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The Myth of Normal
Cover of The Myth of Normal
The Myth of Normal
Trauma, Illness, and Healing in a Toxic Culture
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The instant New York Times bestseller
By the acclaimed author of In the Realm of Hungry Ghosts, a groundbreaking investigation into the causes of illness, a bracing critique of how our society breeds disease, and a pathway to health and healing.

In this revolutionary book, renowned physician Gabor Maté eloquently dissects how in Western countries that pride themselves on their healthcare systems, chronic illness and general ill health are on the rise. Nearly 70 percent of Americans are on at least one prescription drug; more than half take two. In Canada, every fifth person has high blood pressure. In Europe, hypertension is diagnosed in more than 30 percent of the population. And everywhere, adolescent mental illness is on the rise. So what is really “normal” when it comes to health?
Over four decades of clinical experience, Maté has come to recognize the prevailing understanding of “normal” as false, neglecting the roles that trauma and stress, and the pressures of modern-day living, exert on our bodies and our minds at the expense of good health. For all our expertise and technological sophistication, Western medicine often fails to treat the whole person, ignoring how today’s culture stresses the body, burdens the immune system, and undermines emotional balance. Now Maté brings his perspective to the great untangling of common myths about what makes us sick, connects the dots between the maladies of individuals and the declining soundness of society—and offers a compassionate guide for health and healing. Cowritten with his son Daniel, The Myth Of Normal is Maté’s most ambitious and urgent book yet.
The instant New York Times bestseller
By the acclaimed author of In the Realm of Hungry Ghosts, a groundbreaking investigation into the causes of illness, a bracing critique of how our society breeds disease, and a pathway to health and healing.

In this revolutionary book, renowned physician Gabor Maté eloquently dissects how in Western countries that pride themselves on their healthcare systems, chronic illness and general ill health are on the rise. Nearly 70 percent of Americans are on at least one prescription drug; more than half take two. In Canada, every fifth person has high blood pressure. In Europe, hypertension is diagnosed in more than 30 percent of the population. And everywhere, adolescent mental illness is on the rise. So what is really “normal” when it comes to health?
Over four decades of clinical experience, Maté has come to recognize the prevailing understanding of “normal” as false, neglecting the roles that trauma and stress, and the pressures of modern-day living, exert on our bodies and our minds at the expense of good health. For all our expertise and technological sophistication, Western medicine often fails to treat the whole person, ignoring how today’s culture stresses the body, burdens the immune system, and undermines emotional balance. Now Maté brings his perspective to the great untangling of common myths about what makes us sick, connects the dots between the maladies of individuals and the declining soundness of society—and offers a compassionate guide for health and healing. Cowritten with his son Daniel, The Myth Of Normal is Maté’s most ambitious and urgent book yet.
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  • From the cover Chapter 1

    The Last Place You Want to Be: Facets of Trauma

    It is hard to imagine the scope of an individual life without envisioning some kind of trauma, and it is hard for
    most people to know what to do about it.

    -Mark Epstein, The Trauma of Everyday Life

    Picture this: At the tender age of seventy-one, six years before this writing, your author arrives back in Vancouver from a speaking jaunt to Philadelphia. The talk was successful, the audience enthusiastic, my message about addiction and trauma's impact on people's lives warmly received. I have traveled in unexpected comfort, having been upgraded to the business-class cabin, thanks to a courtesy from Air Canada. Descending over Vancouver's pristine sea-to-sky panorama, I am a regular Little Jack Horner in my corner of the plane, suffused with a "What a good boy am I" glow. As we touch down and begin to taxi to the gate, the text from my wife, Rae, lights up the tiny screen: "Sorry. I haven't left home yet. Do you still want me to come?" I stiffen, satisfaction displaced by rage. "Never mind," I dictate tersely into the phone. Embittered, I disembark, clear customs, and take a taxi home, all of a twenty-minute ride door-to-door. (I trust the reader is already gripping the pages in empathetic outrage at the indignity suffered by your author.) Seeing Rae, I growl a hello that is more accusation than greeting, and scarcely look at her. In fact, I barely make eye contact for the next twenty-four hours. When addressed, I utter little more than brief, monotone grunts. My gaze is averted, the upper part of my face tense and rigid, and my jaw in a perma-clench.

