Wednesday, July 22, 2015

"If addiction is a brain disease, addicts are mad, sick and defective; if addiction is a failure of will, users are bad, immoral and weak."

The following review of  The Biology of Desire explores important aspects regarding addiction - which in its many forms from self-addiction onward we all face in coping with the stress and dissatisfaction of impermanence.

Here are some major points:

"All of Mr. Lewis’s case studies end well or at least optimistically. At the heart of the recoveries are new, more constructive habits, identities and relationships—and, in the brains of the subjects, the sculpting of new synaptic patterns. As Mr. Lewis shows, the physiology behind the addiction process can be intentionally engaged by addicts to put them on the path to recovery. By exploiting the neuroplastic capacities of the brain, individuals can develop strategies for self-control.

It may well be, as Mr. Lewis says, that addiction is a form of normal habit formation. But isn’t it more like a normal process gone awry? When outcomes are so dire, how is this not a pathological state? Mr. Lewis is deeply humane in his regard for people trapped in compulsive habits, so much so that he seems reluctant to impose any rules on their behavior and ends up treating them more like patients than he might like to admit. He is big on the so-called Vancouver model in which addicts are guided to safer drug-using methods and gently encouraged to get themselves together. But he de-emphasizes the importance of behavioral shaping through external incentives and sanctions, which are at the core of drug treatments that divert addicts from the criminal-justice system."

For the full review see:

http://www.wsj.com/articles/kicking-the-habit-1437522178