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THE ADDICTION SOLUTION

TREATING OUR DEPENDENCE ON OPIOIDS AND OTHER DRUGS

A well-informed and accessible guide to treating addiction.

An exploration of drug addiction and the various treatment options.

In this slim but fairly comprehensive work, Sederer (Improving Mental Health: Four Secrets in Plain Sight, 2016, etc.), the chief medical officer for the New York State Office of Mental Health, aims to inform individuals, families, and communities of the complex issues surrounding drug abuse and addiction, whether the addiction involves prescription pain killers or recreational substances such as marijuana or cocaine. He also focuses on the far-ranging challenges of treatment options, how they can be influenced by physiological issues and often undermined by governmental policies. Sederer begins by identifying 10 key factors for determining how an individual will interact with a psychoactive substance, with regard to personal, contextual, and neurological issues. They include aspects such as age, environmental setting, and the purity, potency, and composition of the particular drugs. In the second part, the author outlines the various approaches to treatments, beginning with healthy alternatives for combating personal struggles that may trigger drug use in the first place—e.g., exercise and sports, mindfulness practices such as yoga and meditation. He later provides an in-depth overview of the more substantial principles and forms of treatments, ranging from 12-step programs to medication-assisted treatments. Ultimately, Sederer doesn’t recommend just one single course of action. Recovery is possible when individuals are willing and able to “stay the course.” While the author doesn’t offer much in the way of groundbreaking remedies, he provides a lucid foundation for responding to this complex challenge. As an answer to how we can best respond to our country’s opioid epidemic, he concludes, “the answers are public health in nature: prevention, early intervention, effective and comprehensive treatment programs, and a cultural shift toward understanding not just the neuroscience of addiction but also the psychological and social dimensions central to the commencement and continuation of addictive behaviors.”

A well-informed and accessible guide to treating addiction.

Pub Date: May 8, 2018

ISBN: 978-1-5011-7944-0

Page Count: 224

Publisher: Scribner

Review Posted Online: March 5, 2018

Kirkus Reviews Issue: March 15, 2018

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THINKING, FAST AND SLOW

Striking research showing the immense complexity of ordinary thought and revealing the identities of the gatekeepers in our...

A psychologist and Nobel Prize winner summarizes and synthesizes the recent decades of research on intuition and systematic thinking.

The author of several scholarly texts, Kahneman (Emeritus Psychology and Public Affairs/Princeton Univ.) now offers general readers not just the findings of psychological research but also a better understanding of how research questions arise and how scholars systematically frame and answer them. He begins with the distinction between System 1 and System 2 mental operations, the former referring to quick, automatic thought, the latter to more effortful, overt thinking. We rely heavily, writes, on System 1, resorting to the higher-energy System 2 only when we need or want to. Kahneman continually refers to System 2 as “lazy”: We don’t want to think rigorously about something. The author then explores the nuances of our two-system minds, showing how they perform in various situations. Psychological experiments have repeatedly revealed that our intuitions are generally wrong, that our assessments are based on biases and that our System 1 hates doubt and despises ambiguity. Kahneman largely avoids jargon; when he does use some (“heuristics,” for example), he argues that such terms really ought to join our everyday vocabulary. He reviews many fundamental concepts in psychology and statistics (regression to the mean, the narrative fallacy, the optimistic bias), showing how they relate to his overall concerns about how we think and why we make the decisions that we do. Some of the later chapters (dealing with risk-taking and statistics and probabilities) are denser than others (some readers may resent such demands on System 2!), but the passages that deal with the economic and political implications of the research are gripping.

Striking research showing the immense complexity of ordinary thought and revealing the identities of the gatekeepers in our minds.

Pub Date: Nov. 1, 2011

ISBN: 978-0-374-27563-1

Page Count: 512

Publisher: Farrar, Straus and Giroux

Review Posted Online: Sept. 3, 2011

Kirkus Reviews Issue: Sept. 15, 2011

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THE ART OF THINKING CLEARLY

Hiccups aside, a mostly valuable compendium of irrational thinking, with a handful of blanket corrective maneuvers.

A waggish, cautionary compilation of pitfalls associated with systematic cognitive errors, from novelist Dobelli.

To be human is to err, routinely and with bias. We exercise deviation from logic, writes the author, as much as, and possibly more than, we display optimal reasoning. In an effort to bring awareness to this sorry state of affairs, he has gathered here—in three-page, anecdotally saturated squibs—nearly 100 examples of muddied thinking. Many will ring familiar to readers (Dobelli’s illustrations are not startlingly original, but observant)—e.g., herd instinct and groupthink, hindsight, overconfidence, the lack of an intuitive grasp of probability or statistical reality. Others, if not new, are smartly encapsulated: social loafing, the hourly rate trap, decision fatigue, carrying on with a lost cause (the sunk-cost fallacy). Most of his points stick home: the deformation of professional thinking, of which Mark Twain said, “If your only tool is a hammer, all your problems will be nails”; multitasking is the illusion of attention with potentially dire results if you are eating a sloppy sandwich while driving on a busy street. In his quest for clarity, Dobelli mostly brings shrewdness, skepticism and wariness to bear, but he can also be opaque—e.g., shaping the details of history “into a consistent story...we speak about ‘understanding,’ but these things cannot be understood in the traditional sense. We simply build the meaning into them afterward.” Well, yes. And if we are to be wary of stories, what are we to make of his many telling anecdotes when he counsels, “Anecdotes are a particularly tricky sort of cherry picking....To rebuff an anecdote is difficult because it is a mini-story, and we know how vulnerable our brains are to those”?

Hiccups aside, a mostly valuable compendium of irrational thinking, with a handful of blanket corrective maneuvers.

Pub Date: May 14, 2013

ISBN: 978-0-06-221968-8

Page Count: 304

Publisher: Harper/HarperCollins

Review Posted Online: March 5, 2013

Kirkus Reviews Issue: April 1, 2013

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