For two hundred years, addiction to opiates has seemed both dangerous and glamorous. Countless writers, from Coleridge and De Quincey to William Burroughs and Irving Walsh, have invested it with deep philosophical significance. Addicts are presumed to be in touch with profound mysteries of which non-addicts are ignorant. Dalrymple shows that doctors, psychologists and social workers, all of them uncritically accepting addicts’ descriptions of addiction, have employed these literary myths in creating an equal and opposite myth of quasi-treatment. Using evidence from literature and pharmacology and drawing on examples from his own clinical experience, Dalrymple shows that addiction is not a disease, but a response to personal and existential ...