Home > Is the concept of compulsion useful in the explanation or description of addictive behaviour and experience?

Heather, Nick . (2017) Is the concept of compulsion useful in the explanation or description of addictive behaviour and experience? Elsevier. Addictive Behaviors Reports, 6

URL: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC58005...

The concept of compulsion, in which addictive behaviour is said to be carried out against the will, is central to the disease theory of addiction and ubiquitous in modern definitions. The aims of this article are: (i) to describe various meanings of compulsion in the literature; (ii) to compare the part thought to be played by compulsion in addiction with its suggested role in obsessive-compulsive disorder; (iii) to critically examine the place of compulsion in influential neurobiological accounts of addiction; (iv) to summarise the empirical evidence bearing on the usefulness of the compulsion concept, evidence that seems at first sight incompatible with the notion of compulsion.

This is followed by a discussion of which possible meanings of compulsion can survive an empirical test and what role they might play in understanding addiction, paying particular attention to a distinction between strong and weak senses of compulsion. A conclusion is that addictive behaviour cannot be considered compulsive, though other possible meanings of compulsion as an explanation or description of addictive behaviour and experience are discussed. Among other conclusions, it is suggested that, although in some senses of the term it may seem arbitrary whether or not 'compulsion' should be retained, its use has important consequences for the public understanding of addiction, and is likely to deter people's attempts to overcome their addictions and their chances of success.


Item Type:Evidence resource
Publication Type:Review
Drug Type:Alcohol or other drugs in general
Intervention Type:AOD disorder
Date:December 2017
Page Range:pp. 15-38
Publisher:Elsevier
Volume:6
EndNote:View
Subjects:F Concepts in psychology > Cognition
F Concepts in psychology > Learning
F Concepts in psychology > Motivation
F Concepts in psychology > Attitude and behaviour
F Concepts in psychology > Non chemical addiction

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