Cover

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Title Page, Copyright Page

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pp. i-iv

Contents

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pp. v-vi

Contributors

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p. vii

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Acknowledgments

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p. viii

The chapters of this book were first presented at a conference on addiction at the Russell Sage Foundation in June 1997. The conference marked the end of a five-year project on addiction, generously funded by...

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Introduction

Jon Elster

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pp. ix-xx

A common image of addiction is captured in the following thumbnail sketch of rats who have been trained to stimulate the pleasure circuits in their brains by pressing...

Part I. Philosophical Perspectives on Addiction

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Chapter 1. Disordered Appetites: Addiction, Compulsion, and Dependence

Gary Watson

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pp. 3-28

In both popular and technical discussion, addictive behavior is said to be in some sense out of control. However, this description does not distinguish addiction from various forms of moral...

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Chapter 2. Freedom of the Will and Addiction

OLAV GJELSVIK

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pp. 29-54

Like my cat, I often simply do what I want to do. I am then not using an ability that only persons have" (Parfit 1984, ix). I concur. The quoted writer, and possibly his cat, enjoy what I call freedom of action: Acts are free when...

Part II. The Neurobiology of Addiction

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Chapter 3. The Neurobiology and Genetics of Addiction: Implications of the "Reward Deficiency Syndrome" for Therapeutic Strategies in Chemical Dependency

Eliot L. Gardner

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pp. 57-119

In spite of decades of research into the underlying determinants of drug addiction and chemical dependence, no clearly efficacious therapeutic modality has emerged...

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Chapter 4. Addiction as Impeded Rationality

Helge Waal and Jorg Morland

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pp. 120-148

From a clinical point of view, drug taking is a complex behavior that involves consciousness and deliberate actions. The drug taker has to procure the drug or accept an offer. Consumption further...

Part III. Addiction, Choice, and Self-Control

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Chapter 5. Hyperbolic Discounting, Willpower, and Addiction

Ole-Jorgen Skog

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pp. 151-168

Theories of addiction have traditionally not analyzed very carefully the basic problems of choice that addicted people are faced with. Addicts are conceived as consumption robots, helpless victims of their environment or their...

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Chapter 6. Addiction and Self-Control

Ted O'Donoghue and Matthew Rabin

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pp. 169-206

Many observers suspect that self-control problems and related time inconsistencies play an important role in the consumption of addictive products, leading people to develop and maintain addictions against...

Part IV. Addiction and Motivation

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Chapter 7. The Intuitive Explanation of Passionate Mistakes and Why It's Not Adequate

George Ainslie

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pp. 209-238

People have always been puzzled by their own propensity to do things that they will regret-often deliberately and in full knowledge that they will regret them. Intoxication has been an exemplar...

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Chapter 8. Emotion and Addiction: Neurobiology, Culture, and Choice

Jon Elster

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pp. 239-276

In this chapter I compare the phenomenon of addiction with that of emotion in the hope that the comparison may enhance our understanding of both. The discussion is methodological rather than substantive and, hence, has to cover...

Part V. Addiction and Culture

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Chapter 9. Addicts as Objects of Study: Clinical Encounters in the 1920s

Caroline Jean Acker

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pp. 279-300

Unlike many students of addiction, I do not seek to understand what addiction is. Rather, as a socially trained historian of medical and scientific disciplines, I am chiefly interested in how...

Index

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pp. 301-310