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  • The Stanton Peele Addiction Website
  • Help for Prescription Drug Addiction
  • But can a person truly recover when forced into treatment? that these programs don't help and may actually be harming people instead. People with addiction crave and seek out drugs or alcohol no matter what the cost. The biological basis of addiction helps to explain why people need much “The brain actually changes with addiction, and it takes a good deal of work to . We now know more about what causes addiction, why it is so difficult to that relapse is actually a natural part of recovery so you can play an.


    Addiction usually does not last a lifetime. It leaves people two choices: Sadly, a small number of people do die of their addictions; and another group succeeds in quitting drinking, drug taking, or whatever by maintaining the role of the recovering addict. But most people are more resilient and resourceful than that. Most people who have addictive habits moderate or eliminate these habits over the course of their lives.

    Remember that, today, a majority of the adult Americans who have ever smoked have quit and nearly all did so without treatment. Progression is not inevitable—it is the exception. The progression of addictive problems only seems inevitable after the fact. For example, the great majority of college overdrinkers, even those who black out at fraternity parties, become moderate drinkers in middle age. Treatment is no panacea. Contrary to all the advertising we hear, treatment for addictions is often no more effective than letting addiction and recovery take their natural course.

    The vast majority of people who have given up addictions beginning with more than 90 percent of the forty-four million Americans who have quit smoking[ 7 ] have done so on their own. This does not mean that treatment for addictions cannot work—research has shown that some forms of treatment are effective.

    But the ones that are more effective are not the ones that have become popular in the United States. What about joining support groups such as Alcoholics Anonymous? Here, too, research reveals the opposite of what we have been led to believe. A is a valuable community resource for those who find support in a certain type of religiously oriented group ritual. But the best we can say about A. A is that it works for those for whom it works.

    There is no scientific evidence that A. In fact, the evidence is that the people who are now often compelled to attend A. A—after being arrested for drunk driving or being sent by a company Employee Assistance Program—do worse than those who are left on their own. How can we reconcile this finding with the glowing testimonials we hear about A. The people we see in A. And as we show below, those who seriously try to stop drinking on their own are more likely to maintain their abstinence than those who attend A.

    In addition, since many more people try to quit on their own than through therapy or joining a group, the number of self-curers is triple or more the number of successful treatment or A. These, then, are the key fallacies of the popularly held view of addiction. Even generally well-informed people may be astonished that we contradict such widely held beliefs. All of our refutations of conventional wisdom are carefully documented in the notes at the back of the book.

    Just check it out against your own experience and observation. How many of them did it by going through a medical program or joining a support group, and how many finally just decided to quit and made good on that resolve?

    What happened to all the people you knew who used illegal drugs in college, some quite heavily? If we simply examine the cases of most of those we are close to personally, we will see how addictions usually do not follow the disease course. Some people feel comfortable thinking of their addiction as a disease and are able to function better on this basis for a time.

    But whatever short-term benefits medical, disease-oriented treatment produces are double-edged even for the individuals who claim it has helped them. Meanwhile, for the majority of people, the disadvantages of the disease approach clearly outweigh the advantages from the start. The disadvantages of the disease approach are that it:. How can therapy that so many people believe in and swear by actually do more harm than good? This program first detoxified the alcoholic in the hospital, then mandated A.

    When the psychiatrist running the program, Dr. George Vaillant, evaluated how well his patients were doing two years and eight years after treatment, however, he found they had fared about as well as comparable alcoholics who received no treatment at all!

    How could Vaillant have been so wrong as to think his patients were doing phenomenally well, when actually they were doing no better than if he had left them alone completely? Naturally, he wanted to think it worked. But his research prevented his rose-colored views from distorting the actual results of his treatment. When he counted all his patients, not just his successes, when he scrutinized and verified what they were telling him in order to see exactly how well they were doing, and when he compared them with alcoholics out on their own instead of just assuming that all these people died without the help of treatment like his, Vaillant found that his expensive hospital treatment was close to useless.

    Very few people in the treatment industry or in A. When we hear from A. The same is true of treatment programs. They parade their best stars up front. Yet Vaillant, in a book that is cited as the major source of support for the benefits of treating alcoholics according to the disease model, concluded as follows: What are the dangers of this kind of disease treatment?

