Gabor Mate
Dr Gabor Maté (CM) is a Hungarian-born Canadian physician who specializes in the study and treatment of addiction and is also widely recognized for his unique perspective on Attention Deficit Disorder and his firmly held belief in the connection between mind and body health.
Born in Budapest, Hungary in 1944, he is a survivor of the Nazi genocide. His maternal grandparents were killed in Auschwitz when he was five months old, his aunt disappeared during the war, and his father endured forced labour at the hands of the Nazis.
He emigrated to Canada with his family in 1957. After graduating with a B.A. from the University of British Columbia in Vancouver and a few years as a high school English and literature teacher, he returned to school to pursue his childhood dream of being a physician.
Maté ran a private family practice in East Vancouver for over twenty years. He was also the medical co-ordinator of the Palliative Care Unit at Vancouver Hospital for seven years. Currently he is the staff physician at the Portland Hotel, a residence and resource centre for the people of Vancouver's Downtown Eastside. Many of his patients suffer from mental illness, drug addiction and HIV, or all three.
Most recently, he has written about his experiences working with addicts in In the Realm of Hungry Ghosts.
He made national headlines in defense of the physicians working at Insite (a legal supervised safe injection site) after the federal Minister of Health, Tony Clement, attacked them as unethical.
“The difference between passion and addiction is that between a divine spark and a flame that incinerates.”
“The war mentality represents an unfortunate confluence of ignorance, fear, prejudice, and profit. ... The ignorance exists in its own right and is further perpetuated by government propaganda. The fear is that of ordinary people scared by misinformation but also that of leaders who may know better but are intimidated by the political costs of speaking out on such a heavily moralized and charged issue. The prejudice is evident in the contradiction that some harmful substances (alcohol, tobacco) are legal while others, less harmful in some ways, are contraband. This has less to do with the innate danger of the drugs than with which populations are publicly identified with using the drugs. The white and wealthier the population, the more acceptable is the substance. And profit. If you have fear, prejudice, and ignorance, there will be profit.”
“We see that substance addictions are only one specific form of blind attachment to harmful ways of being, yet we condemn the addict's stubborn refusal to give up something deleterious to his life or to the life of others. Why do we despise, ostracize and punish the drug addict, when as a social collective, we share the same blindness and engage in the same rationalizations?”
“Not every story has a happy ending, ... but the discoveries of science, the teachings of the heart, and the revelations of the soul all assure us that no human being is ever beyond redemption. The possibility of renewal exists so long as life exists. How to support that possibility in others and in ourselves is the ultimate question.”
“Not all addictions are rooted in abuse or trauma, but I do believe they can all be traced to painful experience. A hurt is at the centre of all addictive behaviours. It is present in the gambler, the Internet addict, the compulsive shopper and the workaholic. The wound may not be as deep and the ache not as excruciating, and it may even be entirely hidden—but it’s there. As we’ll see, the effects of early stress or adverse experiences directly shape both the psychology and the neurobiology of addiction in the brain.”
“It is impossible to understand addiction without asking what relief the addict finds, or hopes to find, in the drug or the addictive behaviour.”
“In the real world there is no nature vs. nurture argument, only an infinitely complex and moment-by-moment interaction between genetic and environmental effects”
“Not why the addiction but why the pain.”
“Collect them before you direct them.”