Families Of Addicts Quotes

People use drugs, legal and illegal, because their lives are intolerably painful or dull. They hate their work and find no rest in their leisure. They are estranged from their families and their neighbors. It should tell us something that in healthy societies drug use is celebrative, convivial, and occasional, whereas among us it is lonely, shameful, and addictive. We need drugs, apparently, because we have lost each other.

Karl Marx: "Religion is the opiate of the masses." Carrie Fisher: "I did masses of opiates religiously.

We're all addicted to something that takes away the pain

You've recognised a fundamental feature of an addict's life. Maintaining your habit is so important you've no real interest in anything else.

I'm not sure if I know any 'functional' families, if functional means a family without difficult times and members who don't have a full range of problems.

I can sue you for harassment". "Lets play that fucking game." Lo replies "lets see whose lawyers are better. I'm a goddamn Hale. My family eats shitty fucks like you for brunch. Don't you ever force yourself on a girl ever again

Addicts are addicted to their drugs, and their families are addicted to hope.

In all of your living, don't forget to live.

I felt empty and sad for years, and for a long, long time, alcohol worked. I’d drink, and all the sadness would go away. Not only did the sadness go away, but I was fantastic. I was beautiful, funny, I had a great figure, and I could do math. But at some point, the booze stopped working. That’s when drinking started sucking. Every time I drank, I could feel pieces of me leaving. I continued to drink until there was nothing left. Just emptiness.

Millions of deaths would not have happened if it weren’t for the consumption of alcohol. The same can be said about millions of births.

You cannot fix people who will not take feedback, because from their perspective, they do not have a problem.

I never met an addict who came from a nice home . I've met addicts that came from families that had money and nice houses. But never from a nice home.

There are two types of people on planet Earth, Batman and Iron Man. Batman has a secret identity, right? So Bruce Wayne has to walk around every second of every day knowing that if somebody finds out his secret, his family is dead, his friends are dead, everyone he loves gets tortured to death by costumed supervillains. And he has to live with the weight of that secret every day. But not Tony Stark, he's open about who he is. He tells the world he's Iron Man, he doesn't give a shit. He doesn't have that shadow hanging over him, he doesn't have to spend energy building up those walls of lies around himself. You're one or the other - either you're one of those people who has to hide your real self because it would ruin you if it came out, because of your secret fetishes or addictions or crimes, or you're not one of those people. And the two groups aren't even living in the same universe.

What if there were health food stores on every corner in the hood, instead of liquor stores!?

Once, during the drinking phase, Wendy had accused him of desiring his own destruction but not possessing the necessary moral fiber to support a full-blown deathwish. So he manufactured ways in which other people could do it, lopping a piece at a time off himself and their family.

There are millions of people out there who live this way, and their hearts are breaking just like mine. It’s okay to say, “My kid is a drug addict or alcoholic, and I still love them and I’m still proud of them.” Hold your head up and have a cappuccino. Take a trip. Hang your Christmas lights and hide colored eggs. Cry, laugh, then take a nap. And when we all get to the end of the road, I’m going to write a story that’s so happy it’s going to make your liver explode. It’s going to be a great day.

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.

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

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?

At a certain point, an eating disorder ceases to be "about" any one thing. It stops being about your family, or your culture. Very simply, it becomes an addiction not only emotionally but also chemically. And it becomes a crusade. If you are honest with yourself, you stop believing that anyone could "make" you do such a thing— who, your parents? They want you to starve to death? Not likely. Your environment? It couldn't careless. You are also doing it for yourself. It is a shortcut to something many women without an eating disorder have gotten: respect and power. It is a visual temper tantrum. You are making an ineffective statement about this and that, a grotesque, self-defeating mockery of cultural standards of beauty, societal misogyny. It is a blow to your parents, at whom you are pissed. And it is so very seductive. It is so reassuring, so all-consuming, so entertaining. At first.

My daughter, Carly, has been in and out of drug treatment facilities since she was thirteen. Every time she goes away, I have a routine: I go through her room and search for drugs she may have left behind. We have a laugh these days because Carly says, “So you were lookingfor drugs I might have left behind? I’m a drug addict, Mother. We don’t leave drugs behind, especially if we’re going into treatment. We do all the drugs. We don’t save drugs back for later. If I have drugs, I do them. All of them. If I had my way, we would stop for more drugs on the way to rehab, and I would do them in the parking lot of the treatment center.

You just want an excuse to stay,’ she whispered. ‘You two, you’re fucking addicted to each other. You are literally going to be a nuclear family, you do know that? You will explode. You will fucking detonate. You really think you can possibly do this for, what, the next eighteen years? You don’t think she’ll kill you ?

It is said that books save lives, but I also say that empty sketchbooks save lives too. I filled up many, and there is no doubt they saved mine.

I would submit, sir, that you and your family are addicted to money.

Stories keep memories alive and people real to us.

I have learned that the kindness of a teacher, a coach, a policeman, a neighbor, the parent of a friend, is never wasted. These moments are likely to pass with neither the child nor the adult fully knowing the significance of the contribution. No ceremony attaches to the moment that a child sees his own worth reflected in the eyes of an encouraging adult. Though nothing apparent marks the occasion, inside that child a new view of self might take hold. He is not just a person deserving of neglect or violence, not just a person who is a burden to the sad adults in his life, not just a child who fails to solve his family’s problems, who fails to rescue them from pain or madness or addiction or poverty or unhappiness. No, this child might be someone else, someone whose appearance before this one adult revealed specialness or lovability, or value.

Walter Isaacson, who ate dinner with the Jobs family while researching his biography of Steve Jobs, told Bilton that, “No one ever pulled out an iPad or computer. The kids did not seem addicted at all to devices.” It seemed as if the people producing tech products were following the cardinal rule of drug dealing: never get high on your own supply.

