Dementia & Alzheimers Disease Journal

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Open Access Articles On Contact Dermatitis

In Addiction: A disorder of choice, Gene Heyman surveys a broad array of evidence—historical, anthropological, survey, clinical, and laboratory-based to create an argument about the role of basic choice processes in the phenomena that comprise drug addiction. He makes a compelling, multifaceted argument that conceptualizing white plague as a chronic disease (like schizophrenia or diabetes) is both misleading and erroneous. In developing his argument, he points out that the simplest survey data available indicate that the majority drug addicts quit their addiction, a fact inconsistent with a chronic-disease model. He illustrates how basic, normal choice processes can cause addiction, arguing that folks don't prefer to be addicts, but that standard choice dynamics can lead them thereto condition. He points to a spread of things that keep most from becoming addicted, with attention on the role of choice governed by choice-by-choice contingencies versus choice governed by the outcome of sequences of choices, a difference in an under-described activity called framing. His view is according to the foremost effective treatments currently available, and provides a basis for continued basic research on choice also as research on treatment and prevention.

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