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Acknowledgments
I would like to thank my patients who shared their experiences and
reflections with me in the process of writing this book. Their willingness to
give of themselves not just to me but also to unseen, unknown readers, is an
act of courage and generosity. This is our book.
I would also like to thank the people who are not my patients who agreed
to be interviewed for this book. Their insights on addiction and recovery
have added immeasurably to my own.
I’m fortunate to be surrounded by many thoughtful and creative people
whose ideas have made their way into this book through our conversations. It
would be impossible to list them all, but I want to extend a special thank-you
to Kent Dunnington, Keith Humphreys, E. J. Iannelli, Rob Malenka, Matthew
Prekupec, John Ruark, and Daniel Saal.
Thanks also to Robin Coleman for getting me writing again, Bonnie Solow
for believing in the project, Deb McCarroll for painting the pictures, and
Stephen Morrow and Hannah Feeney for bringing it to fruition.
Finally, nothing would be possible without the support of my beloved
husband, Andrew.
A
B
C
D
E
F
G
H
I
J
K
L
M
N
O
P
Q
R
S
T
U
V
W
X
Y
Z
Index
The page numbers in this index refer to the printed version of this book. The link provided will take you
to the beginning of that print page. You may need to scroll forward from that location to find the
corresponding reference on your e-reader.
Note: Page numbers in italics refer to illustrations.
abstinence
binging following,
87
in DOPAMINE framework,
76
–81
and goal of moderation in drug use,
87
relapses following periods of,
57
required for homeostasis,
77
reward pathway reset by,
76
,
78
–79,
234
role of, in recovery,
234
time required for,
78
–79
abstinence violation effect,
87
abundance in modern world,
1
,
67
acceptance,
217
access as risk factor for addiction,
18
–20,
22
,
29
–30
accountability
promoted truthful autobiographies,
186
–92
and prosocial shame,
219
acupuncture,
154
Adderall
clients’ experiences with,
32
,
33
,
41
–44
dopamine output effected by,
50
increasing rates of prescription of,
39
questions on efficacy of,
130
risk of addiction to,
129
addiction
and decreased sensitivity to rewards,
56
definition of,
16
to drugs that cannot be abstained from,
88
exercise’s impact on,
150
–51
genetic predisposition to,
87
and moderation of drug use,
87
–88,
107
–9
motivation to pursue recovery,
104
and new synaptic pathways in recovery,
64
and optogenetics,
64
to pain,
160
–68,
234
potential for, measured by dopamine,
2
,
49
poverty as risk factor for,
105
and relapses,
57
rising rates of,
29
risk factors for,
18
–22
of rodents, to wheel-running,
161
–65
and tolerance (neuroadaptation),
53
–58
trading one for another,
79
–80,
99
vulnerability to,
65
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