Why does a serious discussion of addiction start with the human desire for intoxication (Rausch) rather than with the addiction itself?
Because the wish for intoxication is ancient and normal, and every addiction begins as unproblematic, even enjoyable consumption. Addiction is the far end of a path (Rausch → enjoyment → excessive use → addiction), not a separate kind of person.
The path has four stages: the desire for intoxication (Wunsch nach Rausch), enjoyment (Genuss), excessive, problematic consumption or behaviour, and finally addiction (Suchtproblematik). Most people stay at the first two stages for their whole life.
The desire is as old as humanity:
- Regular use of psychoactive plants may have started 16,000 to 25,000 years ago, long before agriculture (evidence from the remains of two hunter-gatherers found on the Indonesian island of Sulawesi).
- In the Epic of Gilgamesh (around 2000 BC), the wild man Enkidu drinks seven jugs of an intoxicating drink, becomes cheerful, washes, anoints himself and so "becomes a human". Intoxication is part of being civilised, not its opposite.
- Poets such as Wolfgang Borchert praised being intoxicated "by spirit, blood and vines".
The philosopher Robert Pfaller puts the ethical point sharply: always being reasonable is no sign of actually being reasonable; only when we do unreasonable things (dance, drink, fall in love) do we feel that life is worth living.
So the ethical task is not to moralise pleasure away. It is to understand at what point, and through which individual and social factors, a normal human desire tips into something that harms the person and those around them.
Go deeper:
Wikipedia: Psychoactive drug — history of human use of mind-altering substances.
Wikipedia: Gilgamesh — the epic in which Enkidu is "humanised" by bread and drink.