Clean: Overcoming Addiction and Ending America's Greatest Tragedy

Clean: Overcoming Addiction and Ending America's Greatest Tragedy

by David Sheff


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 A myth-shattering look at drug abuse and addiction treatment, based on cutting-edge research

Addiction is a preventable, treatable disease, not a moral failing. As with other illnesses, the approaches most likely to work are based on science — not on faith, tradition, contrition, or wishful thinking. These facts are the foundation of Clean. The existing addiction treatments, including Twelve Step programs and rehabs, have helped some, but they have failed to help many more. To discover why, David Sheff spent time with scores of scientists, doctors, counselors, and addicts and their families, and explored the latest research in psychology, neuroscience, and medicine. In Clean, he reveals how addiction really works, and how we can combat it.

“A guide for those affected by addiction, but also a manifesto . . . for America as it confronts its drug problem. [Sheff] has performed a vital service by compiling sensible advice on a subject for which sensible advice is in short supply.” — New York Times Book Review
“As a journalist, father, and clear-eyed chronicler of addiction, David Sheff is without peer.” — Sanjay Gupta, M.D., chief medical correspondent, CNN

Product Details

ISBN-13: 9780544112322
Publisher: Houghton Mifflin Harcourt
Publication date: 01/07/2014
Pages: 400
Sales rank: 56,100
Product dimensions: 5.20(w) x 7.90(h) x 1.20(d)

About the Author

DAVID SHEFF is the author of the number-one New York Times best-selling memoir Beautiful Boy.Sheff’s ongoing research and reporting on the science of addiction earned him a place on Time’s list of the world’s most influential people.

Table of Contents

Author's Note ix

Preface xi

I America on Drugs

1 This Is Your Brain on Drugs 3

2 This Is Our Nation on Drugs 12

II Why We Use

3 Everybody Does It 29

4 Helping Kids Grow Up 44

III When Drug Use Escalates

5 Use Becomes Abuse, and Abuse Becomes Addiction 77

6 Addicts Aren't Weak, Selfish, or Amoral-They're Ill 88

7 Don't Deny Addiction, Don't Enable It, and Don't Wait for an Addict to Hit Bottom - He Could Die 103

8 Intervention 114

IV Getting Clean

9 Finding Treatment 127

10 Detox 141

V Staying Clean

11 Beginning Treatment 149

12 Primary Treatment 170

13 Treating Drug Problems with Drugs 198

14 Where Does AA Fit In? 207

VI Treating a Chronic Illness

15 Treating Dual Diagnosis 237

16 Relapse Prevention 251

VII Ending Addiction

17 The Future of Prevention and Treatment 271

18 Fighting the Right War 284

Epilogue 306

The Clean Paradigm in Twelve Steps 310

Afterword 313

Appendix: Just Say Know 318

Acknowledgments 336

Notes 338

Index 358

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Clean: Overcoming Addiction and Ending America's Greatest Tragedy 4.5 out of 5 based on 0 ratings. 6 reviews.
Anonymous More than 1 year ago
Having been in the same boat as David Sheff, I can appreciate the work he put into this book. I researched many of the same things, but as a journalist, Sheff was able to do a thorough study of this issue and give some great recommendations. Very readable, helpful book that contains a lot of myth busters. I am very happy to see someone look at the science of addiction and realize that we have learned a lot since the 1930s when AA originated. What other life threatening disease would we treat with 1930's protocols? When people are really in crisis and looking for immediate answers, they may not have the time or the sanity to read this book. But the entire addiction community should read it and challenge some of their widely held but not science based beliefs. We can do a better job of treatment if people are willing to open their minds. My only criticism is with his prevention chapters. He needed to go further and discuss how checking off all the prevention strategies can not guarantee prevention of the disease. It read at times like he blamed divorce, or other circumstances for causing addiction. Much like the exercise-obsessed vegan with a family history of heart disease, prevention strategies may help, but not eliminate the risk of heart attack. Having read the comments written following a review of this book in our local paper, I was appalled. Way too many people still look at addiction as a moral failing. This issue affects many aspects of public policy yet our society is terribly uneducated and wrongly educated about it. I hope this book can help start some rational discussions.
Anonymous More than 1 year ago
I bought this book for a friend who's son is battling addiction. It has truly changed her life and I am so glad. She said this book changed how she looked at drug addiction. 
Anonymous More than 1 year ago
David Sheff has a clear-cut writing style. Due to his experiences with his son's addiction, this is not a purely objective book, yet he does the legwork and research to get the best information possible on this complex and difficult subject. At times his conclusions are a bit fantastical (i.e.: ridding the American prison system of the majority of criminals through alcohol and drug-treatment), however his heart and mind are in the right place and I'd rather be in his optimistic world than the cynical-violent cycle we've been in for the past 20-years. I enjoyed reading this book both for its easy-to-read accessibility and for the excellent research. It definitely spurred me to do more reading and research on my own, and to encourage others (especially in the mental health, medical, and government arenas) to read it as well.
Mirror-Influence More than 1 year ago
Great book!
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