중독, 그 미궁을 헤쳐 나가기 = A way to overcome addiction, the modern dungeon

국문 초록 (Abstract)

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.

다국어 초록 (Multilingual 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.

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