In this timely and profoundly original new book, bestselling writer and physician Gabor Maté looks at the epidemic of addictions in our society, tells us why we are so prone to them and what is needed to liberate ourselves from their hold on our emotions and behaviours.
For over seven years Gabor Maté has been the staff physician at the Portland Hotel, a residence and harm reduction facility in Vancouver’s Downtown Eastside. His patients are challenged by life-threatening drug addictions, mental illness, Hepatitis C or HIV and, in many cases, all four. But if Dr. Maté’s patients are at the far end of the spectrum, there are many others among us who are also struggling with addictions. Drugs, alcohol, tobacco, work, food, sex, gambling and excessive inappropriate spending: what is amiss with our lives that we seek such self-destructive ways to comfort ourselves? And why is it so difficult to stop these habits, even as they threaten our health, jeopardize our relationships and corrode our lives?
Beginning with a dramatically close view of his drug addicted patients, Dr. Maté looks at his own history of compulsive behaviour. He weaves the stories of real people who have struggled with addiction with the latest research on addiction and the brain. Providing a bold synthesis of clinical experience, insight and cutting edge scientific findings, Dr. Maté sheds light on this most puzzling of human frailties. He proposes a compassionate approach to helping drug addicts and, for the many behaviour addicts among us, to addressing the void addiction is meant to fill.
I believe there is one addiction process, whether it manifests 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 in 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 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 use. Both in their flaws and their virtues they share much in common with the society that ostracizes them. If they 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.
—from In the Realm of Hungry Ghosts
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"Outstanding book about addiction. The author is a doctor who has worked with addicts in Vancouver. I didn't want to read it- reminded me too much of work- but I'm addicted to audiobooks ( no lie) and it was the only one I had. I'm very glad I did. Very insightful. He integrates brain science, personal experience, and adds some Buddhism and other religious philosophy. (note for listeners rather than readers: Do some of those those Jesus sayings seem unfamiliar? Thats because they are from the non canonical Gospel of Thomas, a compelling gospel discovered with other banned texts in the late 1940s sealed in a jar in the desert. There is a lot of overlap between the sayings in Thomas and other gospels that rely on Q But I digress. the author must be serious about religions to read texts like that. But I digress terribly...) I agree with his political views, but I did find that part, while informative and important, a bit of a slog. At first I thought his description of his classical music CD addiction was a bit of a stretch. But when he describes how much he spends, how he left a patient in the middle of labor so the baby was born without his help, so he could look for CDs, how he resolves to stop but cannot, it becomes clear that it is an addiction. Addiction a fascinating subject and this is the best treatment of it out there."
— Carolyn.frimpter (5 out of 5 stars)
#1 NATIONAL BESTSELLER
Winner of the Hubert Evans Non-Fiction Prize
Enormously compelling . . . and Maté, as noted, is admirably, sometimes inexplicably, empathetic to all who cross his path.
— Toronto StarExcellent.... One of the book's strengths is Maté's detailed and compassionate characterization of the afflicted addicts he treats, but this is not just a memoir. Rather, using his own experience as well as the most advanced recent research, he attempts to delineate the closely interrelated psychological, social, and neurological dimensions of addiction. . . . A calm, unjudging, compassionate attentiveness to what is happening within.
— The WalrusIt's compulsively readable and packed with new scientific discoveries about addiction.
— The Georgia StraightAn insightful, multilayered discussion of the nature of addiction generally, and our society's epidemic of addictions in particular.
— The Globe and MailA harrowingly honest, compassionate, sometimes angry look at addiction and the people whose lives have been disordered by it.
— Ottawa CitizenMaté does a great service by forcing us to confront the us-and-them mentality that drives the get-tough responses to addiction. . . . I highly recommend Hungry Ghosts to everyone seeking insight into addiction.
— The Vancouver SunA nuanced and complex meditation on what opium-eaterThomasde Quincy called the ‘abiding darkness’. . . . A powerful and compassionatework.