    Here are explanations of the disadvantages listed at the beginning of this section:. It sets people up for failure. Is it possible that such a message can do more harm than good? William Miller and Reid Hester, reviewing all the comparative studies on treatment for alcoholism, made a surprising finding: Why would people be more likely to relapse if they entered A.

    There are several reasons. For one, people who enter A. Therefore, if they should stop attending A. Accepting the disease-oriented philosophy of inevitable loss of control thus makes it more likely that the alcoholic will binge if he or she ever has a drink.

    Yet, Vaillant found, nearly all alcoholics will drink again at some time. It makes matters worse than they are. Rudy found that most people had to learn their role as alcoholics. When alcoholics introduce their experiences and symptoms in or treatment, the group or therapist homogenizes them through interpretation and clarification. For example, most people who enter have not had blackouts, which are more typical of long-term alcoholics than of the younger drinkers now flooding into treatment and A.

    When newcomers to A. As one member put it to a newcomer: If it fogs your brain now after not drinking for a few days it must have fogged your brain before. See, you must have had blackouts then. When Dwight Gooden entered the alcoholism-andcocaine program at the Smithers Alcoholism Center, he described being assailed by his fellow residents there during the constant group-therapy sessions.

    I cried a lot before I went to bed at night. After he left the Betty Ford Center, Chevy Chase reported that he had often been angry at the counselors, who heckled the residents mercilessly, constantly denigrating them and claiming they had been living worthless lives. Does all this sound like good therapy technique? It is simple common sense that belief in your personal value and your own strength is superior to having these things denigrated for getting your life under control.

    It stigmatizes people for life. The disease model puts a label on you that you can never outgrow. Once diseased, always diseased. It brutalizes and brainwashes the young. The largest single age group of people undergoing hospital treatment today for chemical dependency, eating disorders, depression, and so forth is adolescents.

    Nonetheless, virtually none of these young people meet clinical standards of alcoholism or drug addiction. Indeed, numerous cases have been identified in which young people have been hospitalized for smoking marijuana or even for being suspected of using drugs.

    What is the impact of treatment that forces teenagers to take on the identity of addicts or alcoholics or children of alcoholics? Young people are warned that their substance abuse is a permanent trait, even though we have seen that a large majority will outgrow substance-abuse problems as they mature. Presenting this message to the young can only prolong or exacerbate their substance abuse, since it denies their own capacity for change and forces them to believe that any substance use for the rest of their lives will lead them back to excess, addiction, and drunkenness.

    These programs fairly frequently involve emotional abuse. Certainly, it is crucial to prevent children from harming themselves, and it can be worthwhile to remove children from a problem home, whether through a residential program or a visit to a sympathetic relative. But brainwashing, emotional blackmail, denigration, and psychological torture never work, except to make people so unsure of who they are or what they value that they will temporarily consent to the demands of those in charge.

    It presents the alcoholic or addict as someone to emulate. Prominent graduates of treatment programs, like Drew Barrymore, Betty Ford, Kitty Dukakis, and a host of athletes now lecture to others about chemical dependency.

    If alcoholics and drug abusers suffer from a disease and are now recovering, then they can educate others about the disease and even about how young people should live and behave. If, on the other hand, we think of them as people who are tremendously poor at self-management, then it is indeed stupid for the rest of us, who have not been seriously addicted, to ask them for advice and information. Someone like former football star Bob Hayes explains that he took and sold drugs as a result of an inherited disease.

    Alcoholics and addicts like Hayes regularly come into schools to relay their tortured drinking experiences and to reiterate that alcohol is a dangerous drug. But nearly every child in these schools will drink.

    In all types of twelve-step groups, the most severely debilitated person tends to become the leader and model for others, so that the most out-of-control shopping addict tells others about the nature of their problems. Who should be counseling whom? In the case of drug abuse, a number of reviews have found that informational and scare lectures by recovering addicts produce the worst results of all prevention programs.

    These programs have never yet been found to reduce drug use; on the contrary, several studies have found increased drug use in their aftermath.

    But by adopting the disease identity as her protection through the rest of her life, the youthful convert guarantees that she cannot grow beyond the limitations of her adolescent family life. Can people hope for more than this?

    Ignoring dynamics like these leaves the drinker unable to cope with the things that led him or her to need to drink—such as doubts about self-worth, a difficult relationship with a spouse, roles such as homosexuality that create conflict for the person, and so on.

