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ACOMS+ 및 학술지 리포지터리 설명회

  • 한국과학기술정보연구원(KISTI) 서울분원 대회의실(별관 3층)
  • 2024년 07월 03일(수) 13:30
 

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중독, 그 미궁을 헤쳐 나가기

A way to overcome addiction, the modern dungeon

한국심리학회지: 건강 / The Korean Journal of Health Psychology, (P)1229-070X; (E)2713-9581
2007, v.12 no.4, pp.667-693
https://doi.org/10.17315/kjhp.2007.12.4.001
김교헌 (충남대학교)

초록

여러 개별 중독현상들에 걸쳐 있는 공통점에 주목하여 중독문제를 통합적인 관점에서 접근했다. 중독을 공식적으로 정의하고 의존(dependence) 대신 중독(addiction) 개념을 사용할 것을 제안했으며, 중독장애 범주에 포함될 수 있는 기존장애들에 대해 고려해 보았다. 중독의 발달원인을 보상 학습과 기억기제가 정상적인 조절을 이탈해서 행동에 대한 자기조절이 실패하는 것으로 조망하고, 이를 생물-심리-사회적 수준에서 설명해 보았다. 중독의 원인론을 중심으로 중독의 예방과 치료를 논의했으며, 중독의 치료에는, 중독의 원인에 기반을 둘 수 있는 예방과는 달리, 중독의 회복에 관한 변화이론이 필요함을 지적하였다. 장차 인류가 당면할 중독문제가 더욱 다양하고 심각해지리라고 예상하는 이유에 대해 논의하고, 이 문제에 효과적으로 대처하기 위해서 심리학의 자기조절 이론과 연구의 역할이 중요함을 강조했다.

keywords
addiction, self-regulation, cognitive neuroscience, bio-psycho-social model, 중독, 자기조절, 인지신경과학, 생물-심리-사회 모형

Abstract

A integrative approach was attempted to understand various addiction disorders. Addiction can be defined as a loss of self-regulation and substitute the dependence. Addiction can be understood as a syndrome with common genetic and psychosocial vulnerabilities, temporal stages, and neurobiological basis. Results of recent cognitive neuroscientific studies, which show underlying disregulatory neural mechanisms of learning and memory that under normal circumstances serve to shape survival behaviors related to pursuit of rewards and cues that predict them, were presented. Pathology, prevention and treatment of addiction were discussed at bio-psycho-social levels. A new model to explain changing processes from addiction to self-regulation are needed. Roles of psychology to overcome for new coming technological addiction was emphasized.

keywords
addiction, self-regulation, cognitive neuroscience, bio-psycho-social model, 중독, 자기조절, 인지신경과학, 생물-심리-사회 모형

참고문헌

1.

김교헌 (2002). 심리학적 관점에서 본 중독. 한국심리학회지: 건강, 7(2), 159-179.

2.

김교헌 (2006a). 중독과 자기조절: 인지신경과학적 접근. 한국심리학회지: 건강, 11(1), 63-105.

3.

김교헌 (2006b). 도박행동의 자기조절 모형. 한국심리학회지: 건강, 11(2), 243-274.

4.

김명숙 (2007). 율곡의 유기체적 관점과 Schwartz와 Russek의 시스템적 관점 비교. 충남대학교 대학원 박사학위 청구논문.

5.

Ajzen, I. (1991). The theory of planned behavior. Organizational Behavior and Human Decision Processes, 50, 179-211.

6.

American Psychiatric Association Committee on Nomenclature and Statistics (2000). Diagnostic and Statistical Manual of Mental Disorders, 4th ed, text revision. Washington, DC: American Psychiatric Association.

7.

Baumeister, R. F. (2002a). Ego depletion and self-control failure: An energy model of the self's executive function. Self and Identity, 1, 129-136.

8.

Baumeister, R. F. (2002b). Yielding to temptation: Self-control failure, impulsive purchasing, and consumer behavior. Journal of Consumer Research, 28, 670-676.

9.

Baumeister, R. F., & Heatherton, T. F. (1998). Self-regulation failure: An overview. Psychological Inquiry, 7, 1-15.

10.

Bechara, A., & Martin, E. (2004). Impaired decision making related working memory deficit in substance addicts. Neuropsychology, 18, 152-162.

11.

Cameron, L. D. (2003). Anxiety, cognition, and responses to health threats. In L. D. Carmeron & H. Leventhal (Eds.), The self-regulation of health and illness behavior. (pp. 157-183). London: Routledge.

12.

Cameron, L. D., & Leventhal, H. (2003). Self-regulation, health, and illness. In L. D. Carmeron and H. Leventhal (Eds.), The self-regulation of health and illness behavior. (pp. 1-13). London: Routledge.

13.

Chamber, R. A., & Potenza, M. N. (2003). Neurodevelopment, impulsivity and adolescent gambling. Journal of Gambling Studies, 19(1), 53-84.

