AJOB Neuroscience 3 (2):40-49 (2012)
I argue that addiction is not a chronic, relapsing, neurobiological disease characterized by compulsive use of drugs or alcohol. Large-scale national survey data demonstrate that rates of substance dependence peak in adolescence and early adulthood and then decline steeply; addicts tend to “mature out” in their late twenties or early thirties. The exceptions are addicts who suffer from additional psychiatric disorders. I hypothesize that this difference in patterns of use and relapse between the general and psychiatric populations can be explained by the purpose served by drugs and alcohol for patients. Drugs and alcohol alleviate the severe psychological distress typically experienced by patients with comorbid psychiatric disorders and associated problems. On this hypothesis, consumption is a chosen means to ends that are rational to desire: Use is not compulsive. The upshot of this explanation is that the orthodox view of addiction as a chronic, relapsing neurobiological disease is misguided. I delineate five folk psychological factors that together explain addiction as purposive action: strong and habitual desire; willpower; motivation; functional role; and decision and resolve. I conclude by drawing lessons for research and effective treatment.
|Keywords||No keywords specified (fix it)|
|Categories||categorize this paper)|
References found in this work BETA
No references found.
Citations of this work BETA
The Clinical Impact of the Brain Disease Model of Alcohol and Drug Addiction: Exploring the Attitudes of Community-Based AOD Clinicians in Australia.Anthony I. Barnett & Craig L. Fry - 2015 - Neuroethics 8 (3):271-282.
Similar books and articles
Addiction in Context: Philosophical Lessons From a Personality Disorder Clinic.Hanna Pickard & Steve Pearce - 2013 - In . pp. 165-189.
Disorders of Desire: Addiction and Problems of Intimacy. [REVIEW]Helen Keane - 2004 - Journal of Medical Humanities 25 (3):189-204.
Views of Addiction Neuroscientists and Clinicians on the Clinical Impact of a 'Brain Disease Model of Addiction'.Stephanie Bell, Adrian Carter, Rebecca Mathews, Coral Gartner, Jayne Lucke & Wayne Hall - 2014 - Neuroethics 7 (1):19-27.
Medical Models of Addiction.Harold Kincaid & Jacqueline Anne Sullivan - 2010 - In Kincaid Ross (ed.), What is Addiction?
Responsibility Without Blame: Philosophical Reflections on Clinical Practice.Hanna Pickard - unknown
Addiction and Autonomy: Can Addicted People Consent to the Prescription of Their Drug of Addiction?Bennett Foddy & Julian Savulescu - 2006 - Bioethics 20 (1):1–15.
Heroin Addiction and Voluntary Choice: The Case of Informed Consent.Edmund Henden - 2013 - Bioethics 27 (7):395-401.
Ethical Dilemmas in Treating Chronic Pain in the Context of Addiction.Joanna G. Katzman & Cynthia M. A. Geppert - 2008 - In Cynthia M. A. Geppert & Laura Weiss Roberts (eds.), The Book of Ethics: Expert Guidance for Professionals Who Treat Addiction. Hazelden.
Untreated Addiction Imposes an Ethical Bar to Recruiting Addicts for Non-Therapeutic Studies of Addictive Drugs.Peter J. Cohen - 2002 - Journal of Law, Medicine & Ethics 30 (1):73-81.
Comorbidity in Psychiatric and Chronic Physical Disease: Autocognitive Developmental Disorders of Structured Psychosocial Stress.Rodrick Wallace - 2004 - Acta Biotheoretica 52 (2):71-93.
Added to index2012-05-03
Total downloads41 ( #120,767 of 2,143,562 )
Recent downloads (6 months)1 ( #386,858 of 2,143,562 )
How can I increase my downloads?
There are no threads in this forum
Nothing in this forum yet.