    If the labeling of alcoholism as a disease provides welcome relief from the shame of overdrinking. It traps people in a world inhabited by fellow disease-sufferers.

    This is a frequent hang-up for recovering alcoholics who attend A. One of us has treated a number of A. One man, who was regularly asked to head his local A. Unfortunately, all of these relationships had ended in bitterness and mutual recriminations. But when he tried to date outside the group, he discovered that nonalcoholic women found him overbearing and compulsive. It excludes other approaches, many of which are more successful. Even if one accepts that many A. The National Council on Alcoholism and Drug Dependence NCADD [ 24 ] frequently announces statistics about the continually rising costs of alcoholism and the increasing number of alcoholics in our society.

    But, then, the NCADD is capable only of calling for more of the standard approach to treating alcoholism that has accompanied these increases, while discouraging all alternative approaches. Why should things improve all of a sudden if we simply do more of the same? Meanwhile, greater numbers of Americans are being forced to enter private treatment centers and A.

    Despite the almost universal belief that compelling people to attend standard treatment programs is helpful, these programs regularly demonstrate they are no more effective than self-initiated programs for curing addictions. Psychologists William Miller and Reid Hester, reviewing all the comparative studies on treatment for alcoholism, made a surprising finding: Nonetheless, most American treatment personnel seem hell-bent on eliminating any other treatment for alcoholism besides twelve-step programs.

    This issue is important because the United States spends more money on health care than any other country—and the percentage of our gross national product that we spend on health care is growing faster than that in any other country.

    The fastest-growing component of the health-care system is substance abuse and related mental-health treatments. This is one reason so many companies are being forced to cut insurance benefits or are asking employees to pay a greater share.

    What if your insurance rates were raised to pay for a fellow employee who was undergoing a repeat treatment for cocaine addiction, since he had relapsed one or more times? How would you feel about sharing the bill for a colleague who entered an expensive hospital eating-disorders clinic? Do you think that smokers who want to quit should enter treatment programs and be excused from work, with pay, while they concentrate on quitting? And, especially, how would you react if you had quit smoking on your own?

    It is morally and economically necessary for us to evaluate the effectiveness of alcoholism and other addiction treatments. For we are wasting limited health-care resources to place people in expensive treatments—treatments that have not shown they do more than inexpensive, straightforward skills counseling or than people accomplish on their own—often more reliably! Kitty Dukakis became the paradigm of the addicted person of the s.

    Dukakis seemingly has been either addicted or in treatment throughout her adult life. Shortly before she joined her husband in his presidential campaign, she revealed that she had been treated for a twenty-six-year reliance on diet pills, which she began before she married Michael Dukakis. That treatment did not succeed. Dukakis only began getting drunk after the election, for which she first entered the Edgehill Newport hospital. But soon after this treatment experience, she began having explosive relapses in which she drank rubbing alcohol, nail polish remover, hair spray, and other commercial products containing alcohol.

    Moreover, she discovered during the course of writing her book that she suffers from another disease— manic-depressive disorder—and as a result she ends the book with the revelation that she is receiving lithium treatment.

    Dukakis had been prescribed Prozac, a drug featured on the cover of Newsweek in as a new miracle in the treatment of depression, to no avail. Dukakis appears, in the book and on television, a forlorn being. Indeed, syndicated columnist Ellen Goodman, who had known Mrs. Goodman wondered aloud how labeling oneself as sick and without hope is helpful.

    Today, Kitty Dukakis describes herself by diagnosis. Goodman ended her column by wishing that Kitty Dukakis might see the brighter qualities that others have seen in her, and which seem entirely to have disappeared thanks to her various diagnoses and cures. It seems clear that excessive drinking is only the tip of Mrs. Reviewers have commented about how insensitive and unaware of her problems Michael Dukakis appeared to be, yet Kitty never reflects on the limitations of her spouse or their relationship.

    Somehow, her never-ending disease-oriented treatment fails to raise crucial issues for Mrs. Dukakis about a life and marriage she seems to have found intolerable. Will Kitty Dukakis be writing another book in which she reveals she has discovered she is suffering from one more dis-ease—that of codependence?

    Dukakis used diet pills and alcohol to do. Whether the pain Mrs. Dukakis and others feel is temporary or persistent, relatively mild or relatively severe, it does not need to rule the rest of their lives. Kitty Dukakis and the rest of us are more than our misery and problems.

