The Puzzle of Addiction

Authored by: Hanna Pickard

The Routledge Handbook of Philosophy and Science of Addiction

Print publication date:  June  2018
Online publication date:  June  2018

Print ISBN: 9781138909281
eBook ISBN: 9781315689197
Adobe ISBN:

10.4324/9781315689197-2

 Download Chapter

 

Abstract

The orthodox conception of drug addiction 1 within science and medicine is a neurobiological disease characterized by compulsive drug use despite negative consequences (cf. NIDA 2009; WHO 2004). This conception depends on three core ideas: disease, compulsion, and negative consequences. Yet the meaning of the ideas of disease and compulsion, and the significance of negative consequences, is rarely made explicit. I argue that it is only when the significance of negative consequences is appreciated that the puzzle of addiction comes clearly into view; and I suggest that there are both conceptual and empirical grounds for skepticism about the claim that addiction is a form of compulsion, and agnosticism about the claim that addiction is a neurobiological disease. Addiction is better characterized as involving choices which, while on the surface puzzling, can be explained by recognizing the multiple functions that drugs serve, and by contextualizing them in relation to a host of interacting factors, including psychiatric co-morbidity, limited socio-economic opportunities, temporally myopic decision-making, denial, and self-identity. 2

 Cite
Search for more...
Back to top

Use of cookies on this website

We are using cookies to provide statistics that help us give you the best experience of our site. You can find out more in our Privacy Policy. By continuing to use the site you are agreeing to our use of cookies.