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The Urge
- Our History of Addiction
- Narrated by: Mark Deakins
- Length: 11 hrs and 20 mins
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Publisher's Summary
An authoritative, illuminating, and deeply humane history of addiction - a phenomenon that remains baffling and deeply misunderstood despite having touched countless lives - by an addiction psychiatrist striving to understand his own family and himself.
“Carl Erik Fisher’s The Urge is the best-written and most incisive book I’ve read on the history of addiction. In the midst of an overdose crisis that grows worse by the hour and has vexed America for centuries, Fisher has given us the best prescription of all: understanding. He seamlessly blends a gripping historical narrative with memoir that doesn’t self-aggrandize; the result is a full-throated argument against blaming people with substance use disorder. The Urge is a propulsive tour de force that is as healing as it is enjoyable to read.” (Beth Macy, author of Dopesick)
Even after a decades-long opioid overdose crisis, intense controversy still rages over the fundamental nature of addiction and the best way to treat it. With uncommon empathy and erudition, Carl Erik Fisher draws on his own experience as a clinician, researcher, and alcoholic in recovery as he traces the history of a phenomenon that, centuries on, we hardly appear closer to understanding - let alone addressing effectively.
As a psychiatrist-in-training fresh from medical school, Fisher was soon face-to-face with his own addiction crisis, one that nearly cost him everything. Desperate to make sense of the condition that had plagued his family for generations, he turned to the history of addiction, learning that the current quagmire is only the latest iteration of a centuries-old story: Humans have struggled to define, treat, and control addictive behavior for most of recorded history, including well before the advent of modern science and medicine.
A rich, sweeping account that probes not only medicine and science but also literature, religion, philosophy, and public policy, The Urge illuminates the extent to which the story of addiction has persistently reflected broader questions of what it means to be human and care for one another. Fisher introduces us to the people who have endeavored to address this complex condition through the ages: physicians and politicians, activists and artists, researchers and writers, and of course the legions of people who have struggled with their own addictions. He also examines the treatments and strategies that have produced hope and relief for many people with addiction, himself included. Only by reckoning with our history of addiction, he argues - our successes and our failures - can we light the way forward for those whose lives remain threatened by its hold.
The Urge is at once an eye-opening history of ideas, a riveting personal story of addiction and recovery, and a clinician’s urgent call for a more expansive, nuanced, and compassionate view of one of society’s most intractable challenges.
Critic Reviews
One of The New Yorker’s Best Books of 2022
“An artfully combined personal narrative and genealogy of the title concept . . . [Fisher’s] authorial voice is clear and gentle. Brimming with common sense and wisdom, a salmagundi of history, science, and informed opinion, The Urge should ignite the urge for invigorated conversation and debate.”—The Los Angeles Review of Books
"[A] marvelous gift of hope . . . Fisher’s work is a challenge and an invitation to discard narrow conceptions, abandon punitive strategies, and 'free ourselves to look instead at the full variety of interventions available to help.' . . . We are fortunate that his book is here, now, within reach of policymakers, prosecutors, family members, people who are suffering from addiction, and those in recovery."—American Scholar
“A compelling history. . . . Fisher, an addiction physician and a recovering addict, illustrates the ‘terrifying breakdown of reason’ that accompanies the condition by drawing on patients’ anecdotes and on his own experience.”—The New Yorker
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What listeners say about The Urge
Average Customer RatingsReviews - Please select the tabs below to change the source of reviews.
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- treena meyer
- 04-21-22
The Best Addiction/Recovery Book
Fisher, busts many societal negatives about addiction through history, while opening up addiction to a overall human experience. While doing this he opens up opportunities for addicts, not to distress over, specific recovery practices. He stresses the importance of further medical studies, while not relying any quick fix. As with any problem, each of us are unique, but all share a human commonality of reacting to the disappointments of life. He suggests continually learning how to do it in a uniquely better way.
2 people found this helpful
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- Paully
- 11-23-22
Nailed it
I’ve been podcasting on a addiction for nearly 8 years and love approach this book takes. To wage war on addiction is to wage war on our nature as humans. It’s part of us.
Great book.
1 person found this helpful
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- mom4/md
- 05-28-22
Fellow Ames professional in recovery..
Not very impressed w/ Dr Fisher’s book…
It is neither a riveting personal story of transformation (as recovery is for many..) nor a highly scientific or thorough historical analysis of addiction over time.
I wish him best in his own recovery and thank him for his help to fellow addicts and alcoholics attempting or already in recovery, but I will not recommend it to my fellow medical professionals, friends in recovery or sponsees.
1 person found this helpful
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- Emily
- 01-18-23
Fascinating deep dive into the (mostly western) history of addiction
I particularly enjoyed the discussion of the disease model of addiction and whether or not it is a distinct disease or a compilation of related symptoms. Also the history of the war on drugs and it's impact on the recovery industrial complex. It does leave out the role od people of color in thr harm reduction movement. Overall very well written and researched.
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- S.
- 12-31-22
Everyone should read this.
