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Through the vivid, true stories of five people who journeyed into and out of addiction, a renowned neuroscientist explains why the "disease model" of addiction is wrong and illuminates the path to recovery. The psychiatric establishment and rehab industry in the Western world have branded addiction a brain disease. But in The Biology of Desire, cognitive neuroscientist and former addict Marc Lewis makes a convincing case that addiction is not a disease, and shows why the disease model has become an obstacle to healing. Lewis reveals addiction as an unintended consequence of the brain doing what it's supposed to do-seek pleasure and relief-in a world that's not cooperating. As a result, most treatment based on the disease model fails. Lewis shows how treatment can be retooled to achieve lasting recovery. This is enlightening and optimistic reading for anyone who has wrestled with addiction either personally or professionally.
We've all felt the giddy flutter of excitement when our new lover walks into the room. Waited by the phone, changed our plans...But are we in love, or is there something darker at work? In Desire: Where Sex Meets Addiction, Susan Cheever explores the shifting boundaries between the feelings of passion and addiction, desire and need, and she raises provocative and important questions about who we love and why. Elegantly written and thoughtfully composed, Cheever's book combines unsparing and intimate memoir, interviews and stories, hard science and psychology to explore the difference between falling in love and falling prey to an addiction. Part one defines what addiction is and how it works -- the obsession, the betrayals, the broken promises to oneself and others. Part two explores the possible causes of addiction -- is it nature or nurture, a permanent condition or a temporary derangement? Part three considers what we can do about it, including a provocative suggestion about how we describe and treat addiction, and a look at the importance of community and storytelling. In the end, there are no easy answers. "A straight look about some crooked feelings," Desire shows us the difference between the addiction that cripples our emotions, and healthy, empowering love that enhances our lives.
Views on addiction are often polarised - either addiction is a matter of choice, or addicts simply can't help themselves. But perhaps addiction falls between the two? This book contains views from philosophy, neuroscience, psychiatry, psychology, and the law exploring this middle ground between free choice and no choice.
For much of the 20th century, theories of addictive behaviour and motivation were polarized between two models. The first model viewed addiction as a moral failure for which addicts are rightly held responsible and judged accordingly. The second model, in contrast, viewed addiction as a specific brain disease caused by neurobiological adaptations occurring in response to chronic drug or alcohol use, and over which addicts have no choice or control. As our capacity to observe neurobiological phenomena improved, the second model became scientific orthodoxy, increasingly dominating addiction research and informing public understandings of addiction. More recently, however, a dissenting view has emerged within addiction research, based partly on new scientific research and partly on progress in philosophical and psychological understandings of relevant mental phenomena. This view does not revert to treating addiction as a moral failure, but nonetheless holds that addictive behaviour is fundamentally motivated by choice and subject to at least a degree of voluntary control. On this alternative model of addiction, addictive behaviour is an instrumental means to ends that are desired by the individual, although much controversy exists with respect to the rationality or irrationality of these ends, the degree and nature of the voluntary control of addictive behaviour and motivation, the explanation of the difference between addictive and non-addictive behaviour and motivation, and, lastly, the extent to which addictive behaviour and motivation is correctly characterised as pathological or diseased. This research topic includes papers in the traditions of neuroscience, psychology, philosophy, law and social science that explore alternative understandings of addiction.
