Disease Of Addiction Quotes

Book collecting is an obsession, an occupation, a disease, an addiction, a fascination, an absurdity, a fate. It is not a hobby. Those who do it must do it.

Book collecting is an obsession, an occupation, a disease, an addiction, a fascination, an absurdity, a fate. It is not a hobby. Those who do it must do it. Those who do not do it, think of it as a cousin of stamp collecting, a sister of the trophy cabinet, bastard of a sound bank account and a weak mind.

I admire addicts. In a world where everybody is waiting for some blind, random disaster or some sudden disease, the addict has the comfort of knowing what will most likely wait for him down the road. He's taken some control over his ultimate fate, and his addiction keeps the cause of his death from being a total surprise.

One who will not accept solitude, stillness and quiet recurring moments...is caught up in the wilderness of addictions; far removed from an original state of being and awareness. This is 'dis-ease.

It isn’t the drug that causes the harmful behavior—it’s the environment. An isolated rat will almost always become a junkie. A rat with a good life almost never will, no matter how many drugs you make available to him. As Bruce put it: he was realizing that addiction isn’t a disease. Addiction is an adaptation. It’s not you—it’s the cage you live in.

Amy [Winehouse] increasingly became defined by her addiction. Our media though is more interested in tragedy than talent, so the ink began to defect from praising her gift to chronicling her downfall. The destructive personal relationships, the blood soaked ballet slippers, the aborted shows, that YouTube madness with the baby mice. In the public perception this ephemeral tittle-tattle replaced her timeless talent. This and her manner in our occasional meetings brought home to me the severity of her condition. Addiction is a serious disease; it will end with jail, mental institutions, or death.

I grew up in traditional black patriarchal culture and there is no doubt that I’m going to take a great many unconscious, but present, patriarchal complicities to the grave because it so deeply ensconced in how I look at the world. Therefore, very much like alcoholism, drug addiction, or racism patriarchy is a disease and we are in perennial recovery and relapse. So you have to get up every morning and struggle against it.

People with family histories of alcoholism tend to have lower levels of endorphins- the endogenous morphine that is responsible for many of our pleasure responses- than do people genetically disinclined to alcoholism. Alcohol will slightly raise the endorphin level of people without the genetic basis for alcoholism; it will dramatically raise the endorphin level of people with that genetic basis. Specialists spend a lot of time formulating exotic hypotheses to account for substance abuse. Most experts point out, strong motivations for avoiding drugs; but there are also strong motivations for taking them. People who claim not to understand why anyone would get addicted to drugs are usually people who haven't tried them or who are genetically fairly invulnerable to them.

This is the kind of thing that makes sense to them; this is a language they know. They know what to do with`disease'. They know how to attach a doctor's medical descriptions to hope.

Alcoholism or addiction is a disease because it fits the definition of disease. It is progressive and chronic, and left untreated, it will kill.

You are not an alcoholic or an addict. You are not incurably diseased. You have merely become dependent on substances or addictive behavior to cope with underlying conditions that you are now going to heal, at which time your dependency will cease completely and forever.

It is difficult to feel sympathy for these people. It is difficult to regard some bawdy drunk and see them as sick and powerless. It is difficult to suffer the selfishness of a drug addict who will lie to you and steal from you and forgive them and offer them help. Can there be any other disease that renders its victims so unappealing? Would Great Ormond Street be so attractive a cause if its beds were riddled with obnoxious little criminals that had “brought it on themselves?

I never lie ― I am a blatantly truthful person about almost everything. My addiction (or disease as some call it) always lies. I have had very good relationships, but the addict in me always fucked them up. I fall in love quickly, it's a high that rivals drugs for a while. I am monogamous, but I always cheated with depression before the relationship fell apart. Addicts need best friends, healthy people need healthy relationships.

The psyche cannot tolerate a vacuum of love. In the severely abused or deprived child, pain, dis-ease, and violance rush in to fill the void. In the average person in our culture, who has been only "normally" deprived of touch, anxiety and an insatiable hunger for posessions replace the missing eros. The child lacking a sense of welcome, joyous belonging, gratuitous security, will learn to hoard the limited supply of affection. According to the law of psychic compensation, not being held leads to holding on, grasping, addiction, posessiveness. Gradually, things replace people as a source of pleasure and security. When the gift of belonging with is denied, the child learns that love means belongin to. To the degree we are arrested at this stage of development, the needy child will dominate our motivations. Other people and things (and there is fundamentally no difference) will be seen as existing solely for the purpose of "my" survival and satisfaction. "Mine" will become the most important word.

It is still so easy to forget that addiction is not curable. It is a lifelong disease that can go into remission, that is manageable if the one who is stricken does the hard, hard work, but it is incurable.

It is time to embrace mental health and substance use/abuse as illnesses. Addiction is a disease.

Being in love (l’amour fou) a pathological variant of loving. Being in love = addiction, obsession, exclusion of others, insatiable demand for presence, paralysis of other interests and activities. A disease of love, a fever (therefore exalting). One “falls” in love. But this is one disease which, if one must have it, is better to have often rather than infrequently. It’s less mad to fall in love often (less inaccurate for there are many wonderful people in the world) than only two or three times in one’s life. Or maybe it’s better always to be in love with several people at any given time.

Don’t ever forget you are beautiful, although your life, your past and your present situation may be ugly. You are beautiful.

Change is inevitable. Progression is a choice. We all move, but are you going to move forward?

[T]he truth is that drug addicts have a disease. It only takes a short time in the streets to realize that out-of-control addiction is a medical problem, not a form of recreational or criminal behavior. And the more society treats drug addiction as a crime, the more money drug dealers will make "relieving" the suffering of the addicts.

Instead of recovering, it seems that addicts keep growing, as does anyone who overcomes their difficulties through deliberation and insight.

Addiction is a disease, not a disgrace. No more shame, no more silence.

The trick to overcoming addiction is thus the realignment of desire, so that it switches from the goal of immediate relief to the goal of long-term fulfillment

The addiction crisis is terrifying, and many people don’t comprehend appropriate opioid use. When I first started taking pain medication, I remember a family member saying, “Dianne, you’re going to become an addict!” We need to help people understand that taking pain medicine to maximize one’s ability to be productive and to sustain enriching relationships is very different than the disease of addiction, which limits one’s ability to contribute to society and maintain healthy habits.

My mind is completely addicted to him. Jacobism - he's my disease.

Book collecting is an obsession, a disease, an addiction, a fascination, an absurdity, a fate. It is not a hobby. Those who do it must do it.

My addiction is a fatally progressive disease. It has a voice that used to speak loudly. I work every day to speak louder than it.

A victim of virtually any disease usually elicits pity, addicts mostly evoke revulsion. What is it about the irrational behavior of an addict that makes everyone want to turn away?

