The role of willpower
is probably the most controversial issue in discussions
of addiction, its roots, and recovery. Initially some views seem contradictory.
On one hand are those that see addiction as merely another disease and feel the
individual is no more responsible than having
any other disease. On the other hand are those who talk about free
will and choice, and that addiction is simply a choice.The discussion often
polarizes into "either or"
options. I would like to suggest that another option might follow a "both and" discussion as there are contradictions in both schools of
thought.
Some diseases do
involve choice. For example heart disease and cancer can be influenced by
smoking or diet. On the other hand there
is no choice involved in diseases like cystic fibrosis, muscular dystrophy or babies born addicted. Addiction is
progressive and in its advanced stages it becomes impossible to recover by the
unaided will. I meet folks who are so damaged by life and addiction that even
after losing everything and almost dying a number of times from overdosing, they still continue to
use.
I have also heard the discussion that addicts lack willpower or they would straighten up. The reality
is that generally addicts have more than an abundance of willpower. In early
addiction this can be evidenced by drinking all night and still showing up at work
the next day. Addicts generally attempt to exercise control in all their
relationships. However as the addiction progresses (part of the disease concept)
the will becomes hijacked by what the chemicals are doing in the brain. (posts
#10 and #11).
Post #3 discussed the
"Spirituality of Addiction." Dallas Willard writing in the Journal
of Spiritual Formation and Soul Care adds: The spirit is the will of the heart, which, lives mainly in our bodies.
One of the ironies of spiritual formation is that every "spiritual"
discipline involves bodily behavior. We have to involve the body because that is where we live and what we
live from. Spiritual formation is formation of the "inner" dimensions
of the human being, resulting in transformation of the whole person, including
the body in its social context.
Will operates in the
physical body as well as the spirit in this sense of will being part of heart,
spirit, character and choice.
Addiction is a condition that originates initially in the pleasure / pain location
of the primitive brain. Pleasure and avoidance of pain is experienced
in the body leading eventually to craving. Progressively, individual will and
choice are surrendered and overpowered by the addiction.
Dallas Willard
discusses the issue of will in three categories: The impulsive, reflective and
embodied.
· Impulsive: This
exercise of will generally originates in the instinctive part of the primitive
brain and moves towards things that are attractive or trigger curiosity. It
generates exploration but requires little forethought (which originates in the
neo-cortex). For example we safe guard electric sockets knowing that small
children impulsively stick a fork or their fingers in them. In adults it is
simply choosing what is desired without using reason (eg. impulse buying).
· Reflective:
Experiencing either negative or positive experience from an impulsive act, we
reflect on the consequences or rewards of an impulsive act and evaluate if the
activity is in our best interests before acting on it.
· Embodied: Desires
have enslaved the will and
bypass reflection or moments of clarity as now
their body is running their life in terms of desire
and the pursuit of pleasure.
For
some, impulsively experimenting with addictive substances leads
to addiction characterized by the absence of reflection or moments of clarity
about their use of addictive substances or behaviors.
I think another error
in our thinking can be generalizing the role of will in addiction and not
understanding that the role of will is distinctive in different stages of
addiction. These stages will be discussed in the next blog.
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