I AM WHO I AM IN SPITE OF MY MOTHER, BUT I ALSO AM WHO I AM BECAUSE OF HER.

Everybody has fucked-up families, even normal kids, even the ones who aren’t in here. There’s no magic math equation that makes us addicts, nothing that separates us from everyone else.

I’ve heard people speak of themselves as addicted to reading, but I think those people never stole from their family so they could afford this month’s serial, or sucked off a sailor for a new book of short stories.

When I was about nine, my siblings and I fell out of our moving van at an intersection. My dad didn’t notice for about five blocks. It was back before seat belts. It was also back before parents used any sort of common sense whatsoever. It was a time when you didn’t raise your children. You just fed them and they got bigger.

A nation forgetting its own laughter is in a sad state of affairs

My family. My wife. My son.

I thought over and over about what I was going to do when Carly overdosed and died. How would we go on? And then I knew: I wouldn’t go on. And then I realized that it was just going to be too painful to actually have to watch her die. Right in front of me. My daughter was dying. That’s when I snapped.

While I liked hamsters, too, the Habitrail cage was expensive. Even I could see that the interconnecting boxes, tubes, and spheres could easily bankrupt a family and lead to addiction later in life. Because, how would you know when to stop? How could you stop? An entire city could be built with a Habitrail.

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.

The women of the Church are the hope of the world precisely because it is not possible to limit the influence of a woman of God who is filled with the pure love of Christ. For that matter, the same is true of men. It is not possible to limit the influence of a man of God who bears the holy priesthood and who is filled with the pure love of Christ. Satan knows this, and he hates followers of Christ for it. We are among his greatest nightmares because he knows he cannot limit our influence unless he can neutralize our respective natures. So, if he can get us to break the law of chastity, or develop an addiction, or become consumed with or blinded by the world, he laughs. When he seduces a man or a woman of God, he not only neutralizes those individuals but is poised to infiltrate their families.

Family secrets can go back for generations. They can be about suicides, homicides, incest, abortions, addictions, public loss of face, financial disaster, etc. All the secrets get acted out. This is the power of toxic shame. The pain and suffering of shame generate automatic and unconscious defenses. Freud called these defenses by various names: denial, idealization of parents, repression of emotions and dissociation from emotions. What is important to note is that we can’t know what we don’t know. Denial, idealization, repression and dissociation are unconscious survival mechanisms. Because they are unconscious, we lose touch with the shame, hurt and pain they cover up. We cannot heal what we cannot feel. So without recovery, our toxic shame gets carried for generations.

Love was something I would not have to worry about - the whole mystery of love, heartbreak songs, and family legends. Women who pined, men who went mad, people who forgot who they were and shamed themselves with need, wanting only to be loved by the one they loved. Love was a mystery. Love was a calamity. Love was a curse that had somehow skipped me, which was no doubt why I was so good at multiple-choice tests and memorizing poetry. Sex was a country I been dragged into as an unwilling girl - sex, and the madness of the body. For all that it could terrify and confuse me, sex was something I had assimilated. Sex was a game or a weapon or an addiction. Sex was familiar. But love - love was another country.

The truth most families eventually discover is that no one can cure another person's addiction. Omly addicts can do that for themselves.

It is okay to own a technology, what is not okay is to be owned by technology.

Loving music had pushed all of us off the track- away from the normal pursuit of career, mate, and family, on an endless quest for that vibrating high, the plunge beyond time that comes only when you submerge yourself beneath the waterline of amplified sound. We were addicts, in a way, but also adept, enlightened by a noise most people considered no more than a pleasant distraction. What was left for us but to practice our art of listening?

The decision-making part of the brain of an individual who has been using crystal meth is very interesting. When Carly and Andy were in their apartment, they ran out of drugs. They sold every single thing they had except two things: a couch and a blow torch. They had to make a decision because something had to be sold to buy more drugs. A normal person would automatically think, Sell the blow torch. But Andy and Carly sat on the couch, looking at the couch and looking at the blow torch, and the choice brought intense confusion. The couch? The blow torch? I mean, we may not need the blow torch today, but what about tomorrow? If we sell the couch, we can still sit wherever we want. But the blow torch? A blow torch is a very specific item. If you’re doing a project and you need a blow torch, you can’t substitute something else for it. You would have to have a blow torch, right? In the end, they sold the couch.

Tony then explained how 'fucking stupid' most people are and believe anything as long as you liberally apply the words 'I Love You'. He then said, "The best ones are the ones who didn't get any love as kids; parents were a bit cold and so on. People from these families will do anything if you tell them you love them. They are like addicts or something. they never had, you know, parental affection and love as kids. It's a bit weird, alright, but you can spot these a mile away.

...for the first time in my life, a voice went off in my head:'You have no power over what happens in your life. Drugs dictate exactly what you're going to do. You've taken your hands off the steering wheel, and you're going wherever the drug world takes you.' That had never changed. The feeling would well up inside of me, and no matter how much I loved my girl or my band or my friends or my family, when that siren song 'Go get high now' started playing in my head, I was off.

Why can’t my successes be associated with the Hale family? Is it so fucking hard for the media to believe that addicts can raise a good man? A good son?

It takes one a long time to become young. - Picasso

They had been pathetically eager to have the wedding in the family church. Their reaction though, as far as she could estimate the reactions of people who were now so remote from her, was less elated glee than a quiet, rather smug satisfaction, as though their fears about the effects of her university education, never stated but aways apparent, had been calmed at last. They had probably been worried she would turn into a high-school teacher or a maiden aunt or a dope addict or a female executive, or that she would undergo some shocking physical transformation, like developing muscles and a deep voice or growing moss.

