Addiction and self-determination: a phenomenological approach.

Theor Med Bioeth

Department of Psychiatry and Psychotherapy II, Christian-Doppler-Hospital, Paracelsus Medical University, Ignaz-Harrer-Strasse 79, 5020, Salzburg, Austria.

Published: February 2010

In this article, I focus on possibly impaired self-determination in addiction. After some methodological reflections, I introduce a phenomenological description of the experience of being self-determined. I argue that being self-determined implies effectivity of agency regarding three different behavioural domains. Such self-referential agency shall be called 'self-effectivity' in this article. In a second step, I will use this phenomenological description to understand the impairments of self-determination in addiction. While addiction does not necessarily imply a basic lack of control over one's life, this can well be the case during certain periods of time or in special situations. Addiction is herein described as an embodied custom-highly effective with respect to changing one's lived experience-which is learned and developed while becoming addicted. Such a repeatedly performed custom, called a 'psychotropic technique', implies deep changes in one's personal identity and alters an agent's 'self-effectivity'. In the closing section, I discuss the possible implications of a phenomenological approach to personal responsibility.

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http://dx.doi.org/10.1007/s11017-010-9134-0DOI Listing

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