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One “trick” is the use of unexpected triggers that lead
to craving: photos taken with friends at a tailgate party, a
favorite glass, a bottle opener,
even a kitchen knife used
to slice lemons. These triggers may be so subtle that the
person may not recognize them until after they succumb to
temptation.
But getting rid of the triggers isn’t enough. Scientists
have recently learned about a completely unexpected and
somewhat frightening tactic the enemy has at its disposal.
Consider an alcoholic who, for no apparent reason,
decides
to switch up his routine one day and take an alternate route
home from work. He happens to pass a bar he used to go
to and is overcome by craving. When he speaks about his
relapse in his next therapy session, he has no idea how it
happened. He doesn’t connect the seemingly innocent
decision to change his routine with the relapse.
But this relapse wasn’t a coincidence.
Scientists recently
discovered that being addicted to alcohol changes the way
certain segments of DNA work, segments that are essential
for the normal functioning of the dopamine control circuits
in the frontal lobes. A key enzyme is suppressed, interfering
with the neurons’ ability to transmit signals. It’s like a hacker
taking out the enemy’s communication channels right in the
middle of a battle. Thus an alcoholic
may not want to drive
past his old haunt, but the enemy has impaired his ability
to appreciate the consequences of his decision to take the
new route home.
The research that found the dangerous changes in DNA
was done in rats, so we’re not completely sure if the same
thing happens in humans, but the results were striking.
Rats with addiction-modified DNA drank more alcohol, and
they drank even when the alcohol was spiked with quinine,
which has a bitter taste that rats normally avoid.
This finding
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suggested that the DNA alteration makes drinkers consume
alcohol in spite of unpleasant consequences.
Alcoholics can still overcome their addiction, but impair-
ing control dopamine’s ability to oppose desire dopamine’s
impulses makes things difficult. Not only does alcohol cre-
ate a perpetual desire; it also
undermines the future-focus
needed to stay on the road to recovery. The good news is
we now know this weapon exists, and if we can find a way to
reverse the DNA changes, we can neutralize it.
TWELVE-STEP FACILITATION THERAPY:
H&N VERSUS DESIRE DOPAMINE
Alcoholics Anonymous (AA) is the most successful self-help fellowship
in the world, but it’s not for everyone. It requires
people to accept the
label of
alcoholic, which many don’t like. It’s based on belief in a higher
power, which some people don’t have. And it requires sharing personal
stories in a group setting, which makes some people uncomfortable. But
those who fit in well can benefit from access to a valuable resource.
Overcoming addiction is a long-term battle, sometimes even life-
long. With that in mind, AA has some important advantages over
drug treatment programs. AA has no limitations
on how long a per-
son can participate. AA is free and available all over the world, and
in metropolitan areas there are groups all over the city that meet day
and night.
AA is a fellowship rather than a treatment. A person gets better
through relationships with other members of the group and their
relationship with a higher power. The social part of our brain makes
connections with other people using H&N neurotransmitters. There
are few things in this world as powerful as relationships. According to
Alexa,
an internet analytic company, Facebook is the second most vis-
ited site on the web. (Google is number one, and Pornhub, the most
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visited pornography site, is all the way down at number 67, which
should give us all faith in humanity’s ability to resist the less healthy
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