In the Realm of Hungry Ghosts: Close Encounters with Addiction

by Gabor Maté

From an ecological perspective, the addiction process doesn’t happen accidentally; nor is it preprogrammed by heredity. It is a product of development in a certain context, and it continues to be maintained by factors in the environment. The ecological view sees addiction as a changeable and evolving dynamic that expresses a lifelong interaction with a person’s social and emotional surroundings and with his own internal psychological space. Healing, then, must take into account the internal psychological climate—the beliefs, memories, mind-states, and emotions that feed addictive impulses and behaviors—as well as the external milieu. In an ecological framework recovery from addiction does not mean a “cure” for a disease but the creation of new resources, internal and external, that can support different, healthy ways of satisfying one’s genuine needs. It also involves developing new brain circuits that can facilitate more adaptive responses and behaviors.