".. addiction is not a brain state, it is a behavior. As philosopher Daniel Shapiro of West Virginia University puts it, “You can examine pictures of brains all day, but you’d never call anyone an addict unless he acted like one.”
... promoting the idea of addiction as a brain disease would rehabilitate the addict’s public image from that of a criminal who deserves punishment into a sympathetic figure who deserves treatment. Good intentions aside, is the “brain disease” of addiction really beyond the control of the addict in the same that way that the symptoms of Alzheimer’s disease or multiple sclerosis are beyond the control of the afflicted?
... The mechanical “brain disease” rhetoric is a symptom of the growing tendency to privilege neuroscientific explanations as the most authentic way of understanding human behavior."
A surprisingly old and not very useful paradigm. Sophisticated equipment has, ironically, taken us backwards.
Addiction: A Disorder of Choice