Medical tag

Addiction

Compulsive dependence on any substance or behaviour (gambling included).

Works

Alone in Berlin

1947 · Postwar Contemporary · Novel

Alone in Berlin (Jeder stirbt für sich allein, 'Everyone dies for himself alone') opens in Berlin in 1940, as the postwoman Eva Kluge delivers to Otto and Anna Quangel the news that their only son has been killed in the invasion of France. The Quangels live in a tenement at 55 Jablonski Strasse with neighbours who represent the range of life under Nazism: the Persickes, a family of brutal Party loyalists; old Frau Rosenthal, a Jewish widow whose flat is looted and who is hounded until she jumps to her death; and retired judge Fromm, who quietly helps where he can.

Civilization and Its Discontents

1930 · Early 20th Century · Philosophy

Freud's late essay, in German Das Unbehagen in der Kultur ('the uneasiness in culture'), asks why civilized people, who have built so much for their own protection, are so often unhappy. It is written in eight short chapters in a conversational, self-questioning style.

Confessions

c. 397–400 CE · Ancient · Memoir

The Confessions is a prayer in thirteen books addressed to God, in which Augustine recounts his life up to his mother's death and then turns to philosophical reflection on memory, time and the creation narrative of Genesis. Books I to IX are autobiographical.

Ethics

1677 · Renaissance Early Modern · Philosophy

Ethics Demonstrated in Geometrical Order is set out like Euclid: definitions, axioms, numbered propositions, proofs, corollaries and the discursive notes (scholia) where Spinoza speaks most freely. Its five parts lead from God to human blessedness.

Humboldt's Gift

1975 · Postwar Contemporary · Novel

Humboldt's Gift is narrated by Charlie Citrine, a successful middle-aged Chicago writer who has won a Pulitzer Prize and made a fortune from a Broadway hit about the eighteenth-century adventurer Baron von Trenck, which was also made into a film. Now in his fifties, Charlie is distracted, spiritually restless and steadily losing his money.

On Liberty

1859 · 19th Century · Political Theory

On Liberty asks what limits there are on the power society may legitimately exercise over the individual. Mill opens by observing that the old struggle between subjects and rulers has been transformed by democracy.

On the Road

1957 · Postwar Contemporary · Novel

On the Road is narrated by Sal Paradise, a young writer living with his aunt in New Jersey, and records a series of journeys back and forth across the United States and into Mexico between 1947 and 1950. The engine of the book is Dean Moriarty, a fast-talking, car-stealing, endlessly restless young man from Denver who seems to Sal the embodiment of a wild, joyous American energy.

Pensees

1670 · Renaissance Early Modern · Philosophy

The Pensées ('Thoughts') are the fragments of an unfinished apology for the Christian religion, found after Pascal's death in 1662 as nearly a thousand notes, many on slips of paper threaded together in bundles. Pascal had planned a work that would first unsettle the complacent unbeliever (the honnête homme of polite society) by showing the misery and contradiction of the human condition, then show that Christianity alone explains that condition and offers its remedy.

Siddhartha: An Indian Tale

1922 · Early 20th Century · Novel

Siddhartha is a short, lyrical novel set in India in the time of the Buddha, following the spiritual journey of a young man who seeks enlightenment through experience rather than doctrine. Siddhartha is the handsome, gifted son of a Brahmin, admired by all and loved by his friend Govinda.

The Anatomy of Melancholy

1621 · Renaissance Early Modern · Essays

The Anatomy of Melancholy presents itself as a medical treatise, laid out in the scholastic manner of partitions, sections, members and subsections, on 'what it is, with all the kinds, causes, symptoms, prognostics, and several cures of it'. It is also an encyclopedia of Renaissance learning, a compendium of quotation from more than a thousand authors, a satire on human folly, and a consolation for its author and readers.

The Koran

c. 610–632 CE · Medieval · Religious Scripture

The Koran, or Quran ('recitation'), is the central scripture of Islam. It consists of 114 chapters called suras, of very unequal length, each made up of verses (ayat).

The Nicomachean Ethics

c. 340 BCE · Ancient · Philosophy

The Nicomachean Ethics asks what the human good is and how a life can be shaped toward it. Aristotle begins from the idea that every craft, inquiry and action aims at some good, and that the highest practical good is eudaimonia, often translated happiness or flourishing.

medium medical relevanceVirtue EthicsEducationFriendship
The Portable Dorothy Parker

1944 (collection) · Early 20th Century · Collection

The Portable Dorothy Parker collects poems, stories, sketches, reviews and occasional pieces that display Parker's distinctive mixture of speed, polish, cruelty and pain. The volume is not a single narrative but a portable career: the brittle lyrics of disappointed love, the dramatic monologues of women waiting for calls or managing humiliation, the social comedies of parties and hotel rooms, the criticism that makes taste sound conversational, and the political pieces that reveal moral seriousness beneath the pose of urban detachment.

The Power and the Glory

1940 · Early 20th Century · Novel

The Power and the Glory is set in an unnamed Mexican state during an anticlerical campaign that has outlawed or driven out Catholic priests. Its central figure is the last active priest in the region, a fugitive known as the whisky priest because of his alcoholism and moral failures.