I used substitutes for my real needs. I needed rest or relationship or recreation, but I gave myself food or sex or shopping. Since I wasn’t supplying what I really needed, I was never satisfied. I needed to know that I deserved to have my needs met and then I had to start asking myself what I really needed and provide those things.

The front of the brain has to develop through mistakes. But the first reaction of the addicted person is to head back to the family: ‘Will you rescue me?’ Whatever the person’s rescued from, there’s no learning. There’s no experiences, no frontal brain development. They’re doing well and then some idea comes into their head and they’re off a cliff. It may not be a decision to use. Most relapse comes not from the craving for the drug. It comes from this whole other level of unmanageability, putting myself in compromising situations, or being dishonest, being lazy—being a fifteen-year-old.

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.

A sex addict is also emotionally anorexic – they must be in order to continue participating in isolated behaviour such as being addicted to pornography and being promiscuous or having multiple affairs. All of these secretive behaviour patterns affect a family and home.

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

I’m an addiction?” He responds quietly, “The worst one. There’s no cure for that addiction.

…there is rarely any rhyme or reason in suicides. They can be a cry for help gone wrong, or a punishment to those you’re leaving behind, or one fateful twenty-minute window when you lose your bearings and can’t find the reasons to go on.

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.

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.

The fetus is biochemically connected to the mother, and her external, internal, physical, and mental health affect the overall development of the fetus. Stress and depression during pregnancy have been proven to have long-term and even permanent effects on the offspring. Such effects include a vulnerability to chronic anxiety, elevated fear, propensity to addictions, and poor impulse control.

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.

When you’re younger, you don’t appreciate your parents and all that they’ve done for you. Loving your parents is seen as uncool, and all that matters is your friends, booze, and girls, girls, girls. But the older you get, you realize that your parents are going to be there for you when your friends and girlfriends are long gone. Friendship comes and goes, but family is forever.

Since then he had taken these photos out too many times to count, but each time he looked into the face of this woman he had felt something growing inside him. It took him a long time to realize what it was. Only recently had his wounded synapses allowed him to name it. He had been falling in love all over again. He didn't understand how two people who were married, who saw each other every day, could forget what each other looked like, but if he had had to name what had happened- this was it. And the last two photos in the roll provided the key. He had come home from work- I remember trying to keep my mother's attention as Holiday barked when he had heard the car pull into the garage. 'He'll come out,' I said. 'Stay still.' And she did. Part of what I loved about photography was the power it gave me over the people on the other side of the camera, even my own parents. Out of the corner of my eye I saw my father walk through the side door into the yard. He carried his slim briefcase, which, years before, Lindsey and I had heatedly investigated only to find very little of interest to us. As he set it down I snapped the last solitary photo of my mother. Already her eyes had begun to seem distracted and anxious, diving under and up into a mask somehow. In the next photo, the mast was almost, but not quite, in place and in the final photo, where my father was leaning slightly down to give her a kiss on the cheek- there it was. 'Did I do that to you?' he asked her image as he stared at the pictures of my mother, lined up in a row. 'How did that happen?' ~pgs 239-240; Mr. Salmon dealing with the three c's (for families of addicts)- Cause (you didn't cause it), Control (you can't control it), and Cure (you can't cure it)

Often, our misunderstandings about love are born in disruptive family relationships, where someone was either one-up or one-down to an extreme. There is an appropriate and necessary difference in the balance of power between parents and young children, but in the best situations, there should be no power struggles by the time those children have become adults - just deep connection, trust, and respect between people who sincerely care about each other. In disruptive families, children are taught to remain one-up or one-down into adulthood. And this produces immature adults who either seek to dominate others (one-up) or who allow themselves to be dominated (one-down) in their relationships - one powerful and one needy, one enabling and one addicted, one decisive and one confused. In relationships with these people, manipulation abounds. Especially when they start to feel out of control.

If we are truly fortunate, we have employers who did not abandon us, family who stood by us, and perhaps someone who helped us find our way back, who never forget that beneath all the appalling behavior there was a human being.

It's easy to dismiss girls who work on the streets as deadbeats or drug addicts without ever thinking about why they're working as prostitutes. And the truth is that many of them have been trafficked and they work long, exhausting, miserable, soul-destroying hours for men who are cruel and violent. They're constantly afraid, not just because of what might be done to them if they don't do what they're told, but also because of the very real threats that are made against their families and the people they love.

I think you´re beautiful. And I´m no stranger to fucked-up families." And then he was kissing her again. The addictive pull of his mouth almost had her crawling into his lap. Her hands bunched in his shirt, pulling him closer. [...] Layne always rolled her eyes in health class when they talked about hormones getting out of control. But right now, she could barely remember her name. She totally got how someone could forget something like a silly little condom. Suddenly Gabriel was laughing. "How someone could forget what?" She almost fell off the bench. "I said that out loud?" "Yeah." He leaned closer, his breath against her jaw. "Just what were you thinking about?

I flopped on the overstuffed kitchen couch and watched him go. I wondered what would happen to all his films and photographs in the upstairs closet - the documentaries on homelessness and drug addiction, the funny short subjects, the half-finished romantic comedy, the boxes of slice-of-life photographs that spoke volumes about the human condition. I wondered how you stop caring about what you've ached over, sweated over. (Thwonk)

As children become increasingly less connected to adults, they rely more and more on each other; the whole natural order of things change. In the natural order of all mammalian cultures, animals or humans, the young stay under the wings of adults until they themselves reach adulthood. Immature creatures were never meant to bring one another to maturity. They were never meant to look to one another for primary nurturing, modelling, cue giving or mentoring. They are not equipped to give one another a sense of direction or values. As a result of today`s shift to this peer orientation, we are seeing the increasing immaturity, alienation, violence and precocious sexualization of North American Youth. The disruption of family life, rapid economic and social changes to human culture and relationships, and the erosion of stable communities are at the core of this shift.