Alcoholism is above all a disease of denial.

America today is a "save yourself" society if there ever was one. But does it really work? The underdeveloped societies suffer from one set of diseases: tuberculosis, malnutrition, pneumonia, parasites, typhoid, cholera, typhus, etc. Affluent America has virtually invented a whole new set of diseases: obesity, arteriosclerosis, heart disease, strokes, lung cancer, venereal disease, cirrhosis of the liver, drug addiction, alcoholism, divorce, battered children, suicide, murder. Take your choice. Labor-saving machines have turned out to be body-killing devices. Our affluence has allowed both mobility and isolation of the nuclear family, and as a result, our divorce courts, our prisons and our mental institutions are flooded. In saving ourselves we have nearly lost ourselves.

I almost wish I had cancer. Then I’d either beat it or die from it. But my disease, even if successfully treated, will never go away. And it might not kill me. But it will hang over me like the blade of a guillotine; more threatening inert than if the blade suddenly slips and mercifully turns out my lights. This is my war to end all wars.

In the City Market is the Meet Café. Followers of obsolete, unthinkable trades doodling in Etruscan, addicts of drugs not yet synthesized, pushers of souped-up harmine, junk reduced to pure habit offering precarious vegetable serenity, liquids to induce Latah, Tithonian longevity serums, black marketeers of World War III, excusers of telepathic sensitivity, osteopaths of the spirit, investigators of infractions denounced by bland paranoid chess players, servers of fragmentary warrants taken down in hebephrenic shorthand charging unspeakable mutilations of the spirit, bureaucrats of spectral departments, officials of unconstituted police states, a Lesbian dwarf who has perfected operation Bang-utot, the lung erection that strangles a sleeping enemy, sellers of orgone tanks and relaxing machines, brokers of exquisite dreams and memories tested on the sensitized cells of junk sickness and bartered for raw materials of the will, doctors skilled in the treatment of diseases dormant in the black dust of ruined cities, gathering virulence in the white blood of eyeless worms feeling slowly to the surface and the human host, maladies of the ocean floor and the stratosphere, maladies of the laboratory and atomic war... A place where the unknown past and the emergent future meet in a vibrating soundless hum... Larval entities waiting for a Live One...

But I like listening to any music, including bad music. it's a professional disease, an addiction to notes. The brain finds sustenance in any combination of sounds. It works constantly, performing various composerly operations.

There's a peculiar thing that happens every time you get clean. You go through this sensation of rebirth. There's something intoxicating about the process of the comeback, and that becomes an element in the whole cycle of addiction. Once you've beaten yourself down with cocaine and heroin, and you manage to stop and walk out of the muck you begin to get your mind and body strong and reconnect with your spirit. The oppressive feeling of being a slave to the drugs is still in your mind, so by comparison, you feel phenomenal. You're happy to be alive, smelling the air and seeing the beauty around you...You have a choice of what to do. So you experience this jolt of joy that you're not where you came from and that in and of itself is a tricky thing to stop doing. Somewhere in the back of your mind, you know that every time you get clean, you'll have this great new feeling. Cut to: a year later, when you've forgotten how bad it was and you don't have that pink-cloud sensation of being newly sober. When I look back, I see why these vicious cycles can develop in someone who's been sober for a long time and then relapses and doesn't want to stay out there using, doesn't want to die, but isn't taking the full measure to get well again. There's a concept in recovery that says 'Half-measures avail us nothing.' When you have a disease, you can't take half the process of getting well and think you're going to get half well; you do half the process of getting well, you're not going to get well at all, and you'll go back to where you came from. Without a thorough transformation, you're the same guy, and the same guy does the same shit. I kept half-measuring it, thinking I was going to at least get something out of this deal, and I kept getting nothing out of it

He had black fingernails and drove a hearse. Everything about him cried out, 'Look at me, look at me,' and when you looked at him, he would snap, 'Who the fuck are you looking at?' If you subscribe to the idea that addiction is a disease, it is startling to see how many of these children- paranoid, anxious, bruised, tremulous, withered, in some cases psychotic - are seriously ill, slowly dying. We'd never allow such a scene if these kids had any other disease. They would be in a hospital, not on the streets.

As the war progresses, and as population increases to an even more intolerable level stretching resources to impossible lengths, the strong will begin fighting for their very survival. That’s what we’re seeing right now. Society will become more and more stratified into the people who aren’t buying the bullshit in society and those who blindly follow where they are led. Satanists, freethinkers, are a burgeoning minority cause. We have an illness that needs to be recognized just like alcoholism, handicaps, addictive behaviors and AIDS. We suffer from a disease called independence — a pathological aversion to regimentation and institutionalism — which prevents us from getting ‘regular’ jobs and living a ‘normal’ life.

child abuse is as likely to cause drug addiction as obesity is to cause heart disease.

Fortunately there is a beautiful boy, unfortunately he has a terrible disease. Fortunately there is love and joy, unfortunately there is pain and misery. Fortunately this story is not over.

Once you've seen a solution to the disease that's tearing you apart, relapsing is never fun. You know there's an alternative to the way you're living and that you're going against something you've been given for free by the universe, this key to the kingdom. Drug addiction is a progressive disease, so every time you go out, it gets a little uglier than it was before; it's not like you go back to the early days of using, when there was less of a price to pay. It isn't fun anymore, but it's still desperately exciting. Once you put that first drug or drink in your body, you don't have to worry about the girlfriend or the career or the family or the bills. All those mundane aspects of life disappear. Now you have one job, and that's to keep chucking the coal in the engine, because you don't want this train to stop. If it stops, then you're going to have to feel all that other shit.

They are skeptical of the rhetoric of addiction as disease, something akin to high blood pressure or diabetes, and I get that. What they're really saying is that they may have partied in high school and college but look at them now. Look how strong-willed they are, how many good choices they've made. They want reassurances. They want to believe that they have been loved enough and have raised their children well enough that the things that I research will never, ever touch their own lives.

Stop looking back when your future is ahead of you

All disease, disorder and addictions stem from the yearning to reunite with one’s soul.

Dr. Monroe and I realized very gradually that drug addiction is a terminal disease. It is a cancer that eats families alive.

Some men are dedicated to golf like I'm addicted to cheese. We have real problems, but somehow only the alcoholics get to claim a disease.

Porn is a clear example of how our culture is feeding the disease of addiction. The natural impulse to have sex becomes a compulsion to masturbate. The attraction to connect is culturally translated by pornography into a numb and lonely staring strum at broken digital ghosts. The most physically creative thing we have, reduced to a dumb shuffle that’d embarrass a monkey.

I see Nic on the plane. I see him as he is - frail, opaque, ill - my beloved son, my beautiful boy. "Everything," I say to him. "Everything." Fortunately there is a beautiful boy. Unfortunately he has a terrible disease. Fortunately there is love and joy. Unfortunately there is pain and misery. Fortunately the story is not over.

