The Fix (book)
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''The Fix: How Addiction Is Invading our Lives and Taking Over Your World'' is a non-fiction book by the British writer and journalist
Damian Thompson Damian Thompson (born 1962) is an English journalist, editor and author. He is an associate editor of ''The Spectator''. Previously he worked as editor-in-chief of the ''Catholic Herald'' and for ''The Daily Telegraph'' where he was religious a ...
in which Thompson examines addiction and how it is being harboured in society. His fourth book, it was published in May 2012 by Collins. Shortly after release, its core contention that addiction is not a
pathological Pathology is the study of disease. The word ''pathology'' also refers to the study of disease in general, incorporating a wide range of biology research fields and medical practices. However, when used in the context of modern medical treatme ...
disorder provoked controversy from left-wing journalists.


Overview

In addition to his research, the book is informed by Thompson's experience as a former alcoholic and his participation in the
Alcoholics Anonymous Alcoholics Anonymous (AA) is a global, peer-led Mutual aid, mutual-aid fellowship focused on an abstinence-based recovery model from alcoholism through its spiritually inclined twelve-step program. AA's Twelve Traditions, besides emphasizing anon ...
Twelve-Step Twelve-step programs are international mutual aid programs supporting recovery from substance addictions, behavioral addictions and compulsions. Developed in the 1930s, the first twelve-step program, Alcoholics Anonymous (AA), founded by Bill Wi ...
sobriety Sobriety is the condition of not having any effects from alcohol (drug), alcohol and other psychoactive drug, drugs. Sobriety is also considered to be the natural state of a human being at Childbirth, birth. A person in a state of sobriety is ...
program.Thompson, Damian. (2012) ''The Fix: How Addiction is Invading our Lives and Taking Over Your World.'' Collins. He rejects the
brain disease Central nervous system diseases or central nervous system disorders are a group of neurological disorders that affect the structure or function of the human brain, brain or spinal cord, which collectively form the central nervous system (CNS). Th ...
theory of addiction (an example of which is
disease theory of alcoholism The modern disease theory of alcoholism states that problem drinking is sometimes caused by a disease of the brain, characterized by altered brain structure and function. Today, alcohol use disorder (AUD) is used as a more scientific and suitabl ...
), arguing that addiction is instead a voluntary and reversible behavioural disorder based on the brain's reward system, namely the
mesolimbic pathway The mesolimbic pathway, sometimes referred to as the reward pathway, is a dopaminergic pathway in the brain. The pathway connects the ventral tegmental area in the midbrain to the ventral striatum of the basal ganglia in the forebrain. The v ...
. Thompson argues that addiction is universally being fostered by technology and the
social environment The social environment, social context, sociocultural context or milieu refers to the immediate physical and social setting in which people live or in which something happens or develops. It includes the culture that the individual was educated ...
for commercial purposes, pointing to
sugar addiction A food addiction or eating addiction is any behavioral addiction characterized primarily by the compulsive consumption of palatable and hyperpalatable food items, and potentially also sugar-sweetened beverages (SSBs). Such foods often have hig ...
from sugar-rich foods such as
cupcake A cupcake ( AmE, CanE), fairy cake ( BrE), or bun ( IrE) is a small cake designed to serve one person, which may be baked in a small thin paper or aluminum cup. As with larger cakes, frosting, icing and various other cake decorations such as ...
s, addictions to
pornography Pornography (colloquially called porn or porno) is Sexual suggestiveness, sexually suggestive material, such as a picture, video, text, or audio, intended for sexual arousal. Made for consumption by adults, pornographic depictions have evolv ...
,
video games A video game or computer game is an electronic game that involves interaction with a user interface or input device (such as a joystick, game controller, controller, computer keyboard, keyboard, or motion sensing device) to generate visual fe ...
,
shopping Shopping is an activity in which a customer browses the available goods or services presented by one or more retailers with the potential intent to purchase a suitable selection of them. A Retail#Shopper profiles, typology of shopper types ha ...
, and drugs such as alcohol,
caffeine Caffeine is a central nervous system (CNS) stimulant of the methylxanthine chemical classification, class and is the most commonly consumed Psychoactive drug, psychoactive substance globally. It is mainly used for its eugeroic (wakefulness pr ...
; illegal drugs such as
cocaine Cocaine is a tropane alkaloid and central nervous system stimulant, derived primarily from the leaves of two South American coca plants, ''Erythroxylum coca'' and ''Erythroxylum novogranatense, E. novogranatense'', which are cultivated a ...
and heroin, and controlled medical drugs — such as
zopiclone Zopiclone, sold under the brand name Imovane among others, is a nonbenzodiazepine, specifically a cyclopyrrolone, used to treat difficulty sleeping. Zopiclone is molecularly distinct from benzodiazepine drugs and is classed as a cyclopyrrolone ...
— obtained via prescription or without one from an
online pharmacy An online pharmacy, internet pharmacy, or mail-order pharmacy is a pharmacy that operates over the Internet and sends orders to customers through mail, shipping companies, or online pharmacy web portal. Online pharmacies include: * Legitimate Int ...
. He believes that the boundaries between everyday addictions and less socially acceptable ones are becoming increasingly blurred, and also perceives an overlap between them, citing evidence that sugar triggers "the brain's natural
opioid Opioids are a class of Drug, drugs that derive from, or mimic, natural substances found in the Papaver somniferum, opium poppy plant. Opioids work on opioid receptors in the brain and other organs to produce a variety of morphine-like effects, ...
s," and that the brain can become addicted to them in the same way that it does to
morphine Morphine, formerly also called morphia, is an opiate that is found naturally in opium, a dark brown resin produced by drying the latex of opium poppies (''Papaver somniferum''). It is mainly used as an analgesic (pain medication). There are ...
or heroin.Colantuoni, Carlo; Rada, Pedro et al. 'Evidence that Intermittent, Excessive Sugar Intake Causes
Endogenous Endogeny, in biology, refers to the property of originating or developing from within an organism, tissue, or cell. For example, ''endogenous substances'', and ''endogenous processes'' are those that originate within a living system (e.g. an ...
Opioid Dependence,' ''Obesity Research'' 10, 2002. Cited in Thompson (2012), p. 16


