Clean: Overcoming Addiction and Ending America's Greatest Tragedy

Clean: Overcoming Addiction and Ending America's Greatest Tragedy

by David Sheff


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A myth-shattering look at drug abuse and addiction treatment, based on cutting-edge research

Addiction is a preventable, treatable disease, not a moral failing. As with other illnesses, the approaches most likely to work are based on science — not on faith, tradition, contrition, or wishful thinking. These facts are the foundation of Clean. The existing addiction treatments, including Twelve Step programs and rehabs, have helped some, but they have failed to help many more. To discover why, David Sheff spent time with scores of scientists, doctors, counselors, and addicts and their families, and explored the latest research in psychology, neuroscience, and medicine. In Clean, he reveals how addiction really works, and how we can combat it.

“A guide for those affected by addiction, but also a manifesto . . . for America as it confronts its drug problem. [Sheff] has performed a vital service by compiling sensible advice on a subject for which sensible advice is in short supply.” — New York Times Book Review

“As a journalist, father, and clear-eyed chronicler of addiction, David Sheff is without peer.” — Sanjay Gupta, M.D., chief medical correspondent, CNN

Product Details

ISBN-13: 9780544112322
Publisher: HMH Books
Publication date: 01/07/2014
Pages: 400
Sales rank: 212,040
Product dimensions: 5.20(w) x 7.90(h) x 1.20(d)

About the Author

DAVID SHEFF is the author of the number-one New York Times best-selling memoir Beautiful Boy.Sheff’s ongoing research and reporting on the science of addiction earned him a place on Time’s list of the world’s most influential people.

Table of Contents

Author's Note ix

Preface xi

I America on Drugs

1 This Is Your Brain on Drugs 3

2 This Is Our Nation on Drugs 12

II Why We Use

3 Everybody Does It 29

4 Helping Kids Grow Up 44

III When Drug Use Escalates

5 Use Becomes Abuse, and Abuse Becomes Addiction 77

6 Addicts Aren't Weak, Selfish, or Amoral-They're Ill 88

7 Don't Deny Addiction, Don't Enable It, and Don't Wait for an Addict to Hit Bottom - He Could Die 103

8 Intervention 114

IV Getting Clean

9 Finding Treatment 127

10 Detox 141

V Staying Clean

11 Beginning Treatment 149

12 Primary Treatment 170

13 Treating Drug Problems with Drugs 198

14 Where Does AA Fit In? 207

VI Treating a Chronic Illness

15 Treating Dual Diagnosis 237

16 Relapse Prevention 251

VII Ending Addiction

17 The Future of Prevention and Treatment 271

18 Fighting the Right War 284

Epilogue 306

The Clean Paradigm in Twelve Steps 310

Afterword 313

Appendix: Just Say Know 318

Acknowledgments 336

Notes 338

Index 358

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