I would like to buy about three dollars worth of gospel, please. Not too much – just enough to make me happy, but not so much that I get addicted. I don't want so much gospel that I learn to really hate covetousness and lust. I certainly don't want so much that I start to love my enemies, cherish self-denial, and contemplate missionary service in some alien culture. I want ecstasy, not repentance; I want transcendence, not transformation. I would like to be cherished by some nice, forgiving, broad-minded people, but I myself don't want to love those from different races – especially if they smell. I would like enough gospel to make my family secure and my children well behaved, but not so much that I find my ambitions redirected or my giving too greatly enlarged. I would like about three dollars worth of gospel, please.

So when Carl said, Why do you take drugs? she told him what she thought, told him the truth because the least such a question deserved was a real answer. She said, Oh, who knows, there are so many good reasons and nobody mentions them and the main thing nobody mentions is the comfort of it, how good it is to be a slave to something, the regularity and the habit of addiction, the fact that it's an antidote to loneliness, and the way it becomes your family, gives you mother love and protection and keeps you safe.

Few experiences in life quite match the feelings of horror, fear, helplessness, and grief that families experience when someone they love becomes addicted to alcohol or other drugs. They watch in dismay as the addict becomes alienated from the family and undergoes profound changes. Activities that once brought the addict pleasure are abandoned, old friends are pushed away, and the addict withdraws into a world that is inaccesible to anyone who tries to help.

Your dad was in a street gang?" My adopted dad was an accountant for a big Fortune 500 corporation. Him, me, and my adopted mom lived in the suburbs in an English Tudor house with a gigantic basement where he fiddled with model trains. The other dads were lawyers and research chemists, but they all ran model trains. Every weekend they could, they'd load into a family van and cruise into the city for research. Snapping pictures of gang members. Gang graffiti. Sex workers walking their tracks. Litter and pollution and homeless heroin addicts. All this, they'd study and bicker about, trying to outdo each other with the most realistic, the grittiest scenes of urban decay they could create in HO train scale in a subdivision basement

Well, my dear sisters, the gospel is the good news that can free us from guilt. We know that Jesus experienced the totality of mortal existence in Gethsemane. It's our faith that he experienced everything- absolutely everything. Sometimes we don't think through the implications of that belief. We talk in great generalities about the sins of all humankind, about the suffering of the entire human family. But we don't experience pain in generalities. We experience it individually. That means he knows what it felt like when your mother died of cancer- how it was for your mother, how it still is for you. He knows what it felt like to lose the student body election. He knows that moment when the brakes locked and the car started to skid. He experienced the slave ship sailing from Ghana toward Virginia. He experienced the gas chambers at Dachau. He experienced Napalm in Vietnam. He knows about drug addiction and alcoholism. Let me go further. There is nothing you have experienced as a woman that he does not also know and recognize. On a profound level, he understands the hunger to hold your baby that sustains you through pregnancy. He understands both the physical pain of giving birth and the immense joy. He knows about PMS and cramps and menopause. He understands about rape and infertility and abortion. His last recorded words to his disciples were, "And, lo, I am with you always, even unto the end of the world." (Matthew 28:20) He understands your mother-pain when your five-year-old leaves for kindergarten, when a bully picks on your fifth-grader, when your daughter calls to say that the new baby has Down syndrome. He knows your mother-rage when a trusted babysitter sexually abuses your two-year-old, when someone gives your thirteen-year-old drugs, when someone seduces your seventeen-year-old. He knows the pain you live with when you come home to a quiet apartment where the only children are visitors, when you hear that your former husband and his new wife were sealed in the temple last week, when your fiftieth wedding anniversary rolls around and your husband has been dead for two years. He knows all that. He's been there. He's been lower than all that. He's not waiting for us to be perfect. Perfect people don't need a Savior. He came to save his people in their imperfections. He is the Lord of the living, and the living make mistakes. He's not embarrassed by us, angry at us, or shocked. He wants us in our brokenness, in our unhappiness, in our guilt and our grief. You know that people who live above a certain latitude and experience very long winter nights can become depressed and even suicidal, because something in our bodies requires whole spectrum light for a certain number of hours a day. Our spiritual requirement for light is just as desperate and as deep as our physical need for light. Jesus is the light of the world. We know that this world is a dark place sometimes, but we need not walk in darkness. The people who sit in darkness have seen a great light, and the people who walk in darkness can have a bright companion. We need him, and He is ready to come to us, if we'll open the door and let him.

When you're a kid and a teen, you're not in control of your circumstances. But the beautiful thing about growing up is that you get to create your own reality and your own family. That family might be a group of tight-knit friends, that family might be a spouse and children of your own. But ultimately, your childhood realities do not have to perpetuate themselves into adulthood, not if you don't let them. It for sure takes work.

THE DYSFUNCTIONAL FAMILY RULES 1. Control or Chaos. One must be in control of all interactions, feelings and personal behavior at all times—control is the major defense strategy for shame. In the less-than-human shameless marriage, both parents may be cocaine addicts or addicted in other ways. They may be dishonest criminals. The children experience chaos, as well as secrecy rules that guard their family’s behavior. 2. Perfectionism or Anomie. Always be right in everything you do. The perfectionist rule always involves an imposed measurement. The fear and avoidance of the negative is the organizing principle of life. The members live according to an externalized image. No one ever measures up. In the less-than-human family, there are no rules—the children have no structure to guide them.

