The Thirteenth Step
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Markus Heilig
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Author / Editor information
Reviews
[The Thirteenth Step] offers a brilliant and, perhaps more important, highly legible review of current addiction science.... Heilig's synthesis invites us all to critically consider the addiction concept along with its implications for people, policy, and the practice of medicine.
Séamus Sweeney:
Markus Heilig has succeeded in making the airy dismissals of biological evidence-based approaches to addiction, such as those he heard in medical school, no longer tenable.
What makes this book especially compelling is the author's ability to smoothly transition between dealing with addictions at the human clinical level and at the more abstract level of scientific research. Heilig admirably tries to extract the most meaningful takeaway points from sometimes-dense scientific findings.... Highly recommended.
Recommended for anyone who suffers from addiction or who knows someone who does; undergraduate and graduate students, scholars, and researchers studying medicine, particularly addiction and neurology, and psychology; and anyone who has an interest in learning more about the subject.
Pier Vincenzo Piazza, director, Neurocentre Magendie:
Heilig is one of the wisest, smartest, most insightful people I know. And what Heilig is, so is this book. A fantastic journey across one of the most complex and misunderstood problems of our time.
Rajita Sinha, chief, psychology section, Yale Medical School:
Poignantly written and personal, yet presents the current science of addiction in a clear and engaging way. Markus Heilig's exploration of addiction science is beautifully written and is a must-read for anyone who wants to understand why addictive behaviors and bad habits are difficult to give up, and how to do it. Heilig has masterfully laid out his own clinical experiences and concisely presented the science of addiction. His book brings to life the countless devastating effects of addiction that affect individuals across all strata of society while attacking the stigma of addiction and shows the importance of neuroscience in understanding and treating it.
Markus Heilig sums up what he has learned during his twenty years as a physician and researcher in the treatment of alcohol and other addictive disorders.... An informative and compassionate chronicle.
Charles P. O'Brien, Department of Psychiatry, University of Pennsylvania:
It was a great pleasure to read this book. Without being openly critical of the usual talk therapy, Heilig outlines the newest treatments that should be offered to every patient suffering from addiction. He shows that treatments today can be based on recent scientific knowledge about what is happening in the brains of alcoholics and describes new treatments based on current knowledge about the disease. Heilig, a world-class expert, has done a tremendous service for patients and their families by writing this book.
Valerie J. Slaymaker, Hazelden Graduate School of Addiction Studies:
Heilig makes the science of addiction accessible to both lay and professional audiences alike with an engaging conversational tone laced with humor and illustrative vignettes. He draws the reader in and effectively consolidates complex concepts. I applaud his efforts to bring the plight of the addicted to the attention of others and for his calling upon the field to do its very best to help.
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Frontmatter
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Contents
v -
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Acknowledgments
vii -
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1. US AND THEM
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2. A GROCERY STORE THAT CLOSED
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3. AN ENTITY IN ITS OWN RIGHT
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4. A CHRONIC, RELAPSING DISORDER
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5. MAN OR MACHINE?
41 -
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6. HISTORIES, BRAINS, AND BEHAVIORS
49 -
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7. THE PURSUIT OF HAPPINESS
57 -
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8. THE DARK SIDE OF ADDICTION
75 -
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9. RASH ACTIONS
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10. TURNING ON A BRIGHT LIGHT
104 -
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11. GETTING THE CUE
113 -
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12. A STRAINED MIND
123 -
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13. FATHERS AND SONS
135 -
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14. MOLECULAR CULPRITS
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15. TRICK OR TREATMENT
185 -
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16. PLEASE BEHAVE
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17. PILLS FOR ADDICTION ILLS
206 -
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18. PRAY IF YOU WISH, BUT PLEASE TAKE YOUR MEDS FIRST
231 -
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19. THE JOURNEY AHEAD
256 -
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Notes
265 -
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Index
287