Volitional Necessity and Volitional Shift: A Key to Sobriety?

Philosophy, Psychiatry, and Psychology 11 (4):327-330 (2004)
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In lieu of an abstract, here is a brief excerpt of the content:Volitional Necessity and Volitional Shift:A Key to Sobriety?John Talmadge (bio)As a long-time amateur student of philosophy, I think my most effective contribution to this discussion of Dr. Rego's paper will be to discuss Harry Frankfurt's ideas from precisely the point of view of the beginner and the novice. After all, I had never experienced the pleasure of reading Frankfurt until reading Rego, so I can hardly be considered proficient and conversant in analytical philosophy. To pretend to be so would be, in Frankfurt's way of thinking, to construe what I really am (a novice) as what I would ideally like to be (an expert). He calls this "the equation of the real with the ideal," and he certainly gets us thinking. He also says that our failure to mark the distinctions among our many passions (and our attitudes toward our passions) gets us into considerable confusion and trouble.Because I am most familiar with the diagnosis and treatment of addictions, I confine my comments to that domain. I have enjoyed over the years over the puzzling question of whether addiction should actually be called a "disease." This puzzle confounds us for one reason apparent to any armchair philosopher: how can we name something a disease when the removal of the offending agent banishes the problem? I have come to believe that Locke had it right when he said, "We would have a great many fewer disputes in the world if words were taken for what they are, the signs of our ideas only, and not for things themselves." (1994, 122) Addiction is not so much a disease as it is an idea. And this is where I think that Dr. Rego's insights have their most value.In his essay "The Importance of What We Care About," Frankfurt offers a particularly helpful example for those of us interested in the addictions. He observes that there are occasions when we care about something powerfully, and we care about it in such a fashion that we cannot avoid the consequences of the caring. His example from history is Martin Luther, who nailed his declaration to the door of the church with the statement, "Here I stand; I can do no other."It is clear, of course, that the impossibility to which Luther referred was a matter neither of logical nor of causal necessity. After all, he knew well enough that he was in one sense quite able to do the very thing he said he could not do; that is, he had the capacity to do it. What he was unable to muster was not the power to forbear, but the will.(Frankfurt 1988, 86)When an alcoholic finds success through Alcoholics Anonymous, he experiences what I would term a "volitional shift." No longer in the grip of alcohol itself, the alcoholic is constrained by what Frankfurt terms "volitional necessity." The alcoholic has a new constraint to which he declares he is subject, that is, "Today I will remain sober." [End Page 327]Frankfurt says that this capacity—the ability to reflect on ourselves—is precisely what separates us as uniquely human. As Frankfurt sees the world, the will of an agent is identical with the desire that motivates him (or would motivate him if he should act).1A first-order desire, such as the alcoholic's craving for a drink, may be contradicted by a second-order desire, specifically a desire not to crave a drink. The second-order desire is born of the individual's knowledge that the use of alcohol, in his case, will lead to dire consequences in terms of health, happiness, and stability. Frankfurt believes that an addict, for example, typically experiences a desire for the destructive chemical but also a desire not to use the chemical. This second-order desire is the one with which the addict identifies, and this reflects the addict's true self (Frankfurt 1988, 14).If we take Dr. Rego's point and notice how a therapist might approach a patient and define a problem, we see obvious distinctions between different schools of thought. To take three simple examples, consider the following: (a) a...

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John Talmadge
University of Texas Southwestern Medical Center

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