The 10 most important things known about addiction

Addiction. 2010 Jan;105(1):6-13. doi: 10.1111/j.1360-0443.2009.02673.x. Epub 2009 Aug 27.

Abstract

If you were asked: 'What are the most important things we know about addiction?' what would you say? This paper brings together a body of knowledge across multiple domains and arranged as a list of 10 things known about addiction, as a response to such a question. The 10 things are: (1) addiction is fundamentally about compulsive behaviour; (2) compulsive drug seeking is initiated outside of consciousness; (3) addiction is about 50% heritable and complexity abounds; (4) most people with addictions who present for help have other psychiatric problems as well; (5) addiction is a chronic relapsing disorder in the majority of people who present for help; (6) different psychotherapies appear to produce similar treatment outcomes; (7) 'come back when you're motivated' is no longer an acceptable therapeutic response; (8) the more individualized and broad-based the treatment a person with addiction receives, the better the outcome; (9) epiphanies are hard to manufacture; and (10) change takes time. The paper concludes with a call for unity between warring factions in the field to use the knowledge already known more effectively for the betterment of tangata whaiora (patients) suffering from addictive disorders.

MeSH terms

  • Alcoholics Anonymous
  • Attitude of Health Personnel
  • Compulsive Behavior / psychology
  • Diagnosis, Dual (Psychiatry)
  • Female
  • Genetic Predisposition to Disease
  • Humans
  • Life Style
  • Male
  • Mental Disorders / epidemiology*
  • Patient-Centered Care
  • Professional-Patient Relations
  • Psychotherapy
  • Randomized Controlled Trials as Topic
  • Recurrence
  • Substance-Related Disorders* / genetics
  • Substance-Related Disorders* / psychology
  • Substance-Related Disorders* / therapy
  • Treatment Outcome