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Addiction isn’t just about brain chemistry – but nor is it just bad choices

By Matt Field, Professor of Psychology, University of Sheffield

Consider someone addicted to alcohol, drugs, or a behaviour like gambling. Why do they continue, even when they say they want to stop? It’s a question that highlights a fundamental disconnect: the gap between intention and action.

This apparent contradiction aligns with clinical definitions of addiction and with brain disease models, which suggest that repeated substance use changes brain function,…

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