I'm going by my direct experience corroborated by concrete research.
pre-disposition v. pre-determination
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Heyman points out that some psychiatric disorders can be influenced by outsides, such as concern over legal consequences and respect from children and parents. Other disorders, like schizophrenia, can't be influenced by opinions of others. The schizophrenic may know that by hallucinating they will embarrass their children, but they will continue to hallucinate.
When looking at drug addicts, one of the main things that stopped addicts from using was the concern over what their parents and children thought of them. There were costs and benefits to their addiction.
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Research has proven "most addicts quit."
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One of the reasons Heyman says he wrote Addiction: A Disorder of Choice is to let the public know that most addicts quit and it is not the chronic relapse disease it is portrayed to be. Of all psychiatric disorders, it has the highest remission rate.
When researching Addiction: A Disorder of Choice, Heyman looked at every study he could comparing people who quit drugs to those who did not. The most common factor in the people who did not quit was the presence of an additional disorder, whether it was medical or psychiatric. Heyman believes coexisting disorders keep some addicts from seeking treatment.
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