this post was submitted on 04 Apr 2025
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Carl Erik Fisher, The Urge. His point in the book is that the strict medical definition of addiction is newer and has engendered a lot of debate among researchers and practitioners. Even though morphine is known to cause physical dependence, a lot of people who use it, even habitually, don't end up becoming addicted, so it could be construed that there is a behavioral or psychological component as well, and that behavioral component could surface in other contexts. Addiction as a physical, substance-oriented phenomenon is just one perspective.
For sure. I'm reminded of the mice in isolation choosing drug water and mice who are otherwise fulfilled with stimulation, friends, etc. choosing the normal water instead. Physical dependency to a fulfilled mouse would probably be like dealing with a sprained ankle or a cold. They're not going to keep hurting their ankle.
I suppose the argument is that, in the absence of physical harm and a lack of necessity for health, then one must question what the harm of the behavior is. This is to say that food isn't an addiction because without it you can't survive. With gambling, it's clear that there's a harm because you run out of money. With porn, you run out of cum. Do you or the people you care about give a shit? Is it getting in the way? Like are you missing appointments and classes to masturbate? Are you exposing others to adult material? If not and you don't care, the psychologist doesn't need to get involved. To my understanding a mental health professional is trying to alleviate the pain and symptoms of mental distress. If you're not developing a physical dependency/physical harm, the compulsion isn't distracting you, and you don't feel incongruent for doing it, then the psychologist for whom this piece is written, needn't concern themselves.
If you feel incongruent, it's worth exploring with the "modern, adult, self-determining eyes" that the author mentions. Your solutions aren't one size fits all. Maybe your path away from pain is saying that porn is... le good! or you believe there are more ethical sources of pornogrpahy so you only use that type you resonate with. But also, maybe, your relationship with pornography was a proxy for some other argument with a significant other or your #1 compulsion when you're avoiding discomfort. Where if you make peace with the reason for the proxy the urge to use goes away as well. Maybe you lament doing it instead of being awesome, so you should escape your comfort zone before you jork peanits.
Did I do honor to what you quoted and elaborated on or did I walk away rambling?
Makes sense! I was just arguing that addiction, like many mental health issues, is socially situated and hasn't always been associated simply with chemical dependency. Fisher meditates a bit on functional alcoholics who drink way more than is a good idea and yet continue to live functional lives and don't seem to be bothered by their substance use, contrasting that with instances of akrasia, doing something you know (or feel) is against your better judgment anyway. With porn, it may not necessarily be a physical dependency but it might be an easy substitute to reach for in a way that results in going against one's preferences or moral beliefs, and the current orientation of society around the issue is such that the ones with strong moral objections to porn tend to also be religious. Which I think aligns substantially with what you're saying.
Absolutely sending me for a loop. Can I get a citation? I want to unravel the thread in my mind and see where it takes me. This is a really engaging perspective.
The book is The Urge - I'll have to dig around later and see if I can find the passage I'm referencing; it's been a minute since I read it.
Okay, I can't find the exact passage I was thinking of (maybe I invented it), but there are a couple good spots to check out. I recommend reading chapter 11; see also this passage on page 15 (kindle edition):