In a book sure to inspire controversy, Gene Heyman argues that conventional wisdom about addiction—that it is a disease, a compulsion beyond conscious control—is wrong.

Drawing on psychiatric epidemiology, addicts’ autobiographies, treatment studies, and advances in behavioral economics, Heyman makes a powerful case that addiction is voluntary. He shows that drug use, like all choices, is influenced by preferences and goals. But just as there are successful dieters, there are successful ex-addicts. In fact, addiction is the psychiatric disorder with the highest rate of recovery. But what ends an addiction?

At the heart of Heyman’s analysis is a startling view of choice and motivation that applies to all choices, not just the choice to use drugs. The conditions that promote quitting a drug addiction include new information, cultural values, and, of course, the costs and benefits of further drug use. Most of us avoid becoming drug dependent, not because we are especially rational, but because we loathe the idea of being an addict.

Heyman’s analysis of well-established but frequently ignored research leads to unexpected insights into how we make choices—from obesity to McMansionization—all rooted in our deep-seated tendency to consume too much of whatever we like best. As wealth increases and technology advances, the dilemma posed by addictive drugs spreads to new products. However, this remarkable and radical book points to a solution. If drug addicts typically beat addiction, then non-addicts can learn to control their natural tendency to take too much.

This book is the culmination of five years of impassioned conversations among distinguished scholars in law, public policy, medicine, and biopsychology, about the most difficult questions in drug policy and the study of addictions. As these intensely argued chapters show, the obvious answers are always alluring but frequently wrong.

Do drug addicts have an illness, or is their addiction under their control? Should they be treated as patients, or as criminals? Challenging the conventional wisdom in both the psychiatric community and the enforcement community, the authors show the falsity of these standard dichotomies. They argue that the real question is how coercion and support can be used together to steer addicts toward productive life.

Written in clear and forceful language, without ideological blinkers and with close attention to empirical data, this book has something to teach both novice and expert in the fields of drug addiction and drug policy. The authors' resistance to sloganeering from right or left will raise the quality of public discussion of a complex issue, and contribute to the management of one of the most painful and enduring problems of American society.