Until now, I’ve never read an articulate description of addiction from someone who has been there. Without hyperbole, melodrama, or mystery, the author unpacks his own experiences as both an alcoholic and a psychiatrist in a way that I found fascinating and helpful. I’m in a better position now to support friends who are struggling. Our world would be a much better place if this book was required reading at every high school and college.
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- Marjorie
- 03-07-22
a bit more than I wanted to know
About 80-90% of this book is devoted to a detailed history of addiction - to drugs, alcohol and more - and how people and governments tried to deal with the problem. The focus is largely on the US and mostly covers the 20th C to the present. The beginnings of each chapter describe the author's personal experience with addiction.
There were lots of interesting nuggets of information in the history sections, but I would have preferred a bit less history and more memoir. That's just me, and I think most people attracted to the title would be happy with the thoroughness of the history. I appreciated the author's deep dive into the racism behind how addiction is treated in poor, minority communities. I wish he had presented an equivalent feminist interpretation of the prevalence of addiction in women, especially from the mid-19th to mid-20th centuries.
The narrator was from the newscaster school of reading... just the facts, ma'am. This worked for the history, but it was not ideal for the memoir part. The memoir was already presented at a certain remove - one 'watched' the author's addiction unfold - a difficult story for a medical student to tell - but never got close to 'feeling' the experience.
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From a renowned behavioral neuroscientist and recovering addict, a rare pause-resisting work of science that draws on personal insights to reveal how drugs work, the dangerous hold they can take on the brain, and the surprising way to combat today's epidemic of addiction. Judith Grisel was a daily drug user and college dropout when she began to consider that her addiction might have a cure, one that she herself could perhaps discover by studying the brain. Now, after 25 years as a neuroscientist, she shares what she and other scientists have learned about addiction.
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The author ruined her own book with her narration
- By Milan on 05-03-19
By: Judith Grisel
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Healing
- Our Path from Mental Illness to Mental Health
- By: Thomas Insel
- Narrated by: Thomas Insel
- Length: 9 hrs and 11 mins
- Unabridged
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The gargantuan American mental health industry was not healing millions who were desperately in need. He left his position atop the mental health research world to investigate all that was broken - and what a better path to mental health might look like.
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What is the Point Doubting Thomas?
- By Wild on 02-25-22
By: Thomas Insel
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Addiction, Attachment, Trauma, and Recovery
- The Power of Connection
- By: Oliver J. Morgan, Louis Cozolino - foreword
- Narrated by: James Anderson Foster
- Length: 10 hrs and 46 mins
- Unabridged
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Understanding addiction is no longer just about understanding neurons or genes, broken brain functioning, learning, or faulty choices. Oliver J. Morgan provides a fresh take on addiction and recovery by presenting a more inclusive framework than traditional understanding. Cutting-edge work in attachment, interpersonal neurobiology, and trauma is integrated with ecological-systems thinking to provide a consilient and comprehensive picture of addiction.
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Truth and accuracy, phenomenal!
- By Sarah Couture on 01-11-20
By: Oliver J. Morgan, and others
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Unbroken Brain
- A Revolutionary New Way of Understanding Addiction
- By: Maia Szalavitz
- Narrated by: Marisa Vitali
- Length: 12 hrs and 35 mins
- Unabridged
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Challenging both the idea of the addict's "broken brain" and the notion of a simple "addictive personality", Unbroken Brain offers a radical and groundbreaking new perspective, arguing that addiction is a learning disorder, and shows how seeing the condition this way can untangle our current debates over treatment, prevention, and policy.
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Not what I expected
- By Jennifer Sader on 08-28-16
By: Maia Szalavitz
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High Price
- A Neuroscientist's Journey of Self-Discovery That Challenges Everything You Know About Drugs and Society
- By: Carl Hart
- Narrated by: J.D. Jackson
- Length: 11 hrs and 48 mins
- Unabridged
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A pioneering neuroscientist shares his story of growing up in one of Miami's toughest neighborhoods and how it led him to his groundbreaking work in drug addiction. As a youth, Carl Hart didn't realize the value of school; he studied just enough to stay on the basketball team. At the same time, he was immersed in street life. Today he is a cutting-edge neuroscientist - Columbia University's first tenured African American professor in the sciences.
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Outstanding!
- By DaWoolf on 04-01-14
By: Carl Hart
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The Weight of Air
- A Story of the Lies About Addiction and the Truth About Recovery
- By: David Poses
- Narrated by: Charlie Thurston
- Length: 8 hrs and 7 mins
- Unabridged
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While his wife and two-year-old daughter watched TV in the living room, David Poses was in the kitchen, measuring the distance from his index finger to his armpit. He needed to be sure he could pull the trigger with a shotgun barrel in his mouth. Twenty-six inches. Thirty-two years old. More than a decade in a double life fueled by depression and heroin.
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David’s story is invaluable
- By Kristy Aiken-Smith on 03-13-22
By: David Poses
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The Premonitions Bureau
- A True Account of Death Foretold
- By: Sam Knight
- Narrated by: Julian Rhind-Tutt
- Length: 6 hrs and 34 mins
- Unabridged
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On the morning of October 21, 1966, Kathleen Middleton, a music teacher in suburban London, awoke choking and gasping, convinced disaster was about to strike. An hour later, a mountain of rubble containing waste from a coal mine collapsed above the village of Aberfan, swamping buildings and killing 144 people, many of them children. Among the doctors and emergency workers who arrived on the scene was John Barker, a psychiatrist from Shelton Hospital, in Shrewsbury.
