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THE THIRTEENTH STEP

ADDICTION IN THE AGE OF BRAIN SCIENCE

An informative and compassionate chronicle of Heilig’s own growth as a physician and researcher.

Heilig sums up what he has learned during his 20 years as a physician and researcher in the treatment of alcohol and other addictive disorders.

The author is a specialist in the field of neuropsychopharmacology, and he has treated patients and directed research for two decades in the United States and Sweden. Heilig subscribes to the view that “addiction is inherently a chronic, relapsing disease, not much different from…hypertension, diabetes, or asthma,” which, while not curable, can be successfully managed so that sufferers can lead productive lives. Continued abuse of an addictive substance creates transformations in the brain that create a physiologically based need for the drug in order to avoid the pain of withdrawal as well as the necessity of taking a higher dose to experience pleasure. Environmental factors such as stress can trigger recurring drinking bouts, even in cases where patients have not ingested alcohol for a sustained period and no longer suffer from symptoms of withdrawal. The author also examines the genetic component of addiction. In the case of drinking, it is connected to the ability of alcoholics to get pleasurably drunk without experiencing immediate negative consequences such as nausea, dizziness, or blackout. While there is consensus within the medical community that alcoholism is a disease, its chronic nature is not yet sufficiently recognized and requires continued medical intervention. Heilig reports on his own research, which involves studying how the brain's neural circuitry is hijacked by addictive substances that trigger the release of high doses of the neurotransmitter dopamine, which creates the perception of pleasure. His aim is to develop counteractive drugs that have minimal side effects. Heilig writes compassionately of the problems of patients caught in the grip of addiction whose lives often spiral out of control despite their struggle to remain sober. There are “two perspectives" he writes,"of science and humanism," which "are inseparable in any area of medicine, but perhaps most so in psychiatry and addiction medicine."

An informative and compassionate chronicle of Heilig’s own growth as a physician and researcher.

Pub Date: May 12, 2015

ISBN: 978-0-231-17236-3

Page Count: 320

Publisher: Columbia Univ.

Review Posted Online: March 4, 2015

Kirkus Reviews Issue: March 15, 2015

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GOOD ECONOMICS FOR HARD TIMES

Occasionally wonky but overall a good case for how the dismal science can make the world less—well, dismal.

“Quality of life means more than just consumption”: Two MIT economists urge that a smarter, more politically aware economics be brought to bear on social issues.

It’s no secret, write Banerjee and Duflo (co-authors: Poor Economics: A Radical Rethinking of the Way To Fight Global Poverty, 2011), that “we seem to have fallen on hard times.” Immigration, trade, inequality, and taxation problems present themselves daily, and they seem to be intractable. Economics can be put to use in figuring out these big-issue questions. Data can be adduced, for example, to answer the question of whether immigration tends to suppress wages. The answer: “There is no evidence low-skilled migration to rich countries drives wage and employment down for the natives.” In fact, it opens up opportunities for those natives by freeing them to look for better work. The problem becomes thornier when it comes to the matter of free trade; as the authors observe, “left-behind people live in left-behind places,” which explains why regional poverty descended on Appalachia when so many manufacturing jobs left for China in the age of globalism, leaving behind not just left-behind people but also people ripe for exploitation by nationalist politicians. The authors add, interestingly, that the same thing occurred in parts of Germany, Spain, and Norway that fell victim to the “China shock.” In what they call a “slightly technical aside,” they build a case for addressing trade issues not with trade wars but with consumption taxes: “It makes no sense to ask agricultural workers to lose their jobs just so steelworkers can keep theirs, which is what tariffs accomplish.” Policymakers might want to consider such counsel, especially when it is coupled with the observation that free trade benefits workers in poor countries but punishes workers in rich ones.

Occasionally wonky but overall a good case for how the dismal science can make the world less—well, dismal.

Pub Date: Nov. 12, 2019

ISBN: 978-1-61039-950-0

Page Count: 432

Publisher: PublicAffairs

Review Posted Online: Aug. 28, 2019

Kirkus Reviews Issue: Sept. 15, 2019

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HOW TO FIGHT ANTI-SEMITISM

A forceful, necessarily provocative call to action for the preservation and protection of American Jewish freedom.

Known for her often contentious perspectives, New York Times opinion writer Weiss battles societal Jewish intolerance through lucid prose and a linear playbook of remedies.

While she was vividly aware of anti-Semitism throughout her life, the reality of the problem hit home when an active shooter stormed a Pittsburgh synagogue where her family regularly met for morning services and where she became a bat mitzvah years earlier. The massacre that ensued there further spurred her outrage and passionate activism. She writes that European Jews face a three-pronged threat in contemporary society, where physical, moral, and political fears of mounting violence are putting their general safety in jeopardy. She believes that Americans live in an era when “the lunatic fringe has gone mainstream” and Jews have been forced to become “a people apart.” With palpable frustration, she adroitly assesses the origins of anti-Semitism and how its prevalence is increasing through more discreet portals such as internet self-radicalization. Furthermore, the erosion of civility and tolerance and the demonization of minorities continue via the “casual racism” of political figures like Donald Trump. Following densely political discourses on Zionism and radical Islam, the author offers a list of bullet-point solutions focused on using behavioral and personal action items—individual accountability, active involvement, building community, loving neighbors, etc.—to help stem the tide of anti-Semitism. Weiss sounds a clarion call to Jewish readers who share her growing angst as well as non-Jewish Americans who wish to arm themselves with the knowledge and intellectual tools to combat marginalization and defuse and disavow trends of dehumanizing behavior. “Call it out,” she writes. “Especially when it’s hard.” At the core of the text is the author’s concern for the health and safety of American citizens, and she encourages anyone “who loves freedom and seeks to protect it” to join with her in vigorous activism.

A forceful, necessarily provocative call to action for the preservation and protection of American Jewish freedom.

Pub Date: Sept. 10, 2019

ISBN: 978-0-593-13605-8

Page Count: 224

Publisher: Crown

Review Posted Online: Aug. 22, 2019

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