Is Addiction A Choice?

By Virginia Prescott on Tuesday, August 25, 2009.

For decades, the medical and recovery communities have held that addiction is a disease. The National Institutes of Health compare drug and alcohol addiction to type-two diabetes and cancer.

In a provocative new book Addiction: A Disorder of Choice psychologist Gene Heyman argues that addiction is not a disease, but a series of bad decisions. Heyman is a research psychologist at McLean Hospital and a lecturer in psychology at Harvard Medical School. Heyman presents evidence suggesting that addiction is a voluntary behavior instead of a disease. Gene Heyman joins us on the line to lay out his argument.

The Star: Addiction: Could it be a big lie?

The Boston Globe: Is addiction a choice?

(Photo by ozjimbob via Flickr/Creative Commons)

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I was victimized or lived with addicts most of my young life, alcohoics or druggies.

My opinion is that addiction is BOTH chemical and behavioral. A person without sufficient emotional tools is faced with a negative life event (or many). What they find is that the addictive substance helps them feel better, so they take/use it for that. The substance addiction IS real but WITH enough emotional tools can be broken.

Therefore, I really do believe it is both chemical in nature AND behavioral choices. If we do not teach people more coping skills and turn away from the "a drug can fix you" attitude our society currently has, then expecting people to "Just say no." is absurd. A person without sufficient coping skills is likely to use whatever they can to ease their pain.

My mother was an alcoholic, my primary childhood caretaker was as well. My first male partner was a junkie. I know people who have walked away from alcoholism and heroin addiction, and I've also known people who could not.

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