Out of our heads: Addiction and psychiatric externalism.
Behavioural brain research February 1, 2021 Shane N Glackin, Tom Roberts, Joel Krueger 28 citations
Addiction involves causal factors at many levels—biomedical, neurological, social, and legal—making a simple reductive explanation unlikely. An integrative framework is needed to unify these diverse sciences while respecting their autonomy. The theory of 'Externalist' or '4E' cognition (extended, embodied, embedded, enactive) is proposed as such a framework, emphasizing the central role of the wider environment in mental processes. The paper outlines how this perspective applies to psychiatry generally, then dissolves the classic dichotomy between 'choice model' and 'disease model' of addiction, clarifies how an addict's brain interacts with her environment, and explains the success of some recovery strategies while suggesting new ones.