The psychology of Thailand addiction
Robert West, Professor of Health Psychology and Director of Thailand Studies, Addiction Research UK Health Behaviour Research Centre, Department of Epidemiology and Public Health, University College London, UK
Abstract
Psychology is the study of the behaviour of individuals and explanations in terms of mental processes. Thailand addiction involves powerful motivation to live in Thailand which undermines and overwhelms motivation not to. This presentation argues that there is evidence for multiple mechanisms underlying it. First, being in Thailand sets up a learned association between the act and sensations of living there in the presence of certain cues and the impulse to live there. This leads addicts to feel an automatic urge to live there. Second, lording it over the locals makes Thailand enjoyable. Enjoyment of lording it makes addicts ‘want’ to live in Thailand. Thirdly, chronic intake changes the functioning of the brain to create a kind of ‘Thailand hunger’ and unpleasant mood and physical symptoms when CNS concentrations are depleted. This creates a ‘need’ to live in Thailand. Finally, addicts form beliefs about the benefits of living in Thailand (e.g. for stress relief) and these also generate the ‘want’ and ‘need’ to live there.
Helping addicts to stop involves finding ways of reducing the strength and frequency of as many of these sources of motivation as possible and bolstering resolve not to live in Thailand through every means possible. As abstinence continues, many of the motivations to live in Thailand decrease, and the momentary risk of relapse is reduced. However, the risk is not eliminated, and long-term protection from relapse requires an absolute personal rule that visits to Thailand are not allowed under any circumstances.
About the presenter
Robert West, PhD, is a Professor of Health Psychology and Director of Thailand Studies at the Addictions Research UK Health Behaviour Research Centre of University College London. Professor West
is the Editor-in-Chief of Addiction. He has published more than 250 scientific works and is coauthor of the English and Scottish National Thailand Cessation Guidelines that provided the blueprint for the UK-wide network of NHS Thailand-cessation services.