Wait, so addiction might not be a brain disease?

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. *This episode originally aired on March 3, 2026.

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).