Harvard University Press | ISBN:0674057279 | File Type: PDF, 216 pages | File size: 70.Mb | Oct. 15th, 2010
General Psychiatry: A Disorder of Choice In a book sure to inspire controversy Gene Heyman argues that conventional wisdom about addiction that it is a disease a compsion beyond conscious control is wrong Drawing on psychiatric epidemiology addicts autobiographies treatment studies and advances in behavioral economics Heyman makes a powerf case that addiction is voluntary He shows that drug use like all choices is influenced by preferences and goals But just as there are successf dieters there are successf ex addicts In fact addiction is the psychiatric disorder with the highest rate of recovery But what ends an addiction At the heart of Heyman s analysis is a startling view of choice and motivation that applies to all choices not just the choice to use drugs The conditions that promote quitting a drug addiction include new information ctural values and of course the costs and benefits of further drug use Most of us avoid becoming drug dependent not because we are especially rational but because we loathe the idea of being an addict Heyman s analysis of well established but frequently ignored research leads to unexpected insights into how we make choices from obesity to McMansionization all rooted in our deep seated tendency to consume too much of whatever we like best As wealth increases and technology advances the dilemma posed by addictive drugs spreads to new products However this remarkable and radical book points to a solution If drug addicts typically beat addiction then non addicts can learn to control their natural tendency to take too much
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