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Addictive Behaviours

Social psychological explanations: Co-morbidity with mental and Peer pressure

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Key term

What is meant by co-morbidity in addiction?

Key term

Give an example that fits the self-medication account.

Key term

Name three competing explanations for the co-occurrence of addiction and mental illness.

Questions from this subtopic

Each one with the model answer underneath.

  1. 1

    What is meant by co-morbidity in addiction?

    Model answer

    The presence of an addiction alongside another mental health condition in the same person, a combination often called dual diagnosis.

  2. 2

    State the self-medication hypothesis.

    Model answer

    Khantzian's proposal that people use particular substances, not always consciously, to relieve the specific symptoms of an underlying problem such as anxiety, depression or trauma.

  3. 3

    Give an example that fits the self-medication account.

    Model answer

    Someone with social anxiety drinks before social occasions because alcohol dampens the anxiety, and comes to need it in order to face them at all.

  4. 4

    Name three competing explanations for the co-occurrence of addiction and mental illness.

    Model answer

    Self-medication of an existing disorder, the substance itself causing or unmasking the disorder, and a shared underlying vulnerability such as trauma producing both.

  5. 5

    Why is smoking so much more common among people with schizophrenia?

    Model answer

    Suggested reasons include self-medication of symptoms and of drug side effects, alongside the historically permissive smoking culture of psychiatric institutions; the causal direction remains disputed.

  6. 6

    In what sense is co-morbidity a social explanation rather than purely a clinical one?

    Model answer

    Because mental illness brings stigma, unemployment, isolation and poor housing, and those social consequences shape both the opportunity and the motive to use.

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