School of Psychology, University of Exeter, Exeter, UK.
Addict Biol. 2024 Aug;29(8):e13435. doi: 10.1111/adb.13435.
Heinz et al. (2024) recently criticised habit/compulsion theory of human addiction but nevertheless concluded that 'habit formation plays a significant role in drug addiction'. To challenge this causal claim, the current article develops four further methodological criticisms, that publications supporting the habit/compulsion account of human addiction: (1) under-report contradictory observations; (2) exaggerate the process purity of positive observations; (3) under-emphasise the low quality of epidemiological support for a causal hypothesis; (4) recapitulate the social injustice of racial intelligence era by prematurely attributing lower task performance to drug user group membership (endophenotype) without having adequately tested social, psychological, economic and environmental inequalities. Methodological guidelines are recommended to address each concern, which should raise evidence standards, incorporate social justice and improve accuracy of estimating any specific effect of addiction history on task performance. Given that construing drug users as intellectually impaired could promote stigma and reduce their recovery potential, it is recommended that scientific discourse about habit/compulsive endophenotypes underpinning addiction is avoided until these higher evidence standards are met.
海因茨等人(2024 年)最近批评了人类成瘾的习惯/强迫理论,但仍得出结论,“习惯形成在药物成瘾中起着重要作用”。为了挑战这一因果主张,本文进一步提出了四项方法学批评,即支持人类成瘾的习惯/强迫理论的出版物:(1)少报矛盾的观察结果;(2)夸大阳性观察结果的过程纯度;(3)忽视支持因果假设的流行病学支持的低质量;(4)通过在没有充分测试社会、心理、经济和环境不平等的情况下,过早地将较低的任务表现归因于吸毒者群体成员身份(表型),从而重复种族智力时代的社会不公正。建议推荐方法学准则来解决每一个关注点,这将提高证据标准,纳入社会公正,并提高估计成瘾史对任务表现的任何特定影响的准确性。鉴于将吸毒者视为智力受损可能会增加污名化并降低他们的康复潜力,因此建议在满足更高的证据标准之前,避免关于成瘾的习惯/强迫表型的科学论述。