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Drug addiction is primarily a response to trauma, not primarily a pharmacological inevitability

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Drug addiction is primarily a response to trauma, not primarily a pharmacological inevitability

Partially Confirmed recorded as “Substantially Supported” Chasing the Scream

ACE Study (Felitti et al., 1998): dose-response relationship between adverse childhood experiences and addiction risk. Rat Park (Alexander et al., 1978-1981): isolated rats drank more morphine than colony rats, though later attempts to replicate this gave mixed results. Vietnam natural experiment (Robins and colleagues, 1975): most men addicted in Vietnam did not become addicted again after returning home; about 12 percent relapsed to addiction within three years. But: opioid use disorder develops in approximately 8-12% of people prescribed opioids for pain, including those without trauma histories. Pharmacological factors are real; the claim that addiction is 'primarily' trauma-driven overstates what the evidence shows.

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