#208 - Dr. Carl Erik Fisher on THE URGE


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Addiction psychiatrist and bioethics scholar Carl Erik Fisher, M.D., chats with Trey Elling about THE URGE: OUR HISTORY OF ADDICTION. Questions include:

  • When and why did the word 'addiction' come to be? (2:09)
  • How did the ancient Greeks think about addiction? (3:39)
  • Why is a period from around 1500-1800 known as the "psychoactive revolution? (5:33)
  • Why were women supposedly spontaneously combusting in mid-18th century London? (8:10)
  • When and why did the concept of temperance shift from moderation to total abstinence? (15:12)
  • Why did America's first opioid epidemic fire up in the mid-1800s? (17:46)
  • Who was Margaret "Marty" Mann, and what was her importance to Alcoholics Anonymous? (24:05)
  • How did the pharmaceutical industry respond to the learned addiction potential of amphetamines following their heavy usage by US troops in WWII? (29:46)
  • Did Nixon's "War on Drugs" really begin with a therapeutic focus? If so, why did it change? (38:57)
  • Why did a US senator warn of the addiction treatment field becoming an "alcohol and drug industrial complex" in the mid-1970s? (43:16)
  • What does pop culture get wrong about dopamine's role with addiction? (45:18)
  • Do interventions typically help those struggling with addiction? (48:57)
  • How might harm reduction help with addiction? (51:10)
  • Does drug decriminalization or legalization help with addiction? (53:37)

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