The reason the program is so successful is because alcoholics help other alcoholics. I've never met a Normie (our lingo for a person who doesn't have a problem with drugs and alcohol) who could even conceive of what it's like to be an alcoholic. Normies are always going, 'There's this new pill you can take and you won't want to shoot heroin anymore.' That shows a fundamental misunderstanding of alcoholism and drug addiction. These aren't just physical allergies, they're obsessions of the mind and maladies of the spirit. It's a threefold disease. And if it's partly a spiritual malady, then there's a spiritual cure.

For almost every addict who s mired in this terrible disease, other -- a mother or father, a child or spouse, an aunt or uncles or grandparents, a brother or sister -- are suffering too. Families are the hidden victims of addiction, enduring enormous levels of stress and pain. They suffer sleepless nights, deep anxiety, and physical exhaustion brought on by worry and desperation. They lie awake for hours on end as fear for their loved one's safety crowds out any possibility of sleep. They liveeach day with a weight inside that drags them down. Unable to laugh or smile, they are sometimes filled with bottled-up anger or a constant sadness that keeps them on the verge of tears.

No easy way out. No escape. From yourself. You had to LEARN to DEAL with the cards you were dealt. Had to learn the hard way that the world doesn't OWE you a fucking thing. Not a reason, nor excuse. No apologies. Had to learn that some forms of insanity run in the family, pure genetics, polluted lifelines, full of disease. Profanity. Addiction. Co-addiction. Inability to deal with reality, what the fuck ever that's suppose to mean when you're born into an emotional ghetto of endless abuse. Where the only way out is in...deep, deep inside, so you poke holes in your skin, thinking that if you could just concentrate the pain it wouldn't remain an all-consuming surround which suffocates you from the first breath of day to your last dying day. Day in. Day out. Day in. Day out. I knew all about it.

There is nearly universal consensus that we should prohibit selling and serving alcohol to minors because wine, beer, and spirits can be addictive and, when used to excess, ruinous for their health. Is excess sugar any different?

addiction is an insidious disease that's always lurking nearby like a snake ready to strike.

But it conveys the message that addiction is as biological a condition as multiple sclerosis. True brain diseases have no volitional component.

Addiction is a family disease because one person uses but the whole family gets sick.

Anytime I talk about my work informally, I inevitably encounter someone who wants to know why addicts become addicts. They use words like “will” and “choice,” and they end by saying, “Don’t you think there’s more to it than the brain?” They are skeptical of the rhetoric of addiction as disease, something akin to high blood pressure or diabetes, and I get that. What they’re really saying is that they may have partied in high school and college but look at them now. Look how strong-willed they are, how many good choices they’ve made. They want reassurances. They want to believe that they have been loved enough and have raised their children well enough that the things that I research will never, ever touch their own lives. I understand this impulse. I, too, have spent years creating my little moat of good deeds in an attempt to protect the castle of myself. I don’t want to be dismissed the way that Nana was once dismissed. I know that it’s easier to say Their kind does seem to have a taste for drugs, easier to write all addicts off as bad and weak-willed people, than it is to look closely at the nature of their suffering. I do it too, sometimes. I judge. I walk around with my chest puffed out, making sure hat everyone knows about my Harvard and Stanford degrees, as if those things encapsulate me, and when I do so, I give in to the same facile, lazy thinking that characterizes those who think of addicts as horrible people. It’s just that I’m standing on the other side of the moat. What I can say for certain is that there is no case study in the world that could capture the whole animal of my brother, that could show how smart and kind and generous he was, how much he wanted to get better, how much he wanted to live. Forget for a moment what he looked like on paper, and instead see him as he was in all of his glory, in all of his beauty. It’s true that for years before he died, I would look at his face and think, What a pity, what a waste. But the waste was my own, the waste was what I missed out on whenever I looked at him and saw just his addiction.

This has been a novel about some people who were punished entirely too much for what they did. They wanted to have a good time, but they were like children playing in the street; they could see one after another of them being killed--run over, maimed, destroyed--but they continued to play anyhow. We really all were very happy for a while, sitting around not toiling but just bullshitting and playing, but it was for such a terrible brief time, and then the punishment was beyond belief: even when we could see it, we could not believe it. For example, while I was writing this I learned that the person on whom the character Jerry Fabin is based killed himself. My friend on whom I based the character Ernie Luckman died before I began the novel. For a while I myself was one of these children playing in the street; I was, like the rest of them, trying to play instead of being grown up, and I was punished. I am on the list below, which is a list of those to whom this novel is dedicated, and what became of each. Drug misuse is not a disease, it is a decision, like the decision to step out in front of a moving car. You would call that not a disease but an error in judgment. When a bunch of people begin to do it, it is a social error,a life-style. In this particular life-style the motto is "Be happy now because tomorrow you are dying," but the dying begins almost at once, and the happiness is a memory. It is, then, only a speeding up, an intensifying, of the ordinary human existence. It is not different from your life-style, it is only faster. It all takes place in days or weeks or months instead of years. "Take the cash and let the credit go," as Villon said in 1460. But that is a mistake if the cash is a penny and the credit a whole lifetime. There is no moral in this novel; it is not bourgeois; it does not say they were wrong to play when they should have toiled;it just tells what the consequences were. In Greek drama they were beginning, as a society, to discover science, which means causal law. Here in this novel there is Nemesis: not fate, because any one of us could have chosen to stop playing in the street, but, as I narrate from the deepest part of my life and heart, a dreadful Nemesis for those who kept on playing. I myself,I am not a character in this novel; I am the novel. So, though, was our entire nation at this time. This novel is about more people than I knew personally. Some we all read about in the newspapers. It was, this sitting around with our buddies and bullshitting while making tape recordings, the bad decision of the decade, the sixties, both in and out of the establishment. And nature cracked down on us. We were forced to stop by things dreadful. If there was any "sin," it was that these people wanted to keep on having a good time forever, and were punished for that, but, as I say, I feel that, if so, the punishment was far too great, and I prefer to think of it only in a Greek or morally neutral way, as mere science, as deterministic impartial cause-and-effect. I loved them all. Here is the list, to whom I dedicate my love: To Gaylene deceased To Ray deceased To Francy permanent psychosis To Kathy permanent brain damage To Jim deceased To Val massive permanent brain damage To Nancy permanent psychosis To Joanne permanent brain damage To Maren deceased To Nick deceased To Terry deceased To Dennis deceased To Phil permanent pancreatic damage To Sue permanent vascular damage To Jerri permanent psychosis and vascular damage . . . and so forth. In Memoriam. These were comrades whom I had; there are no better. They remain in my mind, and the enemy will never be forgiven. The "enemy" was their mistake in playing. Let them all play again, in some other way, and let them be happy.

