Yet she notes that if addiction is “defined by its persistence in the face of negative consequences” then “how can punishment ever be the most effective solution?” Jamison describes the meetings of Alcoholics Anonymous, a scant lit window in the cellar or dark hall, burrows of struggle and solidarity in a world not paying much attention. ...what if that absence of love is linked to an inherent ability to receive and process love, an emotional lack, a born or acquired deficit?” She writes to her sister-in-law, now deep in addiction, in desperation: “please, please, don't think I see this as a moral failure on your part”. Rausing describes her own use of “sleeping pills and Valium” to help her sleep, and her own depression as a “cold claw” that “held me at the throat”.