay between our genes, our early childhood environment and our present environment.

The former two are clearly beyond our control, and the last one, arguably, too is beyond us, as it is largely determined by the earlier two. So, if the predisposing factors of our behaviour are beyond us, clearly, the resultant behaviour too has to be beyond control. In fact, this very concept forms the bedrock of the medical model? of addictions, i.e. addictions are ?illnesses, and that an addict needs empathetic handling, not unlike a person with a physical disease.

I am reminded of a learned patient of mine, who, albeit in an inebriated state, had said to me, Doctor, I am not a bad man. I am a weak man. I couldn’t agree more.

The ideas and information expressed are solely by the columnist and not by Nation Next.

Also read: Psychiatrist Dr Neha Bhave Salankar on domestic abuse, effect on mental health and more

Continue Reading
Click to comment
Subscribe
Notify of
guest
0 Comments
Inline Feedbacks
View all comments

Remembrance

The BR Ambedkar you didn’t know… | BR Ambedkar facts | BR Ambedkar history

Published

on

By

Suyash Sethiya | Nagpur

Mahaparinirvan Din 2022 is marked as the death anniversary of Dr Bhimrao Ambedkar on December 6. He eradicated untouchability and promoted gender equality in India. Watch to know more about him.

6 दिसंबर 1956 में डॉ. बाबासाहेब आंबेडकर का परिनिर्वाण हुआ था. आज मुंबई के चैत्यभूमि जहां उनका परिनिर्वाण place है वहां पर पूरे india से उनके दर्शन और उनको श्रद्धांजलि देने के लिए हजारों की तादाद में उनके followers पहुंचते है. 14 October 1956 को नागपुर के दीक्षाभूमि में लाखों लोगों को बौद्ध धम्म की दीक्षा देने के डेढ़ महीने बाद ही उनका परिनिर्वाण हुआ था. आज हम बाबासाहेब के उन rights की बात करेंगे, जो women को दिए गए है.

बाबासाहेब ने India में ऐसा revolution किया, जिसके कारण सैकड़ों सालों की ग़ुलामी और छुआछूत से backward classes के लोगों को मुक्ति मिली. बाबासाहेब के इस revolution को इतिहास में सबसे बड़े revolution में से एक माना जाता है. उन्होंने सभी के लिए equality की बात कही और सभी को समान rights constitution में दिए. बाबासाहेब ने women empowerment की बात सबसे पहले कही थी.महिलाओं को कानूनी रूप से अधिकार दिलाने और खासकर ancestral property में हिस्सा देने की बात बाबा साहेब आंबेडकर ने ही की थी.

बाबा साहब ने Constitution में तीन major बातें liberty, equality और fraternity की बात की, जिसमें उन्होंने fraternity को सबसे अहम माना. बाबा साहब भारत की तमाम महिलाओं के liberator
हैं. लेकिन अफसोस इस बात का है कि आंबेडकर को कई classes की महिलाएं ही अपना नहीं मानती हैं. बाबासाहेब ने अपने life में सभी articles के माध्यम से womens की problems को पुरज़ोर तरीके से उठाया था .Riddle of Women, women and counter-revolution, rise and fall of Hindu woman ऐसे कई articles बाबासाहेब ने समय–समय पर लिखे थे. हिन्दू कोड बिल की मांग को महिलाएं कैसे भूल सकती हैं, जिसके ना लागू होने के कारण बाबा साहब अपने मंत्री पद तक को छोड़ देते हैं. बाबासाहेब कहते हैं “मैं किसी भी समाज की तरक्की उस समाज की महिलाओ की तरक्की में देखता हुं.“ जिस समय india में लड़कियों को पढ़ाना भी गलत समझा जाता था और बेटों को ही पढ़ाया जाता था, उस समय कई बड़े -बड़े नेता भी लड़कियों को education और property देने के विरोध में थे. उस दौरान बाबासाहेब लड़कियों को बेटों की तरह ही पढ़ाने और कम उम्र में लड़कियों की शादी न करने की बात अपने articles में कहते थे. बाबासाहेब ने sc,st , obc सभी को अधिकार दिए, freedom of speech उन्हीं की देन है.

नागपुर और मुंबई से उनके followers का ख़ास रिश्ता रहा है और दोनों ही जगहों से लोग emotionally जुड़े हुए है. नागपुर जहां उन्होंने बौद्ध धम्म की दीक्षा ली और मुंबई जहां बाबासाहब ने अपनी अंतिम सांस ली. आज के दिन मुंबई के चैत्यभूमि में मायें अपने छोटे बच्चों को गोद में उठाकर, जिन बुजुर्गो को चलना नहीं होता है, वे अपने बच्चों के कंधे पर हाथ रखकर, बुजुर्ग महिलाएं हाथ में लकड़ी के सहारे सभी बाबासाहेब के दर्शन करने मुंबई पहुंचते है.

Nation Next की तरफ से बाबासाहेब के परिनिर्वाण दिन पर उन्हें भावपूर्ण श्रद्धांजलि

Script by – Shamanand Tayde

Also Watch: VIDEO: Rahul Gandhi blows kisses at BJP office during Bharat Jodo Yatra

Continue Reading

Politics

VIDEO: Rahul Gandhi blows kisses at BJP office during Bharat Jodo Yatra

Published

on

By

Avani Arya | Nagpur

Congress leader Rahul Gandhi on December 6 morning during Bharat Jodo Yatra made headlines when he gave flying kisses to people at the BJP Jhalawar office’s rooftop who wanted to catch a glimpse of the march. 

Bharat Jodo Yatra is passing through Rajasthan now, it resumed from Khel Sankul and crossed Jhalawar city in the morning.

Just a day ago, Rahul Gandhi targeted opposition BJP and RSS, asking why they were not chanting ‘Jai Siyaram’ and ‘Hey Ram’.

Rajasthan CM Ashok Gehlot, Former Deputy CM Sachin Pilot, Pradesh Congress Committee Chief Govind Singh Dotasra, and several MLAs are accompanying Gandhi on the yatra.

Also Read: ‘Maharashtra government responsive towards issues of traders,’ assures Eknath Shinde

Continue Reading

Nagpur News

Vidarbha’s 1st LGBTQI+ community-integrated HIV clinic opens in Nagpur

Published

on

By

Avani Arya | Photographer : Nitin Mankar | Nagpur

SAHYOG – LGBTQI+ community-integrated HIV clinic in Nagpur

Vidarbha’s first LGBTQI+ community-integrated HIV clinic ‘SAHYOG’ was inaugurated in Nagpur’s Mohan Nagar area on December 5. Sarathi trust and Humsafar trust came together for the needful. Sony Pictures Networks India also supported the event. Nation Next brings you some exclusive photos from the opening.

Also Read: Wine connoisseurs come together at Wine and Food Festival 2022 in Nagpur

Continue Reading
0
Would love your thoughts, please comment.x
()
x