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.
THE URGE: Our History of Addiction
by Carl Erik Fisher
Penguin Press, January 2022
(via The Gernert Company)
Even after a decades-long opioid overdose crisis, intense controversy still rages over the fundamental nature of addiction and the best way to treat it. With uncommon empathy and erudition, Carl Erik Fisher draws on his own experience as a clinician, researcher, and alcoholic in recovery as he traces the history of a phenomenon that, centuries on, we hardly appear closer to understanding—let alone addressing effectively.
As a psychiatrist-in-training fresh from medical school, Fisher was soon face-to-face with his own addiction crisis, one that nearly cost him everything. Desperate to make sense of the condition that had plagued his family for generations, he turned to the history of addiction, learning that the current quagmire is only the latest iteration of a centuries-old story: humans have struggled to define, treat, and control addictive behavior for most of recorded history, including well before the advent of modern science and medicine.
A rich, sweeping history that probes not only medicine and science but also literature, religion, philosophy, and sociology, THE URGE illuminates the extent to which the story of addiction has persistently reflected broader questions of what it means to be human and care for one another. Fisher introduces us to the people who have endeavored to address this complex condition through the ages: physicians and politicians, activists and artists, researchers and writers, and of course the legions of people who have struggled with their own addictions. He also examines the treatments and strategies that have produced hope and relief for many people with addiction, himself included. Only by reckoning with our history of addiction, he argues—our successes and our failures—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 expansive, nuanced, and compassionate view of one of society’s most intractable challenges.
Carl Erik Fisher is an addiction physician and bioethicist. He is an assistant professor of clinical psychiatry at Columbia University, where he works in the Division of Law, Ethics, and Psychiatry. He also maintains a private psychiatry practice focusing on complementary and integrative approaches to treating addiction. His writing has appeared in Nautilus, Slate, and Scientific American MIND, among other outlets. He lives in Brooklyn, New York, with his partner and son.
Americans of good will on both the left and the right are secretly asking themselves the same question: how has the conversation on race in America gone so crazy? We’re told to read books and listen to music by people of color but that wearing certain clothes is “appropriation.” We hear that being white automatically gives you privilege and that being Black makes you a victim. We want to speak up but fear we’ll be seen as unwoke, or worse, labeled a racist. According to John McWhorter, the problem is that a well-meaning but pernicious form of antiracism has become, not a progressive ideology, but a religion—and one that’s illogical, unreachable, and unintentionally neoracist.
July 2014, a lonely road at twilight outside Croppa Creek, New South Wales: 80-year-old farmer Ian Turnbull takes out a .22 and shoots environmental officer Glen Turner in the back. On one side, a farmer hoping to secure his family’s wealth on the richest agricultural soil in the country. On the other, his obsession: the government man trying to apply environmental laws. The brutal killing of Glen Turner splits open the story of our place on this land. Is our time on this soil a tale of tragedy or triumph – are we reaping what we’ve sown? Do we owe protection to the land, or does it owe us a living? And what happens when, in pursuit of a legacy, a man creates terrible consequences? Kate Holden brings her discerning eye to a gripping tale of law, land and inheritance. It is the story of Australia.
I am still unlearning the habit of secrecy. And yet, whenever somebody discovers that I am deaf, my body still reacts with churning terror. How do you build up a sense of robust pride when your body has taught itself to be fearful?
You’ve seen the smooth, uncanny artifacts: a blank, white café that looks like it could be located anywhere in the world; TikTok dance videos repeating in a dull echo; restaurant design and food plating which begs to be posted on Instagram; endlessly bingeable streaming television; influencers’ faces made up and surgically altered towards a certain photogenic ideal. While appearing in different mediums, these pieces of culture are characterized by a slick sameness. Rather than provoking us, they’re pleasing, ambient, frictionless.