Abstract

In this well-researched, articulate, and compelling paper, Summers presents the position that addiction is a misvaluation upon which a pattern of behavior is based and which resists contrary evidence. This inability to change one’s values in response to contrary evidence is the prime wrong at stake, given its implied diminishment of rationality. In approaching this conflicted set of issues, Summers carefully surveys an impressive range of sources—from clinical DSM-based diagnosis to neurobiological underpinnings of decision making and attention, to social determinants influencing the question as to what counts as ‘addiction’—and settles on the.