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.

chapter |9 pages

General Introduction

ByNick Heather, Matt Field, Antony C. Moss, Sally Satel

section Section I|88 pages

For the Brain Disease Model of Addiction

chapter 1|7 pages

Introduction to Section I

ByMatt Field, Antony C. Moss, Sally Satel, Nick Heather

chapter 2|5 pages

Addiction is a Brain Disease, and it Matters

ByAlan I. Leshner

chapter 3|10 pages

Neurobiologic Advances from the Brain Disease Model of Addiction

ByNora D. Volkow, George F. Koob, A. Thomas McLellan

chapter 4|15 pages

Time to Connect

Bringing social context into addiction neuroscience
ByMarkus Heilig, David H. Epstein, Michael A. Nader, Yavin Shaham

chapter 5|24 pages

Drug Addiction

Updating Actions to Habits to Compulsions Ten Years On
ByBarry J. Everitt, Trevor W. Robbins

chapter 6|13 pages

Is Addiction a Brain Disease?

The incentive-sensitization view
ByKent C. Berridge

chapter 7|12 pages

Addiction is a Brain Disease

(But does it matter?)
ByGabriel Segal

section Section II|167 pages

Against the Brain Disease Model of Addiction

chapter 8|7 pages

Introduction to Section II

BySally Satel, Nick Heather, Antony C. Moss, Matt Field

chapter 9|5 pages

Giving the Neurobiology of Addiction no more than its Due

ByWayne Hall, Adrian Carter, Cynthia Forlini

chapter 10|9 pages

The Brain Disease Model of Addiction

Is it supported by the evidence and has it delivered on its promises?
ByWayne Hall, Adrian Carter, Cynthia Forlini

chapter 11|3 pages

Brain Disease Model of Addiction

Why is it so controversial?
ByNora D. Volkow, George Koob

chapter 12|2 pages

Brain Disease Model of Addiction

Misplaced priorities?
ByWayne Hall, Adrian Carter, Cynthia Forlini

chapter 13|17 pages

Addiction and the Brain-Disease Fallacy

BySally Satel, Scott O. Lilienfeld

chapter 14|10 pages

Recovery is Possible

Overcoming ‘addiction’ and its rescue hypotheses
ByDerek Heim, Rebecca L. Monk

chapter 15|12 pages

Superpower Rivalry, the American Grand Narrative, and the BDMA

ByBruce K. Alexander

chapter 16|10 pages

My Brain Disease made me do it

Bioethical implications of the Brain Disease Model of Addiction
ByFrederick Rotgers

chapter 18|9 pages

Before ‘Rock Bottom’?

Problem framing effects on stigma and change among harmful drinkers
ByJames Morris

chapter 19|7 pages

Brain Change in Addiction: Disease or Learning?

Implications for science, policy, and care
ByMarc Lewis

chapter 20|13 pages

Brains or Persons?

Is it coherent to ascribe psychological powers to brains?
ByTim Leighton

chapter 22|13 pages

Addiction and Criminal Responsibility

The law's rejection of the disease model
ByStephen J. Morse

chapter 23|16 pages

One Cheer for the Brain-Disease Interpretation of Addiction

ByGene M. Heyman

section Section III|83 pages

Unsure about the Brain Disease Model of Addiction

chapter 24|3 pages

Introduction to Section III

ByNick Heather, Sally Satel, Matt Field, Antony C. Moss

chapter 25|11 pages

In Search of Addiction in the Brains of Laboratory Animals

BySerge H. Ahmed

chapter 26|12 pages

Addiction Treatment Providers' Engagements with the Brain Disease Model of Addiction

ByAnthony Barnett, Michael Savic, Martyn Pickersgill, Kerry O’Brien, Dan I. Lubman, Adrian Carter
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chapter 27|12 pages

Balancing the Ethical and Methodological pros and cons of the BDMA

BySusanne Uusitalo, Jaakko Kuorikoski

chapter 28|14 pages

The Making of the Epistemic Project of Addiction in the Brain

ByMatilda Hellman, Michael Egerer

chapter 29|18 pages

Addiction and the Meaning of Disease

ByHanna Pickard

chapter 30|11 pages

The Pitfalls of Recycling Substance-Use Disorder Criteria to Diagnose Behavioral Addictions

ByMaèva Flayelle, Adriano Schimmenti, Vladan Starcevic, Joël Billieux

section Section IV|188 pages

Alternatives to the Brain Disease Model of Addiction

chapter 31|6 pages

Introduction to Section IV

ByAntony C. Moss, Matt Field, Sally Satel, Nick Heather

chapter 33|11 pages

Toward an Ecological Understanding of Addiction

ByDarin Weinberg

chapter 34|21 pages

Addiction Biases Choice in the Mind, Brain, and Behavior Systems

Beyond the brain disease model
ByPaul F. M. J. Verschure, Reinout W. Wiers

chapter 35|11 pages

Multiple Enactments of the Brain Disease Model

Which model, when, for whom, and at what cost?
ByHelen Keane, David Moore, Suzanne Fraser

chapter 36|15 pages

The Social Perspective and the BDMA's Entry into the Non-Medical Stronghold in Sweden and Other Nordic Countries

ByJessica Storbjörk, Lena Eriksson, Katarina Winter

chapter 37|13 pages

Beyond the Medical Model

Addiction as a response to trauma and stress
ByGabor Maté

chapter 39|16 pages

Addiction is not (only) in the Brain

Molar behavioral economic models of etiology and cessation of harmful substance use
BySamuel F. Acuff, Jalie A. Tucker, Rudy E. Vuchinich, James G. Murphy

chapter 40|9 pages

Understanding Substance Use Disorders among Veterans

Virtues of the Multitudinous Self Model
ByŞerife Tekin, Alicia A. Swan, Willie J. Hale, Mary Jo Pugh

chapter 41|13 pages

How an Addiction Ontology can Unify Competing Conceptualizations of Addiction

ByRobert M. Kelly, Janna Hastings, Robert West

chapter 43|11 pages

Recovery and Identity

A socially focused challenge to brain disease models
ByBeth Collinson, David Best

chapter 44|17 pages

Replacing the BDMA

A paradigm shift in the field of addiction
ByBruce K. Alexander

chapter |9 pages

Concluding Comments

ByNick Heather, Antony C. Moss, Matt Field, Sally Satel