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A major problem in the treatment of opioid dependence has been the persistence of relapse despite detoxification and enforced prolonged abstention from drug use, with or without conventional psychotherapy and other efforts at rehabilitation. Both initial addiction and subsequent relapses are usually ascribed to the quest for opioid-produced euphoria in persons with character disorders. This formulation is in accord with one-half of the common sense "pleasure-pain" principle, but it ignores the other half, namely, the long-lasting dysphoric consequences of re peated opioid use (distressing...

Outrunning My Shadow: Surviving Open-Heart Surgery and Battling Obesity/The Decision to Change My Life by Keith Ahrens is a fascinating and highly informative memoir about the author's confrontation with mortality and his determination to save his own life. In this self-help book, the author shares the experience of weighing more than 400 pounds, suffering lightheadedness, and finally seeing a physician. When this sedentary man learned that he had suffered a heart attack and that open-heart surgery was his only option for survival, his efforts toward his recovery became dramatically...