In the Realm of Hungry Ghosts: Close Encounters with Addiction

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Knopf Canada, Apr 3, 2009 - Psychology - 480 pages
#1 NATIONAL BESTSELLER • From the author of When the Body Says No and The Myth of Normal—The definitive book for understanding the roots and behaviours of addiction.

Dr. Gabor Maté is one of the world’s most revered thinkers on the psychology of addiction. His radical findings—based on decades of work with patients challenged by catastrophic drug addiction and mental illness—has helped reframe how we view all human development. In this award-winning modern classic, through first-person accounts, riveting case studies, pioneering research and compassionate argument, Maté takes a panoramic yet highly intimate and compassionate look at this widespread and perplexing human ailment, whether it be addiction to alcohol, drugs, sex, money or anything self-destructive. He presents it not as a discrete phenomenon confined to a weak-willed few, but as a continuum that runs through (and even underpins) our society—not as a medical ‘condition’, but rather the result of a complex interplay of personal history, emotional development and brain chemistry.

Distilling cutting-edge research from around the world, In the Realm of Hungry Ghosts avoids glib self-help remedies, instead promoting self-understanding as the first key to healing and wellness. Blending personal stories and science with positive solutions, and written in spellbinding prose, it is a must-read that will change how you see yourself, others and the world.
 

Contents

Authors Note vii
1
HELLBOUND TRAIN
5
The Only Home Hes Ever Had
7
The Lethal Hold of Drugs
25
The Keys of Paradise
33
You Wouldnt Believe My Life Story
47
Angelas Grandfather
56
Pregnancy Journal
60
THE ADDICTION PROCESS AND THE ADDICTIVE PERSONALITY
211
A Void Ill Do Anything to Avoid
213
Too Much Time on External Things
222
Poor Substitutes for Love
229
IMAGINING A HUMANE REALITY BEYOND THE WAR ON DRUGS
249
Dislocation and the Social Roots of Addiction
251
Know Thine Enemy
267
A Failed War
273

Beethovens Birth Room
73
Theres Got to Be Some Light
85
PHYSICIAN HEAL THYSELF
99
Takes One to Know One
101
TwelveStep Journal
116
A DIFFERENT STATE OF THE BRAIN
125
What Is Addiction?
127
From Vietnam to Rat Park
132
A Different State of the Brain
140
Through a Needle a Warm Soft Hug
148
Cocaine Dopamine and Candy Bars
158
Like a Child Not Released
165
HOW THE ADDICTED BRAIN DEVELOPS
177
Their Brains Never Had a Chance
179
Trauma Stress and the Biology of Addiction
188
Its Not in the Genes
201
Freedom of Choice and the Choice of Freedom
284
Imagining an Enlightened Social Policy on Drugs
295
Harm Reduction
312
The Power of Compassionate Curiosity
329
The Internal Climate 34
340
The Four Steps Plus One
353
Sobriety and the External Milieu
363
A Word to Families Friends and Caregivers
377
There Is Nothing Lost
387
An Epilogue
399
Postscript
407
A Close Link Attention Deficit Disorder
415
The Twelve Steps
423
Acknowledgments
449
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About the author (2009)

Gabor Maté, M.D. is the author of the bestselling books Scattered Minds and When the Body Says No–published in ten languages on five continents–and co-author, with Gordon Neufeld, of Hold On To Your Kids. Former medical columnist for the Globe and Mail, where his byline continues to be seen on issues of health and parenting, Dr. Maté has had a family practice, worked as a palliative care physician and, most recently, with the addicted men and women in the Downtown Eastside of Vancouver.

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