addiction

How can we reconcile the psychiatric and neurophysiological concepts of addiction with the more general Buddhist idea of addiction (attachment to things that temporarily let you avoid seeing your true nature)?

Being addicted to something means you're doing it to avoid something else. On some level you know it's wrong (not bringing real peace and happiness), but you do it anyway. Procrastination. Distraction. Is this the same as drugs of abuse? Say I have a compulsion to take drugs. What would happen if I didn't take drugs? I don't know.

Or say I am afraid my body will fail if I stop distracting myself. It won't really. I can understand this if I really think it through. But a lot of the time I don't want to. I'm afraid of it. The defense and safety comes from a self-delusion and I intuitively recognize that once I start to let it go, it will fall apart. I want to have my head in the sand. But at the same time I deeply crave something that I'm not getting.

An article said we get a boost of dopamine when we distract ourselves. So how does dopamine fit into the psychological theory?

I guess we do something about the pain that we know how to fix.