The Principles of Psychology

1890 · 19th Century · Philosophy

The Principles of Psychology is a two-volume, 1,400-page textbook that William James spent twelve years writing for Henry Holt's American Science Series. It sets out to treat psychology as a natural science of mental life, studying feelings, desires, cognitions and decisions together with their bodily conditions, while refusing to reduce the mind to physiology or to dissolve it into atoms of sensation.

The Quiet American

1955 · Postwar Contemporary · Novel

The Quiet American is narrated by Thomas Fowler, a weary British journalist in French-controlled Vietnam during the First Indochina War. The novel begins after the death of Alden Pyle, a young American official whose innocence, confidence and political theories have made him dangerous.

The Republic

c. 380 BCE · Ancient · Philosophy

The Republic begins with a question that never stays small: what is justice, and is the just life happier than the unjust? Socrates meets Cephalus, Polemarchus, Thrasymachus, Glaucon and Adeimantus in the Piraeus.

high medical relevanceJustice LawVirtue EthicsEducation
The Varieties of Religious Experience

1902 · Early 20th Century · Philosophy

The Varieties of Religious Experience: A Study in Human Nature collects the twenty Gifford Lectures on Natural Religion that William James delivered at the University of Edinburgh in 1901 and 1902. Instead of studying churches, creeds or theology, James studies personal religious experience as a psychologist, drawing on a large collection of first-person documents: diaries, autobiographies, letters and replies to questionnaires.

Treasure Island

1883 · 19th Century · Novel

Treasure Island is narrated mainly by Jim Hawkins, the son of an innkeeper whose ordinary life is transformed when the old pirate Billy Bones comes to the Admiral Benbow inn. Bones brings a sea chest, a map and danger in the form of former shipmates, including Black Dog and the blind beggar Pew.

Utilitarianism

1861 · 19th Century · Philosophy

Utilitarianism is a short defence of the ethical theory Mill inherited from Jeremy Bentham and his own father. It was first published in three instalments of Fraser's Magazine in 1861 and as a book in 1863.

high medical relevanceVirtue EthicsJustice LawEducation

Passages

  • Civilization and Its Discontents, Ch. II

    Survey of methods of avoiding suffering: intoxication as the crudest and most effective chemical method, with the danger that it wastes energy; killing the drives as in yoga; sublimation; fantasy; flight into neurosis or psychosis; love; beauty.

  • Confessions, Book VI.8

    Alypius, dragged to the amphitheatre, opens his eyes and becomes intoxicated by the bloodshed, returning compulsively.

  • Confessions, Book VIII.5, 8–12

    The chain of habit, the divided will, physical agitation in the garden, and the conversion.

  • Confessions, Book IX.8

    Monica as a girl falls into a habit of sipping wine from the cellar until rebuked by a servant.

  • Ethics, Part IV, Props. XLI–XLIV and Notes

    Pleasure and pain evaluated by their bodily effects; mirth always good, melancholy always bad, localized stimulation and love capable of excess; fixed ideas as madness.

  • On Liberty, Ch. V, Applications

    Drunkenness as self-regarding unless tied to violence; taxation of stimulants; the opium import ban in China and the Maine Law listed as interferences with buyers.

  • On the Road, Part Two

    Visit to Old Bull Lee's household near New Orleans, where drug use (including Benzedrine and opiates) is part of daily life.

  • Pensees, Fragments 139–143, 164–171, Section II

    Diversion: gambling, hunting, war and court office as flight from thought; the king without diversion is wretched; death is easier to bear than the thought of it.

  • Siddhartha: An Indian Tale, Part Two, 'Samsara'

    Siddhartha's gradual decline into gambling, wine and satiety, ending in self-disgust.

  • The Anatomy of Melancholy, Part. 2, Sect. 4, Memb. 2, Subs. 1

    Emetic simples, hellebore and antimony, and the double-edged praise and condemnation of tobacco.

  • The Call of Cthulhu and Other Weird Stories, 'Dagon'

    Narrator's morphine dependence, terror and suicidal resolve after his vision of the sea creature.

  • The Koran, Sura 2:219; 5:90–91

    Wine and gambling: first described as containing sin and some benefit, later forbidden as works of Satan.

  • The Nicomachean Ethics, Book 7

    Akrasia examines knowing the better course but acting under appetite or pleasure.

  • The Portable Dorothy Parker, Big Blonde

    Hazel Morse's party persona, drinking, depressive decline and suicide attempt make the story central for alcoholism and gendered despair.

  • The Power and the Glory, Village and flight chapters

    The priest's craving for alcohol recurs alongside fear, fatigue, hunger and the need to perform sacraments.

  • The Principles of Psychology, Vol. I, Chapter IV: Habit

    Plasticity of nervous tissue, practical maxims for breaking bad habits, and the drunkard who excuses each lapse though his nerve cells register it.

  • The Quiet American, Saigon domestic chapters

    Fowler's opium use accompanies insomnia, detachment and emotional avoidance in a imperial urban setting.

