Bağımlılık yapan maddeleri kullanmak için duyulan arzu ve bu maddelerle ilgili rüyalar

Bağımlılık yapan maddeleri kullanmak için duyulan şiddetli arzunun altında yatan nedenleri anlamak, nöroanatomik bağlantılarını bulmak, bağımlılığın anlaşılması ve tedavisi için önemli adımlardan biridir. Dürtüler, arzular ve rüyalar ventral tegmental alandan başlayıp nucleus accumbense uzanan, limbik sisteme ve orbitofrontal kortekse projeksiyonları olan mezolimbik ödül sisteminden kaynaklanır. Bağımlılık yapan maddeler bu alandaki duyarlılığı artırarak maddeye duyulan arzuyu şiddetlendirir ve bağımlılığının gelişmesine yol açar. Sigara ve diğer bağımlılık yapan maddelere çocukluk yaşlarında maruz kalmış olan kişilerde ileride madde bağımlılığı gelişme riski daha yüksektir. Bağımlılar kullandıkları madde ile ilgili rüyaları sıkça görmektedirler. Rüyalar da dürtüler, arzular ve bağımlılık yapan maddeyi kullanmak için duyulan şiddetli istek gibi bu alandan köken alır. Bu açıdan rüyalar bağımlının maddeye karşı duyduğu arzu ve bu arzunun şiddeti hakkında psikoterapiste yol göstericidir.

Craving of addictive substance and the dreams related with these substances

It is an important step to understand the neuro-anatomical origin of the addictive substance craving and to find its neuroanatomical relationships in comprehending substance addiction and its treatment. Drives, wishes and dreams are originated from me-solymbic reward system which extends from ventral tegmental area to nucleus accumbens and has projections to limbic system and orbitofrontal cortex. Addictive substances increase substance craving and cause addiction by giving rise to upregulation of pathways in this area. There is a high risk of substance addiction in people exposed to cigarette or other addictive substances during the years of childhood. Addicted people have frequent dreams relating to addictive substances. Dreams are also originated from ventral tegmen¬tal area just like drives, wishes and substance craving. Because of this reason, the dreams show the way to the psychotherapist about the strength of substance craving and wish.

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