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The Dream Drugstore: Chemically Altered States of Consciousness Paperback – September 9, 2002
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In this book, J. Allan Hobson offers a new understanding of altered states of consciousness based on knowledge of how our brain chemistry is balanced when we are awake and how that balance shifts when we fall asleep and dream. He draws on recent research that enables us to explain how psychedelic drugs work to disturb that balance and how similar imbalances may cause depression and schizophrenia. He also draws on work that expands our understanding of how certain drugs can correct imbalances and restore the brain's natural equilibrium.
Hobson explains the chemical balance concept in terms of what we know about the regulation of normal states of consciousness over the course of the day by brain chemicals called neuromodulators. He presents striking confirmation of the principle that every drug that has transformative effects on consciousness interacts with the brain's own consciousness-altering chemicals. In the section called "The Medical Drugstore," Hobson describes drugs used to counteract anxiety and insomnia, to raise and lower mood, and to eliminate or diminish the hallucinations and delusions of schizophrenia. He discusses the risks involved in their administration, including the possibility of new disorders caused by indiscriminate long-term use. In "The Recreational Drugstore," Hobson discusses psychedelic drugs, narcotic analgesia, and natural drugs. He also considers the distinctions between legitimate and illegitimate drug use. In the concluding "Psychological Drugstore," he discusses the mind as an agent, not just the mediator, of change, and corrects many erroneous assumptions and practices that hinder the progress of psychoanalysis.
- Print length349 pages
- LanguageEnglish
- PublisherBradford Books
- Publication dateSeptember 9, 2002
- Dimensions6.13 x 0.85 x 9 inches
- ISBN-100262582201
- ISBN-13978-0262582209
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- Reviewed in the United States on April 13, 2024Clear science writing. Lots of neurobiology here so be forewarned.
- Reviewed in the United States on January 15, 2017Great purchase
- Reviewed in the United States on November 13, 2002This is an intriguing but ultimately frustrating book from one of the leading luminaries of dream/sleep science. With the central thesis being that altered states of consciousness from psychosis to psychedelic intoxication result from the disintegration of boundaries between normally separate brain-mind states (sleeping and waking), this book itself cannot decide what book-state it wishes to occupy. Too cursory to be a book about the neuro-chemistry of dreaming and consciousness in general, too anecdotal to be an adequate discussion of the multifarious effects of various psycho-active drugs (from Prozac to LSD), and too preliminary to be a manifesto for a neuro-dynamic psychiatry, Hobson would like his book to be all these things. While reading it did inspire me to learn more about the actual mechanics of the brain, I felt again and again that what this book really cried out for was a strong editorial hand. There are too many asides, too little sustained argumentation, and in fact, too many goals for this book to cohere and succeed. Succeed at one, you might ask? Hobson is a standard-bearer for an enlightened, scientific realism, who strives to demystify human experience by demonstrating that all transcendent states (from dreaming to tripping) are grounded in the physical chemistry of the brain and, therefore, do not refer to any metaphysical reality. Although science is a long way from isolating or producing the super-specific consciousness effects that we each experience phenomenologically, Hobson believes, and I concur, that it is only a matter of time. However, while Hobson would like to dissuade people from turning to drugs (either from the pharmacy or from the street) in the pursuit of "personal satisfaction and social success," he fails to make a strong case against psychonautical explorations. The pragmatic utilitarianism that might convince people to avoid risky behaviors like taking cocaine or prozac, itself lacks, by definition, a metaphysical ground that would proscibe such activities absolutely.
- Reviewed in the United States on April 23, 2003Hobson has written yet another very good book on the neurochemical mechanisms of conscious states. Certainly, there is not very much one has not read before on his books like Consciousness, Dream as Delirium or The Chemistry of Consicous States. But still, the book should be read because it cuts into some very deep issues regarding consicousness and neurochemistry, specially with regards to dreaming and sleep research. Now the thing is this book is supposed to be about the action of prescription and recreational drugs, but one gets Hobsons model of conscious states, and only then a little of how it explains the actions of those drugs. THis is not necessarily a bad thing, for models are good foundations for such explorations, but maybe a lot more space should have been given to drugs and their actions in the brain.
Hobsons well known model of conscious states, AIM, standing for activation (high-low), Input output grating (internal or external information sources) and modulation (aminergic or cholinergic) is presented in the book, and is supposed to do the lot of the explanatory work. The model is useful in this sense, but I have doubts about its power to actually explain what consicousness is. Activation seems to determine waking, not consciousness per se, Input determines content, not consicousness per se, and modulation seems to be in the level of processing mode, and not processing itself. IN other words, it is not clear to me neurochemistry is the right level where one can find really interesting causal links, like neural correlates of consciousness. But the reality is that the model is grounded on firm evidence and good science, and does explain many things ABOUT consicousness. It certainly adds important things to the debate.
Another very interesting issue Hobson takes on is on the inadequacy of psychotherapeutic frameworks, of how these are mostly incompatible with modern brain sicence. I must agree almost completely here with him. Hobson also mainly concentrates on nonrephinephrine, serotonin and acetycholine as main players, the first two associated with waking and the last with dreaming. This move seems premature, for there are coutless of neurochemicals that may play also important roles. Nonetheless, these serve as the basis of his dream as delirium hypothesis: that psychosis is similar phenomenally and chemically with normal dreaming states, and thus involves alteration in the aminergic or cholinergic systems of the brain. Dreaming involves chcolinergic activity but in sleep. When such activity is present in waking, psychosis ensues. THis is one of the most plausible and defendable views on psychosis out there. By extension, drugs that cause psychosis, or aleviate it, must affect in some way the aminergic and cholinergic systems of the brain. In this way, Hobson explains the action of drugs, both recreational and clinical. (of course im simplifying. I omit the interactions of the other aspects of the AIM model, I and A. Dreaming and psychosis involve high activation and internal or hallucinatory imputs, for example). So in this ellegant framework Hobson frames the rest of his discussion.
Now if one thing can be said about the style of writing, usually good in HObsons books, is that there seems to be way too small a bibliography. For a book of such lenght and scope, one would expect extensive support in references and evidence coming from various diciplines and labs. In fact, Hobson lists about 10 references and onnly seems to present evidence either compatible with his views and coming from his own lab. This is to me a very bad thing for his book, otherwise a brilliant exposition of a promising thesis. The book is nevertheless a valuable addition to the consicousness litterature, and HObson is one of the main players in the game.


