In the Realm of Hungry Ghosts

Going back over some familiar ground here -- this is the third of Gabor Maté's books I've read, and I've come to greatly respect his insights. In the Realm of Hungry Ghosts deals specifically with addiction. Maté has worked for many years among drug addicts in one of Canada's most deprived urban areas; he also (somewhat controversially) counts himself as an addict, though his personal addiction is not to a legal or illegal drug, but rather to overwork and to the compulsive purchase of classical music CDs.

There is some overlap between this book and Maté's previous work on ADHD -- many addicts are trying to soothe their restless minds with the help of illicit substances (as well as traditional drugs like alcohol and nicotine) -- but his central point is that all addicts are fundamentally seeking to calm minds disordered by trauma. Sometimes this trauma might be inter-generational oppression, or childhood sexual abuse, but it might be a deep inner disconnection caused by loving but distracted parenting -- anything that prevented the parent from closely bonding with their infant. Maté admits that he himself has often been a less than perfect parent, and that though his own parents were loving, he was born into the profound misery and dislocation of war, and was fostered out as a baby for his own safety.

The most moving sections of this long and scholarly book are the personal stories of the addicts with whom Maté has worked. Often difficult to deal with, unreliable, violent and bitter, Maté brings us close to their pain and their longing for connection. Maté's work makes a mockery of the simplistic solutions often proposed for dealing with drug addiction, or indeed for troubled youth or dispossessed minorities, or any number of 'problem' populations. Maté's compassion and reflection should be essential reading.