TO WHAT EXTENT HAS THE DEPENDENCE ON ALCOHOL AND DRUGS AS A FORM OF “SELF-MEDICATION” CAUSED MORE HA

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TOWHATEXTENTHASTHEDEPENDENCEONALCOHOL ANDDRUGSASAFORMOF“SELF-MEDICATION”CAUSED MOREHARMTHANHEALINGWHENRECOVERINGFROM CHILDHOODTRAUMA?'

Impact&ResearchFellowshipProgram,HarvardStudentAgencies.IncollaborationwithLearnwithLeaders.

ABSTRACT

The harmful impact of alcohol or drugs dependency on an individual's physiological, sociological, and mental state is highly recognized and common knowledge withintoday'ssociety;thus,itisreasonabletostartwiththepremise-onethatispopularlybelievedandwidelyproven-thatalcoholanddrugdependency,whichmore oftenthannotleadtoaddiction,ismuchmoredestructivethanitishelpful.Thisresearchaimstoexplore,evaluateandconcludetheimpactofalcoholanddrugreliance -comprehendingifdependinguponsubstancesthoroughlyharmsanindividualaffectedbychildhoodtraumaorifthereexistsanunderlyingneedthatexplainstheacts ofmanywhohavefallenintoit.Thispaperprimarilyexaminestheeffectsofdrugsandalcoholsubstantiallythroughcomparisonsestablishedbythestatisticaland analyticalstudiesthatwereundertakenwhiletakingintoaccountkeyvariables.Oneprominentvariableisaccessibility Understandingtheextenttowhichthisorother formsofrecoverymethodsareaccessiblewithinagivenscenarioiscrucialwhendecidingwhetheralcoholordrugdependencyistheonlyor,insomecases,thebest stepthatanindividualcantaketorelievetherepercussionsofchildhoodtrauma.Furtherhighlightingtheunderstandingofhowtraumacanmakeonefeelphysically andemotionallyunsafeanditsparalyzinglong-termrepercussions,causingindividualswithlittletonochoicebuttoself-medicatethroughalcoholanddrugstofind emotionalsupport.Inabroadercontext,thispaperisconstructedtofurtherexplorethecorrelationbetweenchildhoodtraumaanddrugoralcoholdependencies,witha potentialcause-effectrelationship.Statistically,morethanathirdofyoungchildrenwithreportsofmaltreatmentorneglectwillestablishadrugoralcoholdependence beforeturning18yearsold.

KEYWORDS:Alcohol,drugreliance,accessibility,trauma,dependency,self-medication.

INTRODUCTION

This paper attempts to understand the depth of outcomes of using alcohol and drugswithinindividualswhohaveexperiencedtraumaasachild-thebadand the good (Time Magazine, 2018). It is reported that 55 to 60 % of all PTSD patients develop heavy drug reliance, a claim supported by theAmerican PsychologicalAssociation(APA).Basedonthisstatistic,itisreasonabletoquestion theplausibleexistenceofacorrelationbetweensubstancedependencyandpast trauma.Inspectingthisplausibilityisacrucialelementtocomprehendthestands androleofalcoholanddrugsintoday'ssociety,whichisrequiredtoassurethe aspectofitspracticality Whatishopedtoachievethroughestablishingthiscomprehensionistodiscernbetweenthe'needs'andthe'wants'ofindividuals,andas long as these substances are still within an individual's 'needs', one cannot say thatitisentirelyharmful.

Theimportanceofansweringthisquestionistodiscovertheproperapproachwe must take when handling substance dependency on individuals suffering from the repercussions of childhood trauma, we must face it with consideration and comprehension,byprovingthatthesesubstanceshavetheirplaceinthissociety andthereisarealreasonwhypeoplefallintodependency Thispaperattemptsto presenttoitsreadershowindividualswithchildhoodtraumamustbemet. The endgoalistotreatindividualswhousethesesubstancesnotwithjudgmentand ignorance,butthroughthecomprehensionthattheyarethevictimsoftheircircumstances.Thisresearchwillprimarilybedonethroughtheevaluationofvarious relevant secondary sources, in the forms of quantitative figures that are derived and delved deeper by experts, which were published under legitimate andtrustedinstitutions.

