Addiction — AQA A-Level Psychology Revision
This topic explores the nature of addiction, including physical and psychological dependence, risk factors, and specific explanations for nicotine and gamb
Topic Synopsis
This topic explores the nature of addiction, including physical and psychological dependence, risk factors, and specific explanations for nicotine and gambling addictions. It also covers methods for reducing addiction and the application of behaviour change theories.
Key Concepts & Core Principles
- Dopamine reward pathway: The mesolimbic pathway, particularly the nucleus accumbens, is central to the experience of pleasure and reinforcement; addictive substances and behaviours increase dopamine release, creating a powerful reward cycle.
- Tolerance and withdrawal: Tolerance refers to needing larger doses to achieve the same effect, while withdrawal involves unpleasant physical and psychological symptoms when the substance/behaviour is stopped; both are key features of physical dependence.
- Cue reactivity and craving: Environmental cues (e.g., seeing a pub) trigger conditioned responses (e.g., increased heart rate) and cravings, which can lead to relapse; this is explained by classical conditioning.
- Cognitive biases: Addicts often exhibit biases like attentional bias (focusing on addiction-related cues) and outcome expectancies (believing the substance/behaviour will have positive effects), which maintain the addiction.
- The biopsychosocial model: This integrative approach combines biological factors (e.g., genetics, brain chemistry), psychological factors (e.g., personality, cognitions), and social factors (e.g., peer influence, culture) to explain addiction.
Exam Tips & Revision Strategies
- Ensure you can clearly distinguish between physical and psychological dependence.
- When discussing gambling, be specific about the role of partial and variable reinforcement schedules.
- Be prepared to apply the theory of planned behaviour and Prochaska’s model to specific addictive scenarios.
Examiner Marking Points
- Distinction between physical and psychological dependence
- Definitions of tolerance and withdrawal syndrome
- Risk factors: genetic vulnerability, stress, personality, family influences, and peers
- Nicotine addiction: brain neurochemistry (dopamine) and learning theory (cue reactivity)
- Gambling addiction: learning theory (partial and variable reinforcement) and cognitive theory (cognitive bias)
- Reducing addiction: drug therapy, behavioural interventions (aversion therapy, covert sensitisation), and CBT
- Theories of behaviour change: theory of planned behaviour and Prochaska’s six-stage model