F. Schalow, Toward a phenomenology of addiction Antich Peter; Archiving of XML in sdvig press database Open Commons November 28, 2018, 9:28 pm
1Frank Schalow's new book, Toward a Phenomenology of Addiction, offers an important contribution to the philosophical study of addiction. While, as Schalow notes at the start of his work, the topic of addiction has spawned many studies from a variety of fields in the past years, relatively few of these have examined addiction using the methods of philosophy, and specifically, of phenomenology. Schalow argues that this leaves an important gap in our approaches to addiction, given that studies that consider addiction in purely physiological terms overlook the meaningful dimension of the addict's experience, specifically, they fail to consider the life world of the addict. It is this lack that Schalow's new book intends to redress.
2Schalow uses phenomenological methods and concepts, primarily drawn from Heidegger's Being and Time and later work on technology, to illuminate the phenomenon of addiction, often with considerable success. As the subtitle, "Embodiment, Technology, Transcendence," suggests, Schalow is primarily interested in understanding addiction with respect to the body, the technological context of addiction, and the existential dimension of addiction. While anyone seeking a detailed account of the role of the body in addiction might be left wanting more from Schalow's book, they will nevertheless find probing analyses of the role that technology and transcendence can play in understanding addiction. With respect to the former, Schalow argues that the prevalence of addiction in the present era ought to be considered a referendum on the role of technology in our culture. With respect to the latter, Schalow argues that the phenomenological concepts of transcendence and authenticity can provide a key to addiction treatment.
3Schalow's first five chapters offer a phenomenological diagnosis of addiction, while the final three begin to develop phenomenological principles of addiction treatment. The first chapter argues for the importance of a philosophical, as opposed to neurological or psychological, approach to addiction. Schalow does this, in part, through the contention that addiction ought to be understood as a cultural-historical phenomenon – a "historical and cultural transformation of our 'way to be'" (4) – which therefore cannot adequately be understood merely in terms of the physiology of the body, but only in terms of the meaningful features of the addict's life-world. Schalow makes clear from the first that he intends to broaden our concept of addiction and to stand the common sense appraisal of the place of addiction in our society on its head, via his claim that addiction ought to be understood as a way of being that is in a certain sense the norm for our society (9).
4Chapter 2 begins work on the phenomenological study of addiction, showing how many of Heidegger's key concepts from Being and Time provide the existential preconditions of addiction. Schalow's central argument here is that the possibility of addiction is rooted in structures of Dasein common to addicts and non-addicts alike, namely everydayness and being-with-others. Specifically, Schalow proposes to understand addiction as "a permutation of inauthenticity or unownedness" (29). Similarly, addiction can be seen as rooted in being-with-others: dissimulating one's self-responsibility in terms of conformity with the they-self, as described by Heidegger, creates an environment in which addiction can flourish. Further, Schalow shows how phenomenological analyses of spatiality, in terms of de-severance, and temporality, in terms of making-present, can illuminate the situation of the addict. Chapter 3 continues this work, specifically with regard to the "hook" of addiction. Schalow argues that the hook ought to be understood in terms of the concept of a "fetish," insofar as one becomes "hooked" on a substance or process when it acquires a disproportionate significance in one's life, when an object or process operates as a locus of attraction beyond its immediate meaning, e.g., as a means of escape or inducing satisfaction. For such mediate significances, fetishes rely on our capacity for fantasy, or imagination. In a commodity fetish, for example, a commercial object becomes invested with the meaning of a marker of economic status. This is only possible insofar as the imagination opens up a space of possible meanings for an object over and beyond its immediate significance. However, when the fetish supplants the fantasy, according to Schalow, the fetish closes off other possible meanings and becomes addictive. Insofar as the addict, in being fixated on this object, is taken in by it, rather than projecting a meaning for it, addiction is in Heidegger's terms a form of "fallenness," i.e., of being lived by the world rather than choosing oneself (62). Chapter 4 completes the existential analysis of addiction, focusing on self-understanding and being-with-others. Here, Schalow argues that addiction corresponds to a form of self-evasion familiar in terms of "denial." At the same time, addiction often corresponds to inauthentic modes of relation to others, e.g., in terms of leaping-in familiar as a kind of "co-dependency."
5In chapter 5, Schalow turns to the technological dimension of his project. As I indicated above, his claim is that addiction can be considered as a referendum on technology (91), or in other words, the ubiquity of addiction in our society can only be understood in terms of its technological backdrop. Schalow makes this point by connecting technology and addiction in a number of ways. First, new technologies often facilitate certain kinds of addiction that pre-exist those technologies, as, e.g., the internet facilitates a gambling addiction. Second, new technologies give rise to unique forms of addiction, e.g., addictions to social media or video games (89-90). But, thirdly, Schalow is engaged in a larger claim, namely the Heideggerian claim that technology essentially amounts to an "enframing" of the world, characteristic of our culture, i.e., in which everything (including humanity) becomes standing reserve. This "enframing," in turn, is bound up with addiction in a number of ways. First, it fosters a culture of excess and immediate gratification which promote addiction. Second, this technological culture infuses the life-world of the addict with boredom and stress, and thereby motivates release via addictive substances or processes (section 5.2). Finally, there seems to be a deeper sense in which technology mirrors addiction: just as in addiction one seeks control over one's life and moods through the use of a substance or process, but thereby in fact gives control of one's life over to the substance or process, similarly technology offers the promise of control, the "enframing" of resources, only at the price of losing control of human life to this enframing (110). It is, I think, especially in this sense that Schalow understands his central claim that addiction should take on the broad sense of a "historical and cultural transformation of our way-to-be" (4).
