The Heart of Addiction: A New Approach to Understanding and Managing Alcoholism and Other Addictive Behaviors

Softcover

ISBN 10: 0060958030 ISBN 13: 9780060958039

Publisher: William Morrow Paperbacks, 2002

Nobody has had an answer for why people with addictions continue to repeat them -- until now.

For more than twenty years, distinguished psychiatrist Dr. Lance Dodes has been successfully helping people master their addictions -- alcoholism, compulsive gambling, smoking, sexual addiction, and more with a radical approach. Dr. Dodes describes how all addictions have, at their heart, unrecognized emotional factors that explain:

• Why we feel the impulse
• Why we feel it when we do
• What alternatives (really) work in that critical moment

In this refreshing book filled with compelling case studies, Dr. Dodes debunks several such widely accepted myths as:

• Addictions are fundamentally a physical problem.
• People with addictions are different from other people.
• You have to hit bottom before you can get well.
• You are wasting your time if you ask "why" you have an addiction.

Review:

It may be time for a closer look at some of our assumptions about addiction. Between the predominance of 12-step programs and incorrect information issued by the press, thousands of people are getting misinformation instead of the help they need. Lance Dodes, in his book The Heart of Addiction, reexamines common myths and provides a world of new recommendations aimed at helping anyone with an addiction, be it to gambling, alcohol, or prescription medications. Rather than focusing on the specific object of addiction, he chooses instead to look at the common desires and emotions present in anyone with addiction issues.

Through years of private practice and work in substance-abuse clinics, Dodes has noticed a pattern behind addiction--a pattern of anger, helplessness, and shame, coupled with a desire for immediate escape from these feelings. In presenting multiple composite cases, he shows us repeatedly that addiction is more than an uncontrollable desire for the substances; it is a behavior pattern with deeply emotional roots. Included are detailed explanations of differences between physical tolerance, abuse, and addiction, as well as an unusual questionnaire that focuses on the underlying reasons for drinking, rather than the more traditional one that covers specific amounts, methods, and results of imbibing. Separate chapters discuss particular issues of teens and couples, and special recommendations for seeking treatment are also included. --Jill Lightner

About the Author:

Lance Dodes, MD, is assistant clinical professor of psychiatry at Harvard Medical School in the Division on Addictions. He has been director of the substance abuse treatment unit of Harvard's McLean Hospital and director of the Boston Center for Problem Gambling. He has been elected a distinguished fellow of the American Academy of Addiction Psychiatry.