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Named a Best Book of the Year by The New Yorker and The Boston Globe An authoritative, illuminating, and deeply humane history of addiction—a phenomenon that remains baffling and deeply misunderstood despite having touched countless lives—by an addiction psychiatrist striving to understand his own family and himself “Carl Erik Fisher’s The Urge is the best-written and most incisive book I’ve read on the history of addiction. In the midst of an overdose crisis that grows worse by the hour and has vexed America for centuries, Fisher has given us the best prescription of all: understanding. He seamlessly blends a gripping historical narrative with memoir that doesn’t self-aggrandize; the result is a full-throated argument against blaming people with substance use disorder. The Urge is a propulsive tour de force that is as healing as it is enjoyable to read.” —Beth Macy, author of Dopesick Even after a decades-long opioid overdose crisis, intense controversy still rages over the fundamental nature of addiction and the best way to treat it. With uncommon empathy and erudition, Carl Erik Fisher draws on his own experience as a clinician, researcher, and alcoholic in recovery as he traces the history of a phenomenon that, centuries on, we hardly appear closer to understanding—let alone addressing effectively. As a psychiatrist-in-training fresh from medical school, Fisher was soon face-to-face with his own addiction crisis, one that nearly cost him everything. Desperate to make sense of the condition that had plagued his family for generations, he turned to the history of addiction, learning that the current quagmire is only the latest iteration of a centuries-old story: humans have struggled to define, treat, and control addictive behavior for most of recorded history, including well before the advent of modern science and medicine. A rich, sweeping account that probes not only medicine and science but also literature, religion, philosophy, and public policy, The Urge illuminates the extent to which the story of addiction has persistently reflected broader questions of what it means to be human and care for one another. Fisher introduces us to the people who have endeavored to address this complex condition through the ages: physicians and politicians, activists and artists, researchers and writers, and of course the legions of people who have struggled with their own addictions. He also examines the treatments and strategies that have produced hope and relief for many people with addiction, himself included. Only by reckoning with our history of addiction, he argues—our successes and our failures—can we light the way forward for those whose lives remain threatened by its hold. The Urge is at once an eye-opening history of ideas, a riveting personal story of addiction and recovery, and a clinician’s urgent call for a more expansive, nuanced, and compassionate view of one of society’s most intractable challenges.
Part memoir, part history, part journalistic exposé, Trip is a look at psychedelic drugs, literature, and alienation from one of the twenty-first century's most innovative novelists--The Electric Kool-Aid Acid Test for a new generation. A Vintage Original. While reeling from one of the most creative--but at times self-destructive--outpourings of his life, Tao Lin discovered the strange and exciting work of Terence McKenna. McKenna, the leading advocate of psychedelic drugs since Timothy Leary, became for Lin both an obsession and a revitalizing force. In Trip, Lin's first book-length work of nonfiction, he charts his recovery from pharmaceutical drugs, his surprising and positive change in worldview, and his four-year engagement with some of the hardest questions: Why do we make art? Is the world made of language? What happens when we die? And is the imagination more real than the universe? In exploring these ideas and detailing his experiences with psilocybin, DMT, salvia, and cannabis, Lin takes readers on a trip through nature, his own past, psychedelic culture, and the unknown.
NATIONAL BESTSELLER "A profound book.... It will break your heart but also leave you with hope." —J.D. Vance, author of Hillbilly Elegy "[A] deeply empathetic book." —The Economist With stark photo essays and unforgettable true stories, Chris Arnade cuts through "expert" pontification on inequality, addiction, and poverty to allow those who have been left behind to define themselves on their own terms. After abandoning his Wall Street career, Chris Arnade decided to document poverty and addiction in the Bronx. He began interviewing, photographing, and becoming close friends with homeless addicts, and spent hours in drug dens and McDonald's. Then he started driving across America to see how the rest of the country compared. He found the same types of stories everywhere, across lines of race, ethnicity, religion, and geography. The people he got to know, from Alabama and California to Maine and Nevada, gave Arnade a new respect for the dignity and resilience of what he calls America's Back Row--those who lack the credentials and advantages of the so-called meritocratic upper class. The strivers in the Front Row, with their advanced degrees and upward mobility, see the Back Row's values as worthless. They scorn anyone who stays in a dying town or city as foolish, and mock anyone who clings to religion or tradition as naïve. As Takeesha, a woman in the Bronx, told Arnade, she wants to be seen she sees herself: "a prostitute, a mother of six, and a child of God." This book is his attempt to help the rest of us truly see, hear, and respect millions of people who've been left behind.
