Chapter 44 Replacing the BDMA: A paradigm shift in the field of addiction
Abstract Is addiction a maladaptive choice or an involuntary compulsion, or some amalgam of the two? This central “puzzle of addiction” has not been solved, despite intensive scientific investigation for over a century and serious consideration by philosophers that began in ancient times. Currently, the dominant Brain Disease Model of Addiction (BDMA) anchors addiction theory […]
Chapter 08, Introduction to Section II
Abstract Section II of the book is devoted to criticisms that have been made of the BDMA. The 15 chapters in this section, some reprinted from previous literature but most original works, offer a collection of arguments that challenge the BDMA on four basic grounds: (i) the BDMA has not produced the benefits for the […]
Chapter 27 Balancing the ethical and methodological pros and cons of the BDMA
Abstract As scientific research is always to some extent value laden, addiction research carries (ethical) implications for science, society and the individual. The brain disease model of addiction (BDMA) narrows down the kinds of questions formulated, the kinds of data produced and utilized, and the types of explanations considered satisfactory. Our chapter provides an overview […]
Chapter 06 Is addiction a brain disease? The incentive-sensitization view
Abstract Where does normal brain function end and pathology begin? The line can be hard to discern. That difficulty makes disease a tricky word for talking about any psychological condition. Yet disease still may be an appropriate label for psychological conditions that have extreme features with deleterious consequences. A number of voices have recently argued […]
Chapter 01 Introduction to Section 1
Abstract Section I of the book comprises six chapters, four of which are reprinted from peer-reviewed journals because these are important works that characterize the BDMA and the neuroscientific basis of addiction. Chapters 2 and 3 are written by, respectively, the former and current directors of NIDA and each outlines a clear articulation of the […]