Addiction and Voluntariness: Five "Challenges" to Address in Moving the Discussion Forward

Camb Q Healthc Ethics. 2019 Oct;28(4):677-694. doi: 10.1017/S0963180119000628.

Abstract

The question as to whether people with an addiction have control (and to what extent) over their addiction, and voluntarily decide to use substances is an ongoing source of controversy in the context of research on addiction, health policy and clinical practice. We describe and discuss a set of five challenges for further research into voluntariness (definition[s], measurement and study tools, first person perspectives, contextual understandings, and connections to broader frameworks) based on our own research experiences and those of others.

Keywords: addiction; autonomy; ethics; free will; neuroscience; policy; qualitative research; voluntariness.

MeSH terms

  • Behavior, Addictive / psychology*
  • Decision Making*
  • Ethics, Research
  • Personal Autonomy*
  • Qualitative Research