The Chemical Dependence is a set of phenomena that involve the behavior, the cognition and the consequent corporal physiology to the repeated consumption of a psychoactive substance, associated to the strong desire to use this substance, together with difficulty in controlling its persistent use although its harmful consequences. In the dependence generally it has partner-occupational priority to the use of the drug in detriment of other activities and obligations. The tolerance is the first criterion related to the dependence. Tolerance is the necessity of increasing amounts of the substance to reach the desired effect or, when the dose is not increased, it is also understood as a effect acentuadamente diminished with the continued use of the same amount of the substance. The degree where the tolerance if develops varies immensely between substances. A standard of repeated use of the substance exists that generally results in tolerance, abstinence and compulsory behavior of consumption of the drug. A diagnosis of Substance Dependence can be applied to any substance classroom. The dependence symptoms are similar between some substances, varying in the amount and gravity of such symptoms between one and another drug. Decurrent the psychic and social symptoms of the dependence of the tobacco, for example, are absolutely lesser of what those of the dependence to the alcohol. ” is called; fissura” the strong subjective impulse or uncontrollable compulsion to use the substance. Although specifically it is not related as a criterion, the “fiction” tends to be tried by the majority of the individuals with Substance Dependence (if not for all). The dependence is defined as a grouping of the three or more than related symptoms ahead, occurring at any time, in the same period of 12 months. The individuals with use heavy of opióides and stimulants can develop the most serious levels of tolerance, for example, as more amount after some time was needed ten times. Frequently these dosages of the tolerance would be lethal for a person not-user. Many smokers consume 20 cigarettes per day more than, an amount that would have produced symptoms of toxicidade for a person who is starting to smoke. The individuals with marijuana use heavy in general do not have conscience of that they had developed tolerance, even so this have been wide demonstrated in studies with animals and some individuals. The tolerance can be difficult to determine with base only in the estória offered for the person, however, the laboratoriais tests finishes showing high sanguine levels of that substance, together with few evidences of poisoning, what it suggests a probable tolerance strong.
Criteria for Substance Dependence
An badly-adapt standard of substance use, leading the damage or clinically significant suffering, revealed for three (or more) of the following criteria, occurring at any time in the same period of 12 months: (1) tolerance, defined for any one of the following aspects: (a) necessity of gradually bigger amounts of the substance to acquire the poisoning or desired effect (b) accented reduction of the effect with the continued use of the same amount of substance (2) abstinence, revealed for any of the following aspects: (a) syndrome of characteristic abstinence for the substance (b) the substance (or other narrowly related it) is consumed to alliviate or to prevent abstinence symptoms (3) the substance frequently is consumed in bigger amounts or by a longer period of what the intended one (4) a persistent desire or efforts badly-succeeded in the direction exists to reduce or to control the use of the substance (5) much time is expense in necessary activities for the attainment of the substance (for former., consultations the medical multiples or to make long trips of automobile), in the use of the substance (for former., to smoke in group) or in the recovery of its effect (6) important social, occupational or recreativas activities are abandoned or reduced in virtue of the use of the substance (7) the use of the substance continues, although the conscience to have a persistent or recurrent physical or psychological problem that tends to be caused or to be exacerbado by the substance (for former., current cocaine use, even so the individual recognizes that its depression is induced for it, or continued alcoholic beverage consumption, even so the individual recognizes that an ulcer got worse for the consumption of the alcohol)
The dependent can until expressing a persistent desire to reduce or to regulate the use of the substance, but reluta always in deciding to leave of time the substance. E frequently already must have had many frustrate attempts to diminish or to interrupt the use. The essential question, in fact, is in the failure of the dependent if to abstain to use the substance, although the evidences of the evil that it comes causing. In general the dependent dedicates to much time getting the substance, using it or recovering of its effect. In some cases of Substance Dependence, virtually all the activities of the person turn around the substance. The social, occupational or recreativas activities can seriously be harmed, abandoning or reducing in virtue of the dependence or sufficiently abusive use of the substance, and the dependent can move away itself from familiar activities in order to use the drug in secret or to pass more time with using friends of the substance. The first experiences with drugs occur, frequently, in the adolescence. Some works, including the World-wide Organization of Saúde (OMS) have evidenced the precocidade of the etária band of the beginning of the use of drugs, generally inside of the adolescence, between 10 and 19 years. Physiological, in the adolescence the rules costumam to be questioned and contested e, joining itself the fact of this being a time of experimentations, appears a bigger risk for the use of illicit drugs, alcohol and tobacco. However, happily, nor all the people who try drugs if become dependents, however, when it occurs, the chemical dependence is a complex illness, of long and nor always efficient treatment. When the causes for the chemical dependence are searched are always finished concluding to be this multidetermining, that is, multifactorial. Associates to the abusive use of drugs and chemical dependence exist some factors strong, as for example, genetic, psychological, familiar and social the factors. In general he seems that these factors do not costumam to act separately and yes in set. Existenciais causes attributed to the use of drugs Here we go to comment some partner-ambient influences in the use of drugs, that is, in the influences of the existential destination of the person on its behavior, thought and feeling. Family – Amongst the innumerable factors associates to the chemical dependence, the family, or, more necessarily, the attitudes of the family with educative intentions seem to be one fortíssimo factor of intervention and influence, mainly in relation to the prevention of the dependence. In this way, the familiar way can be an important element of protection