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Rethinking Addiction: Beyond the Diseased Brain Model
Unraveling the Complexity of Addiction
Introduction
The conventional view of addiction as a chronic brain disease has gained widespread acceptance, supported by influential health organizations like the NIH and ASAM. Yet, this perspective faces increasing scrutiny, as highlighted by experts like Dr. Sally Satel and corroborated by personal stories of those who’ve battled addiction.
The Fallacy of the Disease Model
Dr. Satel challenges the brain disease model by emphasizing the need to consider addiction’s origins and the unique changes it induces in the brain. Unlike other neurological disorders, addiction involves a complex interplay of biological, psychological, and environmental factors. Understanding addiction requires a holistic approach that considers the underlying mental and emotional health issues driving problematic substance use, transcending a purely neurobiological interpretation.
Accountability and Personal Agency in Addiction
A critical aspect where the disease model falls short is in acknowledging the capacity for personal agency and accountability in addiction.
Unlike conditions that severely impair…
