In the realm of hungry ghosts Close encounters with addiction

Gabor Maté

Book - 2010

"...This insightful book explores the scientific and psychological causes of addiction, as well as the impact on the addicts treated at the Downtown Eastside Vancouver clinic where Mate is a physician. He widens the lens to address the larger societal problem--speaking also to the risks of more "high-status" addictions, such as wealth, power, and sex. He boldly challenges the War on Drugs, proposing a more holistic, constructive set of alternatives. A riveting, debate-provoking book about an illness that reaches all levels of society, In the Realm of Hungry Ghosts provides a much-needed glimpse of hope from an innovator who is taking on addiction with startling clarity, vision, and wisdom"--P. [4] of cover.

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Subjects
Published
Berkeley, Calif. : Lyons, Colo. : North Atlantic Books ; Ergos Institute c2010.
Language
English
Main Author
Gabor Maté (-)
Physical Description
xviii, 495 p. ; 23 cm
Bibliography
Includes bibliographical references and index.
ISBN
9781556438806
  • Author's Note
  • Preface to the U.S. Edition
  • Foreword by Peter Levine
  • Hungry Ghosts: The Realm of Addiction
  • Part I. Hellbound Train
  • 1. The Only Home He's Ever Had
  • 2. The Lethal Hold of Drugs
  • 3. The Keys of Paradise: Addiction as a Flight from Distress
  • 4. You Wouldn't Believe My Life Story
  • 5. Angela's Grandfather
  • 6. Pregnancy Journal
  • 7. Beethoven's Birth Room
  • 8. There's Got to Be Some Light
  • Part II. Physician, Heal Thyself
  • 9. Takes One to Know One
  • 10. Twelve-Step Journal: April 5, 2006
  • Part III. A Different State of The Brain
  • 11. What Is Addiction?
  • 12. From Vietnam to "Rat Park": Do Drugs Cause Addiction?
  • 13. A Different State of the Brain
  • 14. Through a Needle, a Warm, Soft Hug
  • 15. Cocaine, Dopamine, and Candy Bars: The Incentive System in Addiction
  • 16. Like a Child Not Released
  • Part IV. How the Addicted Brain Develops
  • 17. Their Brains Never Had a Chance
  • 18. Trauma, Stress, and the Biology of Addiction
  • 19. It's Not in the Genes
  • Part V. The Addiction Process and The Addictive Personality
  • 20. "A Void I'll Do Anything to Avoid"
  • 21. Too Much Time on External Things: The Addiction-Prone Personality
  • 22. Poor Substitutes for Love: Behavioral Addictions and Their Origins
  • Part VI. Imagining a Humane Reality: Beyond The War on Drugs
  • 23. The Social Roots of Addiction
  • 24. Know Thine Enemy
  • 25. "Ignorant Fanaticism": The Failed War on Drugs
  • 26. Freedom of Choice and the Choice of Freedom
  • 27. Toward an Enlightened Social Policy on Drugs
  • 28. Reducing Harm
  • Part VII. The Ecology of Healing
  • 29. The Power of Compassionate Curiosity
  • 30. The Internal Climate
  • 31. The Four Steps, Plus One
  • 32. Sobriety and the External Milieu
  • 33. A Word to Families, Friends, and Caregivers
  • 34. There Is Nothing Lost: Addiction and the Spiritual Quest
  • Memories and Miracles: An Epilogue
  • Postscript
  • Appendices
  • I. Fallacies of Adoption and Twin Studies
  • II. A Close Link: Attention Deficit Disorder and Addicrions
  • III. The Prevention of Addiction
  • IV. The Twelve Steps
  • Endnotes
  • Acknowledgments
  • Permissions
  • Index
  • About the Author

No society can understand itself without looking at its shadow side. I believe there is one addiction process, whether it is manifested in the lethal substance dependencies of my Downtown Eastside patients; the frantic self_soothing of overeaters or shopaholics; the obsessions of gamblers, sexaholics and compulsive internet users; or the socially acceptable and even admired behaviours of the workaholic. Drug addicts are often dismissed and discounted as unworthy of empathy and respect. In telling their stories my intent is twofold: to help their voices to be heard and to shed light on the origins and nature of their ill_fated struggle to overcome suffering through substance abuse. They have much in common with the society that ostracizes them. If they seem to have chosen a path to nowhere, they still have much to teach the rest of us. In the dark mirror of their lives, we can trace outlines of our own. There is a host of questions to be considered. Among them: • What are the causes of addictions? • What is the nature of the addiction-prone personality? • What happens physiologically in the brains of addicted people? • How much choice does the addict really have? • Why is the "War on Drugs" a failure and what might be a humane, evidence-based approach to the treatment of severe drug addiction? • What are some of the paths for redeeming addicted minds not dependent on powerful substances--that is, how do we approach the healing of the many behaviour addictions fostered by our culture? Excerpted from In the Realm of Hungry Ghosts: Close Encounters with Addiction by Gabor Maté All rights reserved by the original copyright owners. Excerpts are provided for display purposes only and may not be reproduced, reprinted or distributed without the written permission of the publisher.