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  1. added 2020-05-05
    Opioid Treatment Agreements and Patient Accountability.Larisa Svirsky - forthcoming - Hastings Center Report.
    Opioid treatment agreements are written agreements between physicians and patients enumerating the risks associated with opioid medications along with the requirements that patients must meet to receive these medications on an ongoing basis. The choice to use such agreements goes beyond the standard informed consent process, and has a distinctive symbolic significance. Specifically, it suggests that physicians regard it as important to hold their patients accountable for adhering to various protocols regarding the use of their opioid medications. After laying out (...)
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  2. added 2020-02-16
    Addiction, Identity, Morality.Brian D. Earp, Joshua August Skorburg, Jim A. C. Everett & Julian Savulescu - 2019 - Ajob Empirical Bioethics 10 (2):136-153.
    Background: Recent literature on addiction and judgments about the characteristics of agents has focused on the implications of adopting a ‘brain disease’ versus ‘moral weakness’ model of addiction. Typically, such judgments have to do with what capacities an agent has (e.g., the ability to abstain from substance use). Much less work, however, has been conducted on the relationship between addiction and judgments about an agent’s identity, including whether or to what extent an individual is seen as the same person after (...)
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  3. added 2019-12-05
    Powerlessness and Responsibility in Twelve Step Narratives.Mary Jean Walker - 2014 - In Jerome Miller & Nicholas Plants (eds.), Sobering Wisdom: Philosophical explorations of twelve step spirituality. Charlottesville, USA: University of Virginia Press. pp. 30-41.
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  4. added 2019-06-14
    A Scientific and Socioecononic Review of Betel Nut Use in Taiwan with Bioethical Reflections.Joseph Tham, Geoffrey Sem, Eugene Sit & Michael Cheng-tek Tai - 2017 - Asian Bioethics Review 9 (4):401-414.
    This article addresses the ethics of betel nut use in Taiwan. It first presents scientific facts about the betel quid and its consumption and the generally accepted negative health consequences associated with its use: oral and esophageal cancer, coronary artery disease, metabolic diseases, and adverse effects in pregnancy. It then analyzes the cultural background and economic factors contributing to its popularity in Asia. The governmental and institutional attempts to curb betel nut cultivation, distribution, and sales are also described. Finally, the (...)
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  5. added 2019-06-14
    The Ethics of Betel Nut Consumption in Taiwan.Joseph Tham, Geoffrey Sem, Eugene Sit & Michael Cheng-tek Tai - 2017 - Journal of Medical Ethics 43 (11):739-740.
    The ethics of betel nut use in Taiwan are examined in this article. It first presents scientific facts about the betel quid, its consumption and negative health consequences and then analyses the cultural background and economic factors contributing to its popularity in Asia. Governmental and institutional attempts to curb betel nut cultivation, distribution and sales are also described. Finally, the bioethical implications of this often ignored subject are considered.
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  6. added 2019-03-28
    Integrated Recovery Therapy: Towards an Integrally Informed Psychotherapy for Addicted Populations.Guy Pierre Du Plessis - 2012 - Journal of Integral Theory and Practice 7 (1):124-148.
    Abstract This article proposes and outlines an integrally informed 12 Step-based therapy that is adapted for treating addicted populations. Integrated Recovery Therapy (IRT) as a therapeutic orientation is an Integral Methodological Pluralism to therapy for treating addiction. Its two main features are paradigmatic and meta-paradigmatic. The paradigmatic aspect refers to the recognition, compilation and implementation of various methodologies in a comprehensive and inclusive manner. The meta-paradigmatic aspect refers to IRT’s capacity to weave together, relate and integrate the various paradigmatic practices. (...)
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  7. added 2019-03-26
    The Integrated Recovery Model for Addiction Treatment and Recovery.Guy Du Plessis - 2010 - Journal of Integral Theory and Practice 5 (3):68-87.
    This article outlines an integrally informed model for addictionon treatment and recover that is being pioneered and developed at Tabankulu Secondary Addiction Recovery Center in Cape Town, South Africa. Tabankulu is the world’s first inpatient Addictionon treatment center to implement an integrally informed treatment model. The Integrated Recovery model is a comprehensive, balanced, multi-phased, and multi-disciplinary approach to the treatment of and recovery from addiction. Its philosophy is derived from integrang a 12 Step abstinence-based methodology, mindfulness-based interventions, positive psychology, and (...)
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  8. added 2019-03-25
    An Existential Perspective on Addiction Treatment: A Logic-Based Therapy Case Study.Guy Du Plessis - 2019 - International Journal of Philosophical Practice 5 (1).
    In this essay I argue that a comprehensive understanding of addiction and its treatment should include an existential perspective. I provide a brief overview of an existential perspective of addiction and recovery, which will contextualize the remainder of the essay. I then present a case study of how the six-step philosophical practice method of Logic-Based Therapy can assist with issues that often arise in addiction treatment framed through an existential perspective.
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  9. added 2019-03-25
    An Integral Ontology of Addiction: A Multiple Object Existing as a Continuum of Ontological Complexity. Journal of Integral Theory and Practice, 9(1), 38–54.Guy du Plessis - 2014 - Journal of Integral Theory and Practice 9 (1):38-54.
    ABSTRACT In previous work I explored how Integral Theory can be applied as a metatheoretical and transdisciplinary framework, in an attempt to arrive at an integrally informed metatheory of addiction. There was an overemphasis on Integral Methodological Pluralism in that thread of research, without clarifying the ontological pluralism of addiction as a multiple object enacted by various methodologies. To arrive at a comprehensive integral metatheory and integral ontology of addiction, I believe it is necessary to include the conception of Integral (...)