Methodology

Thequestion,atitscore,seekstoacknowledgethattheseindividualswereoften leftwithoutachoice.Delvingdeeperintotheircircumstance,onecanobservethe absenceofalternatives;thus,assessingtheroleandextenttowhichalcoholand drugsaffectourpeople'slivesisimperative.Perhaps,itplaysacrucialrolethatis yet to be replaced. We first observe the lifelong and day-to-day challenges of traumafacedbytheseindividualswhichwillenableustounderstandthegravity of the issue of trauma. Next, it is important to acquire a comprehension of the effectofsubstanceusewithoutconsideringitsexternalfactors.Thesideeffects ofsubstanceusewithinitsusers'livesmustbeobservedobjectively Afterunderstandingthis,acomparisonisgainedbyinspectingtheavailablealternativesand thecausationbehindchoosingalcoholanddrugs.Understandingthiswillassist individualsingainingaclearerviewofdrugsandalcohol'sstanceintoday'ssociety Inthediscussion,theplaceofsubstancesintoday'ssocietyareobserved-ifit doesprovidesomethingsubstantial,suchascomfort,thentheirexistenceisunfavorable,butstillneededintoday'ssociety Analternativetothisoptionshouldbe explored.Thepaperisconcludedwithviewofdrugsandalcoholintoday'ssociety,andultimatelyanswerthequestion,'Towhatextenthasthedependenceon alcoholanddrugsasaformof"self-medication"causedmoreharmthanhealing whenrecoveringfromchildhoodtrauma?'.

Result

Childhood trauma may result from abuse, neglect, or disturbing altercations fromanindividual'schildhood.Itis,firstandforemost,importanttocomprehend thetermchildhoodtrauma.Traumaspringsfrompastexperiences-inthiscase, fromchildhood-buttraumaitselfisaformofmanifestation;itiswhatblossoms from within an individual, which is to be discerned from the experience itself. (Kolk, 2021)An experience may be traumatic, but trauma is the byproduct of one'sresponsetoatraumaticexperience.Thedevelopmentoftraumawithinan individual arises from the disconnection of an individual's conscience towards theirownemotionsandphysiologicalstate,makingitdifficulttobeinthepresent moment and perceive the present moment as it is. The world, themselves, and otherpeoplewillappeargrimandunwelcoming,andtheywilldevelopanegativeviewofmostthings,creatingadefensivebubblethatdetachesthemfromthe restoftheworld(Mate,2022).Additionally,achild'sbraindevelopsatamuch faster pace, resulting in their brain being significantly more sensitive towards theirenvironment;whattheyundergoasachildusuallywirestheirbrainlongtermandbecomesthebuildingblocksofhowtheyperceivetheworldasanadult. Childhood trauma will affect an individual's day-to-day activities and significantlyimpairtheiroveralllong-termqualityoflife.

Childhoodtraumaismoreprevalentthanistraditionallybelieved,anditsrepercussions on emerging adulthood and older teenagers operating go beyond just post-traumatic stress, depression, and anxiety (William E. Copeland, 2018). Mostchildrenencounteritatsomepoint;bythetimetheyare16yearsold,most have all experienced at least one trauma. Research has shown that childhood traumaincreasestheriskofotherfuturementalhealthissues,calledlatentvulnerability-latentvulnerabilityreferstothewayinwhichneurocognitiveandbiological systems adapt to early adverse environments in ways that may confer short-termfunctionaladvantages,butincreasethefutureriskofpoorpsychiatric outcome (McCory Et al., 2017). In these patterns of adaptations, one example beinghypervigilance,anindividualisunabletoreadsocialcues,whichresultsin difficultiesmaintainingrelationships,andtheylosethesupporttheyneedfrom others-aprocesscalledsocialthinning.

