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Addiction and ChoiceRethinking the relationship$
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Nick Heather and Gabriel Segal

Print publication date: 2016

Print ISBN-13: 9780198727224

Published to Oxford Scholarship Online: November 2016

DOI: 10.1093/acprof:oso/9780198727224.001.0001

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PRINTED FROM OXFORD SCHOLARSHIP ONLINE (oxford.universitypressscholarship.com). (c) Copyright Oxford University Press, 2021. All Rights Reserved. An individual user may print out a PDF of a single chapter of a monograph in OSO for personal use. date: 18 October 2021

Overview of addiction as a disorder of choice and future prospects

Overview of addiction as a disorder of choice and future prospects

(p.463) Chapter 25 Overview of addiction as a disorder of choice and future prospects
Addiction and Choice

Nick Heather

Oxford University Press

This concluding chapter offers an overview of some issues raised in the book. Future developments in theory and research include seeing addiction as dynamic inconsistency, advancing the explanation of temptation and self-control, clarifying the nature of “compulsion,” and moving toward an inclusive dual-systems theory. Implications for treatment and brief intervention include correcting an imbalance between motivational and self-control approaches, and challenging the assumption that new pharmacotherapies and other biological interventions are the only way forward. The main implication for prevention is the need to reduce socioeconomic deprivation. For public understanding of addiction, a disease view is not the only way to combat stigma and punitive attitudes, though the disordered choice model may face special risks of being misunderstood. The final conclusion is that the role of volition in addiction must be clearly recognised and its implications for how we respond to addiction honestly debated.

Keywords:   addiction, disordered choice, temptation, self-control, dual-systems theory, pharmacotherapies, socioeconomic deprivation, public understanding, stigma, punitive attitudes

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