Addiction and emotions: From distress-regulation loops to affective recovery niches

This paper argues that the emotional dynamics that structure a person’s relationship to drug use and their environment over time are central to understanding how agency is both operative and constrained in addiction. Drawing on qualitative interviews with 69 people with alcohol and opioid addictions, we conceptualize drug use as a form of affective scaffolding–a socially and materially situated strategy for emotion regulation. When this scaffolding becomes inflexible and monopolizing, immediate emotion regulation is prioritized over long-term self-regulation, and an emotional distress and regulation loop results, systematically inclining the agent toward ongoing drug use. We propose that this dynamic gradually constricts a person’s affective repertoire, diminishing the salience of certain diachronic concerns and values, and making it more difficult to sustain behavior oriented toward recovery. The paper closes by introducing the concept of affective recovery niches–structured environments that support alternative patterns of emotion regulation to develop. We focus, in particular, on the important role that other people can play in the recovery niche. Recovery niches disrupt the distress and regulation loop and restore one’s affective repertoire. Thus, they counteract the affective dynamics that we argue keep people stuck in addiction and make new forms of agency possible.