do addicts have a choice? (the atlantic)
“Eventually, addicts find themselves torn between reasons to use and reasons not to. Sometimes a spasm of self-reproach (“this is not who I am;” “I’m hurting my family,” “my reputation is at risk”) tips the balance toward quitting. Novelist and junkie William S. Burroughs calls this the “naked lunch” experience, “a frozen moment when everyone sees what is on the end of every fork.
In short, every addict has reasons to begin using, reasons to continue, and reasons to quit. To act on a reason is to choose. To make good choices requires the presence of meaningful alternatives. And making a series of good choices leads to achievements—jobs, relationships, reputations. These give a person something meaningful to lose, another reason in itself to steer away from bad choices.”