Nicholas Zautra

In response to the crisis in validity of the Diagnostic and Statistical Manual of Mental Disorders, psychiatry has seen a proliferation of alternative research frameworks for studying and classifying psychiatric disorders. In this paper, I argue that the existence of multiple frameworks in which each employs their own standards of validity is problematic methodologically speaking for trying to do any kind of unified validation work. Fundamental disagreements concerning the underlying phenomenon, sources of validating evidence, and the very nature of validity move each framework into an unrecognized plurality. The consequence for psychiatry is a new validity crisis.

Current theories of addiction try to explain what addiction is, who experiences it, why it occurs, and how it develops and persists. In this article, I explain why none of these theories can be accepted as a comprehensive model. I argue that current models fail to account for differences in embodiment, interaction processes, and the experience of addiction. To redress these limiting factors, I design a proposal for an enactive account of addiction that follows the enactive model of autism proposed by Hanne De Jaegher