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In the Realm of Hungry Ghosts: Close Encounters with Addiction
Blending first-person accounts, riveting case studies, cutting-edge research and passionate argument, In the Realm of Hungry Ghosts takes a panoramic yet highly intimate look at this widespread and perplexing human ailment.
Countering prevailing theories of addiction as being a genetic disease or an individual moral failure, addiction specialist Dr. Gabor Maté, M.D., presents an eloquent case that addiction – all addiction – is in fact a case of human development gone askew.
No substance (not heroin, meth, crack) is addictive. If it were, everyone who took it would become addicted. They do not. We become addicted because we are predisposed by a history of early child trauma. Combined with substances or behaviors, drug use leads to addiction.
(Dr. Gabor Maté, M.D.)
Dr. Maté, who for 12 years practiced medicine in Vancouver, Canada’s notorious Downtown Eastside – North America’s most concentrated area of drug use, begins by telling the stories of his patients who, in their destitution and uniformly tragic histories, represent one extreme of the addictive spectrum.
With trademark compassion and unflinching narrative eye, Dr. Maté brings to life their ill-fated and mostly misunderstood struggle for relief or escape -- through substance abuse -- from the pain that has tormented them since childhood.
Dr. Maté shows how the behavioral addictions of society’s more fortunate members – including himself – differ only in degree of severity from the drug habits of his Downtown Eastside patients.
In reality there is only one addiction process, its core objective being the self-soothing of deep-seated fears and discomforts.
Turning to the neurobiological roots of addiction, Dr. Maté presents an astonishing array of scientific evidence showing conclusively that:
- Addictive tendencies arise in the parts of our brains governing some of our most basic and life-sustaining needs and functions: incentive and motivation, physical and emotional pain relief, the regulation of stress, and the capacity to feel and receive love;
- These brain circuits develop, or don’t develop, largely under the influence of the nurturing environment in early life, and that therefore addiction represents a failure of these crucial systems to mature in the way nature intended; and
- The human brain continues to develop new circuitry throughout the lifespan, including well into adulthood, giving new hope for people mired in addictive patterns. Dr. Maté then examines the current mainstream. More
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