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  10. added 2019-03-25
    Toward an Integral Model of Addiction: By Means of Integral Methodological Pluralism as a Metatheoretical and Integrative Conceptual Framework.Guy Du Plessis - 2012 - Journal of Integral Theory and Practice 7 (3):1-24.
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  11. added 2019-01-19
    An Argument Against Drug Testing Welfare Recipients.Mary Jean Walker & James Franklin - 2018 - Kennedy Institute of Ethics Journal 28 (3):309-340.
    Programs of drug testing welfare recipients are increasingly common in US states and have been considered elsewhere. Though often intensely debated, such programs are complicated to evaluate because their aims are ambiguous – aims like saving money may be in tension with aims like referring people to treatment. We assess such programs using a proportionality approach, which requires that for ethical acceptability a practice must be: reasonably likely to meet its aims, sufficiently important in purpose as to outweigh harms incurred, (...)
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  12. added 2018-04-04
    Reactive Attitudes, Relationships, and Addiction.Jeanette Kennett, Doug McConnell & Anke Snoek - forthcoming - In S. Ahmed & Hanna Pickard (eds.), Routledge Handbook of the Philosophy and Science of Addiction. London, UK: Routledge.
    In this chapter we focus on the structure of close personal relations and diagnose how these relationships are disrupted by addiction. We draw upon Peter Strawson’s landmark paper ‘Freedom and Resentment’ (2008, first published 1962) to argue that loved ones of those with addiction veer between, (1) reactive attitudes of blame and resentment generated by disappointed expectations of goodwill and reciprocity, and (2) the detached objective stance from which the addicted person is seen as less blameworthy but also as less (...)
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  13. added 2018-04-04
    Narrative Self-Constitution and Recovery From Addiction.Doug McConnell - 2016 - American Philosophical Quarterly 53 (3):307-322.
    Why do some addicted people chronically fail in their goal to recover, while others succeed? On one established view, recovery depends, in part, on efforts of intentional planning agency. This seems right, however, firsthand accounts of addiction suggest that the agent’s self-narrative also has an influence. This paper presents arguments for the view that self-narratives have independent, self-fulfilling momentum that can support or undermine self-governance. The self-narrative structures of addicted persons can entrench addiction and alienate the agent from practically feasible (...)
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  14. added 2014-10-10
    The Addict in Us All.Brendan Dill & Richard Holton - 2014 - Frontiers in Psychiatry 5 (139):01-20.
    In this paper, we contend that the psychology of addiction is similar to the psychology of ordinary, non-addictive temptation in important respects, and explore the ways in which these parallels can illuminate both addiction and ordinary action. The incentive salience account of addiction proposed by Robinson and Berridge (1993; 2001; 2008) entails that addictive desires are not in their nature different from many of the desires had by non-addicts; what is different is rather the way that addictive desires are acquired, (...)
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  15. added 2014-08-08
    Providing Free Heroin to Addicts Participating in Research - Ethical Concerns and the Question of Voluntariness.Edmund Henden & Bærøe Kristine - 2014 - The Psychiatric Bulletin 38 (4):1-4.
    Providing heroin to heroin addicts taking part in medical trials to assess the effectiveness of the drug as a treatment alternative, breaches ethical research standards, some ethicists maintain. Heroin addicts, they say, are unable to consent voluntarily to take part in these trials. Other ethicists disagree. In our view, both sides of the debate have an inadequate understanding of voluntariness. In this article we therefore offer a fuller conception, one which allows for a more flexible, case-to-case approach in which some (...)
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  16. added 2014-07-12
    Ethical Considerations of Medical Cannabis Prescription.Cole Zachary - manuscript
    Despite analgesic and emetogenic benefits, cannabis has been banned from prescription in a number of western countries. Although some benefits are shared by drugs already available, the options of prescription are limited to the physician. The negative side-effects of cannabis do not justify this limitation on freedom and autonomy. Recreational use warrants limitations, as the search for euphoria is regularly believed to be a non-autonomous behavior. Medical prescriptions serve an analgesic and emetogenic purpose comparable to other prescribed drugs. This vindicates (...)
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  17. added 2014-04-02
    Addiction, Compulsion, and Agency.Ezio Di Nucci - 2014 - Neuroethics 7 (1):105-107.
    I show that Pickard’s argument against the irresistibility of addiction fails because her proposed dilemma, according to which either drug-seeking does not count as action or addiction is resistible, is flawed; and that is the case whether or not one endorses Pickard’s controversial definition of action. Briefly, we can easily imagine cases in which drug-seeking meets Pickard’s conditions for agency without thereby implying that the addiction was not irresistible, as when the drug addict may take more than one route to (...)
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  18. added 2012-11-04
    Wanting What We Don't Want to Want: Representing Addiction in Interoperable Bio-Ontologies.Janna Hastings, Nicolas Le Novère, Werner Ceusters, Kevin Mulligan & Barry Smith - 2012 - In Ronald Cornet & Robert Stevens (eds.), Proceeedings of the Third International Conference on Biomedical Ontology. CEUR. pp. 56-60.
    Ontologies are being developed throughout the biomedical sciences to address standardization, integration, classification and reasoning needs against the background of an increasingly data-driven research paradigm. In particular, ontologies facilitate the translation of basic research into benefits for the patient by making research results more discoverable and by facilitating knowledge transfer across disciplinary boundaries. Addressing and adequately treating mental illness is one of our most pressing public health challenges. Primary research across multiple disciplines such as psychology, psychiatry, biology, neuroscience and pharmacology (...)
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