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Is Addiction a Brain Disease?

Neuroethics 10 (1):29-33 (2016)

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  1. Addiction and the Brain: Development, Not Disease.Lewis Marc - 2017 - Neuroethics 10 (1):7-18.
    I review the brain disease model of addiction promoted by medical, scientific, and clinical authorities in the US and elsewhere. I then show that the disease model is flawed because brain changes in addiction are similar to those generally observed when recurrent, highly motivated goal seeking results in the development of deep habits, Pavlovian learning, and prefrontal disengagement. This analysis relies on concepts of self-organization, neuroplasticity, personality development, and delay discounting. It also highlights neural and behavioral parallels between substance addictions, (...)
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  • Neurobiologic Advances from the Brain Disease Model of Addiction.Nora D. Volkow, George F. Koob & A. Thomas McClellan - 2016 - New England Journal of Medicine 374:363-371.
    This article reviews scientific advances in the prevention and treatment of substance-use disorder and related developments in public policy. In the past two decades, research has increasingly supported the view that addiction is a disease of the brain. Although the brain disease model of addiction has yielded effective preventive measures, treatment interventions, and public health policies to address substance-use disorders, the underlying concept of substance abuse as a brain disease continues to be questioned, perhaps because the aberrant, impulsive, and compulsive (...)
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