    What is happening with me? Is this the response of a mature adult in his eighth decade? Only superficially. At times like this, there is very little grown-up Gabor in the mix. Most of me is in the grips of the distant past, near the beginnings of my life. This kind of physio-emotional time warp, preventing me from inhabiting the present moment, is one of the imprints of trauma, an underlying theme for many people in this culture. In fact, it is so deeply "underlying" that many of us don't know it's there.

    The meaning of the word "trauma," in its Greek origin, is "wound." Whether we realize it or not, it is our woundedness, or how we cope with it, that dictates much of our behavior, shapes our social habits, and informs our ways of thinking about the world. It can even determine whether or not we are capable of rational thought at all in matters of the greatest importance to our lives. For many of us, it rears its head in our closest partnerships, causing all kinds of relational mischief.

    It was in 1889 that the pioneering French psychologist Pierre Janet first depicted traumatic memory as being held in "automatic actions and reactions, sensations and attitudes . . . replayed and reenacted in visceral sensations." In the present century, the leading trauma psychologist and healer Peter Levine has written that certain shocks to the organism "can alter a person's biological, psychological, and social equilibrium to such a degree that the memory of one particular event comes to taint, and dominate, all other experiences, spoiling an appreciation of the present moment." Levine calls this "the tyranny of the past."

    In my case, the template for my hostility to Rae's message is to be found in the diary my mother kept, in a nearly illegible scrawl and only intermittently, during my first years in wartime and post-World War II Budapest. The following, translated by me from the Hungarian, is her entry on April 8, 1945, when I was fourteen months old:

    My dear little man, only after many long months do I take in hand again...
Reviews-
  • Publisher's Weekly

    July 4, 2022
    Physician Maté (In the Realm of Hungry Ghosts) delivers a sweeping analysis of the relationship between illness, trauma, and capitalism. “Our social and economic culture generates chronic stressors that undermine well-being,” contends Maté, suggesting that medical treatment should better attend to the mind-body connection and the impact of one’s environment on one’s health. Though Maté tells of surviving hunger and disease as an infant in Hungary during WWII, he mostly focuses on the traumas of day-to-day life, including how pregnant mothers’ stress about employment or healthcare may lead to behavioral problems in their children, and how the effects of racism and poverty lead to lower life expectancies. The author details the role that emotions might play in somatic illness, citing studies that found, among patients admitted for biopsy, those with suppressed anger were more likely to have malignant tumors. Maté brings compassion to his examination of societal failures and elucidates how addiction is often an attempt to quell the pain of having been abused. Maté marshals an impressive amount of research to outline an original and persuasive vision of health focused on environmental influences and the interplay between the mind and body, though the extensive studies mentioned sometimes verge on redundancy. Nevertheless, this bold reappraisal has the power to change how readers think about health.

  • Kirkus

    Starred review from November 1, 2022
    A sweeping examination of the roots of today's mental illness epidemic. Gabor Mat�, a doctor who specializes in addiction treatment, is the author of the acclaimed 2008 book In the Realm of Hungry Ghosts: Close Encounters With Addiction. In his latest, co-written with his son, composer and lyricist Daniel, he casts a wider net, investigating why an increasing number of people are suffering from mental and physical illnesses. "Nearly 70 percent of Americans are on at least one prescription drug; more than half take two," write the authors, who sees two overlapping layers to the problem. The first is that traumas--a term he defines widely--are going unrecognized and untreated. Combined with the stress of modern life, the result is that many people retreat into addictive medication, which often causes or exacerbates physical ailments. Once, these mental strains were addressed by communal activities and personal connections, but those remedies are vanishing in the digital age. The second level is the economic organization of techno-capitalism, which creates conditions of inequality, reclusiveness, and manipulation. Taken together, these issues create a yawning gap between how people live and how their biology wants them to live. "A society that fails to value communality...is a society facing away from the essence of what it means to be human," write the authors. They believe that individuals must accept their traumas in order to move past them and toward true healing. Stress, alienation, and isolation should be denormalized. At the sociopolitical level, the authors acknowledge that they do not have any simple answers, although making the medical, legal, and teaching professions more humanistic would be a good start. At more than 500 pages, the text demands attention and reflection, but it repays the effort, giving readers much to ponder. An important, insightful book explaining how society became a vortex of mental illness and offering possible remedies.

    COPYRIGHT(2022) Kirkus Reviews, ALL RIGHTS RESERVED.

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The Myth of Normal
The Myth of Normal
Trauma, Illness, and Healing in a Toxic Culture
Gabor Maté, MD
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