In the Realm of Hungry Ghosts audiobook cover - Close Encounters with Addiction

In the Realm of Hungry Ghosts

Close Encounters with Addiction

Gabor Maté

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In the Realm of Hungry Ghosts
The Nature of Addiction+
The Addicted Brain+
Trauma and Environment+
Societal Response+
Path to Healing+

Quiz — Test Your Understanding

Question 1 of 6
According to Dr. Gabor Maté, how should we view the difference between severe substance abusers and the rest of society?
  • A. Severe substance abusers lack the moral willpower that the rest of society possesses.
  • B. Society is divided strictly into addicts and non-addicts based on chemical dependency.
  • C. Almost everyone lies somewhere along a spectrum of addiction, often dealing with behavioral addictions.
  • D. Severe addicts are simply those who have been caught by the legal system, unlike behavioral addicts.
Question 2 of 6
Why does Dr. Maté argue that drug addiction is not simply a matter of the addict 'choosing' to be addicted?
  • A. Addicts are usually coerced into taking drugs by their peers and environment.
  • B. Repeated drug use damages brain circuits necessary for self-regulation and impulse control.
  • C. The physical withdrawal symptoms are too painful for any human being to endure without medical help.
  • D. Drugs permanently erase the addict's memory of the negative consequences of their actions.
Question 3 of 6
What is the primary factor that determines a person's predisposition to addiction, according to the text?
  • A. The inherent chemical addictiveness of the specific drugs they are exposed to.
  • B. Their genetic inheritance of a specific 'addiction gene' passed down through generations.
  • C. The environmental stressors and traumas experienced during early brain development.
  • D. The socioeconomic status of the neighborhood they grow up in during their teenage years.
Question 4 of 6
What is the primary goal of 'harm reduction' programs, such as needle-exchange services?
  • A. To gradually wean addicts off their substance of dependence until they are fully cured.
  • B. To prevent the death, misery, and disease that result from the conditions addicts face.
  • C. To provide a legal framework for prosecuting drug dealers while protecting the users.
  • D. To force addicts to hit 'rock bottom' so they will voluntarily seek rehabilitation.
Question 5 of 6
How does Dr. Maté suggest an individual should approach their own addictive behaviors?
  • A. By adopting a strict, disciplined mindset to 'defeat' their inner demons.
  • B. By relying entirely on the willpower and guidance of their friends and family.
  • C. By using 'compassionate curiosity' to openly examine why they repeat harmful behaviors.
  • D. By focusing heavily on the guilt and shame of their past mistakes to deter future use.
Question 6 of 6
When dealing with a loved one who is an addict, what is a key piece of advice given in the text?
  • A. Issue strict ultimatums to ensure the addict understands the consequences of their actions.
  • B. Recognize that criticizing the addict is often a reflection of your own need for self-righteousness.
  • C. Stay in the relationship under all circumstances to provide unwavering moral support.
  • D. Continually remind the addict of how their behavior is destroying the family to motivate change.

In the Realm of Hungry Ghosts — Full Chapter Overview

In the Realm of Hungry Ghosts Summary & Overview

In the Realm of Hungry Ghosts (2008) is a heartful exploration of the complex condition known as addiction. It tells the real-life stories of addicts, who are so often denied the space to do so, alongside science-based analyses of why and how people get addicted. Importantly, it also challenges us to think of the ways, obvious or not, in which we too are addicts – and what we can do to heal ourselves.

Who Should Listen to In the Realm of Hungry Ghosts?

  • People with addiction, who know someone with addiction, or who work with addiction
  • Pop-science “junkies”
  • Social justice advocates and anyone opposed to the War on Drugs

About the Author: Gabor Maté

Dr. Gabor Maté is a Canadian physician who in his multi-decade career has run a family practice, served as the medical coordinator at a hospital palliative care unit, and been the staff physician at a facility for patients with severe addiction. For his work in addiction treatment and mental health, he received the 2011 Civic Merit Award of the City of Vancouver; in 2018, he received the Order of Canada, the country’s highest civilian honor. He has written numerous best-selling books, including Scattered Minds, When the Body Says No, and The Myth of Normal.

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