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What Determines Harm from Addictive Substances and Behaviours?$
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Lucy Gell, Gerhard Bühringer, Jane McLeod, Sarah Forberger, John Holmes, Anne Lingford-Hughes, and Petra S. Meier

Print publication date: 2016

Print ISBN-13: 9780198746683

Published to Oxford Scholarship Online: March 2016

DOI: 10.1093/acprof:oso/9780198746683.001.0001

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Determinants of transitions from harmful to low-risk substance use and gambling

Determinants of transitions from harmful to low-risk substance use and gambling

Chapter:
(p.113) Chapter 5 Determinants of transitions from harmful to low-risk substance use and gambling
Source:
What Determines Harm from Addictive Substances and Behaviours?
Author(s):

Jane McLeod

Lucy Gell

John Holmes

Allaman Allamani

Ben Baumberg

Bagga Bjerge

Gerhard Bühringer

Francisco Jose Eiroa-Orosa

Sarah Forberger

Vibeke Frank

Anne Lingford-Hughes

Gert-Jan Meerkerk

Petra Meier

Maria Neumann

Robin Room

Laura Schmidt

Martine Stead

Dike Van de Mheen

Reinout Wiers

Phil Withington

Publisher:
Oxford University Press
DOI:10.1093/acprof:oso/9780198746683.003.0005

Understanding the factors that influence the transition from harmful to low-risk substance use and gambling or abstinence is important for reducing the societal burden of harm attributable to these behaviours. Following the same methodology used in Chapters 3 and 4, this chapter presents determinants within domains including social identity and social networks, economic and cultural changes, emotional and cognitive factors, life circumstances, and neurocircuitry. Analyses are limited to transitions without formal help like treatment (often named as ‘self-change’, ‘spontaneous remission’, or ‘natural recovery’), as such transitions are understudied, even though this is the most frequent pathway to full or partial remission. There is a particular lack of evidence on relevant factors for the transition from harmful to low-risk gambling or abstinence. As with psychoactive substances, most people change their problem gambling behaviour without formal interventions, but the underlying processes are not well understood.

Keywords:   low-risk substance use, low-risk gambling, natural recovery, self-change, spontaneous remission, interdisciplinary synthesis, social economic and political environment, individual factors, cellular and molecular factors

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