Males who do extreme amounts of exercise, such as professional soccer players and runners who cover more than 40 or 50 miles a week, have less LHRH, LH, and testosterone in their circulation, smaller testes, less functional sperm. They also have higher levels of glucocorticoids in their bloodstreams, even in the absence of stress. (A similar decline in reproductive function is found in men who are addicted to opiate drugs.)

Like alcoholism and drug addiction, nihilism is a disease of the soul. It can never be completely cured, and there is always the possibility of relapse. But there is always a chance for conversion -- a chance for people to believe that there is hope for the future and a meaning to struggle... Nihilism is not overcome by arguments or analyses; it is tamed by love and care.

The scientist in me worries that my happiness is nothing more than a symptom of bipolar disease, hypergraphia from a postpartum disorder. The rest of me thinks that artificially splitting off the scientist in me from the writer in me is actually a kind of cultural bipolar disorder, one that too many of us have. The scientist asks how I can call my writing vocation and not addiction. I no longer see why I should have to make that distinction. I am addicted to breathing in the same way. I write because when I don’t, it is suffocating. I write because something much larger than myself comes into me that suffuses the page, the world, with meaning. Although I constantly fear that what I am writing teeters at the edge of being false, this force that drives me cannot be anything but real, or nothing will ever be real for me again.

And now they’re telling me I have to get rid of the only thing that loosens its grip. That’s the irony, isn’t it? [...] The thing that helped has become the thing that imprisons us. We keep feeding it and it keeps wanting more. This is a disease that tries to convince you that you don’t have it. This is a disease where the medicine that gives relief is the same thing that kills you.

he felt ugly, loathsome, unfit to live, existing from moment to moment like an addict. He gravitated to the crippled, the diseased, the bohemian, and the downtrodden when he wanted an evening of conversation, just a little cerebral companionship.

Loss, dislocation, disease, addiction, and just feeling like the tattered remnants of a people with a complex history. What was in that history? What sort of knowledge? Who had they been? What were they now? Why so much fucked-upness wherever you turned?

Was Trakl a Christian? Yes, of course, at times he becomes a Christian, among a general confusion of becomings—becoming an animal, becoming a virus, becoming inorganic—just as he was also an antichrist, a poet, a pharmacist, an alcoholic, a drug addict, a psychotic, a leper, a suicide, an incestuous cannibal, a necrophiliac, a rodent, a vampire, and a werewolf. Just as he became his sister, and also a hermaphrodite. Trakl's texts are scrawled over by redemptionist monotheism, just as they are stained by narcotic fluidities, gnawed by rats, cratered by Russian artillery, charred and pitted by astronomical debris. Trakl was a Christian and an atheist and also a Satanist, when he wasn't simply undead, or in some other way inhuman. It is perhaps more precise to say that Trakl never existed, except as a battlefield, a reservoir of disease, the graveyard of a deconsecrated church, as something expiring from a massive cocaine overdose on the floor of a military hospital, cheated by lucidity by the searing onslaught of base difference.

While re-addiction is clearly a hazard for some, others achieve a realistic and lasting confidence that they’ve outgrown their addictions and it’s time to move on. In fact, survey research published over the last thirty years indicates that most addicts eventually recover permanently.9 For them, the disease label may be an unnecessary, even harmful, burden.

Choice is a subtle form of disease. Don DeLillo, Running Dog

For one thing, that Kitty was addicted to amphetamines for twenty-six years without her husband’s knowledge suggests a certain lack of communication or awareness in the marriage. Was

If Nic were not ill he would not lie. If Nic were not ill he would not steal. If Nic were not ill he would not terrorize his family. He would not forsake his friends, his mother, Karen, Jasper, and Daisy, and he would not forsake me. He would not. He has a disease, but addiction is the most baffling of all diseases, unique in the blame, shame, and humiliation that accompany it.

Think about the stigma that is attached to the idea that alcoholism is a disease, an incurable illness, and you have it. That's a terrible thing to inflict on someone. Labeling alcoholism as a disease, a cause unto itself, simply no longer fits with what we know today about its causes.

What about people with high cholesterol who keep eating French fries? Do we say a disease is not biological because it’s influenced by behavior? No one starts out hoping to become an addict; they just like drugs. No one starts out hoping for a heart attack; they just like fried chicken.

The more we talk about the epidemic as an individual disease phenomenon or a moral failing, the easier it is to obfuscate and ignore the social and economic conditions that predispose certain individuals to addiction. The fix isn't more Suboxone or lectures on morality but rather a reinvigorated democracy that provides a pathway for meaningful work, with a living wage, for everybody.

Duck farming is a 24/7 thing. But that's OK, because I'm a caffeine junky. I'm also addicted to cheese. Why does alcoholism get classified as a disease, but I get no sympathy for fiending for brie?

The pressure to reduce health care costs is aimed only at the treatment of real diseases. There is no pressure to reduce the costs of treating fictitious diseases. On the contrary, there is pressure to define ever more types of undesirable behaviors as mental disorders or addictions and to spend ever more tax dollars on developing new psychiatric diagnoses and facilities for storing and treating the victims of such diseases, whose members now include alcoholics, drug abusers, smokers, overeaters, self-starvers, gamblers, etc.

Like most people who decide to get sober, I was brought to Alcoholics Anonymous. While AA certainly works for others, its core propositions felt irreconcilable with my own experiences. I couldn't, for example, rectify the assertion that "alcoholism is a disease" with the facts of my own life. The idea that by simply attending an AA meeting, without any consultation, one is expected to take on a blanket diagnosis of "diseased addict" was to me, at best, patronizing. At worst, irresponsible. Irresponsible because it doesn't encourage people to turn toward and heal the actual underlying causes of their abuse of substances. I drank for thirteen years for REALLY good reasons. Among them were unprocessed grief, parental abandonment, isolation, violent trauma, anxiety and panic, social oppression, a general lack of safety, deep existential discord, and a tremendous diet and lifestyle imbalance. None of which constitute a disease, and all of which manifest as profound internal, mental, emotional and physical discomfort, which I sought to escape by taking external substances. It is only through one's own efforts to turn toward life on its own terms and to develop a wiser relationship to what's there through mindfulness and compassion that make freedom from addictive patterns possible. My sobriety has been sustained by facing life, processing grief, healing family relationships, accepting radically the fact of social oppression, working with my abandonment conditioning, coming into community, renegotiating trauma, making drastic diet and lifestyle changes, forgiving, and practicing mindfulness, to name just a few. Through these things, I began to relieve the very real pressure that compulsive behaviors are an attempt to resolve.

I didn’t want to be sad, but I didn’t know why I was sad or how not to be sad or how to talk about it. I was broken. I felt broken. My body ached. My stomach hurt. I couldn’t sleep. Nothing was pleasurable. Every morning, I woke up knowing I’d failed before my feet hit the ground. At night, I’d lie in bed and wish for a terminal disease.

