|Basic InformationMore InformationLatest NewsQuestions and AnswersBlog EntriesVideosLinksBook Reviews|100 Things Guys Need to Know3 NBS of Julian DrewA Guide to Asperger SyndromeA Tribe ApartA User Guide to the GF/CF Diet for Autism, Asperger Syndrome and AD/HDA Walk in the Rain With a BrainAdolescence and Body ImageAdolescent DepressionAfterAggression and Antisocial Behavior in Children and AdolescentsAll Alone in the UniverseAmelia RulesAmericaAnother PlanetAntisocial Behavior in Children and AdolescentsArtemis FowlAssessment and Treatment of Childhood Problems, Second EditionAutistic Spectrum DisordersBad GirlBetween Two WorldsBeyond AppearanceBeyond Diversity DayBig Mouth & Ugly GirlBill HensonBipolar DisordersBody Image, Eating Disorders, and ObesityBody Image, Eating Disorders, and Obesity in YouthBoyBoysBrandedBreaking PointBreathing UnderwaterBringing Up ParentsBullying and TeasingCan't Eat, Won't EatCatalystChild and Adolescent Psychological DisordersChildren Changed by TraumaChildren with Emerald EyesChildren’s Dreaming and the Development of Consciousness City of OneConcise Guide to Child and Adolescent PsychiatryConquering the Beast WithinContentious IssuesCrackedCutDancing in My NuddypantsDemystifying the Autistic ExperienceDescartes' BabyDilemmas of DesireDirtyDoing ItDoing SchoolDying to Be ThinEating an ArtichokeEducating Children With AutismElijah's CupEllison the ElephantEmerald City BluesEmotional and Behavioral Problems of Young ChildrenEvery Girl Tells a StoryFast GirlsFeather BoyFiregirlForever YoungFreaks, Geeks and Asperger SyndromeFreewillGeography ClubGeorgia Under WaterGirl in the MirrorGirlfightingGirlsourceGirlWiseGLBTQGood GirlsGoodbye RuneGranny Torrelli Makes SoupGrowing Up GirlHandbook for BoysHealing ADDHeartbeatHelping Children Cope With Disasters and TerrorismHelping Parents, Youth, and Teachers Understand Medications for Behavioral and Emotional ProblemsHollow KidsHow Children Learn the Meanings of WordsHow to Keep Your Teenager Out of Trouble and What to Do If You Can'tHug MeIntrusive ParentingIt's Me!It's Perfectly NormalJake RileyJoey Pigza Swallowed the KeyJuvenile-Onset SchizophreniaKeeping the MoonKilling MonstersKim: Empty InsideKnocked Out by My Nunga-NungasLaura Numeroff's 10-Step Guide to Living with Your MonsterLearning About School ViolenceLeo the Lightning BugLet Kids Be KidsLiberation's ChildrenLife As We Know ItLisa, Bright and DarkLittle ChicagoLord of the FliesLoserLove and SexLove That DogManicMastering Anger and AggressionMind FieldsMiss American PieMom, Dad, I'm Gay.MonsterMore Than a LabelMyths of ChildhoodNew Hope for Children and Teens with Bipolar DisorderNo Two AlikeNot Much Just Chillin'Odd Girl OutOdd Girl Speaks OutOn the Frontier of AdulthoodOne Hot SecondOne in ThirteenOphelia SpeaksOphelia's MomOur Journey Through High Functioning Autism and Asperger SyndromeOut of the DustOvercoming School AnxietyParenting and the Child's WorldParenting Your Out-Of-Control TeenagerPediatric PsychopharmacologyPeriod PiecesPhobic and Anxiety Disorders in Children and AdolescentsPINSPraising Boys WellPraising Girls WellPretty in PunkPrincess in the SpotlightProblem Child or Quirky Kid?Psychotherapy As PraxisPsychotherapy for Children and AdolescentsRaising a Self-StarterRaising BlazeRaising Resilient ChildrenReclaiming Our ChildrenRedressing the EmperorReducing Adolescent RiskRethinking ADHDReweaving the Autistic TapestryRineke DijkstraRitalin is Not the Answer Action GuideRunning on RitalinSay YesSexual Teens, Sexual MediaSexuality in AdolescenceShooterShort PeopleShould I Medicate My Child?Skin GameSmackSmashedStaying Connected to Your TeenagerStick FigureStoner & SpazStop Arguing with Your KidsStraight Talk about Your Child's Mental HealthStrong, Smart, & BoldStudent DepressionSurvival Strategies for Parenting Children with Bipolar DisorderSurviving OpheliaTaking Charge of ADHD, Revised EditionTaming the Troublesome ChildTargeting AutismTeaching Problems and the Problems of TeachingTeen Angst? NaaahThat SummerThe American Psychiatric Publishing Textbook Of Child And Adolescent PsychiatryThe Arctic IncidentThe Bipolar ChildThe Buffalo TreeThe Bully, the Bullied, and the BystanderThe Carnivorous CarnivalThe Depressed ChildThe Developing MindThe Dragons of AutismThe Dream BearerThe Dulcimer Boy The Einstein SyndromeThe EpidemicThe Eternity CubeThe Explosive ChildThe Field of the DogsThe First IdeaThe Identity TrapThe Inside Story on Teen GirlsThe Little TernThe Mean Girl MotiveThe Men They Will BecomeThe Myth of LazinessThe New Gay TeenagerThe Notebook GirlsThe Nurture AssumptionThe Opposite of InvisibleThe Order of the Poison OakThe Other ParentThe Present Moment in Psychotherapy and Everyday LifeThe Real Truth About Teens and SexThe Rise and Fall of the American TeenagerThe Secret Lives of GirlsThe Sex Lives of TeenagersThe Shared HeartThe Spider and the BeeThe StepsThe Thought that CountsThe Unhappy ChildThe Vile VillageThe Whole ChildThen Again, Maybe I Won'tTherapy with ChildrenThings I Have to Tell YouTouching Spirit BearTrauma in the Lives of ChildrenTreacherous LoveTrue BelieverTwistedUnhappy TeenagersWay to Be!We're Not MonstersWhat about the KidsWhat Would Joey Do?What's Happening to My Body? Book for BoysWhat's Happening to My Body? Book for GirlsWhen Nothing Matters AnymoreWhen Sex Goes to SchoolWhen Your Child Has an Eating DisorderWhere The Kissing Never StopsWhose America?Why Are You So Sad?WinnicottWorried All the TimeYes, Your Teen Is Crazy!You Hear MeYoung People and Mental HealthYour Child, Bully or Victim?
