I'm reading the author's next book, titled, Breaking Addiction: A 7-Step Handbook for Ending Any Addiction. A good read so far. It's been nice to see a different perspective than the one I've believed over the last decade. Twelve years ago, when my dick didn't work in my first sexual encounter, I immediately went online and found Your Brain On Porn site. Not having any other opinions or beliefs, I believed it to be the gospel and never questioned it for a moment. However, doing this for many years now, I've had many times of wondering if this model is perfect or even half our problem. At this point, I'm not sure where I stand on any of this, but it's always nice to challenge your beliefs, especially about something so pertinent as this topic.
The author in this quote makes a distinction between a physical addiction and a psychological addiction. If the Your Brain On Porn is correct, and I believe it is for the most part, then it fits only in the "physical addiction" category. However, if that is true, then what to make of this quote? Much to think on here. Bolding is mine.
"Physical addiction is a way our bodies react to certain drugs, and it is utterly out of our control. For this reason, physical addiction can be a cause of repetitive behavior that looks like the kind of psychological addiction I have been describing. It needs to be carefully distinguished, however, because physical factors are of relatively little significance in understanding the nature and treatment of addiction. It is because of this that I call only psychological addiction “true” addiction. But how do you tell the difference between these two kinds of addictions? The simplest way is to stop the behavior and see what happens. Stopping physical addiction is accomplished by not taking the drug long enough to allow your body to readjust to being without it (completing a withdrawal). Withdrawal is always un-pleasant and for certain drugs can be quite dangerous. Depending on the drug, withdrawal may require medical supervision or hospitalization. (The most dangerous drugs to withdraw from are brain sedatives like alcohol, Xanax or Valium, and barbiturates. Narcotic withdrawal, despite all its discomfort, is not medically dangerous, and neither is withdrawal from “uppers” like cocaine or amphetamines, though these lead to a so-called crash in mood.) But as unpleasant as withdrawal can be, it is relatively easy compared with trying to give up an addiction that is based on the kinds of psychological issues described in Part One. Indeed, if all you have is a physical addiction, then after withdrawal (detoxification) your problem is basically over as long as you don’t have a psychological addiction as well. You may find this surprising, since in our culture the notion that people are controlled by their drugs (or “hooked”) is a common myth. Yet, in the early 1980s millions of people quit smoking after the U.S. surgeon general issued a statement about the severe risks of smoking and required warning labels to be placed on cigarette packs. These millions had a physical dependence on nicotine, yet, like Michelle in the example above, they were able to stop smoking when they realized it was dangerous. Their experience shows that physical addiction (or dependence), by itself, is simply not a significant impediment to regaining control of your behavior. Physical dependence is just not a major factor in the problem of addiction. Probably the most famous illustration of this point is a study done on the experience of soldiers in Vietnam. The Vietnam War placed a huge number of men and women with no history of addiction into an enormously stressful setting where there was an easy supply of heroin. Many soldiers used enough heroin to become physically addicted. At this same time, back in the States, heroin addiction had become a major problem among the civilian population; treatment programs had proved largely unsuccessful, with nearly all heroin addicts going back to the drug after detoxification (after a reboot, 90 days?) So there was much concern about what would happen to the soldiers when they came home. Would they be “hooked” on heroin and unable to get off, like the stateside addicts?
Over 90 percent of these veterans, after returning home and being safely detoxified, never used heroin or another narcotic again. Why not? Having a physical addiction just isn’t enough to make people continue to use a drug once they are withdrawn. These soldiers had used heroin because they were in a war, not because it afforded them a way to deal with important inner emotional issues. As with the cigarette smokers who dropped their habit in light of the surgeon general’s warning, the veterans suffered only from physical addiction, so they were able to stop. But the stateside folks who were using heroin did so because they had a different kind of addiction—a behavior compelled by psychological factors. Detoxifying them, by itself, didn’t help. Treatment for them would have had to address the psychological basis of their problem. For a clearer understanding of the relationship between true addiction and physical addiction, it’s helpful to note that there are many addictions that have no physical dependence or withdrawal at all. Even some drug addictions are this way; for example, addictive use of marijuana and hallucinogens such as mushrooms has no associated physical addiction because these substances are incapable of producing physical dependence. And of course, there is no true physical addiction or withdrawal in addictions not involving drugs, like compulsive gambling, sexual addiction, or compulsive eating. Yet people regularly shift from drug to nondrug addictions and back. About 40 percent of compulsive gamblers also have alcoholism. It would not be possible for people to substitute nondrug addictions for drug addictions unless these activities all served the same function. As everyone who has suffered from one knows, nondrug addictions carry the same desperate urges to repeat them, and are just as capable of prevailing irrationally over concerns for one’s own welfare (or the welfare of others) as drug addictions. In our society we have tended to focus on drug addiction, but that doesn’t mean addiction is about drugs."
Dodes, Lance. Breaking Addiction: A 7-Step Handbook for Ending Any Addiction (pp. 30-31).