What is the number one cause of death in the United States? It's not high cholesterol or accidents by cars, planes or trains. It's not wars. It's not drug addiction, and it's not even disease, so that lets out heart disease, cancer, strokes, diabetes and more. In Third World countries, infections and malnutrition are major causes of loss of life. But in the United States the number one cause of death is not any of these things. IT IS PRESCRIPTION DRUGS (Null, TW).

As a clinician, I unapologetically believe that we must no longer identify our patients/clients with the addiction. While they may struggle with an addiction, the addiction itself is no different than any other form of medical ailment and disease.

If I had to design a system that was intended to keep people addicted, I’d design exactly the system that we have right now,” Gabor would tell me. “I’d attack people, and ostracize them.” He has seen that “the more you stress people, the more they’re going to use. The more you de-stress people, the less they’re going to use. So to create a system where you ostracize and marginalize and criminalize people, and force them to live in poverty with disease, you are basically guaranteeing they will stay at it.” “If

Depression can be due to a low endocrine function, nutritional deficiencies, blood sugar problems, food allergies, or systemic yeast infection. Depression can also result from medical illnesses such as stroke, heart attack, cancer, Parkinson's disease, and hormonal disorder. It can also be caused by a serious loss, a difficult relationship, a financial problem, or any stressful, unwelcome life change.

If our guiding principle is that a person who makes his own bed ought to lie in it, we should immediately dismantle much of our health care system. Many diseases and conditions arise from self-chosen habits or circumstances and could be prevented by more astute decisions.

I kept going deeper and deeper into this world of repetition...The sad thing is, people don't want to believe that the person they're in love with is out of his mind, drinking and using, so if you give them even half an excuse, they're going to want to believe it. A girl with no prior exposure to the disease had to be blissfully unaware of the nefarious tricks of the dope fiend. That's how I was able to get high all summer and autumn and pretend like it wasn't happening. I was saying, 'I'm sick.' I was deteriorating physically and emotionally. Jaime was tolerant, and it did speak well of her character, because she was not the type to abandon ship during a crisis. She didn't consider backing off or bowing out, she was just there, which I can't say about everybody. I don't know if I could say it even about myself.

If you don’t drink coffee, you should think about two to four cups a day. It can make you more alert, happier, and more productive. It might even make you live longer. Coffee can also make you more likely to exercise, and it contains beneficial antioxidants and other substances associated with decreased risk of stroke (especially in women), Parkinson’s disease, and dementia. Coffee is also associated with decreased risk of abnormal heart rhythms, type 2 diabetes, and certain cancers.12, 13 Any one of those benefits of coffee would be persuasive, but cumulatively they’re a no-brainer. An hour ago I considered doing some writing for this book, but I didn’t have the necessary energy or focus to sit down and start working. I did, however, have enough energy to fix myself a cup of coffee. A few sips into it, I was happier to be working than I would have been doing whatever lazy thing was my alternative. Coffee literally makes me enjoy work. No willpower needed. Coffee also allows you to manage your energy levels so you have the most when you need it. My experience is that coffee drinkers have higher highs and lower lows, energywise, than non–coffee drinkers, but that trade-off works. I can guarantee that my best thinking goes into my job, while saving my dull-brain hours for household chores and other simple tasks. The biggest downside of coffee is that once you get addicted to caffeine, you can get a “coffee headache” if you go too long without a cup. Luckily, coffee is one of the most abundant beverages on earth, so you rarely have to worry about being without it. Coffee costs money, takes time, gives you coffee breath, and makes you pee too often. It can also make you jittery and nervous if you have too much. But if success is your dream and operating at peak mental performance is something you want, coffee is a good bet. I highly recommend it. In fact, I recommend it so strongly that I literally feel sorry for anyone who hasn’t developed the habit.

What I am saying is, alcohol is addictive to everyone. Yet we’ve created a separate disease called alcoholism and forced it upon the minority of the population who are willing to admit they can’t control their drinking, and because of that, we’ve focused on what’s wrong with those few humans rather than on what’s wrong with our alcohol-centric culture or the substance itself.

People in here, People everywhere, they all want to take their own problems, usually created by themselves, and try to pass them off on someone or something else. I know my Mother and Father did the best they could and gave me the best they could and loved me the best they could and if anything, they are victims of me. I could say I'm flawed in my genetic makeup, that I have this disease and my addictions are caused by the presence of it, but I think that's a load of shit. I'm a victim of nothing but myself, just as I believe that most People with this so-called disease aren't victims of anything other than themselves. If you want to call that philosophy stubbornness, go right ahead. I call it being responsible. I call it the acceptance of my own problems and my own weakness with honor and dignity. I call it getting better.

The Church, though, has always held up a mirror in which society can see reflected some of its uglier aspects, and it does not like what it sees. Thus it becomes angry but not, as it should be, with itself, but with the Church. This is particularly noticeable when it comes to issues of personal gratification and sexuality and especially, apart from abortion, when issues of artificial contraception, condoms, and the birth-control pill are discussed. The Church warned in the 1960s that far from creating a more peaceful, content, and sexually fulfilled society, the universal availability of the pill and condoms would lead to the direct opposite. In the decade since, we have seen a seemingly inexorable increase in sexually transmitted diseases, so-called unwanted pregnancies, sexuality-related depression, divorce, family breakdown, pornography addiction, and general unhappiness in the field of sexual relationships. The Church's argument was that far from liberating women, contraception would enable and empower men and reduce the value and dignity of sexuality to the point of transforming what should be a loving and profound act into a mere exchange of bodily fluids. The expunging from the sexual act the possibility of procreation, the Church said, would reduce sexuality to mere self-gratification. Pleasure was vital and God-given but there was also a purpose, a glorious purpose, to sex that went far beyond the merely instant and ultimately selfish.

I ended up going into this big art historical argument.' [Barry Blinderman] invoked, for example, Matthias Grünewald’s Isenheim altarpiece, painted in the sixteenth century for a monastery where monks cared for people with skin diseases—so the suffering Christ in that painting shows symptoms of skin disease. 'It’s because he’s the man of sorrows,' Blinderman argued. 'He takes on the suffering of the world. So if Christ were to appear physically today, one of the sicknesses he would have to take on would be drug addiction.

Drug addiction was a disease, and just as I wouldn’t judge a cancer patient for a tumor, so I shouldn’t judge a narcotics addict for her behavior. At thirteen, I found this patently absurd, and Mom and I often argued over whether her newfound wisdom was scientific truth or an excuse for people whose decisions destroyed a family. Oddly enough, it’s probably both: Research does reveal a genetic disposition to substance abuse, but those who believe their addiction is a disease show less of an inclination to resist it. Mom was telling herself the truth, but the truth was not setting her free.