  • The Republic, Book 9

    The tyrannical soul is ruled by lawless desires, dreams and compulsions.

  • The Varieties of Religious Experience, Lectures IX and X: Conversion

    Sudden and gradual conversion explained through subconscious incubation, with cases of drunkards rescued by religious experience, including S. H. Hadley.

  • Treasure Island, Admiral Benbow chapters

    Billy Bones's heavy drinking, stroke-like collapse and death bring alcohol, vascular crisis and fear into the opening.

  • Utilitarianism, Chapter II (whether happiness is attainable)

    Tranquillity and excitement as the two constituents of a satisfied life; the 'need of excitement' as a disease; selfishness and lack of mental cultivation as the main causes of an unsatisfying life; a passing reference to Novalis's recommendation of suicide.

  • Utilitarianism, Chapter IV (will, desire and habit)

    Will as 'the child of desire' that can come under the dominion of habit; the example of those 'who have contracted habits of vicious or hurtful indulgence' acting against their own deliberate preference.

Quotes

“Life, as we find it, is too hard for us; it brings us too many pains, disappointments and impossible tasks.”
"Life, as we find it, is too hard for us; it brings us too many pains, disappointments and impossible tasks." — Sigmund Freud, Civilization and Its Discontents, Ch. II, trans. James Strachey (1961), copyrighted.
“Human infirmity in moderating and checking the emotions I name bondage”
"Human infirmity in moderating and checking the emotions I name bondage" — Baruch Spinoza, Ethics, Part IV, Preface, trans. R. H. M. Elwes (1883).
“But, in reality, Avarice, Ambition, Lust, &c., are species of madness, though they may not be reckoned among diseases”
"But, in reality, Avarice, Ambition, Lust, &c., are species of madness, though they may not be reckoned among diseases" — Baruch Spinoza, Ethics, Part IV, Prop. XLIV, Note, trans. R. H. M. Elwes (1883).
“Drunkenness, for example, in ordinary cases, is not a fit subject for legislative interference”
"Drunkenness, for example, in ordinary cases, is not a fit subject for legislative interference" — John Stuart Mill, On Liberty, Ch. V, Applications.
“Tobacco, divine, rare, superexcellent tobacco, which goes far beyond all the panaceas, potable gold, and philosopher's stones, a sovereign remedy to all diseases”
"Tobacco, divine, rare, superexcellent tobacco, which goes far beyond all the panaceas, potable gold, and philosopher's stones, a sovereign remedy to all diseases" — Robert Burton, The Anatomy of Melancholy, Part. 2, Sect. 4, Memb. 2, Subs. 1 (Purging Simples upward) (Project Gutenberg #10800 (modernized text checked against 1638)).
“but as it is commonly abused by most men, which take it as tinkers do ale, 'tis a plague, a mischief, a violent purger of goods, lands, health, hellish, devilish and damned tobacco, the ruin and overthrow of body and soul”
"but as it is commonly abused by most men, which take it as tinkers do ale, 'tis a plague, a mischief, a violent purger of goods, lands, health, hellish, devilish and damned tobacco, the ruin and overthrow of body and soul" — Robert Burton, The Anatomy of Melancholy, Part. 2, Sect. 4, Memb. 2, Subs. 1 (Purging Simples upward) (Project Gutenberg #10800 (modernized text checked against 1638)).
“I am writing this under an appreciable mental strain, since by tonight I shall be no more.”
"I am writing this under an appreciable mental strain, since by tonight I shall be no more." — H. P. Lovecraft, The Call of Cthulhu and Other Weird Stories, 'Dagon', opening (1919 text).
“Could the young but realize how soon they will become mere walking bundles of habits, they would give more heed to their conduct while in the plastic state”
"Could the young but realize how soon they will become mere walking bundles of habits, they would give more heed to their conduct while in the plastic state" — William James, The Principles of Psychology, Vol. I, Chapter IV: Habit.
“Every smallest stroke of virtue or of vice leaves its never so little scar”
"Every smallest stroke of virtue or of vice leaves its never so little scar" — William James, The Principles of Psychology, Vol. I, Chapter IV: Habit.
“The sway of alcohol over mankind is unquestionably due to its power to stimulate the mystical faculties of human nature”
"The sway of alcohol over mankind is unquestionably due to its power to stimulate the mystical faculties of human nature" — William James, The Varieties of Religious Experience, Lectures XVI and XVII: Mysticism.
“it is only those in whom the need of excitement is a disease, that feel the tranquillity which follows excitement dull and insipid, instead of pleasurable in direct proportion to the excitement which preceded it”
"it is only those in whom the need of excitement is a disease, that feel the tranquillity which follows excitement dull and insipid, instead of pleasurable in direct proportion to the excitement which preceded it" — John Stuart Mill, Utilitarianism, Chapter II (7th edition (1879)).
“Will is the child of desire, and passes out of the dominion of its parent only to come under that of habit”
"Will is the child of desire, and passes out of the dominion of its parent only to come under that of habit" — John Stuart Mill, Utilitarianism, Chapter IV (7th edition (1879)).