title: Scientific and conceptual flaws of coercive treatment models in addiction.
abstract: In conceptual debates on addiction, neurobiological research has been used to support the idea that addicted drug users lack control over their addiction-related actions. In some interpretations, this has led to coercive treatment models, in which, the purpose is to 'restore' control. However, neurobiological studies that go beyond what is typically presented in conceptual debates paint a different story. In particular, they indicate that though addiction has neurobiological manifestations that make the addictive behaviour difficult to control, it is possible for individuals to reverse these manifestations through their own efforts. Thus, addicted individuals should not be considered incapable of making choices voluntarily, simply on the basis that addiction has neurobiological manifestations, and coercive treatment models of addiction should be reconsidered in this respect.
authors.affiliation: Department of Behavioural Sciences and Philosophy, University of Turku, Turku, Finland.
authors.forename: Susanne
authors.initials: S
authors.lastname: Uusitalo
authors.affiliation: Centre for Biomedical Ethics, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
authors.forename: Yvette
authors.initials: Y
authors.lastname: van der Eijk
mesh_terms: D016739:Behavior, Addictive / Q000503:physiopathology / Q000523:psychology / Q000628:therapy*; D002755:Choice Behavior; D003068:Coercion; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D003210:Concept Formation; D006801:Humans; D009042:Motivation; D026684:Personal Autonomy; D017397:Prefrontal Cortex / Q000503:physiopathology*; D012720:Severity of Illness Index; D019966:Substance-Related Disorders / Q000503:physiopathology / Q000523:psychology / Q000628:therapy*; D014836:Volition
keywords: Autonomy; Coercion; Competence/incompetence; Decision-making; Substance Abusers/Users of Controlled Substances