That’s what Hanna Pickard argues. After analyzing the scientific research, and working with those who’ve stopped self-destructive drug and alcohol use, the Johns Hopkins philosopher sees addiction as a complex behavioural disorder. She argues it’s driven by individual psychology and social circumstances, and should be treated that way. Jowita Bydlowska and Michael Kaufmann, both memoirists of addiction, weigh in.

Guests in this episode:

Hanna Pickard is the author of What Would You Do Alone in a Cage with Nothing but Cocaine? A Philosophy of Addiction (2026). She is a professor of philosophy and bioethics, as well as psychological & brain sciences, at Johns Hopkins University.

Jowita Bydlowska is a writer of fiction, as well as two memoirs of addiction: Drunk Mom, and Unshaming: A Memoir of Recovery, Relapse, and What Comes After (2026).

Dr. I. Michael Kaufmann is emeritus medical director of the Physician Health Program of the Ontario Medical Association. He is a retired family doctor, a retired addiction doctor, and the author of Drugs, Lies, and Docs: A Doctor's Memoir of Addiction (2024).