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Addiction and the Brain-Disease Fallacy

Bibliographic Data

ID5822009
AuthorsSally Satel, Sally L Satel (0000-0001-9876-8875), Scott O Lilienfeld (0000-0003-4501-8629)
Year2014
Volume4
Publication date2014-01-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueFrontiers in Psychiatry (JOURNAL)
Journal identifiersISSN: 1664-0640 • E-ISSN: 1664-0640
PublisherFrontiers Media (PUBLISHER • CH)
DOI10.3389/fpsyt.2013.00141
PMID24624096
OpenAlexW2146969099
LanguageEN
Citations received26
References cited1

The notion that addiction is a ''brain disease'' has become widespread and rarely challenged.The brain disease model implies erroneously that the brain is necessarily the most important and useful level of analysis for understanding and treating addiction. This paper will explain the limits of over-medicalizing -- while acknowledging a legitimate place for medication in the therapeutic repertoire -- and why a broader perspective on the problems of the addicted person is essential to understanding addiction and to providing optimal care. In short, the brain disease model obscures the dimension of choice in addiction, the capacity to respond to incentives, and also the essential fact people use drugs for reasons (as consistent with a self-medication hypothesis). The latter becomes obvious when patients become abstinent yet still struggle to assume rewarding lives in the realm of work and relationships. Thankfully, addicts can choose to recover and are not helpless victims of their own ''hijacked brains

Brain disease · Fallacy · Realm · Neural and Behavioral Psychology Studies · Neurotransmitter Receptor Influence on Behavior · Schizophrenia research and treatment

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Unique citing works26
Citations per year2,36
Citation span2015 - 2026 (12)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 25

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