Religious and secular counselors from a variety of disciplines share their basic approaches in working with addicted persons and their understandings of the spiritual dimension in treatment and recovery.
Addiction is increasing all around the world, and the conventional remedies don't work. The Globalization of Addiction argues that the cause of this failure to control addiction is that past treatments have focused too single-mindedly on the afflicted individual addict. This book presents a radical rethink about the nature of addiction.
With the revised information and up-to-date research, Out of the Shadows is the premier work on sex addiction, written by a pioneer in its treatment. Sex is at the core of our identities. And when it becomes a compulsion, it can unravel our lives. Out of the Shadows is the premier work on this disorder, written by a pioneer in its treatment. Revised and updated to include the latest research--and to address the exploding phenomenon of cybersex addiction--this third edition identifies the danger signs, explains the dynamics, and describes the consequences of sexual addiction and dependency. With practical wisdom and spiritual clarity, it points the way out of the shadows of sexual compulsion and back into the light and fullness of life.
The Media Creates Us in Its Image and Other Essays on Technology and Culture proposes that modern technology seriously influences every aspect of culture and personality. Technology shapes our beliefs and values and even how we think of ourselves. It affects religion, morality, education, language, communication, and sexual identity. Every institution, every organization, is brought under its purview. This book attempts to awaken the reader to the destructive side of modern technology that exists side-by-side with its constructive side. What modern technology is destroying, however, is the very meaning of being human. The essay “The Media Creates Us in Its Image” makes this case most dramatically. The book asks the reader the following question: Is what you have gained from the use of modern technology more important than what you have lost? How do we once again bring technology under our control in the face of its inexorable “progress”?
Part 1 Introduction: What is Deviant Behavior? Chapter 2 Criminology: An Integrationist Perspective Chapter 3 Psychological Theories of Deviance Part 4 Traditional Theories of Deviance Chapter 5 The Normal and the Pathological Chapter 6 Social Structure and Anomie Chapter 7 Illegitimate Means and Delinquent Subcultures Chapter 8 Evaluation of Structural-Functionalist and Anomie Theories Chapter 9 The Theory of Differential Association Chapter 10 Evaluation of Differential Association Theory Chapter 11 A Control Theory of Delinquency Chapter 12 Evaluation of Social Control Theory Part 13 Contemporary Theories of Deviance Chapter 14 Group Conflict Theory as an Explanation of Crime Chapter 15 A Radical Perspective on Crime Chapter 16 Evaluation of Conflict Theory Chapter 17 Secondary Deviance and Role Conceptions Chapter 18 Outsiders Chapter 19 Evaluation of Labeling Theory Part 20 Studying Deviance Chapter 21 Accessing the Stigmatized: Gatekeeper Problems, Obstacles and Impediments to Social Research Chapter 22 Personal Safety in Dangerous Places Part 23 The Deviance-Making Enterprise Chapter 24 Moral Entrepeneurs: The Creation and Enforcement of Deviant Categories Chapter 25 The Social Construction of Deviance: Experts on Battered Women Chapter 26 The 'Discovery' of Child Abuse Chapter 27 The Legislation of Morality: Creating Drug Laws Chapter 28 Medicine as an Institution of Social Control: Consequences for Society Part 29 Organizational Deviance-Beyond the Interpersonal Level Chapter 30 The Making of Blind Men Chapter 31 Record-keeping Practices in the Policing of Deviants Chapter 32 Constructing Probationer Careers: Revocation as Censure Transformation and Tertiary Deviance in the Deviance Amplification Process Chapter 33 The In-patient Phase in the Career of the Psychiatric Patient Chapter 34 Being Sane in Insane Places Part 35 Organizing Deviants-Subcultures and Deviant Activities Chapter 36 The "Mixed Nutters" and "Looney Tuners: " The Emergence, Development, Nature, and Functions of Two Informal, Deviant Subcultures of Chronic Ex-psychiatric Patients Chapter 37 Constructing Women and Their World: The