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In the Realm of Hungry Ghosts: Close Encounters with Addiction [Paperback]

Gabor Mate M.D.
4.6 out of 5 stars  See all reviews (16 customer reviews)
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Book Description

Jan 6 2009 0676977413 978-0676977417

In this timely and profoundly original book, writer and physician Gabor Maté looks at the epidemic of various addictions in our society, tells us why we are so prone to them and outlines what is needed to liberate ourselves from their hold. Starting with a dramatically close view of Maté's drug addicted patients, In the Realm of Hungry Ghosts weaves in stories of real people while providing a bold synthesis of clinical experience, insight and cutting-edge scientific findings. A haunting, compassionate and deeply personal examination of the nature of addiction.


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In the Realm of Hungry Ghosts: Close Encounters with Addiction + When the Body Says No: The Cost of Hidden Stress + Scattered Minds: The Origins and Healing of Attention Deficit Disorder
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He would probably dispute it, but Gabor Maté is something of a compassion machine. Diligently treating the drug addicts of Vancouver's notorious Downtown Eastside with sympathy in his heart and legislative reform in mind can't be easy. But Maté never judges. His book is a powerful call-to-arms, both for the decriminalization of drugs and for a more sympathetic and informed view of addiction. As Maté observes, "Those whom we dismiss as 'junkies' are not creatures from a different world, only men and women mired at the extreme end of a continuum on which, here or there, all of us might well locate ourselves." In the Realm of Hungry Ghosts begins by introducing us to many of Dr. Maté's most dire patients who steal, cheat, sell sex, and otherwise harm themselves for their next hit. Maté looks to the root causes of addiction, applying a clinical and psychological view to the physical manifestation and offering some enlightening answers for why people inflict such catastrophe on themselves.

Finally, he takes aim at the hugely ineffectual, largely U.S.-led War on Drugs (and its worldwide followers), challenging the wisdom of fighting drugs instead of aiding the addicts, and showing how controversial measures such as safe injection sites are measurably more successful at reducing drug-related crime and the spread of disease than anything most major governments have going. It's not easy reading, but we ignore his arguments at our peril. When it comes to combating the drug trade and the ravages of addiction, society can use all the help it can get. --Kim Hughes --This text refers to an out of print or unavailable edition of this title.

Review

"A harrowingly honest, compassionate, sometimes angry look at addiction and the people whose lives have been disordered by it."
—Ottawa Citizen

"Maté 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 Sun

"Excellent.... 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 Walrus

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Customer Reviews

4.6 out of 5 stars
4.6 out of 5 stars
Most helpful customer reviews
30 of 30 people found the following review helpful
Format:Hardcover
Believe me, I HAVE read the book; I just don't have the time at the moment to write a detailed review. I'll attempt to do so at a later date.

In my work as a security officer I've worked around the Vancouver Downtown Eastside, with it's attendant social problems: homelessness or grossly inadequate housing, drug addiction, trafficing and human misery.

In part, I read this book in an attempt to understand the environment and circumstances of the people I encountered in my security function; mostly "removal of trespassers from private property".

From reading the book I feel I've acquired a much better understanding of the nature of addiction and the personal and social circumstances that tend to give rise to the condition.

The book deals with the subject in considerable depth, and while written for the lay person, this level of detail is not easily absorbed. It may require more than one, or several readings of certain parts and some reference to source materials to properly "digest" the information.

In order not to deter the potential reader, I should point out that the text is highly readable, in large part due to his very compassionate portrayal of the lives of some of his patients, and his frank admission of his own addictive behaviours, along with his ideas about their causes.

A very worthwhile read!
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17 of 17 people found the following review helpful
Format:Hardcover
The experience of reading this book is like being bathed in wisdom and compassion. For a recovering addict like myself, it felt as if I had been given a wonderful gift. It presents a brilliantly clear and comprehensive view of the damaged spirit of the addict, for whom warped brain circuitry combined with emotional misery have reduced them to existing in a living hell. My sincere thanks to Mr. Mate for writing this amazing, sensitive, insightful book.
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6 of 6 people found the following review helpful
4.0 out of 5 stars Hungry for Solutions Jan 18 2011
Format:Hardcover
Gabor Matés latest book effectively demolishes the belief that addictions arise from chemical imbalances, genetics, or bad choices.

