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Flourishing After Addiction with Carl Erik Fisher
Addiction psychiatrist and bioethicist Carl Erik Fisher explores addiction and recovery from science to spirituality, from philosophy to politics, and everything in between. He interviews leading experts in areas such as psychology, neurobiology, history, sociology, and more--as well as policy makers, advocates, and people with lived experience.
A core commitment of the show is we need more than medicine to truly understand addiction and recovery. The challenges and mysteries of this field run up against some of the central challenges of human life, like: what makes a life worth living, what are the limits of self control, and how can people and societies change for the better? These are enormous questions, and they need to be approached with humility, but there are also promising ways forward offered by refreshingly unexpected sources.
There are many paths to recovery, and there is tremendous hope for changing the narrative, injecting more nuance into these discussions, and making flourishing in recovery possible for all.
Please check out https://www.carlerikfisher.com to join the newsletter and stay in touch.
Flourishing After Addiction with Carl Erik Fisher
What Is It Like to Be an Addict? with Prof. Owen Flanagan
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Nearly two decades ago, Owen Flanagan stood before the Society for Philosophy and Psychology, ready to open up about something uncharacteristically personal. Unlike his typical scholarly talks on consciousness and philosophy of mind, he was about to tell the distinguished group about his lived experience with addiction and recovery. He wanted to describe what it was like to exist as the “sick hollow vessel” he had become, and how he barely survived.
Today, sober for 18 years, and an internationally acclaimed philosopher, Owen has become one of our leading voices on the philosophy of addiction. He has an important new book out: "What Is It Like to Be an Addict?"—sharing the title of that groundbreaking 2008 presentation where he first publicly disclosed his addiction history.
I’ve been reading Owen’s work since my days as an undergrad, when a research tech in my lab thrust one of his books in my hands and implored me to read him, and it’s been such a pleasure to connect with Owen about his work on addiction. This is a great book: he combines personal reflections with his philosophical expertise to propose a new, integrated model for understanding substance addiction. Drawing on his deep knowledge of philosophy, psychology, and neuroscience, he challenges oversimplified addiction narratives and offers what he calls an "ecumenical" approach—arguing that substance addictions are far more heterogeneous than we often recognize, with diverse causes, neural profiles, and lived experiences. His interdisciplinary work across neuroscience and philosophy perfectly positions him to explain these nuanced issues.
In this conversation, we explore the spectrum of "powerlessness" in addiction and the finer points of self-control, especially problems with traditional explanations of willpower. Owen critiques the usual stories about dopamine's role in addiction, especially the way mainstream scientists have sacrificed their intellectual integrity to present an oversimplified story about how the dopamine system works. We also discuss behavioral additions like sex, shopping, and video games, considering how their validity is assessed in light of those considerations about neurobiology. From Owen’s perspective as an ethicist, he considers how to connect morality and virtue to addiction recovery without reinforcing stigma. And throughout, we talk about his own recovery process, including how it evolved over time and what he’s working on today.
Check out my Substack posts for more links to Owen's work and our previous conversation.
Sign up for my newsletter and immediately receive my own free guide to the many pathways to recovery, as well as regular updates on new interviews, material, and other writings.