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Addiction and the capability to abstain
Umeå University, Faculty of Arts, Department of historical, philosophical and religious studies.
2024 (English)In: Res Publica, ISSN 1356-4765, E-ISSN 1572-8692, Vol. 30, p. 211-228Article in journal (Other academic) Published
Abstract [en]

Addiction is a widespread problem affecting people from different regions, generations, and classes. It is often analysed as a problem consisting in compulsion or poor choice-making. Recently, however, integrated analyses of compulsion and choice have been called for. In this paper, I argue that the capability approach highlights the well-being loss at stake in cases of addiction, whether they are described as stemming from compulsion, poor choice-making, or some combination thereof. The relevant capabilities obtain when combinations of individual, socio-political, and environmental factors jointly facilitate abstention. On this complementary evaluative analysis, people’s capabilities to abstain are shown to be undermined by how different kinds of factors interact with each other. The upshot is that without committing to an empirical view of the nature of addiction that must capture each case, the capabilitarian analysis helps highlight a central goal of addiction-related well-being policy-work, namely to promote people’s genuine opportunities to abstain.

Place, publisher, year, edition, pages
Springer Nature, 2024. Vol. 30, p. 211-228
Keywords [en]
Well-being, Addiction, Capability approach, Choice views, Compulsion views
National Category
Philosophy
Identifiers
URN: urn:nbn:se:umu:diva-207985DOI: 10.1007/s11158-023-09618-yISI: 001022755100002Scopus ID: 2-s2.0-85163874407OAI: oai:DiVA.org:umu-207985DiVA, id: diva2:1755038
Note

Originally included in thesis in manuscript form. 

Available from: 2023-05-05 Created: 2023-05-05 Last updated: 2024-08-10Bibliographically approved
In thesis
1.
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2. Well-being in context
Open this publication in new window or tab >>Well-being in context
2024 (English)Doctoral thesis, comprehensive summary (Other academic)
Alternative title[sv]
Välfärd och sammanhang
Abstract [en]

Promoting well-being is a central concern in both private and public life. Yet, what that amounts to is contested and the disagreements run deep. In this dissertation, I argue that analyses of well-being should take into account more features of doing well and doing badly than is typically recognised. I put special emphasis on hitherto under-researched ideas about what makes a life go badly, thereby identifying further well-being policy interventions. To arrive at my conclusion, this dissertation contains an introductory chapter and four articles that relate to well-being. In the introductory chapter, I first give an overview of my arguments. Second, I present my analytical framework: the capability approach. Third, I detail general features of well-being theories. Fourth, I introduce the most traditional well-being theories. Fifth, I compare the traditional theories to analyses of well-being based on my chosen framework. The framework, i.e., the capability approach, focuses on genuine opportunities, beings, and doings. An opportunity to a being or doing, X, is considered genuine when a person satisfies conditions that are jointly sufficient to achieve X if she chooses to do so. I use these concepts to identify what well-being is.

I contribute to four debates. Namely: (1) the extent to which expert opinions and public opinions on well-being policies can be reconciled, (2) whether doing badly is fully accounted for by failures to attain well-being goodness, (3) the different ways in which a person can be doing badly, and (4) whether well-being is one single thing. My four main contributions are as follows. First, I argue that, and show how, expert opinions and public opinions that diverge can be equitably reconciled. Second, I argue that, and show how, prudentially negative beings and doings should be assessed, by analysing cases of homelessness. Third, I argue that the capability approach can be used to offer a complementary account to the predominant philosophical analyses of addiction, taking into account that it can arise in various ways. Fourth, I defend a view stating that well-being is context-sensitive and that different analyses apply in different contexts.

It is my firm, considered, belief that theoretical analyses of well-being and practical policy work should be done in tandem and influence each other. Through my series of arguments, I conclude that, in order to promote well-being, we need more conceptual tools and a clearer view of specific life situations than what is standardly acknowledged in the literature.

Place, publisher, year, edition, pages
Umeå: Umeå University, 2024. p. 79
Series
Umeå studies in philosophy, ISSN 1650-1748 ; 15
Keywords
well-being, ill-being, capability approach, monism, pluralism
National Category
Philosophy
Identifiers
urn:nbn:se:umu:diva-227283 (URN)9789180704458 (ISBN)9789180704465 (ISBN)
Public defence
2024-09-05, Triple Helix, Universitetsledningshuset, Umeå, 13:15 (English)
Opponent
Supervisors
Available from: 2024-08-15 Created: 2024-08-10 Last updated: 2024-08-12Bibliographically approved

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Östlund, Sebastian

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