This ground-breaking book advances the fundamental debate about the nature of addiction. As well as presenting the case for seeing addiction as a brain disease, it brings together all the most cogent and penetrating critiques of the brain disease model of addiction (BDMA) and the main grounds for being skeptical of BDMA claims.
The idea that addiction is a brain disease dominates thinking and practice worldwide. However, the editors of this book argue that our understanding of addiction is undergoing a revolutionary change, from being considered a brain disease to a disorder of voluntary behavior. The resolution of this controversy will determine the future of scientific progress in understanding addiction, together with necessary advances in treatment, prevention, and societal responses to addictive disorders. This volume brings together the various strands of the contemporary debate about whether or not addiction is best regarded as a brain disease. Contributors offer arguments for and against, and reasons for uncertainty; they also propose novel alternatives to both brain disease and moral models of addiction. In addition to reprints of classic articles from the addiction research literature, each section contains original chapters written by authorities on their chosen topic. The editors have assembled a stellar cast of chapter authors from a wide range of disciplines neuroscience, philosophy, psychiatry, psychology, cognitive science, sociology, and law including some of the most brilliant and influential voices in the field of addiction studies today.
The result is a landmark volume in the study of addiction which will be essential reading for advanced students and researchers in addiction as well as professionals such as medical practitioners, psychiatrists, psychologists of all varieties, and social workers.
General introduction; SECTION I FOR THE BRAIN DISEASE MODEL OF ADDICTION
1. Introduction to Section I;
2. Addiction is a brain disease, and it
matters;
3. Neurobiologic advances from the brain disease model of addiction;
4. Time to connect: bringing social context into addiction neuroscience;
5.
Drug addiction: updating actions to habits to compulsions ten years on;
6. Is
addiction a brain disease? The incentive-sensitization view;
7. Addiction is
a brain disease (but does it matter?); SECTION II AGAINST THE BRAIN DISEASE
MODEL OF ADDICTION
8. Introduction to Section II;
9. Giving the neurobiology
of addiction no more than its due;
10. The brain disease model of addiction:
is it supported by the evidence and has it delivered on its promises?;
11.
Brain disease model of addiction: why is it so controversial?;
12. Brain
disease model of addiction: misplaced priorities?;
13. Addiction and the
brain-disease fallacy;
14. Recovery is possible: overcoming addiction and
its rescue hypotheses;
15. Superpower rivalry, the American Grand Narrative,
and the BDMA;
16. My brain disease made me do it: bioethical implications of
the Brain Disease Model of Addiction;
17. Addiction is a human problem, but
brain disease models divert attention and resources away from human-level
solutions;
18. Before rock bottom? Problem framing effects on stigma and
change among harmful drinkers;
19. Brain change in addiction: disease or
learning? Implications for science, policy, and care;
20. Brains or persons?
Is it coherent to ascribe psychological powers to brains?;
21. The
persistence of addiction is better explained by socioeconomic
deprivation-related factors powerfully motivating goal-directed drug choice
than by automaticity, habit or compulsion theories favored by the brain
disease model;
22. Addiction and criminal responsibility: the laws rejection
of the disease model;
23. One cheer for the brain-disease interpretation of
addiction; SECTION III UNSURE ABOUT THE BRAIN DISEASE MODEL OF ADDICTION
24.
Introduction to Section III;
25. In search of addiction in the brains of
laboratory animals;
26. Addiction treatment providers engagements with the
Brain Disease Model of Addiction;
27. Balancing the ethical and
methodological pros and cons of the BDMA;
28. The making of the epistemic
project of addiction in the brain;
29. Addiction and the meaning of disease;
30. The pitfalls of recycling substance-use disorder criteria to diagnose
behavioral addictions; SECTION IV ALTERNATIVES TO THE BRAIN DISEASE MODEL OF
ADDICTION
31. Introduction to Section IV;
32. Addiction is socially
engineered exploitation of natural biological vulnerability;
33. Toward an
ecological understanding of addiction;
34. Addiction biases choice in the
mind, brain, and behavior systems: beyond the brain disease model;
35.
Multiple enactments of the brain disease model: which model, when, for whom,
and at what cost?;
36. The social perspective and the BDMAs entry into the
non-medical stronghold in Sweden and other Nordic countries;
37. Beyond the
medical model: addiction as a response to trauma and stress;
38.
Psychotherapeutic strategies to enhance motivation and cognitive control;
39.
Addiction is not (only) in the brain: molar behavioral economic models of
etiology and cessation of harmful substance use;
40. Understanding substance
use disorders among veterans: virtues of the Multitudinous Self Model;
41.
How an addiction ontology can unify competing conceptualizations of
addiction;
42. Looping processes in the development of and desistance from
addictive behaviors;
43. Recovery and identity: a socially focused challenge
to brain disease models;
44. Replacing the BDMA: a paradigm shift in the
field of addiction; Concluding comments
Nick Heather is Emeritus Professor of Alcohol & Other Drug Studies in the Department of Psychology, School of Life Sciences at Northumbria University, UK. A clinical psychologist by training, he is mainly interested in research on treatment and brief interventions for alcohol problems and in theories of addiction.
Matt Field is Professor of Psychology at the University of Sheffield, UK, where he conducts research into the psychological mechanisms that underlie the development and persistence of, and recovery from, addiction.
Antony C. Moss is Professor of Addictive Behaviour Science in the Centre for Addictive Behaviours Research, London South Bank University, UK. His interests include theories of addiction, public health aspects and prevention of addictive behaviour, and understanding the needs of individuals and groups who have historically been overlooked in research, treatment, and policy.
Sally Satel is an addiction psychiatrist. She treats patients at a methadone clinic in Washington DC, USA, and is interested in conceptual frameworks of addiction.
Rohkem infot Taylor & Francis e-raamatute kohta