Subculture of Female Impersonation Chapter 38 Into the Darkness: An Ethnographic Study of Witchcraft and Death Chapter 39 The Urban Speed Gang: An Examination of the Subculture of Young Motorcyclists Chapter 40 The Culture of Gangs in the Culture of the School Chapter 41 Parade Strippers: A Note on Being Naked in Public Chapter 42 Knives and Gaffs: Definitions in the Deviant World of Cockfighting Chapter 43 Policing Morality: Impersonal Sex in Public Places Part 44 Becoming Deviant Chapter 45 Paranoia and the Dynamics of Exclusion Chapter 46 Creating Crazies/Making Mentals: The Pre-patient Phase in the Moral Career of the Psychiatric Patient Chapter 47 A Model of Homosexual Identity Formation Chapter 48 Becoming an Addict/Alcoholic Chapter 49 Drifting into Dealing: Becoming a Cocaine Seller Chapter 50 Becoming a Hit Man: Neutralization in a Very Deviant Career Part 51 Managing Stigma/Managing Deviant Identities Chapter 52 Stigma and Social Identity Chapter 53 Deviance as Disavowal: The Managment of Strained Interaction by the Visibly Handicapped Chapter 54 Return to Sender: Reintegrative Stigma-Management Strategies of Ex-Psychiatric Patients Chapter 55 Double Stigma and Boundary Maintenance: How Gay Men Deal with AIDS Chapter 56 Ostomates: Negotiating and Involuntary Identity Part 57 Transforming Deviance Chapter 58 The 'Post' Phase of Deviant Careers: Reintegrating Drug Traffickers Chapter 59 Becoming Normal: Certification as a Stage in Exiting from Crime Chapter 60 Recovery through Self-Help Chapter 61 Gaining and Losing Wei
Addiction is often thought about in terms of cause, be that brain chemistry, attachment patterns or cognitive schemas. But this does not allow an understanding of what addiction "is". It does not illuminate how addiction is lived. A phenomenology of addiction reveals that addiction is characterised by an intolerance of pain, a pursuit of pleasure, immediacy, technocratic solutions, alienation, ambiguity and is drenched in deception. These are its individual clinical manifestations, but this is also the way life, in this century, is lived. The addict is thus the ultimate 21st century subject, consuming without end, intolerant of emotion and unable to grasp their own limitations. Rather than embraced, these subjects act as a denied symptom, haunting late capitalism and exposing the vampire-like nature of our culture. As such, these subjects need to be treated not just as individuals who have "gone too far", but as victims of the political agenda shaping our lives. Thus the heart of the book is a description of addiction deepened by existential-phenomenological theory. This description is then used to understand the historical emergence of addiction, its socio-political manifestation and also the crucial issue of how to clinically treat the addict-subject.
The psychological states of patients with diabetes mellitus were compared with those of patients suffering from other chronic diseases and people with no diagnosed chronic diseases. These states were assessed by applying content analysis scales to transcripts of their descriptions of their current experiences. Analyses of the diabetics' scale scores re vealed a pattern characterized by much anxiety, depression, anger expressed both direct ly and indirectly, together with feelings of helplessness. The sources of anxiety which proved to be of most importance to them were fears of death and bodily mutilation, as weIl as guilt and shame. They experienced little sense of sharing with most people around them, although they showed considerable enjoyment of dose relationships with family and friends. This pattern of psychological states did not vary with the sex of the patients or whether they were interviewed in a hospital or at horne nor with recency of onset or multiplicity of health problems. It was similar to the pattern of patients with other chronic diseases but differed significantly from that of the healthy group. Acknowledgment The authors wish to acknowledge the contribution ofCarol Preston to the collection and analysis of these data which were made available, inpart, by patients of the Wollongong Hospital and members of the Illawarra Branch of the Diabetic Association of N ew South Wales. References 1. Strong JA, Baird JD (1971) Diseases ofthe endocrine system. In: Davidson S, McLeod J (eds) The principles and practice of medicine.