The Addiction Solution is author Dr. David Kipper's attempt to frame the extremely complex issue of substance dependence in a clear, easy to understand, rational, medically oriented context.
Dr. Kipper attempts to integrate the best of cognitive behavioral therapy, psychiatry and traditional 12-step approaches.
I can't overstate the importance of this project. Substance dependence and so-called addictive behaviors e.g. compulsive and unhealthy gambling, eating etc. rank amongst our cultures most problematic issues.
There is an enormous need for clear, effective education and interventions for these very costly and very deadly problems.
Based on the amount of money, time and energy spent on treating thees issues and the staggering amount of suffering and death caused when our treatments fail, it's clearly not a stretch to say that our current popular understandings of this issue and treatment methods are insufficient.
Traditional 12-step programs work for some people but are alienating and confusing for others.
The medical approach is reductionistic to the extent that it only targets a sliver of the whole issue.
Cognitive and behavioral psychotherapy can be extremely demanding and often fails to sufficiently motivate people to overcome this incredibly difficult problem.
Haphazardly slamming all of these approaches together can often lead to no better results.
The Addiction Solution is Dr. Kipper's attempt to identify the active ingredients in each approach and integrate them in to a comprehensive treatment program.
Overall, the book is quite good. I've read a lot of these types of books and this one is about as good as any of them. But parts of it left me a little tepid.
I was confused by Dr. Kipper's explanations of the pharmacology of the various drugs of abuse, mostly because they were different (in certain details) than other explanations of the same drugs that I have read in the past. That could mean that every one else is wrong. But I have no way of knowing. The way I'm dealing with that is by keeping an open mind and not investing to heavily in learning the details of this book.
Dr. Kipper's big picture is pretty spot on though, and I will be appropriating aspects of it for my work as an educator and clinician (I teach undergraduate and graduate level substance abuse classes and I'm a therapist at an intensive outpatient recovery clinic in Los Angeles).
Dr. Kipper begins this book with a discussion about homeostasis i.e. the brain and extended nervous systems tendency to return to baseline states of arousal (or lack there of) after being up or down regulated.
Dr. Kipper's assertion is that you can't talk about the issue of addiction with any kind of precision or clarity without understanding homeostasis. After reading this book, I couldn't agree more. So I have decided to reorient my classes and psycho-educational groups in accordance and begin them with a discussion of homeostasis.
Dr. Kipper also does an admirable job of bridging the divide between 12-step and the medical model. That's worth the price tag alone.
Over all, I was very impressed with this book and I recommend it for anyone who needs to understand this issue and or change their addiction behavior.