Un mecanismo de acción propuesto para los Doce pasos de Alcohólicos Anónimos. Luis A. Giuffra 1, a,b,c. 1 Washington University. St Louis, USA. a Professor. Los Doce Pasos De Alcohólicos Anónimos 1. Admitimos que éramos impotentes ante el alcohol, que nuestras vidas se habían vuelto ingobernables. 2. El propósito de este sitio web es llevar el mensaje de Alcohólicos Anónimos dotando de un recurso en Internet en donde los alcohólicos puedan obtener.
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It is the frontal lobes that, in humans, may be able to logically and reasonably assess the natural consequences of using intoxicants. Therefore, the reward system senses the effect of alcohol as essential for the survival of the alcoholic.
The reward system lacks the ability to calculate and ponder the danger of using intoxicants; it is simply determined to make the animal repeat pleasurable activities since this strategy has millions of years of established success.
The NAc and the VTA are the core components of the reward system of the brain, and dopamine is the neurotransmitter that, when elevated in these nuclei, gives se a positive, rewarding effect 2,3. Therefore, they benefit from having a trusted Surrogate Decision-Maker.
Among peer-support groups for alcoholics, Alcoholics anonymous AA is by far the most widespread and successful with tens of thousands of groups all around the world. These maladaptive traits are actually quite useful to the reward system when trying to accomplish its main goal, repeating what feels good, which it equates with success for the individual and for qnonimos species.
Throughout millions of years of evolution, animals have relied on their reward systems to recognize what feels good and to repeat it. Alcoholism, alcoholics anonymous, addiction. The Temperance Alcoholicoe dates back to the s.
Steps 1, 2 and 3 promote the use of a necessary Surrogate Decision-Maker. What mechanisms of action drive their ability to generate abuse and dependence? It has been criticized and misunderstood, yet voices against AA have failed to slow down its progress and success. It is in the frontal lobes that higher cognitive functions take place. Studies consistently show that frontal lobe activity especially the prefrontal cortex is decreased among addicted individuals, and that hypofrontality persists long months or even a few years after the individual enters a state of abstinence.
Twelve steps programs have been the cornerstone of addiction treatment in the US for over 70 years. A proposed mechanism of action for the Twelve steps of Alcoholics Anonymous.
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Were entirely ready to have God remove all these defects of character. This positive effect is salient, recognized and remembered by the brain, and the animal is eager to repeat the behavior that produces it. Animals who eat feel good, their brains remember it, and they eat repeatedly. Admitted to God, to ourselves, and to another human being the exact nature of our wrongs.
To understand how the Twelve Steps may operate, it is first necessary to understand what are anonomos trying to fix; that is, what the effects of alcohol are in the brain.
Through different biochemical pathways, intoxicants share a common final mechanism of action in the brain: Humans, unlike other species, paoss very developed frontal lobes.
AA presents, through the first 3 steps, the idea of a Surrogate Decision-Maker. Sought acloholicos prayer and meditation to improve our conscious contact with God as we understood Him, praying only for knowledge of His will for us and the power to carry that out. However, alcoholics cannot understand, on face value, why they need to embrace and practice the Twelve Steps of AA in order to stay sober.
As can be lacoholicos, the first Step evolved into Steps 1, 2 and 3. The frontal lobes are the seat of higher cortical functions planning, organizing, morals and a sense of right and wrong. The consistent widespread success of AA merits an in-depth look at the possible mechanism of action of its core proposal, the Twelve Steps. This prompts the animal to eat regularly, guaranteeing their survival.
Why might AA help reverse the intoxicant usurpation of the reward system and the resulting hypofrontality? The author has no financial conflicts of interest to report.
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An interesting point can be added regarding step 11 which promotes prayer and meditation. Made a decision to turn our will and our lives to the care of God as we understood him. Pearson Education, Inc; Over millions of years of evolutionary history, repeating what feels good is synonymous with success. Having had a spiritual awakening as the result of these steps, we tried to carry this message to alcoholics, and to practice these principles in all our affairs.