6In the final chapters of his work, Schalow turns to an existential analysis of methods of treatment. Since Schalow considers the 12-step Alcoholics Anonymous program to be the "enduring spiritual plan of our today" (111), Chapter 6 investigates the historical backdrop for the development of this program, explaining connections between AA founder Bill Wilson and the important figures and movements of his time, including Carl Jung, Rudolf Bultmann, and the Oxford movement. In chapters 7 & 8, Schalow argues that existing approaches to treatment are overly dependent on a mind-body dualism – i.e., they focus on either spiritual practices (e.g., AA or talk therapy) or purely physiological treatments – and so leave an important gap in treatment that would be targeted at the addict's life-situation. Further, the hermeneutic-phenomenological method, insofar as it has long subverted the dualism of mind and body, can prove an important corrective here, by suggesting contours of treatment that would fill this gap. While these contours are multifaceted – e.g., involving the addict adopting new life-contexts (147) – Schalow focuses on transcendence, or responsibility, claiming that addiction cannot be treated without some "resoluteness" (in Heidegger's sense) on the part of the addict. According to Schalow, "resoluteness" is the appropriate category by which to understand the addict's choice of recovery, because the decision to quit a habit is not merely a choice, but really a choosing to choose. One does not overcome addiction through a single choice, but rather through choosing, day by day, sobriety, in a manner that is thus the opposite of the culture of immediate gratification fostered by technology. Addiction can only be treated with a commitment, on the part of the addict, and thus insofar as the addict takes responsibility for her or himself.
7These analyses accomplish a number of important tasks. Schalow's greatest accomplishment is to translate Heidegger's phenomenological concepts into the context of addiction, and show that these concepts can be productively employed in this context. Second, Schalow draws together and develops Heidegger's scattered thoughts about addiction into a sustained account, offering a cohesive existential analysis of the phenomenon. Third, Schalow makes a number of interesting claims about the cultural backdrop for the prevalence of addiction in today's society, in particular, raising important questions about the role technology may be playing in this phenomenon. Fourth, in his final chapters, Schalow suggests the principles of an existential approach to recovery, an approach which may indeed offer some novel principles for treatment. Fifth, Schalow makes and supports the provocative claim that addiction is in some sense the norm for our society, and cannot be considered merely pathological. Finally, especially in Chapter 6, Schalow draws connections between a number of figures important in the early 20th century and demonstrates their relevance to the formation of the 12-step Alcoholics Anonymous program.
8Along with these significant accomplishments, there are some problems with Schalow's account. In the following, I'll outline four kinds of concerns about Schalow's book: those dealing with his interpretation of Heidegger, with the connection he draws between technology and addiction, with his reliance on the AA program, and with his principles of treatment.
9First, there are some issues with Schalow's interpretation of Heidegger, three of which are especially significant. First, Schalow uses Heidegger's analysis of technology to shed light on the role technology might play in the present addiction crisis. But it seems to me that Schalow often blurs the distinction, important to Heidegger, between technology and the essence of technology (e.g., Heidegger’s claim that "The essence of technology is by no means anything technological" ). But Schalow seems to move readily between the claim that specific technologies facilitate addiction and the claim that enframing, or the essence of technology, permeates the present addiction crisis, leaving it unclear to what extent his argument is Heideggerian. Second, and relatedly, it seems to me that Schalow risks misunderstanding the "danger" posed by the essence of technology according to Heidegger. Heidegger writes that "Enframing blocks the shining-forth and holding sway of truth. The destining that sends into ordering is consequently the extreme danger. What is dangerous is not technology. … The essence of technology, as a destining of revealing is the danger" (333). The danger is not that of "the potentially lethal machines and apparatus of technology," but that enframing blocks a more primordial engagement with Being. But Schalow is at the very least ambiguous in his understanding of the danger when he writes that "Heidegger argued that technology wields a double-edged sword, namely, that the greater opportunities afforded to human beings, including leisure-time, simultaneously brings its specific drawbacks and even risks. In his words, for every mode of 'unconcealing' what is, i.e., the opportunities created by new innovations, there are also equally ominous modes of 'concealing,' i.e., unanticipated and destructive consequences" (96). Third, if Schalow is right to think that addiction is a symptom of the essence of technology, then it is unclear that an individual's resoluteness could free her or him of addiction. Heidegger writes that "Human activity can never directly counter this danger. Human achievement alone can never banish it. But human reflection can ponder the fact that all saving power must be of a higher essence than what is endangered, though at the same time kindred to it" (339). Schalow presupposes that terms like "resoluteness" (as understood in the context of Heidegger's early work in Being and Time) can offer a resolution to a problem posed at least in part by technology (as understood in the context of Heidegger's later work), a presupposition which is at least contentious. And if no human activity or achievement can directly counter the danger, then it is unclear to me how efficacious reflection on the kinship of the endangered and the saving power would be for the addict.
