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A Visceral Account of Addiction

Published online by Cambridge University Press:  05 June 2012

George Loewenstein
Affiliation:
Veterans Administration in Coatesville, Pennsylvania
Jon Elster
Affiliation:
Columbia University, New York
Ole-Jørgen Skog
Affiliation:
Universitetet i Oslo
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Summary

In the past, addiction has been viewed as a sui generis phenomenon (Baker 1988). Recent theories of addiction, however, draw implicit or explicit parallels between addiction and a wide range of other behavioral phenomena. The “disease theory,” for example, highlights similarities between addiction and infectious disease (e.g., Frawley [1988], Vaillant [1983]). Becker and Murphy's rational-choice model of addiction draws a parallel between drug addictions and “endogenous taste” phenomena, such as listening to classical music to attempt to acquire a taste for it, in which current consumption affects the utility of future consumption (Becker and Murphy 1988). Herrnstein and Prelec's “garden path” theory sees addiction as analogous to bad habits, such as workaholism or compulsive lying, that can be acquired gradually due to a failure to notice a deterioration in one's conduct or situation (Herrnstein and Prelec 1992).

In this chapter, I propose an alternative theoretical perspective that views addiction as one, albeit extreme, example of a wide range of behaviors that are influenced or controlled by “visceral factors” (Loewenstein 1996). Visceral factors include drive states such as hunger, thirst, and sexual desire, moods and emotions, physical pain, and, most importantly for addiction, craving for a drug. All visceral factors, including drug craving, are associated with regulatory mechanisms that are essential for survival, but all are also associated with behavior disorders (e.g., sleepiness and narcolepsy, hunger and overeating, fear and phobias, sexual desire and sexual compulsions, anger and spousal abuse, craving and addiction).

Type
Chapter
Information
Getting Hooked
Rationality and Addiction
, pp. 235 - 264
Publisher: Cambridge University Press
Print publication year: 1999

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