Addiction as a disorder of belief

Addiction is almost universally held to be characterized by a loss of control over drug-seeking and consuming behavior. But the actions of addicts, even of those who seem to want to abstain from drugs, seem to be guided by reasons. In this paper, I argue that we can explain this fact, consistent wit...

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Main Author: Levy, N
Format: Journal article
Language:English
Published: Springer Netherlands 2014
Subjects:
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author Levy, N
author_facet Levy, N
author_sort Levy, N
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description Addiction is almost universally held to be characterized by a loss of control over drug-seeking and consuming behavior. But the actions of addicts, even of those who seem to want to abstain from drugs, seem to be guided by reasons. In this paper, I argue that we can explain this fact, consistent with continuing to maintain that addiction involves a loss of control, by understanding addiction as involving an oscillation between conflicting judgments. I argue that the dysfunction of the mesolimbic dopamine system that typifies addictions causes the generation of a mismatch between the top-down model of the world that reflects the judgment that the addict ought to refrain from drugs, and bottom-up input caused by cues predictive of drug availability. This constitutes a powerful pressure toward revising the judgment and thereby attenuating the prediction error. But the new model is not stable, and shifts under the pressure of bottom-up inputs in different contexts; hence the oscillation of all-things-considered judgment. Evidence from social psychology is adduced, to suggest that a similar process may be involved in ordinary cases of weakness of will.
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spelling oxford-uuid:4876c462-2214-495b-b7f9-ce3dc6b9fe6d2022-03-26T15:25:56ZAddiction as a disorder of beliefJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:4876c462-2214-495b-b7f9-ce3dc6b9fe6dPhilosophy of mindEthics of the biosciencesEnglishOxford University Research Archive - ValetSpringer Netherlands2014Levy, NAddiction is almost universally held to be characterized by a loss of control over drug-seeking and consuming behavior. But the actions of addicts, even of those who seem to want to abstain from drugs, seem to be guided by reasons. In this paper, I argue that we can explain this fact, consistent with continuing to maintain that addiction involves a loss of control, by understanding addiction as involving an oscillation between conflicting judgments. I argue that the dysfunction of the mesolimbic dopamine system that typifies addictions causes the generation of a mismatch between the top-down model of the world that reflects the judgment that the addict ought to refrain from drugs, and bottom-up input caused by cues predictive of drug availability. This constitutes a powerful pressure toward revising the judgment and thereby attenuating the prediction error. But the new model is not stable, and shifts under the pressure of bottom-up inputs in different contexts; hence the oscillation of all-things-considered judgment. Evidence from social psychology is adduced, to suggest that a similar process may be involved in ordinary cases of weakness of will.
spellingShingle Philosophy of mind
Ethics of the biosciences
Levy, N
Addiction as a disorder of belief
title Addiction as a disorder of belief
title_full Addiction as a disorder of belief
title_fullStr Addiction as a disorder of belief
title_full_unstemmed Addiction as a disorder of belief
title_short Addiction as a disorder of belief
title_sort addiction as a disorder of belief
topic Philosophy of mind
Ethics of the biosciences
work_keys_str_mv AT levyn addictionasadisorderofbelief