The word ‘addiction’ these days is used to refer to
a chronic condition where there is an unhealthily
powerful motivation to engage in a particular behaviour.
This can be driven by many different factors –
physiological, psychological, environmental and social.
If we say that it is all about X, we miss V, W, Y and Z.
So, some people think addicts are using drugs to escape
from unhappy lives, feelings of anxiety and so on; many
are. Some people think drugs become addictive because
they alter the brain chemistry to create powerful urges;
that is often true. Others think that drug taking is
about seeking after pleasure; often it is. Some take the
view that addiction is a choice – addicts weigh up the
pros and cons of doing what they do and decide the
former outweigh the latter. Yet others believe that
addicts suffer from poor impulse control; that is often
true… And so it goes on. When you look at the evidence,
you see that all these positions capture important
aspects of the problem – but they are not complete
explanations. Neuroscience can help us delve more deeply
into some of these explanations, while the behavioural
and social sciences are better at exploring others. We
need a model that puts all this together in a way that
can help us decide what to do in different cases. Should
we prescribe a drug, give the person some ‘tender loving
care’, put them in prison or what? Theory of Addiction
provides this synthesis. The first edition was well
received: ‘Throughout the book the reader is exposed to
a vast number of useful observations...The theoretical
aims are timely, refreshing, ambitious and above all
challenging. It opens up a new way of looking at
addiction and has the potential to move the field of
addiction a considerable leap forward. Thus we
wholeheartedly would like to recommend the book for
students as well as scholars. Read and learn!’ Nordic
Studies on Alcohol and Drugs ‘The book provides a
comprehensive review of existing theories – over 30 in
all – and this synthesis of theories constitutes an
important contribution in and of itself... West is to be
commended for his synthesis of addiction theories that
span neurobiology, psychology and social science and for
his insights into what remains unexplained.’ Addiction
This new edition of Theory of Addiction builds on the
first, including additional theories in the field, a
more developed specification of PRIME theory and
analysis of the expanding evidence base. With this
important new information, Theory of Addiction will
continue to be essential reading for all those working
in addiction, from student to experienced practitioner –
as urged above, Read and learn!
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