Dr. Bone Specialist came in, made me stand up and hobble across the room, checked my reflexes, and then made me lie down on the table. He bent my right knee this way and that, up and down, all the way out to the side and in. Then he did the same with my left leg. He ordered X rays then started to leave the room. I panicked. I MUST GET DRUGS. "What can I take for the pain?" I asked him before he got out the door. "You can take some over the counter ibuprofen," he suggested. "But I wouldn't take more than nine a day." I choked. Nine a day? I'd been popping forty. Nine a day? Like hell. I couldn't even go to the bathroom on my own, I hadn't slept in three weeks, and my normally sunny cheery disposition had turned into that of a very rabid dog. If I didn't get good drugs and get them now, it was straight to Shooter's World and then Walgreens pharmacy for me. "I don't think you understand," I explained. "I can't go to work. I have spent the last four days with my mother who is addicted to QVC, watching jewelry shows, doll shows and make-up shows. I almost ordered a beef-jerky maker! Give me something, or I'm going to use your calf muscles to make the first batch!" Without further ado, he hastily scribbled out a prescription for some codeine and was gone. I was happy. My mother, however, had lost the ability to speak.

The thing is very clear to us that behind every person or family, who or which is going through a difficulty, you say any kind of challenge in life then there are some obvious reasons behind the story – whether it’s poverty, illiteracy, addiction, abuse, unemployment, disability, mental illness, discrimination or anything else like that. So, for all these adverse situations, a social worker.

Your Script Here’s what to tell someone or yourself while you’re feeling hopelessly fucked-up. Dear [Me/Family Member/Fuckup I Can’t Help But Care About], I know you feel like [the royal “we”/you/our fuckup son] is on the verge of [insert mistake or potential tragic experience], and life feels like an unholy disaster. The truth is, however, that life often sucks and sometimes I can’t expect to feel other than [insert classier, more dire synonym for “shitty”], especially given issues in the past regarding [bad luck/anxiety/your many addictions and world-record unemployment]. So don’t take it personally and do take credit for whatever good things you were doing, even if they were totally ineffective at fending off this mess. Take pride in doing a good job, regardless of bad [luck/genes/associates/mental pain] and don’t stop.

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.

Since I was a small child, I have always tried to maintain my dignity in every situation. At work now, I strive to maintain my professional dignity. At home, with Thomas, I strive to maintain a certain parental dignity, to protect him from overhearing anything that might upset him, or anything untoward. Therefore, because it feels undignified, I have never enjoyed the feeling of anyone else worrying about me or being concerned for my well-being, preferring instead to give the impression that I am always fine, and that I have everything under control. Largely, I believe this image to be an honest one.

Who dies best, the soldier who falls for your sake, or the fly in my whiskey-glass? The happy agony of the fly is his reward for an adventurous dive in no cause but his own. Gorged and crazed, he touches bottom, knows he's gone as far as he can go, and bravely sticks. I sleep on. In the morning I pour new happiness upon the crust of the old, and only as I raise the glass to my lips descry through that rich brown double inch my flattened hero. I drink around his death, being no angler by any inclination, and leave him in the weird shallows. The glass set down, I idle beneath the fan, while beyond my window-bars a warm drizzle passes silently from clouds to leaves. How to die? How to live? These questions, if we ask the dead fly, are both answered thus: In a drunken state. But drunk on WHAT should we all be? Well, there's love to drink, of course, and death, which is the same thing, and whiskey, better still, and heroin, best of all—except maybe for holiness. Accordingly, let this book, like its characters, be devoted to Addiction, Addicts, Pushers, Prostitutes and Pimps. With upraised needles, Bibles, dildoes and shot glasses, let us now throw our condoms in the fire, unbutton our trousers, and happily commit THIS MULTITUDE OF CRIMES.

The hardest cases, I think--perhaps the most dangerous ones--are the friends of the Laffertys' (the evil ones). People like Sargeant Ahearn, who has possibly known for years about what goes on in Kensington. And he'll never be fired, never be questioned, never even be disciplined. He'll go on with his daily routine, showing up for work, casually abusing his power in ways that will have lasting effects on individuals and communities, on the whole city of Philadelphia, for years. It's the Ahearns of the world who scare me.

SOCIETY AS COMPULSIVE AND ADDICTED Our society is highly addictive. We have sixty million sexual abuse victims. Possibly seventy-five million lives are seriously affected by alcoholism, with no telling how many more through other drugs. We have no idea of the actual impact on our economy of the billions of tax-free dollars that come from the illegal drug trade. Over fifteen million families are violent. Some 60 percent of women and 50 percent of men have eating disorders. We have no actual data on work addiction or sexual addictions. I saw a recent quotation that cited thirteen million gambling addicts. If toxic shame is the fuel of addiction, we have a massive problem of shame in our society.

It’s not the drug that causes the junkie it’s the laws that causes the junkie because of course the drug laws means that he can’t go and get help because he is afraid of being arrested. He also can’t have a normal life because the war on drugs has made drugs so expensive and has made drug contracts unenforceable which means they can only be enforced through criminal violence. It becomes so profitable to sell drugs to addicts that the drug dealers have every incentive to get people addicted by offering free samples and to concentrate their drug to the highest possible dose to provoke the greatest amount of addiction as possible. Overall it is a completely staggering and completely satanic human calamity. It is the new gulag and in some ways much more brutal than the soviet gulag. In the soviet gulags there was not a huge prison rape problem and in this situation your life could be destroyed through no fault of your own through sometimes, no involvement of your own and the people who end up in the drug culture are walled off and separated as a whole and thrown into this demonic, incredibly dangerous, underworld were the quality of the drugs can’t be verified. Were contracts can’t be enforced except through breaking peoples kneecaps and the price of drugs would often led them to a life of crime. People say “well, I became a drug addict and I lost my house, family, and my job and all that.” It’s not because you became a drug addict but, because there is a war on drugs which meant that you had to pay so much for the drugs that you lost your house because you couldn't go and find help or substitutes and ended up losing your job. It’s all nonsense. The government can’t keep drugs out of prisons for heaven’s sakes. The war on drugs is not designed to be won. Its designed to continue so that the government can get the profits of drug running both directly through the CIA and other drug runners that are affiliated or through bribes and having the power of terrorizing the population. To frame someone for murder is pretty hard but to palm a packet of cocaine and say that you found it in their car is pretty damn easy and the government loves having that power." -Stefan Molyneux

