Gabor Maté - In the Realm of Hungry Ghosts - Close Encounters with Addiction

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Based on Gabor Maté’s two decades of experience as a medical doctor and his groundbreaking work with the severely addicted on Vancouver’s skid row, In the Realm of Hungry Ghosts radically reenvisions this much misunderstood field by taking a holistic approach. Dr. Maté presents addiction not as a discrete phenomenon confined to an unfortunate or weak-willed few, but as a continuum that runs throughout (and perhaps underpins) our society; not a medical "condition" distinct from the lives it affects, rather the result of a complex interplay among personal history, emotional, and neurological development, brain chemistry, and the drugs (and behaviors) of addiction. Simplifying a wide array of brain and addiction research findings from around the globe, the book avoids glib self-help remedies, instead promoting a thorough and compassionate self-understanding as the first key to healing and wellness. In the Realm of Hungry Ghosts argues persuasively against contemporary health, social, and criminal justice policies toward addiction and those impacted by it. The mix of personal stories—including the author’s candid discussion of his own "high-status" addictive tendencies—and science with positive solutions makes the book equally useful for lay readers and professionals.

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9. D.F. Willliamson et al., “Body Weight and Obesity in Adults and Self-Reported Abuse in Childhood,” International Journal of Obesity 26 (2002): 1075–82.

10. T. Wills, “Multiple Networks and Substance Use,” Journal of Social and Clinical Psychology , 9 (1990): 78–90.

11. Data and quotes for this section on Conrad Black are from the following books: Conrad Black, A Life in Progress (Toronto: Key Porter Books, 1992); James Fitzgerald, Old Boys: The Powerful Legacy of Upper Canada College (Toronto: Macfarlane, Walter & Ross, 1994); Jacquie McNeish and Sinclair Stewart, Wrong Way: The Fall of Conrad Black (Woodstock and New York: The Overlook Press, 2004); Peter C. Newman, The Establishment Man: A Portrait of Power (Toronto: McClelland & Stewart, 1982); Richard Siklos, Shades of Black: Conrad Black—His Rise and Fall (Toronto: McClelland & Stewart, 2004); George Tombs, Lord Black: The Biography (Toronto: BT Publishing, 2004).

12. Tombs, Lord Black, 38.

13. Robert Musil, The Man Without Qualities (New York: Vintage International, 1996), 416.

14. Primo Levi, The Drowned and the Saved, trans. Raymond Rosenthal (New York: Vintage International, 1989), 67.

CHAPTER 23 DISLOCATION AND THE SOCIAL ROOTS OF ADDICTION

1. Eckhart Tolle, The Power of Now (Novato, CA: New World Library, 1997), 18.

2. Joanna Walters, “$15 Billion Spent on Beauty,” The Guardian Weekly, 3–9 November 2006, 7.

3. Paul Taylor, “Shop-till-You-Drop Disorder Taxes Both Sexes,” The Globe and Mail, 6 October 2006, A13.

4. Joe Drape, “Setting Restaurant Records by Selling the Sizzle,” The New York Times, 22 July 2007, 1 and 21.

5. “Big Tobacco Lied to Public,” The Washington Post, 18 August 2006.

6. “Ending Our Tobacco Addiction,” editorial, The New York Times, 30 May 2007.

7. “Narcotic Maker Guilty of Deceit over Marketing,” The New York Times, 11 May 2007, A-1.

8. Lewis Lapham, “Time Travel,” Harper’s Magazine, May 2007, 11.

9. “Work-Life Balance? Not for One in Three,” The Globe and Mail, 16 May 2007, C-1.

10. Tolle, The Power of Now, 23.

11. “Facts about Prisons and Prisoners,” The Sentencing Project, October 2003, quoted in Amy Goodman, The Exception to the Ruler s (New York: Hyperion, 2004), 129.

12. U.S. Department of Justice, Bureau of Justice Statistics homepage; www.ojp.usdoj.gov/bjs/crimoff.htm.

13. Robert L. Dupont, The Selfish Brain: Learning from Addiction (Center City, MN: Hazelden, 2000), 31.

14. B. Alexander, “The Roots of Addiction in Free Market Society,” Canadian Centre for Policy Alternatives, Toronto, April 2001, 12; www.policyalternatives.ca/bc/rootsofaddiction.html

15. Dupont, The Selfish Brain, 31.

16. Agence France Presse, reported in The Vancouver Sun, 30 September 2006, A.

17. Aboriginal women between the ages of 25 and 44 are five times more likely than all other women of the same age to die as a result of violence, reported a Canadian federal study in 1996, “making them the prime targets and the most vulnerable in our society” (quoted in Stevie Cameron, The Pickton File [Toronto: Knopf Canada, 2007], 163). In the U.S., according to Justice Department figures, “more than one in three American Indian and Alaska Native women would be raped in their lifetime, almost double the national average of 18 percent.” In the vast majority of cases, the perpetrators are non-Native. (“For Indian Victims of Sexual Assault, a Tangled Legal Path,” The New York Times, 25 April 2007, A15.)

