The Urge
Our History of Addiction
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Narrated by:
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Mark Deakins
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By:
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Carl Erik Fisher
About this listen
Named a Best Book of the Year by The New Yorker and The Boston Globe
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
As a psychiatrist in training fresh from medical school, Carl Erik Fisher found himself face-to-face with an addiction crisis that nearly cost him everything. Desperate to make sense of his condition, he turned to the history of addiction, learning that our society’s current quagmire is only part of a centuries-old struggle to treat addictive behavior.
A rich, sweeping account that probes not only medicine and science but also literature, religion, philosophy, and public policy, The Urge introduces us to those who have endeavored to address addiction through the ages and examines the treatments that have produced relief for many people, the author included. Only by reckoning with our history of addiction, Fisher argues, 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 nuanced and compassionate view of one of society’s most intractable challenges.
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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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America has been the world leader in generating new mental health treatments and modern theories of the human psyche. We export our psychopharmaceuticals packaged with the certainty that our biomedical knowledge will relieve the suffering and stigma of mental illness. We categorize disorders, thereby defining mental illness and health, and then parade these seemingly scientific certainties in front of the world.
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He is a reporter...
- By Briana on 05-07-18
By: Ethan Watters
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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 38 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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Smoke Signals
- A Social History of Marijuana - Medical, Recreational, and Scientific
- By: Martin A. Lee
- Narrated by: Nick Podehl
- Length: 21 hrs and 36 mins
- Unabridged
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Martin A. Lee traces the dramatic social history of marijuana, from its origins to its emergence in the 1960s as a defining force in a culture war that has never ceased. Lee describes how the illicit marijuana subculture overcame government opposition and morphed into a dynamic, multibillion-dollar industry. Colorful, illuminating, and at times irreverent, this is a fascinating listen for recreational users and patients, students and doctors, musicians and accountants, Baby Boomers and their kids, and anyone who has ever wondered about the secret life of this ubiquitous herb.
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A hard book for me to rate
- By Blake on 05-08-13
By: Martin A. Lee
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Anatomy of an Epidemic
- Magic Bullets, Psychiatric Drugs, and the Astonishing Rise of Mental Illness in America
- By: Robert Whitaker
- Narrated by: Ken Kliban
- Length: 13 hrs and 57 mins
- Unabridged
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In this astonishing and startling book, award-winning science and history writer Robert Whitaker investigates a medical mystery: Why has the number of disabled mentally ill in the United States tripled over the past two decades? Every day, 1,100 adults and children are added to the government disability rolls because they have become newly disabled by mental illness, with this epidemic spreading most rapidly among our nations children. What is going on?
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The author does not use a fair scientific approach
- By Michael on 08-15-10
By: Robert Whitaker
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Manufacturing Depression
- The Secret History of a Modern Disease
- By: Gary Greenberg
- Narrated by: Kirby Heyborne
- Length: 14 hrs and 10 mins
- Unabridged
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Am I happy enough? This has been a pivotal question since America's inception. "Am I not happy enough because I am depressed?" is a more recent version. Psychotherapist Gary Greenberg shows how depression has been manufactured---not as an illness but as an idea about our suffering, its source, and its relief. He challenges us to look at depression in a new way.
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Modern Gonzo Tour de Force
- By S. Frank on 11-12-11
By: Gary Greenberg
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This is Your Country on Drugs
- The Secret History of Getting High in America
- By: Ryan Grim
- Narrated by: Milton Bagby
- Length: 10 hrs and 24 mins
- Unabridged
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Past antidrug campaigns actually encouraged drug use. A few years ago, America stopped dropping acid altogether. The meth epidemic peaked a long, long time ago. NAFTA opened the border and created a bonanza for cocaine and meth traffickers just as President Clinton knew it would. President Reagan may have inadvertently caused the crack epidemic. Kids today are doing fewer illegal drugs than kids from any time in the recent past, and for a surprising reason.
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A good book but....
- By steve on 10-28-10
By: Ryan Grim
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The Book of Woe
- The DSM and the Unmaking of Psychiatry
- By: Gary Greenberg
- Narrated by: David Drummond
- Length: 14 hrs
- Unabridged
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For more than two years, author and psychotherapist Gary Greenberg has embedded himself in the war that broke out over the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (the DSM) - the American Psychiatric Association's (APA) compendium of mental illnesses and what Greenberg calls "the book of woe". Since its debut in 1952, the book has been frequently revised, and with each revision, the "official" view on which psychological problems constitute mental illness has changed.
