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International Research Compendium - Drug Free Australia

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much more pure than it used to be, snorting it has become an effective and popular<br />

route of administration.<br />

Snorted ( powder )cocaine is not nearly as reinforcing ( and thus addictive ) as<br />

smoked ( crack ) cocaine, simply because smoking can deliver a much larger amount<br />

of cocaine to the brain more rapidly than snorting. The rush ( the mood change ) that<br />

results from smoked cocaine is much more profound that that induced by snorting.<br />

<strong>Drug</strong> continuation rates are highest for drugs that are more tolerated. ( from highest<br />

to lowest continuation rates: alcohol, cigarettes, marijuana and cocaine. )<br />

Continuation rates, like levels of drug use within the society, reflects primarily the<br />

environment in which drug use occurs rather than any pharmacological property of<br />

the drug.<br />

The development of addiction: Multiple factors are into play<br />

The reasons for drug addiction are a combination of the factors of heredity,<br />

environment , the use of psychoactive drugs and the personality of the individual.<br />

Because individual personalities, heredity, physiology and lifestyles vary, each<br />

person’s resistance or susceptibility to drug use also varies.<br />

The drug user with a higher biological predisposition for addiction likes the (initial)<br />

drug high(s) more than do users who lack this heightened risk. The more important<br />

the use of drugs is to anyone, the more rewarding the drug experience, the greater<br />

the risk of addiction. In contrast, many people who fool around with drugs and then<br />

drop them, without ever progressing to having a love affair with drug use, say that the<br />

drugs did little or nothing for them. Although it is not possible at this time to test for<br />

genetic trait associated with addiction, it is possible to determine just how much the<br />

use of the addictive substance means to the person using it by asking the person.<br />

Diversity of risk does not mean that some people are vulnerable to addiction and<br />

others are not, but it does mean that some people are relatively more vulnerable than<br />

others. A person who starts with a low inherited susceptibility and low environmental<br />

stress might need intense use of drugs to push him/her into addiction. The greater<br />

the environmental stress, the fewer drugs are needed to develop addiction. But<br />

everyone can become addicted to drugs if they repeat the experience of drug reward<br />

often enough!!<br />

Environmental change can trigger loss of control of drug use<br />

When a person uses a substance for a long period of time without loss of control and<br />

then later looses control of drug use, there may have been an environmental change<br />

that shifted drug use from benign to malignant. The change in the user’s life triggered<br />

the previously latent progression of the disease of addiction. The pressures and<br />

influences of the environment actually shape and connect nerve cells. The stronger<br />

the environmental influences and the more they are repeated, the more indelible the<br />

imprinting on the brain. These influences include physical/emotional/sexual abuse<br />

during adolescence, poor nutrition, or social attitudes that permit drug use.<br />

People can also become more susceptible to use drugs if society tells them in word<br />

and deed that drinking, smoking and using drugs is a normal part of life.<br />

The environment can make a person more liable to use and abuse psychoactive<br />

substances:<br />

-If stress is common in the home.<br />

5

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