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首页> 外文期刊>Drug and alcohol review >Is a brain‐based understanding of addiction predominant? An assessment of addiction researchers' conceptions of addiction and their evaluation of brain‐based explanations
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Is a brain‐based understanding of addiction predominant? An assessment of addiction researchers' conceptions of addiction and their evaluation of brain‐based explanations

机译:Is a brain‐based understanding of addiction predominant? An assessment of addiction researchers' conceptions of addiction and their evaluation of brain‐based explanations

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Abstract Introduction Brain‐based explanations of addiction have become a prominent explanatory model in recent decades. Although opposing views have been published, there is no large‐scale study of researchers' opinions, unlike for treatment staff, the public and affected individuals. Therefore, this study aimed to examine international addiction researchers' perspectives on: (i) brain‐based explanations of addiction; (ii) the perceived dominance of the concept in science, society, treatment and among those affected; and (iii) researchers' general conception of addiction in terms of ontologies and causes. Methods A sample of 1440 international addiction researchers was compiled. Views were assessed online via LimeSurvey using a ‘mixed methods light’ approach (Likert‐type scales, free‐text fields). Qualitative content analyses of free‐text comments complemented descriptive statistics. Results One hundred and ninety researchers participated (13.19% response). The classification of substance use disorders as brain diseases/disorders was shared by about 60% of the respondents. Approximately 80% considered it the dominant view in science, but fewer in treatment, society and affected persons. Approximately 75% found it an oversimplification, but regarded it as helpful for understanding substance use disorders. Altogether, various biological, psychological and social factors were considered causal. Comments indicated that an over‐simplistic nature of brain‐based explanations of addiction was viewed as particularly problematic. Discussion and Conclusions A rejection of a simplistic view of addiction in favour of a multi‐causal concept in which the brain plays a role seems to be the majority view of participating researchers. Therefore, the orientation of future research, treatment and support for addicted persons need to be reconsidered accordingly.

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