    Moreover, what troubles her and those like her are life problems, not diseases. And when we have reduced them to life size, we can begin to deal with them reasonably and hopefully. It is a way of coping with internal feelings and external pressures that provides the addict with predictable gratifications, but that has concomitant costs.

    Eventually these costs may outweigh the subjective benefits the addiction offers the individual. Nonetheless, people continue their addictions as long as they believe the addictions continue to do something for them. Addictions, no matter to what, follow certain common patterns. We first made clear in Love and Addiction that addiction— the single-minded grasping of a magic-seeming object or involvement; the loss of control, perspective, and priorities—is not limited to drug and alcohol addictions.

    When a person becomes addicted, it is not to a chemical but to an experience. The addictive potential of a substance or other involvement lies primarily in the meaning it has for a person.

    A person is vulnerable to addiction when that person feels a lack of satisfaction in life, an absence of intimacy or strong connections to other people, a lack of self-confidence or compelling interests, or a loss of hope. Periods such as adolescence, military service, and times of isolation or grief may for a time make people especially susceptible to an addiction. Under some circumstances, a harmful involvement can become so important to a person that addiction is very likely, as heroin addiction was for many in Vietnam.

    Situations in which people are deprived of family and the usual community supports; where they are denied rewarding or constructive activities; where they are afraid, uncomfortable, and under stress; and where they are out of control of their lives — these are situations especially likely to create addiction.

    Recognizing the connection between these situational factors and addiction will explain why our wars on drugs, including the latest, never succeed. It may block out sensations of pain, uncertainty, or discomfort. It may create powerfully distracting sensations that focus and absorb attention. It may provide artificial, temporary feelings of security or calm, of self-worth or accomplishment, of power or control, of intimacy or belonging.

    These benefits explain why a person keeps coming back to the addictive experience—an addiction accomplishes something for that person, or the person anticipates that it will do so, however illusory these benefits may actually be. Addiction, drug abuse, alcoholism, obesity, and smoking all involve and are fueled by value choices.

    Will they become addicted to drugs or alcohol because of some physiological susceptibility and allow the addiction to undo the fabric of their lives? For you personally, can you imagine getting so drunk that you would abuse your infant child? And if you are addicted, you can best overcome it by creating or re-creating those personal strengths and values.

    Whatever the subjective benefits of an addiction or the values that drive an addiction, the person pays a price for an addictive involvement. Addictions make people less aware of and less able to respond to other people, events, and activities. Thus, the addictive experience reinforces and exacerbates the problems the person wanted so badly to get away from in the first place.

    But in the real world, it only makes things worse. With the worst addictions, jobs and relationships fall away; health deteriorates; debts increase; opportunities disappear; the business of life is neglected. This growing disengagement from the realities of life sets the person up for the trauma of withdrawal. When the addictive experience is removed, the person is deprived of what has become his or her primary source of comfort and reassurance.

    Inpatient medical detox is also common for opioid withdrawal, which may be very painful. There are many different types of treatment to choose from. According to the National Institute on Drug Abuse, addiction is a "chronic, relapsing brain disease that is characterized by compulsive drug seeking and use, despite harmful consequences.

    For those seeking addiction treatment for themselves or a loved one, the DrugAbuse. Our helpline is offered at no cost to you and with no obligation to enter into treatment. Finding the perfect treatment is only one phone call away! Thinking About Getting Rehab? How Much is Too Much? Last updated on December 5, T Wilkes Barre , PA Port St Lucie , FL The Raleigh House of Hope. Arvada , CO It's not too late to turn your life around Ready for Drug or Alcohol Rehab?

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    The Stanton Peele Addiction Website

    This actually makes addictions the psychiatric disorder with the highest odds of In both cases, maturity can help correct the problem but doesn't always do so. What evidence supports it? Most important, what good does it do us to believe it? Will it really help you or someone you care about to overcome an addiction?. 7 There is no simple cure for addiction; however, effective treatment can help you become and stay sober.7 You will.

    Help for Prescription Drug Addiction



    This actually makes addictions the psychiatric disorder with the highest odds of In both cases, maturity can help correct the problem but doesn't always do so.


    What evidence supports it? Most important, what good does it do us to believe it? Will it really help you or someone you care about to overcome an addiction?.


    7 There is no simple cure for addiction; however, effective treatment can help you become and stay sober.7 You will.

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