Secondly,itisimportanttounderstandthedefinitionofdevelopingdependency, as it is to be told that dependence, although it may lead to addiction, does not alwaysresultinoneapartfromaddiction.Similarly,anindividualsufferingfrom addictiondoesnotalwayssufferfromdependence.Addictionisthehabitthatis manifested- it is a pattern of behavior; on the contrary, when an individual is dependent, they experience physiological or psychological withdrawal symptoms with the stop usage (Nick, 2021). Although it is distinct, it is extremely important to note that one often leads to the other and that both are extremely harmfulwithlong-termeffectsthatcanbefatal.However,whatmustbeunderstood is that dependencies on drugs and alcohol, which serve to alleviate the repercussionsofchildhoodtrauma,aremerelyanattempttosolvetheproblem. The true problem at hand is the consequences brought about by childhood trauma.Thelossofselfistheessenceoftrauma;thus,recoveringandhealingby reconnecting with one's emotions and body is our true aim and the purpose of

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Research Paper Psychology E-ISSN No : 2454-9916 | Volume : 9 | Issue : 4 | April 2023
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mentalhealthandaddictiontreatmentcenters.(Mate,2021)

The constant and uncontrolled usage of substances may lead to physiological sideeffectssuchasabdominalpain,weightloss,liverfailure,stroke,andbrain damage.Drugsandalcoholleadtochangesinbrainsignals,causingpsychologicalshifts.Thiswillaffecttheirsocialstandings,astheusageofsubstancesoften leadstorecklessandevenviolentbehaviorsthatwillaffectpeoplearoundthem. There are enough grounds to conclude that these substances should be limited andusedwithprofessionalguidance.Infact,therearesignificantlybetteralternatives-onesthatareproveneffective-investigatedbytheleadingpsychiatrist. Aside from psychotherapy, and talking to mental health providers such as psychologists or psychiatrists, a unique way to handle trauma is through EMDR, Neural feedback. Psychedelics. Yoga and theater are also known to be useful waystoreconnectwithoneself,thus,isamethodworthtrying.Thequestionis, whydosubstanceusesremainprevalentintraumasurvivors,despitethedifferent choices that exist? Awareness is one crucial factor Sometimes, it causes uncontrolleddependencyonchemicalsbecauseindividualsarenotinformedof their mental state, and with that, they fail to understand that other courses of actionexistfortheircondition.Theotherfactisthatthesealternativesaretimeconsuming,and,forthemostpart,comewithaprice.Thisrestrictsitsaccessibility-meaningitisnotthatindividualsrefusetobebetter-somesimplydonothave theprivilegeto.Theymayliveinpovertyfilledwithdailyhardship,whichleaves themwithnochoice.Theyaredeprivedoftimeandmoney Hence,formany,itis aninevitability,notachoice.

Discussion

An analysis that examined people who had endured abuse revealed that it promptedregular,extraordinarilyhighdegreesofstress,whichhampershealthy brain development. Prolonged stress brought on by repeated trauma triggered physiological stress reactions that, with age, disrupted the internal structure of the sensory organs and may make more people who encountered traumatic events as children more susceptible to substance misuse disorders. (Dane O'Leary,2021)Manyofthosewhoareinvariablyunabletoobtainadequatetreatments, such as therapy and medications, begin using alcohol or other drugs to self-medicate.(CarolinaCenterforRecovery,2021)Ironically,thosewhoinflict childhoodtraumaexperiencelowself-worth,makingthemfeeltheyarenotentitledtoadditionalhelp.Theirpropensitytoutilizemedicinesforself-medication issubsequentlyenhancedbythis.Thetruthofthematteristhatalcoholintakeor usingdrugsisstillsociallyaccepted,asaresult,manypeoplewhoareexposedto traumaaschildrenareenabledtogrowheavilyreliantonaddictivechemicals.

The lack of access to supportive resources pushes individuals to find solace in substances.Thefactthatsubstancesprovidethepeacethattheystriveforshows that within a desperate situation, drugs and alcohol still remains as a source of reliefthatenablesanindividualtocopeandfunctionwithintheirday-to-daylives wheretheyaredemanded.Withinminutesofexposuretoatraumaticevent,there isanincreaseinthelevelofendorphinsinthebrain-atthetimeofthetraumaendorphinlevelsremainelevatedandhelpnumbtheemotionalandphysicalpain of the trauma, but this will gradually decrease, which may lead to a period of endorphinwithdrawalthatcanlastfromhourstodays,andbecausealcoholuse increasesendorphinactivity,drinkingfollowingtraumamaybeusedtocompensateforthisendorphinwithdrawalandthusavoidtheassociatedemotionaldistress.(Volpicellietal.,1999)Thus,onemustaskoneselfifanindividualwhoisin somuchpaincantrulycopeandlivethroughthedaywithoutalcoholanddrugs, assubstancesdomakelivingabitmorebearable,evenifitistemporary