10Second, the connection between technology and addiction could be better established. For example, at times Schalow claims that certain technologies or technological processes are addictive. But it would be helpful to cite some empirical research in this regard, especially given that the medical community has not yet concluded that there are such addictions (though some research does support this conclusion, e.g., Leeman and Potenza ). Here too it would be helpful if Schalow were clearer about the kind of connection he envisages between technology and addiction, whether in terms of technologies influencing addiction or technological thinking being in some sense essentially addictive.
11Third, Schalow focuses much of his thinking about treatment around the AA twelve-step program, but does little to argue for the validity of this program. Instead, Schalow seems to assume that the AA program offers a valid point of departure for analysis, justifying it by appealing to it as the "enduring spiritual plan of our today" (111) or as the first addiction treatment program (ix). But the efficacy of the twelve-step program is controversial (see, e.g., Dodes  or Humphreys et. al. ). Granted, Schalow sets out to offer a philosophical and existential approach, rather than an empirical or medical approach, but a phenomenological approach must exercise care in its choice of a point of departure for analysis. Some other finer points raise similar concerns, e.g., Schalow's referral to "neurasthenia" (161), a condition no longer recognized in the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders. In general, Schalow’s analysis would have benefitted from greater fluency with psychological and medical results.
12Fourth, I have some concerns about Schalow's principles for treatment. Foremost of these is that it is hard to see how Schalow's prescription of "resoluteness" wouldn’t entail a return to the moralistic myth that the addict is merely lazy. Schalow recognizes this possibility, and certainly aims to avert it, for example, writing that he defines "responsibility" in a Heideggerrian manner (in terms of "answerability") rather than in the traditional sense of a volitional act or exercise of the will (151). Nevertheless, the ensuing discussion of responsibility (especially Schalow's use of Kant) makes it hard to see how he is not resorting to a more traditional sense of responsibility. Schalow is very likely correct that resoluteness is a necessary condition for recovery, but it is unclear how far it is supposed to get the addict. Further, if Schalow's aim is to bridge the gap between treatments aimed at the mind and treatments aimed at the body (considered in biological terms), then "resoluteness" or "choosing to choose" might not be the best resource: a phenomenological analysis of human existence aimed at a level beneath deliberate choice might provide more novel approaches to treatment. Indeed, some of Schalow's most interesting insights about treatment are found in discussions not directly oriented toward resoluteness, e.g., in his suggestion that for the addict to reorient her priorities she must begin to "inhabit a new space" of relations with others (146).
13Schalow's Toward a Phenomenology of Addiction succeeds in developing a phenomenological framework for thinking about addiction, and raises interesting questions about the role of technology and transcendence in addiction. Anyone led by Schalow’s subtitle to look in this book for a close treatment of the role of embodiment in addiction might be left wanting more, for Schalow treats this theme more sparingly than the others. One wonders if Husserl or Merleau-Ponty might have proven better resources in this regard for Schalow than Heidegger, and indeed, some of the most acute passages related to embodiment come from Schalow's brief discussion of habituality and Merleau-Ponty (40-1). Nevertheless, Schalow succeeds in this work in knitting together a host of phenomenological themes around the topic of addiction, and perhaps it would be unfair to ask him to incorporate yet another with equal care. Its successes make this book a considerable step in the phenomenological and existential analysis of addiction, and no doubt it will prove an important study for anyone interested in this topic.
15Dodes, Lance and Zachary Dodes. 2014. The Sober Truth: Debunking the Bad Science Behind 12-Step Programs and the Rehab Industry. Boston, MA: Beacon Press.
16Heidegger, Martin. 2008. “The Question Concerning Technology.” In Basic Writings, edited by David Farrell Krell. 307-352. New York: HarperCollins.
17Humphreys, Keith, Janet C. Blodgett, and Todd H. Wagner. 2014. “Estimating the Efficacy of Alcoholics Anonymous without Self-Selection Bias: An Instrumental Variables Re-Analysis of Randomized Clinical Trials.” Alcoholism: Clinical and Experimental Research 38 (11): 2688-2694.
18Leeman, RF and MN Potenza. 2013. “A Targeted Review of the Neurobiology and Genetics of Behavioral Addictions: An Emerging Area of Research.” The Canadian Journal of Psychiatry 58 (5): 260-73.