Interview with Dr. Gabor Maté

Thanks, Gianna at Beyond Meds, for highlighting excerpts from Dr. Gabor Maté's new book about addiction, In The Realm of Hungry Ghosts. I moseyed over to Amazon and found an interview with the author:

Question: Your book ends on a positive note, with the idea that brains do have the ability to change and grow in adult life and even to heal themselves. Does this undermine your previous assertion that you don’t expect most of your severely addicted patients to get clean?

Gabor Maté: No, there is no contradiction here. The human brain is exquisitely capable of development, a capacity known as neuroplasticity. But, as with all development, the conditions have to be right. My pessimism about my clients’ future is based not on any limitation of their innate potential, but on their dire social, economic and legal situation and on the essential indifference of policy makers--and of society--to their plight. In short, the resources that could go into rehabilitating people are now sunk, instead, into persecuting them and keeping them marginalized. It’s a failure of insight and of compassion. We are simply not living up to our possibilities as a society.


A letter from Gabor Maté to Amazon readers:

I've written In The Realm of Hungry Ghosts because I see addiction as one of the most misunderstood phenomena in our society. People--including many people who should know better, such as doctors and policy makers--believe it to be a matter of individual choice or, at best, a medical disease. It is both simpler and more complex than that.


Addiction, or the capacity to become addicted, is very close to the core of the human experience. That is why almost anything can become addictive, from seemingly healthy activities such as eating or exercising to abusing drugs intended for healing. The issue is not the external target but our internal relationship to it. Addictions, for the most part, develop in a compulsive attempt to ease one’s pain or distress in the world. Given the amount of pain and dissatisfaction that human life engenders, many of us are driven to find solace in external things. The more we suffer, and the earlier in life we suffer, the more we are prone to become addicted.


The inner city drug addicts I work with are amongst the most abused and rejected people amongst us, but instead of compassion our society treats them with contempt. Instead of understanding and acceptance, we give them punishment and moral disapproval. In doing so, we fail to recognize our own deeply rooted problems and thereby forego an opportunity for healing not only for them, the extreme addicts, but also for ourselves as individuals and as a culture.


My book, in short, is an attempt to bring light to core issues shrouded in darkness. The many positive responses I’ve received encourage me to believe that I’ve succeeded in making a contribution toward that goal.

Best wishes,

Gabor Maté