The past thirty years have witnessed a revolution in the science of
addiction, yet we still rely on outdated methods of treatment.
Expensive new programs for managing addiction are also flourishing,
but since they are not based in science, they offer little benefit
to people who cannot afford to lose money or faith in their
recovery. Clarifying the cutting-edge science of addiction for both
practitioners and general readers, The Thirteenth Step pairs
stories of real patients with explanations of key concepts relating
to their illness. A police chief who disappears on the job
illustrates the process through which a drug can trigger the brain
circuits mediating relapse. One person's effort to find a burrito
shack in a foreign city illuminates the reward prediction error
signaled by the brain chemical dopamine. With these examples and
more, this volume paints a vivid, readable portrait of drug
seeking, escalation, and other aspects of addiction and suggests
science-based treatments that promise to improve troubling relapse
rates. Merging science and human experience, The Thirteenth Step
offers compassionate, valuable answers to anyone who hopes for a
better handle on a confounding disease.
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