The Biology of Desire

Why Addiction Is Not a Disease

De: Marc Lewis PhD

Narrado por: Don Hagen

Through the vivid, true stories of five people who journeyed into and out of addiction, a renowned neuroscientist explains why the "disease model" of addiction is wrong and illuminates the path to recovery. The psychiatric establishment and rehab industry in the Western world have branded addiction a brain disease based on evidence that brains change with drug use. But in The Biology of Desire, cognitive neuroscientist and former addict Marc Lewis makes a convincing case that addiction is not a disease and shows why the disease model has become an obstacle to healing. Lewis reveals addiction as an unintended consequence of the brain doing what it's supposed to do - seek pleasure and relief - in a world that's not cooperating. Brains are designed to restructure themselves with normal learning and development, but this process is accelerated in addiction when highly attractive rewards are pursued repeatedly. Lewis shows why treatment based on the disease model so often fails and how treatment can be retooled to achieve lasting recovery, given the realities of brain plasticity. Combining intimate human stories with clearly rendered scientific explanation, The Biology of Desire is enlightening and optimistic listening for anyone who has wrestled with addiction either personally or professionally.

©2015 Marc Lewis PhD (P)2015 Gildan Media LLC

In deep psichyatrics of adicton

this book covers a very interesting neurological view off addiction that helps as undesrtand that the disease model is really inadequated for obsession related issues like alcohol addiction or eating disorders.

Great book. Tooth whistle can not be unheard

I love the book. it's written wonderfully. the readers voice has a killer whistle on every S. which is a lot

Having been an addict this hits home

This is the second time I’ve listened to this book and it’s really helped me gain perspective on what I went through as an addict and understand the changes that took place in my brain and my life. When you listen to something that feels like it “gets you” so well it really is profound, and to have the psychology married with the neurobiology so well is incredible.

An important addition to understanding addiction.

This book offers enlightenment and intellectual understanding of addiction on several levels. The science was fascinating, the writing lucid, the stories compelling and the conclusions sound. As a now sober alcoholic who lost my mother and an uncle to liver disease, I know the horrible grip and terrible cost of addiction. This book takes a fair, clear minded look at the value and costs of the disease model. As such, it is not only valuable to the addict who travels their own healing journey, but to professionals in the field as well. It is time to point out with strength of conviction that the Emperor, if not lacking clothes entirely, is poorly dressed . I am hopeful this book will make healing more accessible to those who are not yet desperate enough for the dogma and theology of AA. Don't get me wrong, I credit AA with saving my life and helping me break the cycle of addiction for my family. This is miraculous praise indeed. But it is time for the next evolution into a more sophisticated and rationale treatment regimen based on neuro science and psychology. This book is an important contribution to that future and perhaps even prescient of where we are headed.

Great read for any thinking person!

Wow, very interesting explanations on how people think and how addictive tendencies are just part of human behavior. On that note alone it's a good read, however if your dealing with someone who is an addict of any sort this book really helps in understanding why they act the way they do.

awesome

awesome very very very very very very very very good good good good nice great cool smart funny pretty

Exceptional!

This book provides up to date understandings of addiction as well as treatments for addiction!

only explanation I've ever read that made sense

I have struggled with, and overcome, several addictions. This model of thinking about addiction is the only one that explains my experience and my eventual freedom. Happily my one remaining addiction is over eating, and this book helps make sense of what I need to do to move forward.

Slow to come together, but ultimately earth-shattering

I’m an addict in long term recovery (in conventional terms), and a Master’s student in Addictions Counseling. I am pretty well-versed in etiology of mental illness and brain disorders, sociology, psychology, and Special Education teaching (formerly LD/DD/EBD, & PHD). I alternated between reading the book and listening to this audio version. I found understanding the technical subject matter and connecting it to the personal stories more difficult than most of the books and texts I’ve used in the past, including the most medical, least subjective case studies. The statements in the book were sometimes contradictory, and some of the points did not follow the premises in the book. The audio was even harder to follow, because the delivery was devoid of emphasis on the more important ideas and information. The delivery was dry and monotonous, despite intense subject matter like desire, the intense pull of immediate gratification, and incredible transformations of both matter and perspective. Just when I was about to give up on it entirely, I came to Chapters 8-10, where the book finally begins to take shape. If I had not turned off the rapid-fire, expressionless narration, I might never have noticed that things made more sense from there on out. What followed is what I have been seeking the answers to for years. It’s a full explanation of how and why a pattern of substance abuse took over my life, how it was able to be arrested, and what it was that finally enabled me to quit using addictive substances and return to a life of meaning, even more so than before my fall. It gives concrete and inspiring information I can use in my future career, one I feel far more likely to remain focused on, for having read it. I think the premises and the thesis statement could have been set up better in the beginning, as well as a list of basic terms and the diagrams included throughout. Most people I know who are assigned, or choose to read, this book do not have the necessary background to keep up, particularly not with the rapid and low-interest reading style. I think a lot of the problem is that the subject matter is insufficiently introduced, because I usually don’t have a hard time keeping up. Despite the plodding, disjointed start, the conclusions in chapters 7-10 are major breakthroughs. I wish the narration matched the excitement of the book’s incredible conclusions. I see myself in the mental processes and life processes described. Essential to understanding addiction if you work with, create policy affecting, judge, or think you care about people with addiction. I recommend this to anyone who is, or has a friend, family member, or knows anyone facing addiction. However, I wish I had read the last three chapters first.

NAILED IT!

as a 20 year addict, this book is a must read for a full understanding of the disease/ choice debate....no matter which field u find urself in, this book will give insight and help open alot of closed minds, Dr. Marc Lewis, Dr Carl hart, Johann Harri, and Dr gabor mate should all be on the shelves of anyone dealing with, or intrigued by addiction! highly recommend...hope you enjoy!