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Flourishing After Addiction with Carl Erik Fisher

Flourishing After Addiction with Carl Erik Fisher

By: Carl Erik Fisher
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Addiction psychiatrist and bioethicist Carl Erik Fisher explores addiction and recovery from science to spirituality, from philosophy to politics, and everything in between. He interviews leading experts in areas such as psychology, neurobiology, history, sociology, and more--as well as policy makers, advocates, and people with lived experience.

A core commitment of the show is we need more than medicine to truly understand addiction and recovery. The challenges and mysteries of this field run up against some of the central challenges of human life, like: what makes a life worth living, what are the limits of self control, and how can people and societies change for the better? These are enormous questions, and they need to be approached with humility, but there are also promising ways forward offered by refreshingly unexpected sources.

There are many paths to recovery, and there is tremendous hope for changing the narrative, injecting more nuance into these discussions, and making flourishing in recovery possible for all.

Please check out https://www.carlerikfisher.com to join the newsletter and stay in touch.

© 2024 Flourishing After Addiction with Carl Erik Fisher
Hygiene & Healthy Living Psychology Psychology & Mental Health
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Episodes
  • What Is It Like to Be an Addict? with Prof. Owen Flanagan
    Apr 22 2025

    Sign up for my newsletter and immediately receive my free guide to the many pathways to recovery, as well as regular updates on new interviews, material, and other writings.

    Nearly two decades ago, Owen Flanagan stood before the Society for Philosophy and Psychology, ready to open up about something uncharacteristically personal. Unlike his typical scholarly talks on consciousness and philosophy of mind, he was about to tell the distinguished group about his lived experience with addiction and recovery. He wanted to describe what it was like to exist as the “sick hollow vessel” he had become, and how he barely survived.

    Today, sober for 18 years, and an internationally acclaimed philosopher, Owen has become one of our leading voices on the philosophy of addiction. He has an important new book out: "What Is It Like to Be an Addict?"—sharing the title of that groundbreaking 2008 presentation where he first publicly disclosed his addiction history.

    I’ve been reading Owen’s work since my days as an undergrad, when a research tech in my lab thrust one of his books in my hands and implored me to read him, and it’s been such a pleasure to connect with Owen about his work on addiction. This is a great book: he combines personal reflections with his philosophical expertise to propose a new, integrated model for understanding substance addiction. Drawing on his deep knowledge of philosophy, psychology, and neuroscience, he challenges oversimplified addiction narratives and offers what he calls an "ecumenical" approach—arguing that substance addictions are far more heterogeneous than we often recognize, with diverse causes, neural profiles, and lived experiences. His interdisciplinary work across neuroscience and philosophy perfectly positions him to explain these nuanced issues.

    In this conversation, we explore the spectrum of "powerlessness" in addiction and the finer points of self-control, especially problems with traditional explanations of willpower. Owen critiques the usual stories about dopamine's role in addiction, especially the way mainstream scientists have sacrificed their intellectual integrity to present an oversimplified story about how the dopamine system works. We also discuss behavioral additions like sex, shopping, and video games, considering how their validity is assessed in light of those considerations about neurobiology. From Owen’s perspective as an ethicist, he considers how to connect morality and virtue to addiction recovery without reinforcing stigma. And throughout, we talk about his own recovery process, including how it evolved over time and what he’s working on today.

    Check out my Substack posts for more links to Owen's work and our previous conversation.

    Sign up for my newsletter and immediately receive my own free guide to the many pathways to recovery, as well as regular updates on new interviews, material, and other writings.

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    1 hr and 6 mins
  • Fentanyl Nation: Toxic Politics and America’s Failed War on Drugs, with Ryan Hampton
    Oct 30 2024

    Friend of the pod Ryan Hampton, a national addiction recovery advocate, author, and person in long-term recovery, is right in the middle of a hotly contested state assembly election in Nevada. It is, in fact, he is running in of the most hotly contested races in one of the most consequential states in U.S. electoral politics. So I’m so glad to have him on to talk about how to take care of ourselves and one another in this final stretch of election season, while also getting his unique perspective on the current state of the overdose crisis and drug policy overall.

