Aeon - The addiction habit 14min

When I returned to addiction, it was as a scientist studying the addicted brain. The data were indisputable: brains change with addiction. I wanted to understand how – and why. I wanted to understand addiction with fastidious objectivity, but I didn’t want to lose touch with its subjectivity – how it feels, how hard it is – in the process. ... One explanation is that addiction is a brain disease. The United States National Institute on Drug Abuse, the American Society of Addiction Medicine, and the American Medical Association ubiquitously define addiction as a ‘chronic disease of brain reward, motivation, memory and related circuitry’ ... If only the disease model worked. Yet, more and more, we find that it doesn’t. First of all, brain change alone isn’t evidence for brain disease. Brains are designed to change. ... we now know that drugs don’t cause addiction. ... One idea is that addicts voluntarily choose to remain addicted: if they don’t quit, it’s because they don’t want to. ... The view that addiction arises through learning, in the context of environmental forces, appears to be gathering momentum.