Through the vivid, true stories of five people who journeyed into and out of addiction, a renowned neuroscientist explains why the "disease model" of addiction is wrong and illuminates the path to recovery. The psychiatric establishment and rehab industry in the Western world have branded addiction a brain disease. But in The Biology of Desire, cognitive neuroscientist and former addict Marc Lewis makes a convincing case that addiction is not a disease, and shows why the disease model has become an obstacle to healing. Lewis reveals addiction as an unintended consequence of the brain doing what it's supposed to do-seek pleasure and relief-in a world that's not cooperating. As a result, most treatment based on the disease model fails. Lewis shows how treatment can be retooled to achieve lasting recovery. This is enlightening and optimistic reading for anyone who has wrestled with addiction either personally or professionally.

Drug abuse persists as one of the most costly and contentious problems on the nation's agenda. Pathways of Addiction meets the need for a clear and thoughtful national research agenda that will yield the greatest benefit from today's limited resources. The committee makes its recommendations within the public health framework and incorporates diverse fields of inquiry and a range of policy positions. It examines both the demand and supply aspects of drug abuse. Pathways of Addiction offers a fact-filled, highly readable examination of drug abuse issues in the United States, describing findings and outlining research needs in the areas of behavioral and neurobiological foundations of drug abuse. The book covers the epidemiology and etiology of drug abuse and discusses several of its most troubling health and social consequences, including HIV, violence, and harm to children. Pathways of Addiction looks at the efficacy of different prevention interventions and the many advances that have been made in treatment research in the past 20 years. The book also examines drug treatment in the criminal justice setting and the effectiveness of drug treatment under managed care. The committee advocates systematic study of the laws by which the nation attempts to control drug use and identifies the research questions most germane to public policy. Pathways of Addiction provides a strategic outline for wise investment of the nation's research resources in drug abuse. This comprehensive and accessible volume will have widespread relevanceâ€"to policymakers, researchers, research administrators, foundation decisionmakers, healthcare professionals, faculty and students, and concerned individuals.

All across the United States, individuals, families, communities, and health care systems are struggling to cope with substance use, misuse, and substance use disorders. Substance misuse and substance use disorders have devastating effects, disrupt the future plans of too many young people, and all too often, end lives prematurely and tragically. Substance misuse is a major public health challenge and a priority for our nation to address. The effects of substance use are cumulative and costly for our society, placing burdens on workplaces, the health care system, families, states, and communities. The Report discusses opportunities to bring substance use disorder treatment and mainstream health care systems into alignment so that they can address a person's overall health, rather than a substance misuse or a physical health condition alone or in isolation. It also provides suggestions and recommendations for action that everyone-individuals, families, community leaders, law enforcement, health care professionals, policymakers, and researchers-can take to prevent substance misuse and reduce its consequences.

This review of recent evolutionary theories on psychopathology takes on controversies and contradictions both with established psychological thought and within the evolutionary field itself. Opening with the ancestral origins of the familiar biopsychosocial model of psychological conditions, the book traces distinctive biological and cultural pathways shaping human development and their critical impact on psychiatric and medical disorders. Analyses of disparate phenomena such as jealousy, social anxiety, depressive symptoms, and antisocial behavior describe adaptive functions that have far outlasted their usefulness, or that require further study and perhaps new directions for treatment. In addition, the book’s compelling explorations of violence, greed, addiction, and suicide challenge us to revisit many of our assumptions regarding what it means to be human. Included in the coverage: · Evolutionary foundations of psychiatric compared to non-psychiatric disorders. · Evolutionary psychopathology, uncomplicated depression, and the distinction between normal and disordered sadness. · Depression: is rumination really adaptive? · A CBT approach to coping with sexual betrayal and the green-eyed monster. · Criminology’s modern synthesis: remaking the science of crime with Darwinian insight. · Anthropathology: the abiding malady of the species. With its wealth of interdisciplinary viewpoints, The Evolution of Psychopathology makes an appropriate supplementary text for advanced graduate courses in the evolutionary sciences, particularly in psychology, biology, anthropology, sociology, and philosophy.

Some classes of behaviors, including gambling, Internet gaming, and sexual behaviors, may lead to compulsive engagement for a minority of individuals. In extreme cases where individuals may feel unable to control these behaviors without external influence, these behaviors may be considered non-substance or behavioral addictions. Many such behaviors may occur predominantly online, such as gaming, social media, shopping, and pornography, and may be driven by constant accessibility via smartphone and other mobile device technologies. This Research Topic presents diverse papers on neurobiological evidence of behavioral addictions, encompassing gambling disorder, Internet-based disorders, including Internet gaming disorder and smartphone addiction, and compulsive sexual behaviors.