Negotiating the Relationship Between Addiction, Ethics, and Brain Science.
Negotiating the Relationship Between Addiction, Ethics, and Brain Science.
复制标题
DOI：
10.1080/21507740903508609
复制
发表时间：
2010-01
影响因子：
--
通讯作者：
Illes J
中科院分区：
文献类型：
--
作者：
Buchman DZ;Skinner W;Illes J
神经科学的进步正在改变人们对成瘾等心理健康问题的理解，并将其作为一种脑部疾病加以解决。虽然大脑疾病模型使成瘾作为一种医学状况合法化，但它促进了神经本质主义思维，责任和自由选择的绝对观念，并破坏了其出现的复杂性。我们提出了一个“生物心理社会系统”模型，其中心理社会因素与神经遗传学相互补充和相互作用。系统方法处理成瘾的复杂性，并在个人的生物、生活经验和社会历史背景下处理自由选择和道德责任。我们研究海洛因辅助治疗作为我们的框架内的应用案例的例子。最后，我们讨论了该模型及其对药物政策、研究、成瘾医疗保健系统和交付以及药物使用问题的治疗的影响。
Advances in neuroscience are changing how mental health issues such as addiction are understood and addressed as a brain disease. Although a brain disease model legitimizes addiction as a medical condition, it promotes neuro-essentialist thinking, categorical ideas of responsibility and free choice, and undermines the complexity involved in its emergence. We propose a ‘biopsychosocial systems’ model where psycho-social factors complement and interact with neurogenetics. A systems approach addresses the complexity of addiction and approaches free choice and moral responsibility within the biological, lived experience and socio-historical context of the individual. We examine heroin-assisted treatment as an applied case example within our framework. We conclude with a discussion of the model and its implications for drug policy, research, addiction health care systems and delivery, and treatment of substance use problems.