TABLE 1:GREENINITIATIVESINTHEAREAOFWATERMANAGEMENT

towardsanindividuals'livestoalargeextent.Wemust,however,beabletodistinguishthattheblamedoesnotlieontheindividuals,astheytooarethevictims oftheirownacts.Whatmustbeimprovedattheendofthedaytoreducereliance ondrugsandalcoholisprovidinghelp.Implementingproperinstitutionswhich canaidtheminturningtheirlivesforthebetter

REFERENCES

1. WidomCS,Hiller-SturmhöfelS.“Alcoholabuseasariskfactorforandconsequence ofchildabuse.”AlcoholResHealth.2001.2001;25(1):52–57.NIH.

2. Addiction&MentalHealthTreatmentinWesternPennsylvania,“TheLinkBetween ChildhoodTraumaAndAddictionInAdulthood”,Silvermist,2018.

3. BesselvanderKolk,Ph.D.“Whatistrauma?”,BigThink,2021.

4. GaborMate,Ph.D.“HowChildhoodTraumaLeadstoAddiction”,AfterSkool,2021.

5. William E. Copeland, “Traumatic Events and Posttraumatic Stress in Childhood”. PubMed,2007.

6. McCory Et al., “Autobiographical memory: a candidate latent vulnerability mechanismforpsychiatricdisorderfollowingchildhoodmaltreatment”,NIH,2017.

7. Nick,“What'sTheDifferenceBetweenDependenceandAddiction?”,June2021.

8. DaneO'Leary,“Theunfortunateconnectionbetweenchildhoodtraumaandaddiction inadulthood.”,OldVineyard,2023.

9. Carolina Center for Recovery, “How Does Childhood Trauma Lead toAddiction?”, October2021.

10. Volpicelli J, Balaraman G, Hahn J, Wallace H, Bux D. “The role of uncontrollable trauma in the development of PTSD and alcohol addiction.” Alcohol Res Health. 1999;23(4):256-62.PMID:10890822;PMCID:PMC6760386.

However,withoututilizingitreasonablyandresponsibly,substancedependence canleadtonumeroussocialandeconomicissuesforthepersonandtheircommunity, but the implementation of resources to support individuals' mental health mayprovetobedifficult,especiallywithinthedevelopingcountries,whereitis leastimplemented.Therearesocioeconomicproblemswithmoreurgencythan the issue of mental health, they are much more essential, but at the same time, they are much more apparent. This can be due to the hidden nature of mental health issues. In the end, they are extremely prevalent but difficult to quantify Implementingthesefacilitiescanbeespeciallydifficultifthecultureornormdiscouragesit,justasthetopicofmentalwell-beingtendstobe'taboo'fortheolder generationgrowingup.Whatonemustaskoneselfisifanindividualwhoisinso muchpaincancopewithoutalcoholanddrugsoriftheyuseitbecauseit'exists'. There is no inherent 'bad' to alcohol and drugs, they provide certain levels of solaceandpeace,thetendencytomisusethesesubstancesiswhatinitiatesnegativerepercussionsandpeoplewhoexperiencetheeffectsofchildhoodtraumaare especiallyvulnerabletomisusethesesubstances. Alcoholanddrugscanremain necessarytothegeneralpublicandalthoughtheycanaccusenoharmiftheyare usedwithcontrol,theriskofdependencyandthusdevelopinganaddictionisnot worthtaking,beingespeciallyvulnerabletodependency

Conclusion

It has been understood that the existence of this substance in our society is not withoutuse,themainissueliesmainlyinusage.Acontrolledandresponsibleuse of drugs and alcohol will not significantly harm. However, individuals with a background of childhood trauma are extremely vulnerable to using these substancesirresponsibly,forthem,itmayprovedifficulttodrawthelinesbetween usingwhatis'pleasant'andbeingdependent,andthus,althoughtheusageofsubstances such as alcohol and drugs are still common practice, it causes harm

Research Paper E-ISSN No : 2454-9916 | Volume : 9 | Issue : 4 | April 2023
17 InternationalEducation&ResearchJournal[IERJ]

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