On the one hand, I was happy to have a proper diagnosis. Aside from a trust fund and a royal title, that was really the only thing I'd ever wanted in life. On the other hand, I was offended to learn that my brain was defective. Or, I suppose I should say, "differently abled." One thing I was not was surprised. Four generations of manic depression on my mother's side of the family. Three of autism on my father's side. Drug addict uncles, a pyromaniac cousin, a couple of schizophrenics and suicides, several flesh-and-blood geniuses, and a pecan farmer. You just cannot mix those raw ingredients together and then stick them inside my mother for nine months and expect something normal to come out. It's a wonder I wasn't born with a set of horns.

Not caring about our own pain and the pain of others is not working. How much longer are we willing to keep pulling drowning people out of the river one by one, rather than walking to the headwaters of the river to find the source of the pain? What will it take for us to let go of that earned self-righteousness and travel together to the cradle of the pain that is throwing all of us in at such a rate that we couldn’t possibly save everyone? Pain is unrelenting. It will get our attention. Despite our attempts to drown it in addiction, to physically beat it out of one another, to suffocate it with success and material trappings, or to strangle it with our hate, pain will find a way to make itself known. Pain will subside only when we acknowledge it and care for it. Addressing it with love and compassion would take only a minuscule percentage of the energy it takes to fight it, but approaching pain head-on is terrifying. Most of us were not taught how to recognize pain, name it, and be with it. Our families and culture believed that the vulnerability that it takes to acknowledge pain was weakness, so we were taught anger, rage, and denial instead. But what we know now is that when we deny our emotion, it owns us. When we own our emotion, we can rebuild and find our way through the pain. Sometimes owning our pain and bearing witness to struggle means getting angry. When we deny ourselves the right to be angry, we deny our pain. There are a lot of coded shame messages in the rhetoric of “Why so hostile?” “Don’t get hysterical,” “I’m sensing so much anger!” and “Don’t take it so personally.” All of these responses are normally code for Your emotion or opinion is making me uncomfortable or Suck it up and stay quiet. One response to this is “Get angry and stay angry!” I haven’t seen that advice borne out in the research. What I’ve found is that, yes, we all have the right and need to feel and own our anger. It’s an important human experience.

Long black hair and deep clean blue eyes and skin pale white and lips blood red she's small and thin and worn and damaged. She is standing there. What are you doing here? I was taking a walk and I saw you and I followed you. What do you want. I want you to stop. I breathe hard, stare hard, tense and coiled. There is still more tree for me to destroy I want that fucking tree. She smiles and she steps towards me, toward toward toward me, and she opens he r arms and I'm breathing hard staring hard tense and coiled she puts her arms around me with one hand not he back of my head and she pulls me into her arms and she holds me and she speaks. It's okay. I breathe hard, close my eyes, let myself be held. It's okay. Her voice calms me and her arms warm me and her smell lightens me and I can feel her heart beat and my heart slows and I stop shaking an the Fury melts into her safety an she holds me and she says. Okay. Okay. Okay. Something else comes and it makes me feel weak and scared and fragile and I don't want to be hurt and this feeling is the feeling I have when I know I can be hurt and hurt deeper and more terribly than anything physical and I always fight it and control it and stop it but her voice calms me and her arms warm me and her smell lightens me and I can feel her heart beat and if she let me go right now I would fall and the need and confusion and fear and regret and horror and shame and weakness and fragility are exposed to the soft strength of her open arms and her simple word okay and I start to cry. I start to cry. I want to cry. It comes in waves. THe waves roll deep and from deep the deep within me and I hold her and she holds me tighter and i let her and I let it and I let this and I have not felt this way this vulnerability or allowed myself to feel this way this vulnerability since I was ten years old and I don't know why I haven't and I don't know why I am now and I only know that I am and that it is scary terrifying frightening worse and better than anything I've ever felt crying in her arms just crying in her ams just crying. She guides me to the ground, but she doesn't let me go. THe Gates are open and thirteen years of addiction, violence, hell and their accompaniments are manifesting themselves in dense tears and heavy sobs and a shortness of breath and a profound sense of loss. THe loss inhabits, fills and overwhelms me. It is the loss of a childhood of being a Teeenager of normalcy of happiness of love of trust anon reason of God of Family of friends of future of potential of dignity of humanity of sanity f myself of everything everything everything. I lost everything and I am lost reduced to a mass of mourning, sadness, grief, anguish and heartache. I am lost. I have lost. Everything. Everything. It's wet and Lilly cradles me like a broken Child. My face and her shoulder and her shirt and her hair are wet with my tears. I slow down and I start to breathe slowly and deeply and her hair smells clean and I open my eyes because I want to see it an it is all that I can see. It is jet black almost blue and radiant with moisture. I want to touch it and I reach with one of my hands and I run my hand from the crown along her neck and her back to the base of her rib and it is a thin perfect sheer and I let it slowly drop from the tips of my fingers and when it is gone I miss it. I do it again and again and she lets me do it and she doesn't speak she just cradles me because I am broken. I am broken. Broken. THere is noise and voices and Lilly pulls me in tighter and tighter and I know I pull her in tighter and tighter and I can feel her heart beating and I know she can feel my heart beating and they are speaking our hearts are speaking a language wordless old unknowable and true and we're pulling and holding and the noise is closer and the voices louder and Lilly whispers. You're okay. You're okay. You're okay.