Donna made it obvious that not only is addiction a developmental journey, but it’s a journey that continues through the period of recovery. In fact, by the time I’d finished my interviews with Donna, the term “recovery” no longer made sense to me. “Recovery” implies going backward, becoming normal again. And it’s a reasonable term if you consider addiction a disease. But many of the addicts I’ve spoken with—including Donna—see themselves as having moved forward, not backward, once they quit, or even while they were quitting. They often find they’ve become far more aware and self-directed than the person they were before their addiction. There’s no easy way to explain this direction of change with the medical terminology of disease and recovery. Instead of recovering, it seems that addicts keep growing, as does anyone who overcomes their difficulties through deliberation and insight.

Harm reduction is often perceived as being inimical to the ultimate purpose of “curing” addiction—that is, of helping addicts transcend their habits and to heal. People regard it as “coddling” addicts, as enabling them to continue their destructive ways. It’s also considered to be the opposite of abstinence, which many regard as the only legitimate goal of addiction treatment. Such a distinction is artificial. The issue in medical practice is always how best to help a patient. If a cure is possible and probable without doing greater harm, then cure is the objective. When it isn’t — and in most chronic medical conditions cure is not the expected outcome — the physician’s role is to help the patient with the symptoms and to reduce the harm done by the disease process. In rheumatoid arthritis, for example, one aims to prevent joint inflammation and bone destruction and, in all events, to reduce pain. In incurable cancers we aim to prolong life, if that can be achieved without a loss of life quality, and also to control symptoms. In other words, harm reduction means making the lives of afflicted human beings more bearable, more worth living. That is also the goal of harm reduction in the context of addiction. Although hardcore drug addiction is much more than a disease, the harm reduction model is essential to its treatment. Given our lack of a systematic, evidencebased approach to addiction, in many cases it’s futile to dream of a cure. So long as society ostracizes the addict and the legal system does everything it can to heighten the drug problem, the welfare and medical systems can aim only to mitigate some of its effects. Sad to say, in our context harm reduction means reducing not only the harm caused by the disease of addiction, but also the harm caused by the social assault on drug addicts.

Work is hazardous to your health, to borrow a book title. In fact, work is mass murder or genocide. Directly or indirectly, work will kill most of the people who read these words... Even if you aren't killed or crippled while actually working, you very well might be while going to work, coming from work, looking for work, or trying to forget about work. The vast majority of victims of the automobile are either doing one of these work-obligatory activities or else fall afoul of those who do them. To this augmented body-count must be added the victims of auto-industrial pollution and work-induced alcoholism and drug addiction. Both cancer and heart disease are modern afflictions normally traceable, directly, or indirectly, to work. Work, then, institutionalizes homicide as a way of life... We kill people in the six-figure range (at least) in order to sell Big Macs and Cadillacs to the survivors. Our forty or fifty thousand annual highway fatalities are victims, not martyrs. They died for nothing -- or rather, they died for work.

There is within us—in even the blithest, most lighthearted among us—a fundamental dis-ease. It acts like an unquenchable fire that renders the vast majority of us incapable in this life of ever coming to full peace. This desire lies in the marrow of our bones and the deep regions of our souls. All great literature, poetry, art, philosophy, psychology, and religion tries to name and analyze this longing. We are seldom in direct touch with it, and indeed the modern world seems set on preventing us from getting in touch with it by covering it with an unending phantasmagoria of entertainments, obsessions, addictions, and distractions of every sort. But the longing is there, built into us like a jack-in-the-box that presses for release. Two great paintings suggest this longing in their titles—Gauguin’s Who Are We? Where Did We Come From? Where Are We Going? and de Chirico’s Nostalgia for the Infinite—but I must work with words. Whether we realize it or not, simply to be human is to long for release from mundane existence, with its confining walls of finitude and mortality.

I predicted that, in order to live a vital life, prevent disease, or optimize the chance for disease remission, you would need: Healthy relationships, including a strong network of family, friends, loved ones, and colleagues A healthy, meaningful way to spend your days, whether you work outside the home or in it A healthy, fully expressed creative life that allows your soul to sing its song A healthy spiritual life, including a sense of connection to the sacred in life A healthy sexual life that allows you the freedom to express your erotic self and explore fantasies A healthy financial life, free of undue financial stress, which ensures that the essential needs of your body are met A healthy environment, free of toxins, natural-disaster hazards, radiation, and other unhealthy factors that threaten the health of the body A healthy mental and emotional life, characterized by optimism and happiness and free of fear, anxiety, depression, and other mental-health ailments A healthy lifestyle that supports the physical health of the body, such as good nutrition, regular exercise, adequate sleep, and avoidance of unhealthy addictions

Achievement and competence. People fall prey to addiction more readily when they lack positive motivation to achieve or work. Children need to learn that accomplishment is important and within their reach, not solely for material rewards, but because people should make positive contributions to the world and other people and because it is satisfying to make such contributions and to mobilize one’s skills effectively. Participating with children in constructive activity, like reading, building, or gardening—and encouraging independent activity whenever feasible—are strong precursors to achievement and competence. Consciousness and self-awareness. Addiction is the result of accumulated self-destructive behavior that people ignore, just as unconscious acceptance of any negative syndrome ingrains that habit in people’s lives.

All human life, we may say, consists solely of these two activities: (1) bringing one’s activities into harmony with conscience, or (2) hiding from oneself the indications of conscience in order to be able to continue to live as before. Some do the first, others the second. To attain the first there is but one means: moral enlightenment — the increase of light in oneself and attention to what it shows. To attain the second — to hide from oneself the indications of conscience—there are two means: one external and the other internal. The external means consists in occupations that divert one’s attention from the indications given by conscience; the internal method consists in darkening conscience itself. As a man has two ways of avoiding seeing an object that is before him: either by diverting his sight to other more striking objects, or by obstructing the sight of his own eyes—just so a man can hide from himself the indications of conscience in two ways: either by the external method of diverting his attention to various occupations, cares, amusements, or games; or by the internal method of obstructing the organ of attention itself. For people of dull, limited moral feeling, the external diversions are often quite sufficient to enable them not to perceive the indications conscience gives of the wrongness of their lives. But for morally sensitive people those means are often insufficient. The external means do not quite divert attention from the consciousness of discord between one’s life and the demands of conscience. This consciousness hampers one’s life; and in order to be able to go on living as before, people have recourse to the reliable, internal method, which is that of darkening conscience itself by poisoning the brain with stupefying substances. One is not living as conscience demands, yet lacks the strength to reshape one’s life in accord with its demands. The diversions which might distract attention from the consciousness of this discord are insufficient, or have become stale, and so—in order to be able to live on, disregarding the indications conscience gives of the wrongness of their life—people (by poisoning it temporarily) stop the activity of the organ through which conscience manifests itself, as a man by covering his eyes hides from himself what he does not wish to see.

