The Urge: Our History of Addiction

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An authoritative and deeply humane history of addiction by a therapist who has experienced its depths himself. Amid a significant drug abuse crisis, questions about addiction's nature, origins, and treatments remain unanswered. This lack of consensus reflects a long historical struggle to define, treat, and control addictive behavior, where stigma and controversy have been constants. Drawing on his experience as both a psychiatrist and a recovering alcoholic, Carl Erik Fisher traces the history of addiction, revealing that we are still far from a clear understanding or responsible approach. This rich exploration encompasses medicine, science, policy, literature, religion, and sociology, showing how the narrative of addiction mirrors broader human questions and our capacity for care. Fisher introduces key figures—physicians, activists, politicians, researchers, and writers—who have sought to comprehend and address this complex issue. He also evaluates effective treatments and strategies that have helped many, including himself, offering hope for those whose lives are threatened by addiction. This work serves as an eye-opening history, a compelling personal narrative, and a clinician's passionate call for a more nuanced understanding of one of society's most persistent challenges.