14.

Everitt, B. J., & Robbins, T. W. (2005). Neural systems of reinforcement for drug addiction: From actions to habits to compulsion. Nature Neuroscience, 8(11), 1481-1489.

15.

Gupta, R., & Derevensky, J. L. (2000). Adolescents with gambling problem: From research to treatment. Journal of Gambling Studies, 16, 315-342.

16.

Heinrichs, S. C., & Koob, G. F. (2004). Corticotropin-releasing factor in brain: A role in activation, arousal and affect regulation. Journal of Pharmacology in Experiment and Therapy, 311, 427-440.

17.

Hollander, E., & Allen, A. (2006). Is compulsive buying a real disorder, and is it really compulsive? American Journal of Psychiatry, 163(10), 1670-1673.

18.

Kalivas, P. W., & Volkow, N. D. (2005). Neural basis of addiction: A pathology of motivation and choice. American Journal of Psychiatry, 162(8), 1403-1413.

19.

Kalivas, P. W., Volkow, N. D., & Seamans, J. (2005). Unmanageable motivation in addiction: A pathology in prefrontal-accumbens glutamate transmission. Neuron, 45, 647-650.

20.

Koob, G. F., & Le Moal, M. (2001). Drug addiction, dysregulation of reward and allostasis. Neuropsychopharmacology, 22, 97-129.

21.

Koob, G. F., & Le Moal, M. (2005). Plasticity of reward neurocircuitry and the 'dark side' of drug addiction. Nature Neuroscience, 8(11), 1442-1444.

22.

Korn, D, Gibbins, R., & Azmier, J. (2003). Framing public policy towards a public health paradigm for gambling. Journal of Gambling Studies, 19(2), 235-256.

23.

Maddux, J. F., & Desmond, D. P. (2000). Addiction or dependence? Addiction, 95, 661-665.

24.

Marlatt, G. A., Baer, J. S., Donovan, D. M., & Kivlahan, D. R. (1988). Addictive behaviors: etiology and treatment. Annual Review of Psychology, 39, 223-252.

25.

Miller, J. G. (1978). Living systems. New York: McGraw-Hill.

26.

Miller, W. R., & Rollnick, S. (2002). Motivational interviewing: preparing people for change 2nd ed. New York: Guilford Press.

27.

Nestler, E. J. (2005). Is there a common molecular pathway to addiction? Nature Neuroscience, 8(11), 1445-1449.

28.

Orford, J. (2001a). Excessive appetites: a psychological view of addictions(2nd ed.). New York: Wiley & Sons.

29.

Orford, J. (2001b). Conceptualizing addiction: addiction as excessive appetite. Addiction, 96, 15-31.

30.

Pepper, S. (1942). World hypothesis: a study in evidence. Cambridge, England: Cambridge University Press(reprinted 1961 CA: University of California Press).

31.

Potenza, M. N. (2006). Should addictive disorders include non-substance-related conditions? Addiction, 101(Suppl. 1), 142-151.

32.

Prochaska, J. O., DiClemente, C. C., & Norcross, J. C. (1992). In search of how people change: applications to addictive behavior. American Psychologist, 47, 1102-1114.

33.

Rothman, A. J. (2000). Toward a theory-based analysis of behavioral maintenance. Health Psychology, 19, 64-69.

34.

Rothman, A. J., Baldwin, A. S., Hertel, A. W. (2004). Self-regulation and behavior change: disentangling behavioral initiation and behavioral maintenance. In R. F. Baumeister & K D. Vohs (Eds.), Handbook of self-regulation: Research, theory, and applications (pp. 130-148). New York: Guilford.

35.

Schwartz, G. E. (1988). From behavior therapy to cognitive therapy to systems therapy: toward an integrative health science. In Fishman, D. B., Rotergs, F., & Frank, C. (Eds.), Paradigms in behavior therapy. New York: Springers.

36.

Shaffer, H. J. (1999). Strange bedfellows: a critical view of pathological gambling and addiction. Addiction, 94, 1445-1448.

37.

Shaffer, H. J., LaPlanter, D. A., LaBrie, R. A., Kidman, R. C., Donato, A. N., & Stanton, M. V. (2004). Toward a syndrome model of addiction: Multiple expressions, common etiology. Harvard Review of Psychiatry, 12, 367-374.

38.

Schultz, W. (1998). Predictive reward signal of dopamine neurons. Journal of Neurophysiology, 80, 1-27.

39.

Schultz, W., Dayan, P., & Montague, P. R. (1997). A neural substrate of prediction and reward. Science, 275, 1593-1599.

40.

West, R. (2001). Theories of addiction. Addiction, 96, 3-13.

41.

White, N. M. (1996). Addictive drugs as reinforcers: Multiple partial actions on memory systems. Addiction, 91, 921-949.

한국심리학회지: 건강