Addiction has ruined so much of my life it’s not funny. It’s ruined relationships. It’s ruined the day-to-day process of being me. I have a friend who doesn’t have any money, lives in a rent-controlled apartment. Never made it as an actor, has diabetes, is constantly worried about money, doesn’t work. And I would trade places with him in a second. In fact, I would give up all the money, all the fame, all the stuff, to live in a rent-controlled apartment—I’d trade being worried about money all the time to not have this disease, this addiction. And not only do I have the disease, but I also have it bad. I have it as bad as you can have it, in fact. It’s backs-to-the-wall time all the time. It’s going to kill me (I guess something has to). Robert Downey Jr., talking about his own addiction, once said, “It’s like I have a gun in my mouth with my finger on the trigger, and I like the taste of the metal.” I got it; I understand that.

My vocation in life is to wonder about at the nature of the universe. This leads me into philosophy, psychology, religion, and mysticism, not only as subjects to be discussed but also as things to be experienced, and thus I make an at least tacit claim to be a philosopher and a mystic. Some people, therefore, expect me to be their guru or messiah or exemplar, and are extremely disconcerted when they discover my “wayward spirit” or element of irreducible rascality, and say to their friends, “How could he possibly be a genuine mystic and be so addicted to nicotine and alcohol?” Or have occasional shudders of anxiety? Or be sexually interested in women? Or lack enthusiasm for physical exercise? Or have any need for money? Such people have in mind an idealized vision of the mystic as a person wholly free from fear and attachment, who sees within and without, and on all sides, only the translucent forms of a single divine energy which is everlasting love and delight, as which and from which he effortlessly radiates peace, charity, and joy. What an enviable situation! We, too, would like to be one of those, but as we start to meditate and look into ourselves we find mostly a quaking and palpitating mess of anxiety which lusts and loathes, needs love and attention, and lives in terror of death putting an end to its misery. So we despise that mess, and look for ways of controlling it and putting “how the true mystic feels” in its place, not realizing that this ambition is simply one of the lusts of the quaking mess, and that this, in turn, is a natural form of the universe like rain and frost, slugs and snails, flies and disease. When the “true mystic” sees flies and disease as translucent forms of the divine, that does not abolish them. I—making no hard-and-fast distinction between inner and outer experience—see my quaking mess as a form of the divine, and that doesn’t abolish it either. But at least I can live with it.

But no matter how carefully we schedule our days, master our emotions, and try to wring our best life now from our better selves, we cannot solve the problem of finitude. We will always want more. We need more. We are carrying the weight of caregiving and addiction, chronic pain and uncertain diagnosis, struggling teenagers and kids with learning disabilities, mental illness and abusive relationships. A grandmother has been sheltering without a visitor for months, and a friend's business closed its doors. Doctors, nurses, and frontline workers are acting as levees, feeling each surge of the disease crash against them. My former students, now serving as pastors and chaplains, are in hospitals giving last rites in hazmat suits. They volunteer to be the last person to hold his hand. To smooth her hair. The truth if the pandemic is the truth of all suffering: that it is unjustly distributed. Who bears the brunt? The homeless and the prisoners. The elderly and the children. The sick and the uninsured. Immigrants and people needing social services. People of color and LGBTQ people. The burdens of ordinary evils— descriminations, brutality, predatory lending, illegal evictions, and medical exploitation— roll back on the vulnerable like a heavy stone. All of us struggle against the constraints places on our bodies, our commitments, our ambitions, and our resources, even as we're saddled with inflated expectations of invincibility. This is the strange cruelty of suffering in America, its insistence that everything is still possible.

There's a psychologist called Mary & Diamond who at Brooklyn in California, in the 80s studied rats. And they took rats at different ages. Newborns, some of whom they deliberately brain damaged, adult, middle-aged, elderly rats. And they exposed these rats to different levels of environmental stimulation, better food, more playmates, toys to play with and so on. They found out a couple of months later that the rats, at any age, including the brain-damaged rats, who had the better stimulation, they were smarter. But in the autopsy then they also found that in the front part of their brain they had larger nerve-cells with more connections with other nerve-cells and richer blood supply. In other words that environmental stimulation actually caused a change in the state of the brain, even in the older rats. And that's called neuroplasticity. The capacity of the brain to develop new circuits. So whether it comes to ADHD, addiction, depression or other childhood disorders or any other issue with adults as well, if we recognize them not as ingrained, genetically-determined diseases, but as problems of development, then the question becomes very different. Then the question becomes not just "how do we treat the symptoms?" (and addiction itself is a symptom, depression is a symptom), but "how do we help people develop out of these conditions?" In other words, it is not a medical question, purely, but a developmental question. And development always requires the right environment. Now, if you're a gardener you know that. If you are growing plants in your backyard and you want them to grow into healthy, functioning beings, botanical beings, you want to provide them with the right nurturing, the right nutrition, minerals, water, sunlight and so on. So the real question is how do we provide the conditions for further development for people whose development was impaired in the first place? Now we know how to do that. We are just not doing it.

Or when you keep a sex-addiction meeting under surveillance because they’re the best places to pick up chicks.” Serge looked around the room at suspicious eyes. “Okay, maybe that last one’s just me. But you should try it. They keep the men’s and women’s meetings separate for obvious reasons. And there are so many more opportunities today because the whole country’s wallowing in this whiny new sex-rehab craze after some golfer diddled every pancake waitress on the seaboard. That’s not a disease; that’s cheating. He should have been sent to confession or marriage counseling after his wife finished chasing him around Orlando with a pitching wedge. But today, the nation is into humiliation, tearing down a lifetime of achievement by labeling some guy a damaged little dick weasel. The upside is the meetings. So what you do is wait on the sidewalk for the women to get out, pretending like you’re loitering. And because of the nature of the sessions they just left, there’s no need for idle chatter or lame pickup lines. You get right to business: ‘What’s your hang-up?’ And she answers, and you say, ‘What a coincidence. Me, too.’ Then, hang on to your hat! It’s like Forrest Gump’s box of chocolates. You never know what you’re going to get. Most people are aware of the obvious, like foot fetish or leather. But there are more than five hundred lesser-known but clinically documented paraphilia that make no sexual sense. Those are my favorites . . .” Serge began counting off on his fingers. “This one woman had Ursusagalmatophilia, which meant she got off on teddy bears—that was easily my weirdest three-way. And nasophilia, which meant she was completely into my nose, and she phoned a friend with mucophilia, which is mucus. The details on that one are a little disgusting. And formicophilia, which is being crawled on by insects, so the babe bought an ant farm. And symphorophilia—that’s staging car accidents, which means you have to time the air bags perfectly