Reception

''
The Economist ''The Economist'' is a British newspaper published weekly in printed magazine format and daily on Electronic publishing, digital platforms. It publishes stories on topics that include economics, business, geopolitics, technology and culture. M ...
'' described the book as an "entertaining and informative account" of addiction, although written in a "waspish" style which it considered to understate the seriousness of the issue. ''
ConservativeHome ConservativeHome is a politically conservative news website and events company. It was first established by Tim Montgomerie in 2005 with the aim of arguing for a broad conservative spectrum, which is serious about both social justice and a fair ...
'' viewed it as an "eye-opening, iconoclastic analysis" of contemporary addiction. In ''
Wired UK ''Wired UK'' is a bimonthly magazine that reports on the effects of science and technology. It covers a broad range of topics including design, architecture, culture, the economy, politics and philosophy. Owned by Condé Nast Publications, it is ...
'',
Milo Yiannopoulos Milo Yiannopoulos (; ''né'' Hanrahan; born 18 October 1984) is a British far-right political commentator. His speeches and writings criticise Islam, feminism, and social justice. Yiannopoulos is a former editor of ''Breitbart News'', an Americ ...
felt its perception of a disparity between the evolutionary status quo of human beings and the overwhelming world in which they live was presented with "gentle but terrifyingly persuasive regularity". The book provoked a dispute between Thompson and ''
The Guardian ''The Guardian'' is a British daily newspaper. It was founded in Manchester in 1821 as ''The Manchester Guardian'' and changed its name in 1959, followed by a move to London. Along with its sister paper, ''The Guardian Weekly'', ''The Guardi ...
's''
Tanya Gold Tanya Gold (born 31 December 1973) is an English freelance journalist. Career Gold has written for British newspapers, including ''The Guardian'', the ''Daily Mail'', ''The Independent'', ''The Daily Telegraph'', ''The Sunday Times'', the ''Even ...
, a recovering alcoholic. Gold described it as a "dangerous polemic", accusing Thompson of writing a "
poison pen letter A poison pen letter (or poisoned pen letter) is a letter or note containing unpleasant, abusive, or malicious statements or accusations about the recipient or a third party. It is usually sent anonymously, often by employing the ransom note ...
" to Alcoholics Anonymous. ''
The Huffington Post ''HuffPost'' (''The Huffington Post'' until 2017, itself often abbreviated as ''HPo'') is an American progressive news website, with localized and international editions. The site offers news, satire, blogs, and original content, and covers p ...
's'' Rupert Wolfe-Murray also criticised Thompson's rejection of the disease model of addiction, suggesting he was giving alcoholism the banality of everyday obsessions and asking if this was a form of denial. Thompson responded to Gold, clarifying his view that addiction is a matter of choice, and also responded to Wolfe-Murray on his blog, writing that the disease model of addiction should not be an "emotional crutch". In ''
The Washington Post ''The Washington Post'', locally known as ''The'' ''Post'' and, informally, ''WaPo'' or ''WP'', is an American daily newspaper published in Washington, D.C., the national capital. It is the most widely circulated newspaper in the Washington m ...
'', James Norton wrote that Thompson speaks in a deceptively casual voice at first, but ultimately brings the reader through a "whirlwind of anecdotes, interviews and studies", offering an argument with "real force and substance" and engaging reading material. He felt that Thompson's argument isn't likely to be popular, but is a "far more nuanced look at the mechanics of addiction than we lay readers are usually offered".


References

{{DEFAULTSORT:Fix 2012 non-fiction books Works about addiction HarperCollins books Books about drugs