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Disappointment
- By NYNM on 06-03-13
By: Gary Greenberg
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One Nation Under Therapy
- How the Helping Culture is Eroding Self-Reliance
- By: Christina Hoff Sommers, Sally Satel
- Narrated by: Dianna Dorman
- Length: 8 hrs and 30 mins
- Unabridged
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Americans have traditionally placed great value on self-reliance and fortitude. Recent decades, however, have seen the rise of a therapeutic ethic that views Americans as emotionally underdeveloped, requiring the ministrations of mental-health professionals to cope with life's vicissitudes. Today, having a book for every ailment, a counselor for every crisis, a lawsuit for every grievance, and a TV show for every problem degrades one's native ability to cope with life's challenges.
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If you want another perspective
- By Kurt on 03-07-09
By: Christina Hoff Sommers, and others
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Recover to Live
- Kick Any Habit, Manage Any Addiction: Your Self-Treatment Guide to Alcohol, Drugs, Eating Disorders, Gambling, Hoarding, Smoking, Sex, and Porn
- By: Christopher Kennedy Lawford
- Narrated by: Seth Michael Donsky
- Length: 13 hrs and 42 mins
- Unabridged
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From New York Times bestselling author of Symptoms of Withdrawal and Moments of Clarity Christopher Kennedy Lawford comes a book that will save lives. For most of his early life, Christopher Kennedy Lawford battled life-threatening drug and alcohol addictions. Now in recovery for more than 25 years, he works to effect change and raise global awareness of addiction in nonprofit, private, and government circles, serving as the goodwill ambassador for drug dependence treatment and care for the United Nations.
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I didn't know I was a workaholic
- By wh on 06-17-13
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American Overdose
- The Opioid Tragedy in Three Acts
- By: Chris McGreal
- Narrated by: Dan Woren
- Length: 11 hrs and 55 mins
- Unabridged
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The opioid epidemic has been described as "one of the greatest mistakes of modern medicine." But calling it a mistake is a generous rewriting of the history of greed, corruption, and indifference that pushed the US into consuming more than 80 percent of the world's opioid painkillers. Journeying through lives and communities wrecked by the epidemic, Chris McGreal reveals not only how Big Pharma hooked Americans on powerfully addictive drugs but the corrupting of medicine and public institutions that let the opioid makers get away with it.
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An important read
- By Macmom4 on 02-18-19
By: Chris McGreal
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Suspicious Minds
- How Culture Shapes Madness
- By: Joel Gold, Ian Gold
- Narrated by: Joel Gold, Ian Gold
- Length: 9 hrs and 51 mins
- Unabridged
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Mr. A. was admitted to Dr. Joel Gold’s inpatient unit at Bellevue Hospital in 2002. He was, he said, being filmed constantly, and his life was being broadcast around the world "like The Truman Show" - the 1998 film depicting a man who is unknowingly living out his life as the star of a popular soap opera. Over the next few years, Gold saw a number of patients suffering from what he and his brother, Dr. Ian Gold, began calling the "Truman Show Delusion," launching them on a quest to understand the nature of this particular phenomenon and the nature of madness itself.
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Intriguing
- By L. K. on 04-18-16
By: Joel Gold, and others
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The Snapping of the American Mind
- By: David Kupelian
- Narrated by: Michael Bowen
- Length: 8 hrs and 35 mins
- Unabridged
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In The Snapping of the American Mind, veteran journalist and best-selling author David Kupelian shows how the progressive Left - which today dominates America's key institutions, from the news and entertainment media, to education, to government itself - is accomplishing much more than just enlarging government, redistributing wealth, and de-Christianizing the culture.
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My first ever.
- By Jeanne Samson on 07-13-16
By: David Kupelian
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Flowers in the Blood
- The Story of Opium
- By: Jeff Goldberg, Dean Latimer, William Burroughs - introduction
- Narrated by: Stephen McLaughlin
- Length: 12 hrs and 24 mins
- Unabridged
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Opium has played a dramatic and varied role in human history, inspiring religious veneration, scientific exploration, the bitterest rancor, and the most fanciful ecstasy. Now, authors Jeff Goldberg and Dean Latimer have provided a complete, insightful history of opium. Flowers in the Blood lifts the veil of mystery that has surrounded opium down through the ages.
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OPIATE DECRIMINALIZATION
- By chetyarbrough.blog on 06-18-14
By: Jeff Goldberg, and others
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The Fully Charged Life is Murphy's practical guide to bringing your best self to every moment, even when the pressures of daily life leave you feeling overwhelmed, exhausted, and wallowing in negative thoughts (and a pint of your favorite gelato). Spanning health, work, family time, and more, this book reveals small changes in outlook and habits that yield big results, without ever sacrificing who you are.
