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Indeed, not really a brain disorder: Implications for reductionist accounts of addiction

Published online by Cambridge University Press:  06 March 2019

Matt Field
Affiliation:
Department of Psychology, University of Sheffield, Sheffield, S1 2LT, United [email protected]://www.sheffield.ac.uk/psychology/staff/academic/professor_matt_field
Nick Heather
Affiliation:
Department of Psychology, Northumbria University, Gosforth, Newcastle-upon-Tyne, NE3 1LU, United [email protected]://www.northumbria.ac.uk/about-us/our-staff/h/nick-heather/
Reinout W. Wiers
Affiliation:
Department of Psychology, University of Amsterdam, PB 15916, 1001 NK Amsterdam, The Netherlands. [email protected]://www.uva.nl/profiel/w/i/r.w.h.j.wiers/r.w.h.j.wiers.html

Abstract

Borsboom et al.’s formulation provides an opportunity for a fundamental rethink about the “brain disease model” of addiction that dominates research, treatment, policy, and lay understanding of addiction. We also demonstrate how the American opioid crisis provides a contemporary example of how “brain disease” is not moderated by the environmental context but is instead crucially dependent upon it.

Type
Open Peer Commentary
Copyright
Copyright © Cambridge University Press 2019 

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References

Berkman, E. T., Hutcherson, C. A., Livingston, J. L., Kahn, L. E. & Inzlicht, M. (2017) Self-control as value-based choice. Current Directions in Psychological Science 26(5):422Google Scholar
Case, A. & Deaton, A. (2015) Rising morbidity and mortality in midlife among white non-Hispanic Americans in the 21st century. Proceedings of the National Academy of Sciences USA 112(49):15078Google Scholar
Davies, J. (2018) Addiction is not a brain disease. (Editorial). Addiction Research and Theory 26(1):12.Google Scholar
Dennett, D. C. (1995) Darwin's dangerous idea: Evolution and the meanings of life. Penguin.Google Scholar
Eiser, J. R. & Van der Pligt, J. (1986) “Sick” or “hooked”: Smokers’ perceptions of their addiction. Addictive Behaviors 11(1):1115.Google Scholar
Eiser, J. R., van der Pligt, J., Raw, M. & Sutton, S. R. (1985) Trying to stop smoking: Effects of perceived addiction, attributions for failure, and expectancy of success. Journal of Behavioral Medicine 8(4):321–41.Google Scholar
Hart, C. (2013) High price: Drugs, neuroscience and discovering myself. Penguin.Google Scholar
Heather, N. (2018) Rethinking addiction. The Psychologist 31(1):2428.Google Scholar
Heather, N., Best, D., Kawalek, A., Field, M., Lewis, M., Rotgers, F., Reinout, W. & Heim, D. (2018) Challenging the brain disease model of addiction: European launch of the addiction theory network. (Editorial). Addiction Research and Theory 26(4):249–55. doi:10.1080/16066359.2017.1399659.Google Scholar
Heyman, G. M. (1996) Resolving the contradictions of addiction. Behavioral and Brain Sciences 19(4):561610.Google Scholar
Heyman, G. M. (2013) Quitting drugs: Quantitative and qualitative features. Annual Review of Clinical Psychology 9:2959.Google Scholar
Hollingsworth, A., Ruhm, C. & Simon, K. (2017) Macroeconomic conditions and opioid abuse. NBER Working Paper No. 23192. NBER Working Paper Series. National Bureau of Economic Research. Available at: http://www.nber.org/papers/w23192.Google Scholar
Leshner, A. (1997) Addiction is a brain disease, and it matters. Science 278(5335):4547.Google Scholar
Levy, N. (2013) Addiction is not a brain disease (and it matters). Frontiers in Psychiatry 4: article 24. (Online publication). doi: 10.3389/fpsyt.2013.00024 Available at: https://www.frontiersin.org/articles/10.3389/fpsyt.2013.00024/full.Google Scholar
Lewis, M. (2017) Addiction and the brain: Development, not disease. Neuroethics 10:718.Google Scholar
Mattick, R. P., Breen, C., Kimber, J. & Davoli, M. (2009) Methadone maintenance therapy versus no opioid replacement therapy for opioid dependence. Cochrane Database of Systematic Reviews 3:CD002209. doi: 10.1002/14651858.CD002209.pub2.Google Scholar
Miller, W. R., Westerberg, V. S., Harris, R. J. & Tonigan, J. S. (1996) What predicts relapse? Prospective testing of antecedent models. Addiction 91(Suppl.):S15572.Google Scholar
Quinones, S. (2016) Dreamland: The true tale of America's opiate epidemic. Bloomsbury Press.Google Scholar
Satel, S. & Lilienfeld, S. (2014) Addiction and the brain-disease fallacy. Frontiers in Psychiatry 4: article 141. (Online publication). doi: 10.3389/fpsyt.2013.00141. Available at: https://www.frontiersin.org/articles/10.3389/fpsyt.2013.00141/full.Google Scholar
Satel, S. & Lilienfeld, S. (2017) Calling it “brain disease” makes addiction harder to treat. Boston Globe, June 22, 2017. Available at: https://www.bostonglobe.com/ideas/2017/06/22/calling-brain-disease-makes-addiction-harder-treat/ehaJs5ZYIXpPottG89KOGK/story.html.Google Scholar
Stead, L. F., Perera, R., Bullen, C., Mant, D., Hartmann-Boyce, J., Cahill, K. & Lancaster, T. (2012) Nicotine replacement therapy for smoking cessation. Cochrane Database of Systematic Reviews 12:CD000146. doi: 10.1002/14651858.CD000146.pub4.Google Scholar
Volkow, N. D., Koob, G. F. & McLellan, A. T. (2016) Neurobiologic advances from the brain disease model of addiction. New England Journal of Medicine 374(4):363–71.Google Scholar
Zoorob, M. & Salemi, J. (2017) Bowling alone, dying together: The role of social capital in mitigating the drug overdose epidemic in the United States. Drug and Alcohol Dependence 173:19.Google Scholar