Choice, Behavioural Economics and Addiction is about the theory, data, and applied implications of choice-based models of substance use and addiction. The distinction between substance use and addiction is important, because many individuals use substances but are not also addicted to them. The behavioural economic perspective has made contributions to the analysis of both of these phenomena and, while the major focus of the book is on theories of addiction, it is necessary also to consider the behavioural economic account of substance use in order to place the theories in their proper context and provide full coverage of the contribution of behavioural economics to this field of study. The book discusses the four major theories of addiction that have been developed in the area of economic science/behavioural economics. They are:• hyperbolic discounting• melioration• relative addiction• rational addiction The main objective of the book is to popularise these ideas among addiction researchers, academics and practitioners. The specific aims are to articulate the shared and distinctive elements of these four theories, to present and discuss the latest empirical work on substance abuse and addiction that is being conducted in this area, and to articulate a range of applied implications of this body of work for clinical, public health and public policy initiatives. The book is based on an invitation-only conference entitled, Choice, Behavioural Economics and Addiction: Theory, Evidence and Applications held at the University of Alabama at Birmingham, March 30 - April 1, 2001. The conference was attended by prominent scientists and scholars, representing a range of disciplines concerned with theories of addiction and their consequences for policy and practice. The papers in the book are based on the papers given at the above conference, together with commentaries by distinguished experts and, in many cases, replies to these comments by the presenters.
The problem of addiction is one of the major challenges and controversies confronting medicine and society. It also poses important and complex philosophical and scientific problems. What is addiction? Why does it occur? And how should we respond to it, as individuals and as a society? The Routledge Handbook of Philosophy and Science of Addiction is an outstanding reference source to the key topics, problems and debates in this exciting subject. It spans several disciplines and is the first collection of its kind. Organised into three clear parts, forty-five chapters by a team of international contributors examine key areas, including: the meaning of addiction to individuals conceptions of addiction varieties and taxonomies of addiction methods and models of addiction evolution and addiction history, sociology and anthropology population distribution and epidemiology developmental processes vulnerabilities and resilience psychological and neural mechanisms prevention, treatment and spontaneous recovery public health and the ethics of care social justice, law and policy. Essential reading for students and researchers in addiction research and in philosophy, particularly philosophy of mind and psychology and ethics, The Routledge Handbook of Philosophy and Science of Addiction will also be of great interest to those in related fields, such as medicine, mental health, social work, and social policy.
Joining the ancient debate over the roles of reason and appetite in the moral mind, In Praise of Desire takes the side of appetite. The book makes the claim that acting for moral reasons, acting in a praiseworthy manner, and acting out of virtue amount to nothing more than acting out of intrinsic desires for the right or the good, correctly conceived. In Praise of Desire shows that a desire-centered moral psychology can be richer than philosophers commonly think, accommodating the full complexity of moral life.
Within this important book, Stephen J. Costello draws on Eastern philosophy, Western psychology, and wisdom traditions to offer an interpretation and answer to the multidimensional problem of addiction. The nature of pleasure, pain, and attachment are discussed, together with stress as a key source of our suffering. Justifying and grounding the work is C. G. Jung’s central insight that the solution to our disordered desires lies in cultivating a spiritual approach to life. As such, a detailed exploration of the Twelve Steps of recovery is elucidated from the threefold perspective of the philosophy of Advaita, the Enneagram system, and the Christian contemplations of Richard Rohr, John Main, and Thomas Keating, as well as St Ignatius of Loyola. The work concludes with a brief look at Platonic ethics, especially the virtue of temperance, St Benedict’s spirituality of humility, and the law of dharma as a blueprint for purposeful non-addicted living. This book will appeal to a wide variety of readers such as mental health professionals in the counselling and psychotherapy professions, as well as students of depth psychology and philosophy.
This book brings cutting edge neuroscience and psychology into dialogue with philosophical reflection to illuminate the loss of control experienced by addicts, and thereby cast light on ordinary agency and the way in which it sometimes goes wrong.
"The image of the addict in popular culture combines victimhood and moral failure; we sympathize with addicts in films and novels because of their suffering and their hard-won knowledge. And yet actual scientific knowledge about addiction tends to undermine this cultural construct. In What Is Addiction? leading addiction researchers from neuroscience, psychology, genetics, philosophy, economics, and other fields survey the latest findings in addiction science. They discuss such questions as whether addiction is one kind of condition, or several; if addiction is neurophysiological, psychological, or social, or incorporates aspects of all of these; to what extent addicts are responsible for their problems, and how this affects health and regulatory policies; and whether addiction is determined by inheritance or environment or both." --Book Jacket.