The Science of Choice in Addiction

12/3/2014
Updated:
12/3/2014

No one would choose the misery that comes with excessive use. “I’ve never come across a single person that was addicted that wanted to be addicted,” says neuroscientist Nora Volkow, director of the National Institute on Drug Abuse and an enthusiastic booster of the brain-driven model of addiction. It is true, drug users don’t choose to become addicted any more than consumers of high calorie foods choose to become overweight. But addiction and poundage is not what they are choosing: what they seek is momentary gratification or relief—a decision that is rational in the short-term but irrational in the long-term.

Eventually, addicts find themselves torn between reasons to use and reasons not to. Novelist and junkie William S. Burroughs calls this the “naked lunch” experience, “a frozen moment when everyone sees what is on the end of every fork.”

In short, every addict has reasons to begin using, reasons to continue, and reasons to quit. To act on a reason is to choose. To make good choices requires the presence of meaningful alternatives. And making a series of good choices leads to achievements—jobs, relationships, reputations. These give a person something meaningful to lose, another reason in itself to steer away from bad choices.

This article was originally published on www.theatlantic.com. Read the complete article here.

*Image of “nuggets“ via Shutterstock

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