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A book about Wales read by an Englishman
- By James A. Fergus on 05-17-22
By: Sam Knight
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Desperate Remedies
- Psychiatry’s Turbulent Quest to Cure Mental Illness
- By: Andrew Scull
- Narrated by: Jonathan Keeble
- Length: 18 hrs and 9 mins
- Unabridged
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For more than two hundred years, disturbances of the mind—the sorts of things that were once called "madness"—have been studied and treated by the medical profession. Mental illness, some insist, is a disease like any other, whose origins can be identified and from which one can be cured. But is this true? In this masterful account of America's quest to understand and treat everything from anxiety to psychosis, one of the most provocative thinkers writing about psychiatry today sheds light on its tumultuous past.
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A Great History but I Have One Big Reservation
- By Jeffrey Scot Minch on 08-02-22
By: Andrew Scull
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The Age of Addiction
- How Bad Habits Became Big Business
- By: David T. Courtwright
- Narrated by: Qarie Marshall
- Length: 9 hrs and 15 mins
- Unabridged
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We live in an age of addiction, from compulsive gaming and shopping to binge eating and opioid abuse. Sugar can be as habit-forming as cocaine, researchers tell us, and social media apps are hooking our kids. But what can we do to resist temptations that insidiously and deliberately rewire our brains? Nothing, David Courtwright says, unless we understand the history and character of the global enterprises that create and cater to our bad habits.
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Warning: Liberal
- By Joe Moore on 06-06-19
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Drug Use for Grown-Ups
- Chasing Liberty in the Land of Fear
- By: Dr. Carl L. Hart
- Narrated by: Dr. Carl L. Hart
- Length: 9 hrs and 47 mins
- Unabridged
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In Drug Use for Grown-Ups, he draws on decades of research and his own personal experience to argue definitively that the criminalization and demonization of drug use - not drugs themselves - have been a tremendous scourge on America, not least in reinforcing this country's enduring structural racism. Dr. Hart did not always have this view. He came of age in one of Miami's most troubled neighborhoods at a time when many ills were being laid at the door of crack cocaine. His initial work as a researcher was aimed at proving that drug use caused bad outcomes.
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Dr Carl Hart should be our drug Czar
- By Steven Todd Gordon on 01-19-21
By: Dr. Carl L. Hart
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Rewired
- A Bold New Approach to Addiction and Recovery
- By: Erica Spiegelman
- Narrated by: Susanna Burney
- Length: 4 hrs and 4 mins
- Unabridged
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A revolutionary new approach to addiction recovery from an addiction expert. Rewired is a new breakthrough approach to fighting addiction and self-damaging behavior by acknowledging our personal power to bring ourselves back from the brink. Centered on the concept of self-actualization, Rewired will guide you toward not only physical sobriety but a mental, emotional, and spiritual sobriety by learning to identify key principles within yourself.
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Meh...okay for newbies to therapy
- By Gina on 01-18-18
By: Erica Spiegelman
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Worn
- A People's History of Clothing
- By: Sofi Thanhauser
- Narrated by: Rebecca Lowman
- Length: 13 hrs and 13 mins
- Unabridged
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In this panoramic social history, Sofi Thanhauser brilliantly tells five stories—Linen, Cotton, Silk, Synthetics, Wool—about the clothes we wear and where they come from, illuminating our world in unexpected ways. She takes us from the opulent court of Louis XIV to the labor camps in modern-day Chinese-occupied Xinjiang. We see how textiles were once dyed with lichen, shells, bark, saffron, and beetles, displaying distinctive regional weaves and knits, and how the modern Western garment industry has refashioned our attire.
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Horrors of the industrial revolution Continued
- By Susan on 01-28-22
By: Sofi Thanhauser
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Lit
- A Memoir
- By: Mary Karr
- Narrated by: Mary Karr
- Length: 12 hrs and 29 mins
- Unabridged
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Lit follows Mary Karr's descent into the inferno of alcoholism and madness - and her astonishing resurrection. Karr's longing for a solid family seems secure when her marriage to a handsome, Shakespeare-quoting poet produces a son they adore. But she can't outrun her apocalyptic past. She drinks herself into the same numbness that nearly devoured her charismatic but troubled mother, reaching the brink of suicide. A hair-raising stint in "The Mental Marriott" awakens her to the possibility of joy, and leads her to an unlikely faith.
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Finally! One for the "Win" column
- By Kim on 03-22-10
By: Mary Karr
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Pure Colour
- A Novel
- By: Sheila Heti
- Narrated by: Sheila Heti
- Length: 3 hrs and 49 mins
- Unabridged
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In this first draft of the world, a woman named Mira leaves home to study. There, she meets Annie, whose tremendous power opens Mira’s chest like a portal—to what, she doesn’t know. When Mira is older, her beloved father dies, and his spirit passes into her.