Most people, who choose or are coerced into only identifying with “positive” feelings, usually wind up in an emotionally lifeless middle ground – bland, deadened, and dissociated in an unemotional “no-man’s-land.” Moreover, when a person tries to hold onto a preferred feeling for longer than its actual tenure, she often appears as unnatural and phony as ersatz grass or plastic flowers. If instead, she learns to surrender willingly to the normal human experience that good feelings always ebb and flow, she will eventually be graced with a growing ability to renew herself in the vital waters of emotional flexibility. The repression of the so-called negative polarities of emotion causes much unnecessary pain, as well as the loss of many essential aspects of the feeling nature. In fact, much of the plethora of loneliness, alienation, and addictive distraction that plagues modern industrial societies is a result of people being taught and forced to reject, pathologize or punish so many of their own and others’ normal feeling states. Nowhere, not in the deepest recesses of the self, or in the presence of his closest friends, is the average person allowed to have and explore any number of normal emotional states. Anger, depression, envy, sadness, fear, distrust, etc., are all as normal a part of life as bread and flowers and streets. Yet, they have become ubiquitously avoided and shameful human experiences. How tragic this is, for all of these emotions have enormously important and healthy functions in a wholly integrated psyche. One dimension where this is most true is in the arena of healthy self-protection. For without access to our uncomfortable or painful feelings, we are deprived of the most fundamental part of our ability to notice when something is unfair, abusive, or neglectful in our environments. Those who cannot feel their sadness often do not know when they are being unfairly excluded, and those who cannot feel their normal angry or fearful responses to abuse, are often in danger of putting up with it without protest. Perhaps never before has humankind been so alienated from so many of its normal feeling states, as it is in the twenty-first century. Never before have so many human beings been so emotionally deadened and impoverished. The disease of emotional emaciation is epidemic. Its effects on health are often euphemistically labeled as stress, and like the emotions, stress is often treated like some unwanted waste that must be removed.

Outlawing drugs in order to solve drug problems is much like outlawing sex in order to win the war against AIDS. We recognize that people will continue to have sex for nonreproductive reasons despite the laws and mores. Therefore, we try to make sexual practices as safe as possible in order to minimize the spread of the AIDS viruses. In a similar way, we continually try to make our drinking water, foods, and even our pharmaceutical medicines safer. The ubiquity of chemical intoxicants in our lives is undeniable evidence of the continuing universal need for safer medicines with such applications. While use may not always be for an approved medical purpose, or prudent, or even legal, it is fulfilling the relentless drive we all have to change the way we feel, to alter our behavior and consciousness, and, yes, to intoxicate ourselves. We must recognize that intoxicants are medicines, treatments for the human condition. Then we must make them as safe and risk free and as healthy as possible. Dream with me for a moment. What would be wrong if we had perfectly safe intoxicants? I mean drugs that delivered the same effects as our most popular ones but never caused dependency, disease, dysfunction, or death. Imagine an alcohol-type substance that never caused addiction, liver disease, hangovers, impaired driving, or workplace problems. Would you care to inhale a perfumed mist that is as enjoyable as marijuana or tobacco but as harmless as clean air? How would you like a pain-killer as effective as morphine but safer than aspirin, a mood enhancer that dissolves on your tongue and is more appealing than cocaine and less harmful than caffeine, a tranquilizer less addicting than Valium and more relaxing than a martini, or a safe sleeping pill that allows you to choose to dream or not? Perhaps you would like to munch on a user friendly hallucinogen that is as brief and benign as a good movie? This is not science fiction. As described in the following pages, there are such intoxicants available right now that are far safer than the ones we currently use. If smokers can switch from tobacco cigarettes to nicotine gum, why can’t crack users chew a cocaine gum that has already been tested on animals and found to be relatively safe? Even safer substances may be just around the corner. But we must begin by recognizing that there is a legitimate place in our society for intoxication. Then we must join together in building new, perfectly safe intoxicants for a world that will be ready to discard the old ones like the junk they really are. This book is your guide to that future. It is a field guide to that silent spring of intoxicants and all the animals and peoples who have sipped its waters. We can no more stop the flow than we can prevent ourselves from drinking. But, by cleaning up the waters we can leave the morass that has been the endless war on drugs and step onto the shores of a healthy tomorrow. Use this book to find the way.

The Blue Mind Rx Statement Our wild waters provide vast cognitive, emotional, physical, psychological, social, and spiritual values for people from birth, through adolescence, adulthood, older age, and in death; wild waters provide a useful, widely available, and affordable range of treatments healthcare practitioners can incorporate into treatment plans. The world ocean and all waterways, including lakes, rivers, and wetlands (collectively, blue space), cover over 71% of our planet. Keeping them healthy, clean, accessible, and biodiverse is critical to human health and well-being. In addition to fostering more widely documented ecological, economic, and cultural diversities, our mental well-being, emotional diversity, and resiliency also rely on the global ecological integrity of our waters. Blue space gives us half of our oxygen, provides billions of people with jobs and food, holds the majority of Earth's biodiversity including species and ecosystems, drives climate and weather, regulates temperature, and is the sole source of hydration and hygiene for humanity throughout history. Neuroscientists and psychologists add that the ocean and wild waterways are a wellspring of happiness and relaxation, sociality and romance, peace and freedom, play and creativity, learning and memory, innovation and insight, elation and nostalgia, confidence and solitude, wonder and awe, empathy and compassion, reverence and beauty — and help manage trauma, anxiety, sleep, autism, addiction, fitness, attention/focus, stress, grief, PTSD, build personal resilience, and much more. Chronic stress and anxiety cause or intensify a range of physical and mental afflictions, including depression, ulcers, colitis, heart disease, and more. Being on, in, and near water can be among the most cost-effective ways of reducing stress and anxiety. We encourage healthcare professionals and advocates for the ocean, seas, lakes, and rivers to go deeper and incorporate the latest findings, research, and insights into their treatment plans, communications, reports, mission statements, strategies, grant proposals, media, exhibits, keynotes, and educational programs and to consider the following simple talking points: •Water is the essence of life: The ocean, healthy rivers, lakes, and wetlands are good for our minds and bodies. •Research shows that nature is therapeutic, promotes general health and well-being, and blue space in both urban and rural settings further enhances and broadens cognitive, emotional, psychological, social, physical, and spiritual benefits. •All people should have safe access to salubrious, wild, biodiverse waters for well-being, healing, and therapy. •Aquatic biodiversity has been directly correlated with the therapeutic potency of blue space. Immersive human interactions with healthy aquatic ecosystems can benefit both. •Wild waters can serve as medicine for caregivers, patient families, and all who are part of patients’ circles of support. •Realization of the full range and potential magnitude of ecological, economic, physical, intrinsic, and emotional values of wild places requires us to understand, appreciate, maintain, and improve the integrity and purity of one of our most vital of medicines — water.