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.

The sad truth is that many of us are addicted to our phones because we crave immediate approval and affirmation. The fear we feel in our hearts when we are engaged online is the impulse that drives our "highly selective self-representations." We want to be loved and accepted by others, so we wash away our scars and defects. When we put this scrubbed-down representation of ourselves online, we tabulate the human approval in a commodity index of likes and shares. We post an image, then watch the immediate response. We refresh. We watch the stats climb-or stall. We gauge the immediate responses from friends, family members, and strangers. Did what we posted gain the immediate approval of others? We know within minutes. Even the promise of religious approval and the affirmations of other Christians is a gravitational pull that draws us toward our phones.

You might be too enmeshed with the other person, or “codependent,” and you must learn to set better “boundaries.” The basic premise underlying this point of view is that the ideal relationship is one between two self-sufficient people who unite in a mature, respectful way while maintaining clear boundaries. If you develop a strong dependency on your partner, you are deficient in some way and are advised to work on yourself to become more “differentiated” and develop a “greater sense of self.” The worst possible scenario is that you will end up needing your partner, which is equated with “addiction” to him or her, and addiction, we all know, is a dangerous prospect. While the teachings of the codependency movement remain immensely helpful in dealing with family members who suffer from substance abuse (as was the initial intention), they can be misleading and even damaging when applied indiscriminately to all relationships.

Shame Resilience 101 Here are the first three things that you need to know about shame: We all have it. Shame is universal and one of the most primitive human emotions that we experience. The only people who don’t experience shame lack the capacity for empathy and human connection. We’re all afraid to talk about shame. The less we talk about shame, the more control it has over our lives. Shame is basically the fear of being unlovable—it’s the total opposite of owning our story and feeling worthy. In fact, the definition of shame that I developed from my research is: Shame is the intensely painful feeling or experience of believing that we are flawed and therefore unworthy of love and belonging.1 Shame keeps worthiness away by convincing us that owning our stories will lead to people thinking less of us. Shame is all about fear. We’re afraid that people won’t like us if they know the truth about who we are, where we come from, what we believe, how much we’re struggling, or, believe it or not, how wonderful we are when soaring (sometimes it’s just as hard to own our strengths as our struggles). People often want to believe that shame is reserved for the folks who have survived terrible traumas, but this is not true. Shame is something we all experience. And while it feels as if shame hides in our darkest corners, it actually tends to lurk in all of the familiar places, including appearance and body image, family, parenting, money and work, health, addiction, sex, aging, and religion. To feel shame is to be human.

We must commit to pulling our brothers and sisters out of the river and also commit to going upstream to identify, confront, and hold accountable those who are pushing them in. We help parents bury their babies who were victims of gun violence. And we go upstream to fight the gun manufacturers and politicians who profit from their children’s deaths. We step into the gap to sustain moms who are raising families with imprisoned dads. And we go upstream to dismantle the injustice of mass incarceration. We fund recovery programs for those suffering from opioid addiction. And we go upstream to rail against the system that enables Big Pharma and corrupt doctors to get richer every time another kid gets hooked. We provide shelter and mentoring for LGBTQ homeless kids. And we go upstream to renounce the religious-based bigotry, family rejection, and homophobic policies that make LGBTQ kids more than twice as likely as their straight or cis-gender peers to experience homelessness. We help struggling veterans get the PTSD treatment they need and deserve, and we go upstream to confront the military-industrial complex, which is so zealous to send our soldiers to war and so willing to abandon them when they return.

Art is dead. Art is dead. Art is dead. Art is dead. Entertainers like to seem complicated But we're not complicated I can explain it pretty easily Have you ever been to a birthday Party for children? And one of the children won't stop screaming 'Cause he's just a little Attention attractor When he grows up To be a comic or actor He'll be rewarded for never maturing For never under- Standing or learning That every day Can't be about him There's other people You selfish asshole I must be psychotic I must be demented To think that I'm worthy Of all this attention Of all of this money, you worked really hard for I slept in late while you worked at the drug store My drug's attention, I am an addict But I get paid to indulge in my habit It's all an illusion, I'm wearing make-up, I'm wearing make-up Make-up, make-up, make-up, make... Art is dead So people think you're funny, how do we get those people's money? I said art is dead We're rolling in dough, while Carlin rolls in his grave His grave, his grave The show has got a budget The show has got a budget And all the poor people way more deserving of the money Won't budge it 'Cause I wanted my name in lights When I could have fed a family of four For forty fucking fortnights Forty fucking fortnights I am an artist, please God forgive me I am an artist, please don't revere me I am an artist, please don't respect me I am an artist, you're free to correct me A self-centred artist Self-obsessed artist I am an artist I am an artist But I'm just a kid I'm just a kid I'm just a kid Kid And maybe I'll grow out of it.

This is the heart of it, the scared woman who does not want to go alone to the man any longer, because when she does, when she takes of her baggy dress, displaying to him rancid breasts each almost as big as his own head, or no breasts, or mammectomized scar tissues taped over with old tennis balls to give her the right curves; when, vending her flesh, she stands or squats waiting, congealing the air firstly with her greasy cheesey stench of unwashed feet confined in week-old socks, secondly with her perfume of leotards and panties also a week old, crusted with semen and urine, brown-greased with the filth of alleys; thirdly with the odor of her dress also worn for a week, emblazoned with beer-spills and cigarette-ash and salted with the smelly sweat of sex, dread, fever, addiction—when she goes to the man, and is accepted by him, when all these stinking skins of hers have come off (either quickly, to get it over with, or slowly like a big truck pulling into a weigh station because she is tired), when she nakedly presents her soul’s ageing soul, exhaling from every pore physical and ectoplasmic her fourth and supreme smell which makes eyes water more than any queen of red onions—rotten waxy smell from between her breasts, I said, bloody pissy shitty smell from between her legs, sweat-smell and underarm-smell, all blended into her halo, generalized sweetish smell of unwashed flesh; when she hunkers painfully down with her customer on bed or a floor or in an alley, then she expects her own death. Her smell is enough to keep him from knowing the heart of her, and the heart of her is not the heart of it. The heart of it is that she is scared.