As in his two previous books, Scattered Minds: A New Look at the Origins and Healing of Attention Deficit Disorder (1999) and When the Body Says No: The Cost of Hidden Stress (2003), Maté situates human suffering in a social context, inviting a political discussion of how social relations affect human health.

Scattered Minds locates symptoms of ADD in the social neglect of children's needs and concludes,

"What begins as a problem of society and human development has become almost exclusively defined as a medical ailment."

When the Body Says No indicts "industrialized society along the capitalist model" as a source of toxic stress that "escalates as the sense of control diminishes" and causes physical and mental breakdown.

In the Realm of Hungry Ghosts condemns society for depriving human beings of what they need to thrive and then persecuting and punishing them for using drugs to relieve their pain.

All three books are well-written, engaging and brilliantly expose the fake science that pushes a pill for every ill.

While Maté situates human distress in the social realm, he seeks solutions in the personal realm.

In When the Body Says No the author concludes,

"In numerous studies of cancer, the most consistent identified risk factor is the inability to express emotion, particularly the feelings associated with anger." (p.99)

Maté ignores industrial pollution as a cause of cancer and promotes the myth of "the cancer personality" - people who are more likely to get cancer because they repress their emotions, ignore their needs and put others first.

Even if there was evidence to back this myth (which there is not), these characteristics are not individual failings, but behaviors that society demands of all women and that employers demand of all workers.

In Hungry Ghosts, Maté questions why the war on drugs and drug addicts continues despite its total ineffectiveness and considerable harm. He avoids the logical conclusion that this war is not about drugs; it is the means by which the ruling class very effectively justifies its repressive military-prison system.

In all of his books, Maté questions why policy makers consistently ignore the research linking child deprivation and social stress with medical and social problems. He can't answer this question until he acknowledges the impact of class conflict; the ruling class can accumulate capital only by sacrificing the needs of the working class.

Matés books are commercially successful because they tap into popular awareness of social problems while avoiding the uncomfortable conclusion that social revolution is required to solve them.

The result is a liberal version of blaming the victim - society cannot be changed, so the individual must change. This regressive message is more insidious because it is hidden behind a progressive cover.

I recommend these books for the wealth of facts within them. But draw your own conclusions about the solutions we need.
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Most recent customer reviews
4.0 out of 5 stars Good Insight
Gabor writes primarily about trauma based addiction with street involved people that he works with in Vancouver lower east side. Read more
Published 6 hours ago by Enza Trentadue
5.0 out of 5 stars Not for the Squeamish
Dr Mate works in Vancouver Canada downtown east side. I live in Vancouver and know this area as most residents do , as an outsider. Read more
Published 1 month ago by YVRguy
5.0 out of 5 stars New Learning
I am almost finished with this book and I found it to be a very enlightening one regarding addictions. Read more
Published 3 months ago by Bette Jo Lincoln
5.0 out of 5 stars An absolute must-read!!
This is an absolute must-read for anyone with an interest in or curiosity about addiction- health care and social workers, people with addicted/recovering family members, or just... Read more
Published 4 months ago by Kirste Roche
4.0 out of 5 stars in the realm of hungry ghosts.
I am a parent of a drug addict. I found this book very informative. It helped me understand why addicts knowingly harm themselves consequently making me more compassionate to their... Read more
Published 12 months ago by liamo
5.0 out of 5 stars Love it
The beginning of the book makes you feel like it is going to be a story of the women's lives downtown Vancouver, but as you read on it gives you a neurological perspective on... Read more
Published 16 months ago by Kle Sage
1.0 out of 5 stars What delivery?
I am being told by my daughter that this is a very interesting book & she is thoroughly enjoying the read. Read more
Published 18 months ago by book reader
5.0 out of 5 stars condensed
The author intersperses plenty of stories amongst a book packed with information regarding addiction. Read more
Published 23 months ago by zeke
5.0 out of 5 stars Transformative Sobriety
Dr. Mate's "In the Realm of Hungry Ghosts" is an absolutely amazing and touching compilation of hard fought optimism and empathetic love. Read more
Published on Feb 3 2011 by Dylan Powell
5.0 out of 5 stars In the Realm of Hungry Ghosts: Close Encounters with Addiction
What can be said that has not already been stated, Dr. Mate won awards for this book and with good reason. It is so comprehensive, honest and fair. Read more
Published on Oct 11 2010 by Nancy Rose
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