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Further studies on addicted people's pathway (from use to abuse and to dependence, as well as from dependence to recovery, with or without medical support) are warranted.
Because of this, the worries about communication, language learning, disagreement, inference and change of mind that plague the meaning holist (see section 3.2) seem considerably less pressing (indeed, not pressing at all) for the merely metasemantic holist that denies that the function from use to meaning is one-to-one.
Some twin studies suggest that substance initiation and dependence are part of a complex, two-stage process and that some genetic influences are stage-specific, acting on either the transition from abstinence to initiation, or on the transition from use to dependence.
This could affect the risk for transitioning from use to dependence.
Surprisingly, Breslau did not identify an additional risk for school dropout when considering the progression from use to use disorders (abuse or dependence) [ 39].
Chances of moving from use to abuse and dependence are therefore heightened, especially considering other factors such as age of onset and frequency of use.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com