The Biology of Desire: why addiction is not a disease (英语) 平装 – 2016年7月14日
'A courageous and much needed voice in rethinking addiction - Lewis takes addiction out of a disease model and reframes it as a negative outcome of neuroplasticity. This model provides realistic hope, given that what has been learnt can be unlearnt by harnessing the principles of neuroplasticity. Through his intimate personal and professional knowledge of addiction, Lewis reframes our understanding of its mechanisms and nature in a way that is empowering.' -- Barbara Arrowsmith-Young author of the international bestseller The Woman Who Changed Her Brain 'Clear, insightful, and necessary.' -- Johann Hari, author of Chasing the Scream 'Marc Lewis provides a wonderful mix of biography, psychology, and neuroscience to explain desire and addiction in a new way. It will stimulate thinking about our approaches to addiction and desire. His writing is accessible, personal, and captivating.' -- David Roland author of How I Rescued My Brain 'This is the real story of "this is your brain on drugs", but one that provides a refreshing, convincing alternative to the widespread traditional disease-model view of addiction. Through compelling stories of real people who struggled with various addictions, Lewis lucidly makes the case for a new science-based understanding of what causes and sustains addiction. Most important, it offers far more positivity about ways out of addiction than those offered by traditional treatment, providing hope for those struggling as well as for their loved ones.' -- Anne M. Fletcher, MS, RD author of Sober for Good and Inside Rehab '[L]ooks at how addiction and brain science collide, and how understanding our brains can help addicts get out of the abyss ... [A] very readable, often touching, gateway into the universe of neuroscience and the shadowland of addiction.' -- Richard Ferguson Sydney Morning Herald 'Informed by unparalleled neuroscientific insight and written with his usual flare, Marc Lewis's The Biology of Desire effectively refutes the medical view of addiction as a primary brain disease. A bracing and informative rebuke of the muddle that now characterizes public and professional discourse on this topic.' -- Dr. Gabor Mate, MD author of In The Realm of Hungry Ghosts: Close Encounters With Addiction 'Highly readable and plausible illustration of current ideas about addiction from behavioural neuroscience and clinical perspectives by the use of vivid case histories.' -- Trevor Robbins Head of Psychology Department, Cambridge University 'Marc Lewis's new book neatly links current thinking about addiction with neuroscience theory and artfully selected biographies. Ex-addicts, we learn, are not "cured", rather they have become more connected to others, wiser, and more in touch with their own humanity. This is a hopeful message that has, as Lewis demonstrates, the advantage of also being true.' -- Gene Heyman author of Addiction: Disorder of Choice 'Whether you are looking for a foundation in the neuroscience of addiction, guidelines for recovery or just hope that recovery is possible, it's all here. The scientific information is presented in the context of day-to-day behavior and the lives of individuals you will come to care about. You'll learn more about neuroscience (and human development and psychology) than you may have thought possible. Informed by this book, you'll see how neuroscience explains addiction as a part of life, rather than a mysterious entity only experts can understand.' -- Tom Horvath President of Practical Recovery and SMART Recovery, and author of Sex, Drugs, Gambling & Chocolate: A Workbook for Overcoming Addictions '[The book's] success lies in its ability to communicate complex ideas in a way that will engage you and move you and sometimes make you laugh ... a very readable, often touching, gateway into the universe of neuroscience and the shadowland of addiction.' Esperance Express
Dr Marc Lewis is a neuroscientist and professor of developmental psychology, now teaching at Radboud University in the Netherlands after more than twenty years on faculty at the University of Toronto. He has authored or co-authored more than fifty journal articles in neuroscience and developmental psychology. Presently, he speaks and blogs on topics in addiction science, and his critically acclaimed book, Memoirs of an Addicted Brain: a neuroscientist examines his former life on drugs, is the first to blend memoir and science in addiction studies.
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This books underlying thesis is while addiction is a harmful, compulsive, and incredibly hard to control, it is not a disease and should not fall under the disease model. He does not argue in anyway the brain doesn't change from ongoing drug use, as you'll no doubt see in trainings/lectures where people show a heroin brain next to a normal one. Rather, what he argues is the brain changes from just about any experience. So, if you are craving chocolate and have a similar scan your brain will show differences than a brain not craving chocolate. Similarly, if you're in love, which can make us all be a little nuts, your brain will show a very similar scan to someone addicted to heroin. His overall point is strong desires, achieving those desires, strong desires, achieving those desires, eventually results in a feedback loop that disrupts neural/brain processes responsible for modifying our behavior.
What was most interesting to me was his discussion of ego depletion in Chapter 8, where he discusses treatment methods or advice from people is actually self defeating. If you are attempting to stop using heroin, alcohol, or what not, simply saying to yourself "I won't use", "I must not use", or something similar is one of the worst things to do because it depletes the very area of your brain that helps you not use heroin, making it more likely you will. Rather, you should reinterpret your experiences, view of the substance, and the situation, which results in less or no depletion.
The reason I like this book so much is it's not a pie in the sky, nonsense fluff you will often read and is based on solid research and the way our minds work. He easily combines various brain structures with real life examples to make his underlying point. It is both intellectually demanding (remembering the various brain regions and their interactions) but also very dramatic and real. It's hard not to feel sympathy for some of the people he presents.
I'd highly recommend this book. Again, it's not dismissing neuroscience or brain research, he points out multiple times it's important to erase the stigma of addiction so people can get help, but he shows in a very concise, understanding way we should not view addiction as a disease similar to cancer, diabetes, or what not. It's very readable and combines current research with good stories of people he's spoken to who have been through heroin, meth, and alcohol addiction up to someone being anoxeric and how they're similar.