Why can’t the disease and learning models just get along?! by MARC

It’s not that the disease model is so wrong, it’s that the baggage it carries may never fit in the same home as the learning model.

Thus, both models borrow something from the brain—a detailed breakdown of measurable biological events. But they are fundamentally different in orientation, and they perceive the brain in such very different ways that it’s hard to imagine how they might be reconciled. It’s the same problem that’s appeared in the tension between developmental psychology and mainstream psychiatry over many decades. The brain is either a normative thing that can go wrong and then be repaired, or it is an open system that can develop along diverse trajectories, integrating the meaning of experience according to its own expertise.

Addiction is one of those trajectories, but then so is progress beyond addiction.