18. Harold H. Gordon, “Early Environmental Stress and Biological Vulnerability to Drug Abuse,” Psychoneuroendocrinology 27 (2002): 115–26.

19. Michael A. Dawes et al., “Developmental Sources of Variation in Liability to Adolescent Substance Use Disorders,” Drug and Alcohol Dependence 61 (2000): 3–14.

CHAPTER 24 KNOW THINE ENEMY

1. Julian Sher, “Canada’s Top Child-Porn Cop Is Turning In His Badge,” The Globe and Mail, 10 June 2006, 1.

CHAPTER 25 A FAILED WAR

1. Bruce Alexander, Peaceful Measures: Canada’s Way Out of the “War on Drugs ” (Toronto: University of Toronto Press, 1990), 3.

2. Norm Stamper, Breaking Rank: A Top Cop’s Exposé of the Dark Side of American Policing (New York: Nation Books, 2005); excerpted at http://www.alternet.org/drugreporter/22227.

3. Quoted in Judge James P. Grey, Why Our Drug Laws Have Failed and What We Can Do About It: A Judicial Indictment of the War on Drugs (Philadelphia: Temple University Press, 2001), 126.

4. Elizabeth Rubin, “In the Land of the Taliban,” The New York Times Magazine, 22 October 2006.

5. “Cocaine Wars Turn Port into Colombia’s Deadliest City,” The New York Times, 22 May 2007, A-3.

6. George Povey, “The Purgatory of Prohibition,” Columbia Journal, January 2007,

7. Alan Travis, “Revealed: How Drugs War Failed,” The Guardian, 5 July 2005.

8. Grey, Why Our Drug Laws Have Failed, 50.

9. Gary Becker, The Failure of the War on Drugs, http://www.becker-posner-blog.com/archives/2005/03/the_failure_of.html.

10. Donald G. McNeil Jr. “Drugs Banned, World’s Poor Suffer in Pain.” New York Times, September 20, 2007, A1.

11. Grey, Why Our Drug Laws Have Failed.

12. Mark Stevenson, “Mexico to Decriminalize Drug Possession,” Associated Press, 29 April 2006.

13. Peter O’Neil, “Canada Looks to U.S.A. for Drug Policy Hints,” The Vancouver Sun, 12 December 2006, A1.

14. “Effective Drug Control: A New Legal Framework for State Regulation and Control of Psychoactive Substances as a Workable Alternative to the “War on Drugs” http://www.kcba.org/ScriptContent/KCBA/druglaw/proposal/FAQs.pdf.

CHAPTER 26 FREEDOM OF CHOICE AND THE CHOICE OF FREEDOM

1. Jeffrey M. Schwartz and Sharon Begley, The Mind and the Brain: Neuroplasticity and the Power of Mental Force (New York: ReganBooks, 2002); Jeffrey M. Schwartz, Brain Lock: Free Yourself from Obsessive-Compulsive Behavior (New York: ReganBooks, 1996).

2. Schwartz and Begley, The Mind and the Brain, 367.

3. Eckhart Tolle, The Power of Now: A Guide to Spiritual Enlightenment (Vancouver: Namaste Publishing, 1997), 191.

4. M.H. Teicher, “Wounds That Time Won’t Heal: The Neurobiology of Child Abuse,” Cerebrum: The Dana Forum on Brain Science 2(4) (fall 2000).

5. B. Perry and R. Pollard, “Homeostasis, Stress, Trauma and Adaptation: A Neurodevelopmental View of Childhood Trauma,” Child and Adolescent Clinics of North America 7(1) (January 1998): 33–51.

6. The research on brain impulse and activation is cited and discussed in detail in Schwartz and Begley, “The Mind and the Brain,” chap. 9, 302–7.

7. A. Hirsh, “Discharge Against Medical Advice: Perspectives of Intravenous Drug Users” (University of British Columbia Family Practice Research Day Presentation, 2 July 2002).

8. N.D. Volkow and T. K. Li, “Drug Addiction: The Neurobiology of Behaviour Gone Awry,” Neuroscience 5 (December 2004): 963–70.

CHAPTER 27 IMAGINING AN ENLIGHTENED SOCIAL POLICY ON DRUGS

1. Anne McIlroy. “Get-tough policy on drugs doomed, experts say.” The Globe and Mail , October 1, 2007, p. A-4.

2. Jiddu Krishnamurti, On Relationship (San Francisco: HarperOne, 1992).

3. Roy A. Wise, “The Neurobiology of Craving: Implications for the Understanding and Treatment of Addiction,” Journal of Abnormal Psychology 97(2) (1988): 118–32.

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