Sally Satel – författare

A bracing—and compassionate—challenge to the idea of addiction as a disease. From a leading psychiatrist at the Yale School of Medicine and the medical director of a methadone clinic in Washington, DC.Ask someone why they got a brain tumor. They won’t know. But ask someone why they developed an addiction and they’ll have a personal, meaningful explanation. Why? Because, Sally Satel argues, unlike a brain tumor, addiction is not a disease, and, in particular, not a brain disease. Dismantling the conventional framing of addiction, Not a Disease makes a compelling case for more refined—and useful—conceptual and clinical perspectives. Addiction, Satel suggests, is better understood as a symptom rather than a disease—a symptom of psychic pain that needs to be anesthetized. Only by recognizing this will we find a more effective approach to recovery.A practicing physician who has worked with addicts for many years, Satel explores why people consume substances to excess, and why conflicting ideas—held by physicians, scientists, policymakers, and the public—complicate treatment and policy. Without dismissing biological factors, she looks at the drug epidemic in Ironton, Ohio, a small American town in decline, breaking down the conventional wisdom that ascribes too much power to the capacity of drugs to enslave users’ brains, and too little to the vulnerabilities of people and places that draw them to drugs in the first place. Her analysis of the misguided responses to the crisis of addiction to prescription opioids illuminates the plight of millions of patients plunged into needless and solitary agony.Boldly recasting the nature of addiction, from painkillers to fentanyl, Not a Disease holds out hope for a more humane way to meet this deep and widespread societal challenge.

This ground-breaking book advances the fundamental debate about the nature of addiction. As well as presenting the case for seeing addiction as a brain disease, it brings together all the most cogent and penetrating critiques of the brain disease model of addiction (BDMA) and the main grounds for being skeptical of BDMA claims. The idea that addiction is a brain disease dominates thinking and practice worldwide. However, the editors of this book argue that our understanding of addiction is undergoing a revolutionary change, from being considered a brain disease to a disorder of voluntary behavior. The resolution of this controversy will determine the future of scientific progress in understanding addiction, together with necessary advances in treatment, prevention, and societal responses to addictive disorders. This volume brings together the various strands of the contemporary debate about whether or not addiction is best regarded as a brain disease. Contributors offer arguments for and against, and reasons for uncertainty; they also propose novel alternatives to both brain disease and moral models of addiction. In addition to reprints of classic articles from the addiction research literature, each section contains original chapters written by authorities on their chosen topic. The editors have assembled a stellar cast of chapter authors from a wide range of disciplines – neuroscience, philosophy, psychiatry, psychology, cognitive science, sociology, and law – including some of the most brilliant and influential voices in the field of addiction studies today. The result is a landmark volume in the study of addiction which will be essential reading for advanced students and researchers in addiction as well as professionals such as medical practitioners, psychiatrists, psychologists of all varieties, and social workers.

This ground-breaking book advances the fundamental debate about the nature of addiction. As well as presenting the case for seeing addiction as a brain disease, it brings together all the most cogent and penetrating critiques of the brain disease model of addiction (BDMA) and the main grounds for being skeptical of BDMA claims. The idea that addiction is a brain disease dominates thinking and practice worldwide. However, the editors of this book argue that our understanding of addiction is undergoing a revolutionary change, from being considered a brain disease to a disorder of voluntary behavior. The resolution of this controversy will determine the future of scientific progress in understanding addiction, together with necessary advances in treatment, prevention, and societal responses to addictive disorders. This volume brings together the various strands of the contemporary debate about whether or not addiction is best regarded as a brain disease. Contributors offer arguments for and against, and reasons for uncertainty; they also propose novel alternatives to both brain disease and moral models of addiction. In addition to reprints of classic articles from the addiction research literature, each section contains original chapters written by authorities on their chosen topic. The editors have assembled a stellar cast of chapter authors from a wide range of disciplines – neuroscience, philosophy, psychiatry, psychology, cognitive science, sociology, and law – including some of the most brilliant and influential voices in the field of addiction studies today. The result is a landmark volume in the study of addiction which will be essential reading for advanced students and researchers in addiction as well as professionals such as medical practitioners, psychiatrists, psychologists of all varieties, and social workers.

What can't neuroscience tell us about ourselves? Since fMRI,functional magnetic resonance imaging,was introduced in the early 1990s, brain scans have been used to help politicians understand and manipulate voters, determine guilt in court cases, and make sense of everything from musical aptitude to romantic love. But although brain scans and other neurotechnologies have provided ground-breaking insights into the workings of the human brain, the increasingly fashionable idea that they are the most important means of answering the enduring mysteries of psychology is misguided,and potentially dangerous.In Brainwashed , psychiatrist and AEI scholar Sally Satel and psychologist Scott O. Lilienfeld reveal how many of the real-world applications of human neuroscience gloss over its limitations and intricacies, at times obscuring,rather than clarifying,the myriad factors that shape our behaviour and identities. Brain scans, Satel and Lilienfeld show, are useful but often ambiguous representations of a highly complex system. Each region of the brain participates in a host of experiences and interacts with other regions, so seeing one area light up on an fMRI in response to a stimulus doesn't automatically indicate a particular sensation or capture the higher cognitive functions that come from those interactions. The narrow focus on the brain's physical processes also assumes that our subjective experiences can be explained away by biology alone. As Satel and Lilienfeld explain, this neurocentric" view of the mind risks undermining our most deeply held ideas about selfhood, free will, and personal responsibility, putting us at risk of making harmful mistakes, whether in the courtroom, interrogation room, or addiction treatment clinic. A provocative account of our obsession with neuroscience, Brainwashed brilliantly illuminates what contemporary neuroscience and brain imaging can and cannot tell us about ourselves, providing a much-needed reminder about the many factors that make us who we are.

The study analyzes and challenges the income inequality hypothesis, which purports to show that inequality in incomenot poverty per seis bad for people's health.