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I took so much from this
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Organizational psychologist and executive coach Rebecca Newton has found that even her most successful clients still want more of one quality: gravitas. They want their words to carry weight, to have a positive, lasting impact on those around them. Gravitas can seem like an elusive, intangible quality, but it isn't about adopting the style of another or being someone you're not. Newton draws on extensive research and experience coaching business leaders to show what underpins authentic gravitas and how anyone can develop it.
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Very useful
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Boring
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A wonderful guide to personal transformation
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The Korean sixth sense for winning friends and influencing people, nunchi (pronounced noon-chee) can help you connect with others so you can succeed in everything from business to love. The Power of Nunchi will show you how. Have you ever wondered why your less-skilled coworker gets promoted before you, or why that one woman from your yoga class is always surrounded by adoring friends? They probably have great nunchi. The art of reading a room and understanding what others are thinking and feeling, nunchi is a form of emotional intelligence.
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The Untold Story of the Talking Book
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A Historical Review of Audiobooks
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Too much praising corporations
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Prayer is your ongoing conversation with something larger than yourself. And similar to a mindfulness practice, a daily prayer practice has the power to change your life. Regardless of whether or not you practice organized religion, this gift is available to you as a way to unlock greater awareness and inner strength. With her signature joy and heartfelt wisdom, Agapi Stassinopoulos presents a non-denominational guide to harnessing this power of prayer in your life and using it to find connection, peace, and gratitude.
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Uplifting and poetic
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Misbehaving
- The Making of Behavioral Economics
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Richard H. Thaler has spent his career studying the radical notion that the central agents in the economy are humans - predictable, error-prone individuals. Misbehaving is his arresting, frequently hilarious account of the struggle to bring an academic discipline back down to earth - and change the way we think about economics, ourselves, and our world.
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Great book if it's your first about Behav. Econ
- By Jay Friedman on 09-30-15
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Angrynomics
- By: Eric Lonergan, Mark Blyth
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Why are measures of stress and anxiety on the rise when economists and politicians tell us we have never had it so good? While statistics tell us that the vast majority of people are getting steadily richer, the world most of us experience day in and day out feels increasingly uncertain, unfair, and ever more expensive. In Angrynomics, Eric Lonergan and Mark Blyth explore the rising tide of anger, sometimes righteous and useful, sometimes destructive and ill-targeted, and propose radical new solutions for an increasingly polarized and confusing world.
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Call for rationality and cool-headedness
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DNA Is Not Destiny
- The Remarkable, Completely Misunderstood Relationship Between You and Your Genes
- By: Steven J. Heine
- Narrated by: Stephen R. Thorne
- Length: 10 hrs and 14 mins
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Around 250,000 people have had their genomes sequenced, and scientists expect that number to rise to one billion by 2025. Professor Steven J. Heine argues that the first thing we will do on receiving our DNA test results is to misinterpret them completely. Despite breathless (often lightly researched) media coverage about newly discovered "cancer" or "divorce" or "IQ" genes, the prospect of a DNA test forecasting how your life is going to turn out is vanishingly small.
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Skeptics Guide to Genetic Essentialist thinking
- By Chris Avalos on 07-10-17
By: Steven J. Heine
What listeners say about The Urge
Average customer ratingsReviews - Please select the tabs below to change the source of reviews.
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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.
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3 people 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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2 people found this helpful
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- graveydh
- 04-09-23
An objective look at addiction in America
This was by far the best book regarding addiction and recovery in America. It’s not a self help book, but it open up the opportunity to look at addiction as multi faceted and allows for new dialogue and solutions.
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- rae!
- 08-25-23
simply fascinating!!
i was hooked on this incredible information. super relatable. super interesting. ive been highly recommending this to my substance abuse recovery treatment doctors and all my friends.
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- Anonymous User
- 08-27-24
More humanistic and holistic approach to this topic
That’s what we all need. Professionals, addicts and people abroad.
Be real and be brave!
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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.
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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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- Jhon Argersinger
- 06-25-23
Insightful
It help me understand my patients and myself when found in simular situations as described in the book.
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- Amazon Customer
- 02-10-24
Best research provided by any author on the subject
Thanks to the author for all the hard work in combining his personal story of addiction with a thorough understanding of the full history of how and where the addictive substances started. Friend of Bill
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- TDNYNJFL
- 05-21-23
boring!!!!
seriously boring. didn’t find one point interesting at relatable to todays addiction problems; especially from an adits perspective
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