    Of course, we get a front-row seat to his experience within the political system at this intense time, including his thoughts about how to overcome polarization and advocate for important issues relating to addiction, recovery, and public health. But even better, Ryan has a great new book out called Fentanyl Nation: Toxic Politics and America’s Failed War on Drugs. which examines how fentanyl has contaminated the drug supply and driven overdose fatalities to unprecedented levels. In the book, he discusses not only the most proximate policy missteps and regulatory failures that have exacerbated the crisis, but also the big-picture political and cultural issues that have contaminated the dialogue and made change so difficult. We talk about homelessness, crime, corporate greed, punishment policies, the state of the crisis today, and how to connect with people on these important topics. Personally, I was inspired by his discussion of how recovering out loud and sharing his stories is making a real difference. I hope you do too.

    Ryan Hampton is a national addiction recovery advocate, author, media commentator, and person in long-term recovery. He has worked with multiple non-profits nationwide to end overdose and served in leadership capacities for various community organizing initiatives. Hampton is in recovery from a decade of active opioid use and is a leading voice in America's rising recovery movement. He is the author of Unsettled and American Fix—and lives in Nevada with his husband, Sean, and their boxer dog, Quincy.

    His next book, Fentanyl Nation, is available today!

    Sign up for my newsletter and immediately receive my own free guide to the many pathways to recovery, as well as regular updates on new interviews, material, and other writings.

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    45 mins
  • First in the Family, with Jessica Hoppe
    Oct 4 2024

    Jessica Hoppe's brand-new memoir, First in the Family: A Story of Survival, Recovery, and the American Dream, is a tremendous exploration of addiction, intergenerational trauma, and the complex allure of the American Dream. I had the great pleasure of reading this book in advance copy and I’m so happy to be able to help spread the word and wholeheartedly endorse the book now. Don’t take my word for it. Leslie Jamison: “fierce and wise.” Javier Zamora: “raw and brilliant.” Kiese Laymon: “Art at its best.”

    In our interview, Jessica jumps right into her recovery experience, sharing how she confronted her addiction and how she works her recovery today. We discuss the great dangers inherent in the pursuit of exceptionalism, reflecting on how these ideals contributed to her substance use. Jessica calls the American Dream "the ultimate gateway drug," and we talk about the pressures that pushed her to self-medicate in a society that often values success over humanity. We speak about her experiences as a person of color in 12-step recovery, including encountering racism and white supremacy in the rooms, and her thoughts about how mutual help practices and traditions need to evolve. Just like Jessica’s work, this interview is heartfelt, passionate, thought-provoking, and beautifully articulated. Check it out.

    Jessica Hoppe is a Honduran Ecuadorian writer based in New York City. She has been featured on ABC News and HBOMax Pa'lante! and her work has appeared in the Latino Book Review, The New York Times, Vogue, Paper Magazine, and elsewhere. Jessica is a board member of Time of Butterflies, a non-profit supporting families through domestic abuse recovery, and an organizer with the Central American Writer's group.

    Her debut memoir First in the Family is available today!

    In this episode:

    - Hanif Abdurraqib
    - Tommy Orange

    - The Wellbriety Movement – which “provides culturally based healing for the next seven generations of Indigenous people. Mission: Disseminate culturally based principles, values, and teachings to support healthy community development and servant leadership, and to support healing from alcohol, substance abuse, co-occurring disorders, and intergenerational trauma.”

    - the book, The Red Road to Wellbriety


    Sign up for my newsletter and immediately receive my own free guide to the many pathways to recovery, as well as regular updates on new interviews, material, and other writings.

    Show More Show Less
    48 mins

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