Separating from Family Issues: January 4 We can draw a healthy line, a healthy boundary, between ourselves and our nuclear family. We can separate ourselves from their issues. Some of us may have family members who are addicted to alcohol and other drugs and who are not in recovery from their addiction. Some of us may have family members who have unresolved codependency issues. Family members may be addicted to misery, pain, suffering, martyrdom, and victimization. We may have family members who have unresolved abuse issues or unresolved family of origin issues. We may have family members who are addicted to work, eating, or sex. Our family may be completely enmeshed, or we may have a disconnected family in which the members have little contact. We may be like our family. We may love our family. But we are separate human beings with individual rights and issues. One of our primary rights is to begin feeling better and recovering, whether or not others in the family choose to do the same. We do not have to feel guilty about finding happiness and a life that works. And we do not have to take on our family’s issues as our own to be loyal and to show we love them. Often when we begin taking care of ourselves, family members will reverberate with overt and covert attempts to pull us back into the old system and roles. We do not have to go. Their attempts to pull us back are their issues. Taking care of ourselves and becoming healthy and happy does not mean we do not love them. It means we’re addressing our issues. We do not have to judge them because they have issues; nor do we have to allow them to do anything they would like to us just because they are family. We are free now, free to take care of ourselves with family members. Our freedom starts when we stop denying their issues, and politely, but assertively, hand their stuff back to them—where it belongs—and deal with our own issues. Today, I will separate myself from family members. I am a separate human being, even though I belong to a unit called a family. I have a right to my own issues and growth; my family members have a right to their issues and a right to choose where and when they will deal with these issues. I can learn to detach in love from my family members and their issues. I am willing to work through all necessary feelings in order to accomplish this.

Days after the elections of 2016, asha sent me a link to a talk by astrophysicist Neil deGrasse Tyson. We have to have hope, she says to me across 3,000 miles, she in Brooklyn, me in Los Angeles. We listen together as Dr. deGrasse Tyson explains that the very atoms and molecules in our bodies are traceable to the crucibles in the centers of stars that once upon a time exploded into gas clouds. And those gas clouds formed other stars and those stars possessed the divine-right mix of properties needed to create not only planets, including our own, but also people, including us, me and her. He is saying that not only are we in the universe, but that the universe is in us. He is saying that we, human beings, are literally made out of stardust. And I know when I hear Dr. deGrasse Tyson say this that he is telling the truth because I have seen it since I was a child, the magic, the stardust we are, in the lives of the people I come from. I watched it in the labor of my mother, a Jehovah's Witness and a woman who worked two and sometimes three jobs at a time, keeping other people's children, working the reception desks at gyms, telemarketing, doing anything and everything for 16 hours a day the whole of my childhood in the Van Nuys barrio where we lived. My mother, cocoa brown and smooth, disowned by her family for the children she had as a very young and unmarried woman. My mother, never giving up despite never making a living wage. I saw it in the thin, brown face of my father, a boy out of Cajun country, a wounded healer, whose addictions were borne of a world that did not love him and told him so not once but constantly. My father, who always came back, who never stopped trying to be a version of himself there were no mirrors for. And I knew it because I am the thirteenth-generation progeny of a people who survived the hulls of slave ships, survived the chains, the whips, the months laying in their own shit and piss. The human beings legislated as not human beings who watched their names, their languages, their Goddesses and Gods, the arc of their dances and beats of their songs, the majesty of their dreams, their very families snatched up and stolen, disassembled and discarded, and despite this built language and honored God and created movement and upheld love. What could they be but stardust, these people who refused to die, who refused to accept the idea that their lives did not matter, that their children's lives did not matter?

Not a single family finds itself exempt from that one haunted casualty who suffered irreparable damage in the crucible they entered at birth. Where some children can emerge from conditions of soul-killing abuse and manage to make their lives into something of worth and value, others can’t limp away from the hurts and gleanings time decanted for them in flawed beakers of memory. They carry the family cross up the hill toward Calvary and don’t mind letting every other member of their aggrieved tribe in on the source of their suffering. There is one crazy that belongs to each of us: the brother who kills the spirit of any room he enters; the sister who’s a drug addict in her teens and marries a series of psychopaths, always making sure she bears their children, who carry their genes of madness to the grave. There’s the neurotic mother who’s so demanding that the sound of her voice over the phone can cause instant nausea in her daughters. The variations are endless and fascinating. I’ve never attended a family reunion where I was not warned of a Venus flytrap holding court among the older women, or a pitcher plant glistening with drops of sweet poison trying to sell his version of the family maelstrom to his young male cousins. When the stories begin rolling out, as they always do, one learns of feuds that seem unbrokerable, or sexual abuse that darkens each tale with its intimation of ruin. That uncle hates that aunt and that cousin hates your mother and your sister won’t talk to your brother because of something he said to a date she later married and then divorced. In every room I enter I can sniff out unhappiness and rancor like a snake smelling the nest of a wren with its tongue. Without even realizing it, I pick up associations of distemper and aggravation. As far as I can tell, every family produces its solitary misfit, its psychotic mirror image of all the ghosts summoned out of the small or large hells of childhood, the spiller of the apple cart, the jack of spades, the black-hearted knight, the shit stirrer, the sibling with the uncontrollable tongue, the father brutal by habit, the uncle who tried to feel up his nieces, the aunt too neurotic ever to leave home. