Comments on my addiction rant

Ah, I like your style!

I definitly agree that 12 step works for some people. And that it does not for some. Statements like,
“Rarely have we seen a person fail who has thoroughly followed our path. Those who do not recover are people who cannot or will not completely give themselves to this simple program, usually men and women who are constitutionally incapable of being honest with themselves. There are such unfortunates. They are not at fault; they seem to have been born that way. They are naturally incapable of grasping and developing a manner of living which demands rigorous honesty. Their chances are less than average.”

seem to me to be close minded. And since 12 step has coloured this whole field of addiction, from government to science, it is no wonder that the general conscences is tipped toward 12 step concepts on the issue. Like the disease concept.

There are negative points to the concept of it being a disease. And positive ones. However, I think unless we redefine the word disease, it will continue to be a debate based on semantics, rather than science.

There seems to be alot of emotions on both sides of the fence. I am glad some of us see the humour in it. And I hope it continues to be a major topic in the group consciousness. As the more scientific research on addiction, the better.

Whether we call it a disease or a habit, is somewhat trivial at the end of the day. Because for the addict, all that matters at the end of the day, is whether he or she is sober.

Scientific debate and research can only lead to more understanding, more treatment options, and more hope.

James

'Whether we call it a disease or a habit, is somewhat trivial at the end of the day.'

Trivial? Hardly. Whether the addict is indeed 'sober' at the end of the day can depend, in part, on how the public views addiction. This view of addiction relates to semantics. Disease and habit have two vastly different connotations and will hugely impact how we respond to those with addiction and how we provide resources.

Well said regarding scientific debate. I totally agree and heck, I even got a warm fuzzy from the 'hope' bit. ;)

Yes I agree with you Mina, to some extent.

More research to provide MORE treatment options than just one. AA being the most prevalent with its idea of disease and denial. How ever my assertion to it being trivial, alluded to one person trying to be right, while the other is wrong.

This debate should lead to more treatment options, not proving that one is best. That the disease concept is better than the habit concept.

Indeed this whole wirlwind of opinions gives me that warm fuzzy feeling. That non-addicts are trying to help addicts. That society sees the need to address the issue.

James

"However, I think unless we redefine the word disease, it will continue to be a debate based on semantics, rather than science."

The American Medical Association endorsed the concept, addiction as a disease, in 1957. The American Psychiatric Association, the American Hospital Association, the American Public Health Association, the National Association of Social Workers, the World Health Organization, and the American College of Physicians are just a few that accepted addiction as a disease.

There is a consensus addiction is a disease. As defined by the medical literature, experts, and academia.

Oh boy, here we go again.

Shall we get into a debate about what you mean by consensus as well now. Cause it seems to me, that more and more, as 12 step loses its monopoly on addiction treatment, people are debating this disease concept. Infact, people were refuting it from the beging. Scientist, psychologists, addicts, idiots and geniusess(as you can see from my spelling I dont fall into the genius category).

James

Over the years I have read countless books, articles and opinions on both the disease and behavioural models explaining addiction. I have come to the conclusion that either way I choose to look at this debate, if I start drinking, I can't stop. My focus these days is more on accepting what I can change about myself and what I can't.

There are many mistakes made in Time's series of articles on addictions, including yours. Moreover, Volkow, Satel, and all the other experts you have quoted are categorically wrong both in their misinterpretation and warping of the science of addiction causation and theory, as well as in practice. These mistakes also include what the word "disease" means and what addictions (to drugs and behaviors) are, symptoms of an underlying neurobiological genetic disease, not diseases themselves. I can't write the whole correct scheme here in this comment, so I will refer you to a few articles on my web site and my 1996 book, Hypoic's Handbook, which staighten out all these issues and which refer you to cogent explanatory articles if you are smart enough to read them and reconcile them with the science.
Read and evaluate the following articles:
http://www.nvo.com/hypoism/diseaseconcept1aperspective/
http://www.nvo.com/hypoism/thehypoismaddictionhypothesis/
http://www.nvo.com/hypoism/hypoismhypothesis/
After reading these articles, read my book. Then, compare all this to your expert's nonsense. Feel free to contact me to clarify any issue you might have problems with.
Dan F. Umanoff, M.D.
Author of Hypoic's Handbook - The Hypoism Paradigm of Addiction.
http://www.hypoism.com
President and founder of The National Association for the Advancement and Advocacy of Addicts, Inc. (N4A), a not-for-profit 501 (c) (3) organization of addicts for addicts offering free educational and legal services to discriminated against and abused addicts of all varieties, "substances" and "behavioral," and their families.
http://www.nvo.com/hypoism/thenationalassociationfortheadvancementandadvocacyofaddicts/
8779 Misty Creek Dr.
Sarasota, FL 34241
941-929-0893

--i'd be very curious to hear who endorses your "Hypoics" theory aside from you.
M.L.

I have to agree that addiction is a disease like diabetes, both can be arrested with a change in lifestyle and attitude. The AA book states "Rarely have we seen a person fail who has throughly followed our path." This does not mean that it is for everyone but there are more people recovered through AA than all other programs combined. Lindsey and Britany will get sober when they get to a jumping off point and have to decide that they want to be sober more than they want to drink.

Hmmm, it is probably true that AA has recovered more people than other methods. But how sad a statement is that, when only 5% of people who try AA, actualy stay sober.

More research, more treatments, more understanding, more more more, the more the better.

I find it funny that you can always trust an addict to want more. But sometimes more is better.

James

"Don't you think going to AA meetings is a tiny bit better than the habit of pouring booze down your throat and then getting into fights or abusing your spouse or driving drunk or vomiting on your shoes or ending up with a rotten liver?"

That's a tough one there. I'll pontificate on it over a bottle of vodka.

"Buy my book"

Sad to think that this movement to deal with addiction, could in reality be fueled by consumerism, rather than compassion.

Selling pills, selling books, selling time. If only it was so simple as to buy a pill or a book, or an hour with a specialist.

They said we could never fly, or go to the moon, etc., maybe there will be a pill or something in the future. I can only hope. And leave it up to people a hell of a lot smarter than me to figure out how.

Hypoism. Whoa. I would need someone like M.L. just to translate it into laymen terms. I'll just sit back, work my program. Till I hear the headline on CNN about someone figureing it all out.

Good Luck

James

Dan: If each poster is capable of summarizing his or her stance into a comment box here, I'm sure you're no exception. ;)

Jason: Well said. It seems like many things are fueled by consumerism. Look to addictions such as eating disorders, where they charge 4 figures a day for in-patient treatment.

Addiction can ruin people's lives and it all depends on what they are addicted to. You can be addicted to soda pop, candy, TV, or any-thing that you use or do constantly. I for one was married to a man that was addicted to booze and drugs. The only thing that made his stop using when he was with me, was that he wanted to stop.
Going to AA didn't do a thing for him, except to help him find more people to do drugs with and to drink with. We are no longer together and I am happier now that we are divorced and he lives in one state and I moved to a different state.
The only thing that will help him to stop using is that he will have to "want" to stop otherwise, he will continue to use. He kept saying "one more time" and one more time kept turning into one more time for months...he never stopped using and AA or NA didn't help either one of us.

"Whether we call it a disease or a habit, is somewhat trivial at the end of the day. Because for the addict, all that matters at the end of the day, is whether he or she is sober."

Interesting statement...I think that from my own experience with my very alcoholic family this is not true for all addicts. My Father got sober for his family he would day that all that matters is that he has his family at the end of the day. My sister would say being sober gave her, her art back. My Uncle couldn't get sober for any reason.

Getting sober for the sake of being sober is not that big of a motivator for many addicts. People don't control their diabetes to have normal blood sugar levels they control it so they don't loose a foot or their eye sight, or just to live. People treat diseases only to treat the disease they do it for a reason.
To stay sober to be sober will not keep most addicts off of their drug of choice.

"Addiction can also improve people's lives, depending on what they are addicted to. All addictions are not evil. Being addicted to fighting crime or fighting poverty or improving the world through science can be a good thing. But the only true addiction that counts is money. Money solves all problems."
Yadgyu - That is insanely disrepectful.

The other problem with the "addiction is a habit, not a disease" argument is that it totally neglects comorbid factors. People who are bipolar or schizophrenic often develop substance abuse problems; depressed people often self-medicate, and get into the habit of doing it. To say that these habits aren't diseeases may be technically true (I don't think it is, but there's at least an argument to be made), but they are certainly symptoms of genuine disease.

I'd ask the writers of the Slate piece this simple question: why do alcholics and junkies do what they do? Is it just for fun - because it isn't fun. If it isn't recreational, and is doing somebody no good at all, even killing them, and they can't stop it without treatment, what else is it but a disease?

The Slate story is basically a rehashing of the old "snap out of" theory, which was once applied to depression and a ton of other psychological disorders. That has never been a correct - let alone productive - way to approach a person who needs help.

After years of reflecting on a very serious bout with depression, I wrote an essay outlining my course of action to combat depression. The fundamental difference between individuals with a disease and an addict is choice, giving up power to it is a choice, consuming is a choice and actions to feed “desire” are a choice.
However, depression is not a choice. But like an addict you can choose how to fight it. Here is an excerpt from my essay.
“I realized I had a serious issue once my University revoked my eligibility for attendance on the basis of 2 consecutive failing semesters. The dean pleaded with me to speak with a doctor. He knew what I had to offer the University from my former student leadership and academics. But I was scared, he was (and would be) the only individual I ever explained what had happened. By this time I was mostly recovered and back to what normal. Now my quest was to figure out what caused the change and reflected moment by moment the details of the experience. After months of doubt and loneliness, I realized I was trapped in what I called circular thinking where the same group of thoughts rotated over and over. The one person I felt I could trust and felt normal around lived just down the hall in my dorm. Every day, we would go to the practice fields behind our dorm and play catch. I remember a particular day that I just felt a live, no new thoughts but no old thoughts either. I went home pondered that concept for weeks.
Then I realized a break through. It had dawned on me I was having a new circular thought but as time went on the excitement wore thin. I then had another break through and I developed a program called PEP....(Read My Blog For More)

This awareness is crucial to overcoming a long term chemical imbalance as it fluctuates on a day to day basis. PEP relieves the all possibility of dependency and after 7 years, PEP has now become charity work. I feel my body has corrected itself, I am extremely productive and I am happy by choice. The chemical imbalance is an ongoing function that I am unable to control but I do have control over my reactions to it. Disease = no control over symptoms. Addict = control over symptoms.

Jerry R. Reynolds
Alimoe The General

As I stated more extensively in my response to Satel et al in Slate, I do not agree that addiction is a "disorder", at least not in the sense that diabetes is. Rather, it is behaviour that, at its most fundamental, we like as indiviuals.

As a society, though, we do not much like alcohol consumption. Following the disaster of prohibition we no longer criminalize it. Instead, we "treat" those whom we judge drink too much, increasingly forcibly through the court system. (To be clear, I have no problem with those who seek to change their behaviour, just as I have no problem with those who seek plastic surgery to look better.)

In short, it is important to recognized that terms like "alcoholism" are social conventions, proscribing specific behaviours that our society deems bad. Our brains like alcohol, sometimes too much, but we have to work with the brains we have, not the brains some people wish we had.

I am unimpressed that the NIDA, or the "vast majority" of treatment specialists, pronounces addiction to be a brain "disease". Such organizations and individuals are not indifferent observers. Rather, they have staked their careers on the medicalization of addiction.

And authorities have been wrong before: it was not so long ago that the competent medical authorities pronounced homosexuality to be a mental disease. In retrospect, it is clear that this diagnosis was a social, not a medical, one, which changed with social norms.

Anyway, appeal to authority is perhaps the weakest form of argument, and is surely beneath you.

Anonymous wrote

"Interesting statement...I think that from my own experience with my very alcoholic family this is not true for all addicts. My Father got sober for his family he would day that all that matters is that he has his family at the end of the day. My sister would say being sober gave her, her art back. My Uncle couldn't get sober for any reason."

I suppose it is all how you look at it. Without being sober, possibly there would be no family or art. So being sober could be seen as step 1, and all else depends on it, therefore step 1 is all that matters at the end of the day.

The motivating factor for recovery differs for each person. In alot of recovery circles, they say you should recovery for yourself, and nobody/nothing else. As when you remove that motivating factor later on in recover, what then is going to maintain the sobriety. ie I get sober for my wife, then she dies.... Where as, I get sober for myself,and then I lose my wife... I still have myself.

All depends on how you look at it I suppose.

What ever floats your boat.
James

So far, everyone seems to be taking a look at addiction as a disease (or not a disease) through a biology filter.

A more useful comparison might be to examine it vis-a-vis mental health. One definition of abnormal behavior is defined as that which causes harm to the self or others when information processing has been impaired and/or disrupts everyday functioning. Clearly, addiction is at the very least a psychological compulsion in the manner of OCD. It clearly disrupts everyday functioning. Therefore, addiction is clearly a disorder.

Now...is it a disease? Well...if disorders are diseases then, yes...it is.

I Love the people who speak on the subject of addiction and disease. How dare to speak this talk
when you have never walked the walk, Wake up America. Where else but Wallmart can you buy
a case of beer and a box of 9mm rounds at 2AM.
On your pot and phychosis crap I once again say
when was the last time I heard Man smokes cannabis
kills 5 in car wreck or beats wife on any news channnel.

Oh good grief. Is this another not-so-subtle use of a debate on addiction to garner support for marijuana by comparing it to alcohol?

James
"The motivating factor for recovery differs for each person. In alot of recovery circles, they say you should recovery for yourself, and nobody/nothing else. As when you remove that motivating factor later on in recover, what then is going to maintain the sobriety. ie I get sober for my wife, then she dies.... Where as, I get sober for myself,and then I lose my wife... I still have myself."

This makes more sense to me then being sober to be sober. thanks

--i'd be very curious to hear who endorses your "Hypoics" theory aside from you.
M.L.
M.L. - Apparently you didn't read my articles and compare their scientific arguments with those of your experts. The experts can't answer the questions I ask in the introduction of my Hypoism Hypothesis paper and go on to answer them. If you had read them you would have found that Hiroi confirmed my entire argument in his review of addiction causation published in Molecular Psychiatry: "Genetic susceptibility to substance dependence," Molecular Psychiatry (2005) 10, 336–344, by N Hiroi and S Agatsuma. This paper disproves the hijacked brain hypothesis, the theoretical basis of today's addiction paradigm. Also, give Eliot Gardner, M.D. a call at NIDA. He is a world class addiction neurobiologist and psychiatrist who has read my articles and book and feels Hypoism has real scientific merit. If you won't read my papers and book, at least take his word for the validity of Hypoism and how it will change everything in addictions to what we are all looking for. Of course, you should read and study my work, however. Certainly today's addiction paradigm iss't doing it. That's pretty clear.

--What's clear to you isn't necessarily true. I'll take your word for it that three people beside yourself agree with your Absolute Truth, but forgive me if I don't rush to embrace it. I'll be happy to let it persuade a significant part of the mental health community first. If it's so Obviously Correct, this will happen very quickly. But you probably want to adopt a tone of slightly less certitude. You come off--and forgive me for saying it, but it's truly for your own good--like a crank. Your absolute certainty combined with your dismissal of the establishment don't create a sense of credibility.

Please understand: I'm not saying that you ARE a crank. Just that you present yourself similarly to one, and thus may have a tough time getting your message across.

Say what you want about me. It's not about me. It's about the science. You say that the validity of my argument is dependent upon its acceptance by the mental health community. Please. Science doesn't work that way. Scientific validity is boss, not the reults of some poll.
The primary issue, like it or not, is that only the correct theory of addiction causation will produce the practical results we all want, prevention, recovery, and humane public policies. The wrong theory cannot give them to us. Today's quandry in addiction causation is between the hijacked brain hypothesis (the plasticity model) and the genetic model (which is Hypoism). In my articles and book I go through a scientific argument disproving the hijacked brain hypothesis which is the basis for everything in today's paradigm of addiction, from prevention to recovery to public policy, including AA's theory of causation, as well as showing why the valid science proves the genetic model. I've been making this argument since 1992. Hiroi's paper mentioned in my first note (above), does the same thing. Here's a quote from the last paragraph of his paper, a paper that is available on my web site in the hypoism hypothesis article, “A majority of substance users do not develop addiction to nicotine, alcohol, or opiates. Currently available plasticity-based models (model 1.) of addiction do not adequately account for the limited prevalence of addiction among chronic substance users and the presence of pre-existing, comorbid traits. The genetic model (Model 2) of addiction predicts that addiction is more likely to develop after initial substance use in individuals with genetic susceptibility, which is also associated with comorbid traits in some (Gdc), but not all cases (Gd). Model 2 [Hypoism] highlights the need for a new direction in addiction research as well as new treatment strategies.” The last sentence says it all.
Now, you all can read these arguments and use them or you can ignore them out of hand, which is exactly what you are doing. The mental health and addiction communities have chosen to ignore them because of conflicts of interest, not because they are incorrect. In fact, these communities have prevented any and all attempts for a debate on these scientific issues for 15 years because of their conflicts of interest (both financial, moral, psychobabble, and religious) to the detriment of all addicts. Their theory is wrong and nothing works in practice for prevention and recovery better than chance. This is why nothing has improved at all in the field of addictions as evidenced by real life experience over the last 70 years.
So, if you really are interested in improving the field of addictions and helping addicts you will read and study my work and let the people know about it so they can chose to use it. Only then will we know if it works. Absent this, we are stuck with the same old nonsense which we know doesn't work.

I have visited your site 974-times

--You get the golden Kewpie doll.

Let's face it, alcoholism is reflected as cool in our mass media culture. To call it a disease does seem to be sort of stigma when you consider other potentially harmful products that people are eating. For example, think about how much depression and misery is associated with needless obesity, but we still continue to market Mcdonalds to our kids as if it's part of Gods plan. So I think that if alcoholism is a disease so its over eating, under exercising, overworking etc. The fact is, alcoholism is addictive more with some people than others, regardless, it's habitual. Some of us break the habit, some of us don't. If the condition is officially embraced as a disease, then why are we marketing alcohol as a beverage on a mass scale then? Why don't people have the common sense to simply outlaw the sale of these types of substances. Instead of punishing the usage, punish the influence. I believe that if companies were not allowed to market these products, people would not consume nearly as readily. At the same time, don't punish them if they do, as long as they do not abuse or endanger others of course.

check out my health blog:
http://www.myspace.com/ameriplanner

Other health and dental articles
http://www.exactrelease.com/ameriplan-adds-to-it-link-48924.html

http://www.i-newswire.com/goprint108769.html

http://www.24-7pressrelease.com/view_press_release.php?rID=30067

"...but we still continue to market Mcdonalds to our kids as if it's part of Gods plan."

Do you mean that Jesus doesn't approve of people eating Big Macs, fries, milkshakes, and hot apple pies?

After reading Umanof's book and his internet articles I'm convinced he's on the right track.The present paradigm is not working. It has to be replaced and eventually will be.

Addiction for me is really lack of self control.Addiction can make people hate you.Being an addict make someone worthless.

__________________________
Josie Smith

This is a comprehensive addiction portal focusing on topics of alcohol and drug abuse. http://www.alcoholaddiction.org

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أغنية لاتبكي ياصغيري-فيلم احدب نوتردامThe Hunchback of Notre Dame مدبلج-فلم كرتون atlantis 2-فيلم Monsters, Inc-فيلم الجميلة و الوحشBeauty and the Beast مدبلج-فيلم Goofy-فيلم sleeping beauty-فيلم madagascar-انفراد على جميعالمواقع فيلم Meet The Robinsons DVD Rip مترجم للمشاهدة-فيلم Sindibad-فيلم ( Simba:THELION KING PART 2 )-الفيلم Finding nemo-فيلم Dumbo-فيلم treasure planetالرائع رابط مباشر-فيلم the littlemermaid - 1989-jungle book 2-فيلم CARS 2006 نسخةXViD-الآن حلقات يوغي يو +الفيلم-فيلم مغامرات بندقمدبلج بروابط مباشرة-فيلم الجميلة والوحشمدبلج للتحميل(( براااابط واحد ))-النمر المقنع كامل 33حلقة-كرتون صاحب الظلالطويل جميع الحلقات-فيلم Brother Bearالجزء الثاني مترجم للعربية-حلقات ناروتو مترجمة- الجزء الرابع - على Zshare-حلقات ناروتو مترجمة- الجزء الثالث - على Zshare-فلم Horton Hears aWho 2008-مسلسل Blue Drop جاهزللتحميل- جميع حلقات القناصكامله و صلات شغاله بدون مزاح ادخل و حمل (تم تعديل الروابط)-الفلم الحادي عشركونان بجميع الجودات للتحميل-҉^҉ Slam Dunk S1 +S2 HQ كامل تورينت҉^҉-فيلم Shrek 2 2006مدبلج وبحجم صغير-الفيلم Peter Pan-فيلم Saw 4 الجزءالرابع على احسن 5 سيرفرات بمساحة 307 ميج-أكبر مكتبة أفلامكرتون Animation-حلقات ناروتو مترجمة- الجزء الثاني - على Zshare-فلم الكرتون الجميلThe Incredibles مدبلج DVD rip-حصريا وبانفراد فيلمالكارتون (Brother Bear 1) مدبلج بالمصرية بمساحة 169 ميجا rmvb Q-حصريا بأنفراد فيلمالكارتون (Ratatouille 2007) خلطبيتة بالصلصة مدبلج بالعامية المصرية-حصريا بأنفراد كارتون(Home on The Range) مدبلج بالمصرى ملووش حل rmvb Q-حصريا بأنفراد كارتون(Meet the Robinsons) مدبلج بالمصرية رووعة جدا rmvb Q بس هن-كرتون مازنجر زدmazinger z من الحلقه رقم1 الى 92 كامل-جديد كونان الحلقة505 (شهادة المحامية كيساكي ايري_جزء_1) مترجمة بالعربي-الحلقة 491 + 492 منالمحقق كونان مترجمة بالعربي-[ الحلقة 502 منالمحقق كونان] [ من رفعي]-الحلقة الثانية منDeath Note مترجم اقسم بالله من افضل المسلسلات-أفلام كونان (للتحميل تورنت )-تحميل جميع حلقات توموجيري-اكبر مكتبة افلامكرتون للتحميل المباشر-مسلسل الإنميالكوميدي yakitate Japan-فيلم Finding Nemo-ناروتو شيبّودِن (الحلقة 50 ) للتحميل + ملف تورنت + روابط اضافية-الحلقة 60 من ناروتوشيبودين رابط اخر-فلم الكرتون الحائزعلي عدة جوائز اوسكار Ratatouille للتحميل-روعة MBC3 وكذلكDisney Channel على منتدانا الغالي جودة عالية بدون إنقطاع مباشرة-حصريا حلقة ناروتوشيبودن Naruto Shippuuden 61-حلقة ناروتو شيبودنnaruto shippuuden 63مشاهدة-Tarzan1كرتون-حلقات كونان من 100الى 360-الكابتن ماجد- الجزءالثالث-45 حلقة-كامل-تحميل مباشر-حلقات الانمي المعروفجو البطل-مسلسل الإنميالكوميدي yakitate Japan-Hayate no Gotokuمترجم أنجليزي برابط مباشر-الفليم الرومانسيCinderella III-A Twist in Time-مسلسل True Tears-Rozen Maiden-تقرير عن الانميD.N.Angel-جميـــع حلقات ون بيسمن رفعي 303 حلقه حصـــــــري ومترجمه بالعرب-افلام و فيديو الانمي-الانمي الرائع zombieloan-مسلسل Afro Samuraiلعيوون منتدا اسرار-ShingetsutanTsukihime افضل أنيمي مرعب 18+-جميع حلقات يوغي يو-افلام المحقق كونان-الفيلم الكوميدىTweety
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شات
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صور حب
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برامج 2009
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