Monday, November 5, 2007

What is Addiction?


THE SPEECH was taped by a friend. He was only able to post the first 10 minutes of what became a 30 minute presentation.

For those of you frustrated by the video being cut off early, I can tell you that we will tape and play the next time I make that speech in its entirety.


In the meantime, I cannot possibly write everything I said, but I can tell you what came next:



What is addiction really about?


It is not about the drug. It is not about heroin or crack or meth or Johnny Walker or Stella Artois or sex or gambling or work or books or any of the other thousands of specifics on which we choose to obsess.


Addiction is all about the oldest and most common of all human ailments - LONELINESS.


We come into the world alone and we leave the world alone. We are trapped within this skin and frame. We live in splendid or horrid isolation, depending on our wealth.


But...between birth and death, most of us make at least some minimal effort to communicate with Others. We find friends and lovers and sweethearts and parents and children and colleagues and bowling teams and camera clubs and bridge partners. And to one degree or another, we make some small or large success of combating loneliness.


Addicts do not.


Addicts simplify all their problems into a single misfortune with a recognizable label - drug addict, alcoholic, gambler, child abuser, over eater.


Yes, these are diseases. But they are diseases of the soul, of the spirit.


And trying to cure them by answering only the most obvious physical symptom is hopelessly doomed.


Addicts need the Ultimate Make-Over. Physical, spiritual, emotional, financial, social, occupational, interactional, literary, athletic, name a phase of life.


Every one is looking for a Silver Bullet. The Mayor, the doctors, the social workers, the armchair therapists, the Would-be saviours.


Doesn't exist.


The treatment lies in steady, consistent, knowing hard work.


And there are many people already doing this work and many more who can do much more for so many other addicted people, if we as a body politic would stop fooling around with destructive harm reduction nonsense and fund real treatment.


And real treatment is cheap. Real treatment does not need doctors and nurses, except on call as occasional volunteers. Real treatment is peer group work, addicts helping addicts.

2 comments:

Anonymous said...

"And real treatment is cheap. Real treatment does not need doctors and nurses"

Another one of the damaging myths being pushed by the DTES' addict advocacy industry (InSite, Vandu, the Portland Hotel Society, etc) is that expensive, residential, Cadillac-grade treatment centers with 24-hour medical support will result in more addicts going clean. A recent report on England's addiction services (http://www.thisislondon.co.uk/news/article-23418863-details/%C2%A31.9m+bill+to+help+just+ONE+drug+addict+kick+the+habit/article.do) showed that while funding rose 50% over the previous year (to an annual investment of 384 million pounds in 2006), successful graduates of treatment programs rose by only 1.2 percent. (Note that this program uses "addiction management" techniques such as drug substitution.)

The DTES addict advocacy industry can endlessly claim that not enough money is being spent on treatment services and facilities. They neglect to mention that most treatment programs are ineffective. As you say, David, the most effective programs are inexpensive peer-group support - because the people that take part in these programs are personally motivated to get clean, instead of motivated to continue their addictions through drug provisioning and substitution.

To get people motivated to get clean, Vancouver needs to stop pandering to its addicts - allowing them to hide behind the excuse of (self-inflicted) mental illness; allowing them to evade legal responsibility; allowing them to act with impunity. Vancouver needs to stop supporting junkies and the junkie lifestyle, and instead make it difficult to be a drug addict in Vancouver, thus motivating people into taking responsibility for their own addiction, treatment and recovery.

Anonymous said...

allowing them to hide behind the excuse of (self-inflicted) mental illness;
Question Everything: How does one "self-inflict" mental illness?
- Ray.