James Martin 21st Century School, Oxford University, Oxford, UK.
Addiction. 2011 Jan;106(1):25-31. doi: 10.1111/j.1360-0443.2010.03158.x. Epub 2010 Oct 19.
Philosophers have been writing about addiction continually since the 1990s, and a number of much older, broader philosophical theories are of direct relevance to the study of addiction. Yet the developments in the philosophical study of addiction have seldom been incorporated into the science of addiction. In this paper I focus upon two issues in the scientific literature: the disease classification of addiction and the claim that addictive behaviour is compulsive. While each of these views is open to debate on empirical grounds, there is a long history of philosophical work which must be engaged if these claims are to be justified in a philosophical sense. I begin by showing how the conceptual work of philosophers such as Boorse and Nordenfelt can be used to critique the claim that addiction is a disease. Following this, I demonstrate how deep philosophical concepts of freedom and willpower are embedded into scientists' claims about compulsion in drug addiction. These concepts are paradoxical and difficult, and they have consumed numerous contemporary philosophers of mind, such as Audi, Arpaly, Frankfurt, Mele, Wallace and Watson, among many others. I show how problems can arise when scientists sidestep the work of these philosophers, and I explain where scientists should seek to include, and sometimes exclude, philosophical concepts.
Many philosophical concepts and theories can be of use to addiction science. The philosophical work must be understood and acknowledged if the science is to progress.
自 20 世纪 90 年代以来,哲学家们一直在不断地撰写关于成瘾的文章,一些更为古老、广泛的哲学理论与成瘾研究直接相关。然而,哲学对成瘾的研究进展很少被纳入成瘾科学。在本文中,我主要关注科学文献中的两个问题:成瘾的疾病分类和成瘾行为是强迫性的说法。虽然这些观点在经验上都存在争议,但在哲学意义上证明这些观点是合理的,必须涉及到哲学工作的悠久历史。我首先展示了哲学家如博尔斯和诺登费尔特的概念工作如何用于批判成瘾是一种疾病的说法。在此之后,我展示了科学家关于药物成瘾中强迫性的说法是如何深深植根于自由和意志力等深刻的哲学概念的。这些概念是自相矛盾且难以理解的,它们消耗了许多当代心灵哲学家的精力,如奥迪、阿尔帕利、法兰克福、梅勒、华莱士和沃森等人。我展示了当科学家回避这些哲学家的工作时会出现什么问题,并解释了科学家应该在哪里寻求包括和有时排除哲学概念。
许多哲学概念和理论对成瘾科学都有帮助。如果科学要取得进展,就必须理解和承认哲学工作。