Summary:
The Urge: Our History of Addiction, by Carl Erik
Fisher, a psychiatrist, is really two books in one. It is a comprehensive history of addiction
from ancient times to the present day. It
is also a memoir of the author’s own struggle with addiction and an attempt “to
understand how I went from being a newly minted physician in a psychiatry
residency program…to a psychiatric patient” (p.ix).
Fisher has grown up with two alcoholic parents. Even as his mother’s drinking “suppresses her
blood counts and causes her to miss the chemo sessions I have worked so hard to
arrange” (p. 294), she does not stop. Fisher’s
own first drink, in high school, is a revelation. He blows his interview for his first-choice
college when he shows up late and hung over. His intelligence enables him to get
by, but eventually the problem catches up with him as he begins to use Adderall
and marijuana to counteract the effects of alcohol. After sleeping through and missing his
residency orientation, he is under scrutiny.
Finally, he has a drug-induced manic episode that results in his being
tasered by the police, and he is forced into treatment.
In the historical sequences of the book, we discover that
one of the oldest known examples of addiction is found as far back as the Rig
Veda (1000 BC). From there we move through
time, learning how Native American populations were devastated by alcohol, how
Alcoholics Anonymous achieved prominence, and about the multiple challenges that
persist to the present day.
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