Carl Erik Fisher, an addiction physician and bioethics scholar, dives deep into the complex history of addiction and what it means for recovery. He discusses the paradigm of disordered choice, the importance of psychological flexibility, and critiques simplistic drug classifications. Fisher highlights the power of beliefs in treatment through placebo effects and emphasizes the necessity of diverse recovery pathways. With insights on recovery capital, he advocates for a compassionate understanding of addiction's multifaceted nature, challenging societal stigmas along the way.
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Addiction as Disordered Choice
Addiction is a form of disordered choice, where our ability to make good choices falters.
This perspective acknowledges the internal conflict within individuals struggling with addiction.
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Supporting Better Choices
Provide support and structure to make tough choices more accessible for individuals with addiction.
Consider contingency management, offering rewards for positive milestones, as a motivational tool.
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Defining Addiction
Defining addiction is complex; a 16th-century definition describes it as "voluntarily giving up choice."
Addiction is a universal human experience, present in varying degrees, not a simple binary.
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The Urge: Our History of Addiction is a deeply humane exploration of addiction, tracing its history from ancient civilizations to the present. The book combines historical research with personal narratives, offering a nuanced view of addiction as a societal challenge. It argues that understanding the history of addiction is crucial for developing effective treatments and fostering compassion for those affected.
Carl Erik Fisher is an addiction physician, bioethics scholar, and author He is an assistant professor of clinical psychiatry at Columbia University and also hosts the podcast “Flourishing After Addiction”
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Carl Erik Fisher and I Discuss The History of Addiction and …
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