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The Urge

Our History of Addiction

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The Urge

Written by: Carl Erik Fisher
Narrated by: Mark Deakins
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About this listen

Named a Best Book of the Year by The New Yorker and The Boston Globe

An authoritative, illuminating, and deeply humane history of addiction—a phenomenon that remains baffling and deeply misunderstood despite having touched countless lives—by an addiction psychiatrist striving to understand his own family and himself


“Carl Erik Fisher’s The Urge is the best-written and most incisive book I’ve read on the history of addiction. In the midst of an overdose crisis that grows worse by the hour and has vexed America for centuries, Fisher has given us the best prescription of all: understanding. He seamlessly blends a gripping historical narrative with memoir that doesn’t self-aggrandize; the result is a full-throated argument against blaming people with substance use disorder. The Urge is a propulsive tour de force that is as healing as it is enjoyable to read.” —Beth Macy, author of Dopesick

As a psychiatrist in training fresh from medical school, Carl Erik Fisher found himself face-to-face with an addiction crisis that nearly cost him everything. Desperate to make sense of his condition, he turned to the history of addiction, learning that our society’s current quagmire is only part of a centuries-old struggle to treat addictive behavior.

A rich, sweeping account that probes not only medicine and science but also literature, religion, philosophy, and public policy, The Urge introduces us to those who have endeavored to address addiction through the ages and examines the treatments that have produced relief for many people, the author included. Only by reckoning with our history of addiction, Fisher argues, can we light the way forward for those whose lives remain threatened by its hold.

The Urge is at once an eye-opening history of ideas, a riveting personal story of addiction and recovery, and a clinician’s urgent call for a more nuanced and compassionate view of one of society’s most intractable challenges.

©2022 Carl Erik Fisher (P)2022 Penguin Audio
History Medicine & Health Care Industry Mental Health Psychology
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What the critics say

One of The New Yorker’s Best Books of 2022

“An artfully combined personal narrative and genealogy of the title concept . . . [Fisher’s] authorial voice is clear and gentle. Brimming with common sense and wisdom, a salmagundi of history, science, and informed opinion, The Urge should ignite the urge for invigorated conversation and debate.”The Los Angeles Review of Books

"[A] marvelous gift of hope . . . Fisher’s work is a challenge and an invitation to discard narrow conceptions, abandon punitive strategies, and 'free ourselves to look instead at the full variety of interventions available to help.' . . . We are fortunate that his book is here, now, within reach of policymakers, prosecutors, family members, people who are suffering from addiction, and those in recovery."—American Scholar

“A compelling history. . . . Fisher, an addiction physician and a recovering addict, illustrates the ‘terrifying breakdown of reason’ that accompanies the condition by drawing on patients’ anecdotes and on his own experience.”—The New Yorker

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very good

as someone who struggles with addiction to alcohol, this book was very profound to listen to and has partially inspired me to try and become sober again. very insightful and educational, as the author provides a deep history of addiction, along with his own personal story of living with addiction.

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Informative and interesting

Carl Fisher did his homework and it shows throughout the book. Mark Deakins did an excellent job narrating the book!

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