or, in contrast, facilitation of the behaviors of risk, it abuse or of a possible dependence of drugs. According to Pons (1998), the main familiar factors of protection to the use of drugs if find in the established affective bows between its members, in the monitoramento of the activities and friendships of the adolescent, in the construction of scales of ethical values and in the stimulaton for adjusted social behaviors. Rebolledo, Ortega and Pillon (2004, cited for Broeker and Jou, 2007) had analyzed 2,829 students of both the sexos, with ages between 12 and 17 years, by means of the Test Drug Use Screening Inventory. The authors had evidenced that the familiar disfunção and the existence of previous emotional upheaval had been the correlated factors more to the biggest risk for the use of drugs. Some other researchers (Pechansky, Szobot and Scivoletto, equally cited for Broeker and Jou, 2007) had attributed to the absence of the father in the domicile of the adolescent a risk 22 times bigger possibility of the adolescent to be dependent of drugs, when compared with the adolescents who lived with both the parents. Without no doubt it is recognized universally that the paper of the parents and the familiar environment is marcante in the development of the children. The lack of support and familiar structure, as well as the behavior of risk or the use of drugs for the proper parents are facilitadoras attitudes to the use, abuse and dependence of the children. It is given credit, also, to have a relation enters the increase in the consumption of drugs and the changes suffered for the familiar structure in modernity. The entrance of the women for the market of work and, consequently, the proportional absence of its presence in the home without a doubt finished for conferring a new profile to the family. With this it can have had an increasing difficulty in the intensive accompaniment and the education of the children. Consummated this new familiar structure, together with the great increasing e number of conjugal separations, the educative models of the last generations had automatically been made impracticable and new models will have to be applied. As everything what he is new, ahead of the new educational model, where it more participates to each time the institutions and each time less the parents, a great apprehension exists and unreliability on which is, accurately, practical educative the desirable ones. They would be considered practical educative desirable sensitivity for the feelings of the children, the positive envolvement in the activities of the members of the family, the positive control of disciplines acquiring knowledge the objective of the rules and division of the taking of decisions. They would be considered practical educative undesirable the intromission, the control of the behavior through the guilt and of it disciplines through the authority, the avoidance of participation in the decisions. Evidently any researcher of common-sense will understand that the question separate parents or, mother not working outside or not, etc., etc., cannot have an absolute value in the way to act of the children. In medicine the causal relation demands a more multicriteria observance. If the question was so simple thus, all the children created in institutions and orphanages would be chemical dependents, sociopatas, prostitutes, delinquents and so on. Cultural model – Another existencial factor that can contribute for the search for drugs is in the cultural model. The culture, through the strong penetrating media in the thought of the human being contemporary, influences excessively in the elaboration of scales of values. The divulged image of users of drugs as interesting, glamorosas, successful people sexually, famous artists, some times with social and/or economic prominence surely influences in the concepts of certain-wrong of the young in formation. I appeal it to drink is absolutely undeniable in our society occidental person. It is not seen, socially, a person inviting to other “to go back in house to take one chazinho”, or to commemorate some success in a confectionery. Between the young, cause much queerness the person to refuse an alcoholic beverage cup alleging “I simply do not drink”. Possibly its image will be something arranhada, mainly for the opposing sex. Also it is not seen during noitada of entertainment, form some, a young alerting the other on the risks of the chemical dependence. Quite to the contrary; any normative attitude and of aconselhamento in this direction pejorativamente is had as inadequate, retrograde and annoying. Some ídolos of the artistic world died by overdose of some drug finish being until enaltecidos. The films on drugged biographies of great, some with strong sociopáticos traces are several, presenting them as people interessantíssimas, fascinating and meritosas. The value and social merit of the person in the society contemporary seem to be atrelados almost exclusively to its condition of production. The use of drugs can sufficiently be tolerated if the person will be a good pupil, a regular, successful worker economically, at last, will be itself somebody that conventionally is defined as “a success person”. But we do not have to forget that being “a success person” its behavior will serve as model for others as many people, “success not necessarily”. The Person – Now it comes a question capable to ruin any applied conclusive reasoning to the previous ones; the responsibility of the person in its proper destination. If it does not undeserve, of form some, the importance of the family and of the society in the development and the design of the person, however, the part most important of this come-the-being always continues being same it. Together with the investigativas research on the causalidade of the dependence, the research must be emphasized on the personality daily pay-mórbida of the dependent, on its emotional description, its psicopatológicos antecedents, on its genetic nature, at last, the research must the same value the dependent with enthusiasm that values the way. As she recommends well the existencialismo very, didactically displayed in Sartre, in fact the person does not have to be made responsible by what the destination made with it, but is total responsible for what it goes to make with what the destination made with it.
The Chemical Dependence is one of the more common mental upheavals, acometendo the most diverse etárias bands, however, more comumente initiated in the adolescence and youth. To consume drugs is one practical millenarian one and universal and it does not have society that it does not know some type of drug with the most diverse purposes. The adolescence is a stage of the development that excites great concerns how much to the consumption of drugs, mainly on account of the vulnerability to the all type of influence and frustrations. The causes of the dependence pparently are multiple, since genetic, cultural, until existential, the treatment is dificílimo and the damage in the personal life of the dependent is incalculable.