Alienation and identification in addiction

Philosophical Psychology 37 (3):684-706 (2024)
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Abstract

A recent strand in the philosophical literature on addiction emphasizes problems with diachronic self-control. Hanna Pickard, for example, argues that an important aspect of addiction consists in inability to identify with a non-addicted future self. This literature sits alongside another that treats addiction as the product of neural changes that “hijack” mechanisms of reward prediction, habit formation decision making and cognitive control. This hijacking literature originates in accounts that treat the neural changes characteristic of addiction as a brain disease. This paper provides a framework based on predictive processing accounts of self-awareness that integrates the hijacking and diachronic accounts. I discuss a hijacking account proposed to explain disruption of addiction following lesion to the anterior insula cortex. I show how insula activity contributes to the type of identification implicated in diachronic accounts and how deactivation of the anterior insula can disrupt addiction by alienating the subject from her addictive tendencies. This is consistent with neural evidence but also incorporates the personal level features of addiction that are opaque to neural level explanation.

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Philip Gerrans
University of Adelaide

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References found in this work

Interoceptive inference, emotion, and the embodied self.Anil K. Seth - 2013 - Trends in Cognitive Sciences 17 (11):565-573.
The narrative self.Marya Schechtman - 2011 - In Shaun Gallagher (ed.), The Oxford Handbook of the Self. Oxford University Press.
Autonomy and addiction.Neil Levy - 2006 - Canadian Journal of Philosophy 36 (3):427-447.

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