by Drew Pinsky
Regan Books, 2003
Review by James E. de Jarnette, Ph.D. on Jan 5th 2005
Hilariously funny and mixed with
pathos and compassion from the start to the finish, Crackedby
Drew Pinsky is informative and very familiar to of those professionals who have
ever dealt with in-patient alcohol and drug abuse patients.
How often have I heard patients say, "All I need to do is get
sober; then I can control my life."
There is something intrinsically wrong with this statement when this
same patient has used it on three other admissions to detox and treatment.
is a perfect example of a user who thinks all she needs to do is get off the
drugs. Getting off is the necessary
first step, of course. It's dramatic
and interesting. But it's only the
first step in treating the disease.
It's like getting into position to do the work. Katherine is falling apart all over the place. Having hid the truth about what she'd been
using –a common tactic among addicts--now, in addition to her opiate withdrawal
she's dealing with a Valium habit, too.
She's a mess in every way. She
discovered that there aren't any quick fixes.
How can there be, when the patient has used drugs to regulate emotions
she can't manage normally? Generally, these
over-whelming emotions are related to childhood traumas--pain, abuse neglect,
abandonment, and overall feelings of powerlessness. There aren't any simple eight-hour cures for that. (page 17)
In the afore-quoted
monologue by Pinsky, the foundation for the remainder of the book is laid
bare. Alcohol and Drug Abuse is just
the tip of an iceberg that goes down many fathoms into a cold sea of past
wreckage. He continues by putting this
in a much broader psychosocial perspective.
have plenty of reasons to call the culture up on charges. Katherine, Amber, Mitch, and hundreds more
just like them. The culture is like a
living, breathing beast that feeds its own need to exist and grow at the
expense of the individual. Our world is
full of people with narcissistic problems who look to escape those feelings and
be gratified--and the culture steps right up to meet those needs. Many of those contributing to the culture
are sick themselves. It doesn't take a
shrink to count the number of celebrities who end up in rehab, getting into
fights, or posing for mug shots. The
media has become an instant-response machine, ratcheting our tolerance ever
upward in cycles of arousal and gratification.
All of this can be arresting, fun, sexy, most of all, it sells. But it doesn't heal. (page 19)
talks about an issue that many people not adequately trained in the behavioral
sciences, and some who are, just don't talk about. What do you do with the family, significant others, and friends
of the patient receiving treatment?
know it's tough to understand, but what you need to do is let us take care of
her. These nurses know what they are
doing. They've done thousands of
she's going to have a successful recovery, you're going to have to change as
well. I know you're eager to get her
back the way she was before the drug use really took off, but that is simply
not possible. She has some real serious
problems here, and she's going to have to work very hard at growing and
to get through to Jack enough that he'll get off her back and maybe even start
taking a look at his own problems, I take a stab at educating him. "I think a simple way to think of
relationships is like a lock and key.
Emotionally, when tow people come together they fit together in much the
same way the jagged edge of a key fits with the tumblers of a lock. But any traumatic emotional change can
change the way those tumblers are shaped."
what happens when a drug addict starts coming to terms with her problems--and
it can be very scary to be involved with someone who's going through those
emotional changes. It can be very
uncomfortable when you no longer fit the way you always did. It can feel like you are losing your
partner." (page 108)
really enjoyed this book on so many levels.
I treat a large number of addicts and substance abusers. The information contained in this book is
very good for professionals as well as substance abusers/addicts. I plan on recommending it to my patients and
I recommend it to you.
© 2005 James E. de Jarnette
James E. de
Jarnette, Ph.D., Forensic Child Custody Evaluator