— NOW" Mate's In the Realm of Hungry Ghosts gave me a new perspective on addiction. I like to think that I'm compassionate in my attitudes toward addicts, but I definitely tend to blame them for their choices. This book explains the huge impact infant and childhood experiences have on brain development and later ability to control behavior. I can't help but think Mate goes too far, and removes too much accountability from the addict, but I hope I will be slower to judge after experiencing this monograph. I definitely have a different opinion now about the best way for society to fight the War on Drugs. "
— Tanya, 1/26/2014" Twice while reading this book, I was asked why I would be interested in a book about addiction. Because my brother told me I should, is the first reason, but not a very compelling answer. But more than that, reading a book about a condition that affects us all, in one way or another, is an act of humanitarian compassion. In order to operate in our fragmented society, we must build connections to people who function with various degrees of addiction and impairment. Understanding the common roots of addiction (across substances, habits and behaviors) makes it possible to see the layers of brokenness and dysfunction created by our misguided societies, and to walk forth with compassion. "
— Leah, 1/8/2014" For anyone touched by addiction, this is a must read. A great look at the science of behavioral conditions like addiction, ADHD, OCD, depression and the relationship early trauma has to brain development and brain chemistry all told in an accessible and inspirational way. "
— Andree, 12/31/2013" I think this is a pretty important book -- changed my view of addicts and even got me to look at some of my own addictions - we all have them. He paints a true and horrifying picture of addicts, talks about our own "socially acceptable" addictions, how society deals with addicts and how the brain works in a way that is makes all of this understandable. You've not going to agree with some of his views on how we're losing the "War on Drugs" and maybe some unconventional ways to deal with hard core drug addicts but this is a well written book and very worth the time. "
— Susie, 12/31/2013" This is the best book on addiction. Very humane and Buddhist. I recommend it to everyone who deals with other people, since we are all addicted to one thing or another. The author is a medical doctor for a revolutionary group of hotels for street people in Vancouver. He is also addicted to being very busy and to buying musical CD's. I like his way of thinking. "
— Mariana, 12/29/2013" provides one very important perspective of the DTES: a compassionate perspective. however, his explanation of addiction relies heavily on the medical model at the expense of the cultural aspects of the expression and treatment of addiction. "
— Sikee, 12/28/2013" It opened my eyes in ways I had been searching for a very long time. "
— Amber, 12/14/2013" ...the insights are dropping in... "
— Michael, 11/30/2013" One of the best books on understanding addiction. Based on the stories of a local doctor in Vancouver's Downtown East Side. "
— James, 10/26/2013" It took me quite a long time to read... because I applied it to practice and took breaks. Great book, great speaker as well. "
— Christy, 9/30/2013" An important yet disturbing book. "
— Patricia, 7/6/2013" a wise man with a kind Heart who has insight into the nature of addiction, and what it means to be a human being. "
— Annette, 1/3/2013" Beautiful combination of conveying information with compassion. "
— Rowan, 12/24/2012" One of the more insightful books on addiction you're going to find. "
— John, 11/13/2012" more later "
— Nora, 9/29/2012" Love the call for a change in social policy to address addiction in a compassionate way, and the explanation for and examples of harm reduction. Dr. Mate is extremely humble in sharing his own experiences of addiction as well! "
— Ashley, 9/20/2012" Great insight for those who are interested in addiction or are addicts themselves. "
— Laurie, 6/13/2012" Fascinating. I recommend it. "
— Laurel, 4/1/2012Gabor Mate, MD, is a celebrated speaker and bestselling author highly sought after for his expertise on a range of topics, such as addiction, stress, and childhood development. He has written several bestselling books, including the award-winning In the Realm of Hungry Ghosts, When the Body Says No, Scattered Minds and (as co-author) Hold On to Your Kids. His works have been published internationally in more than thirty languages.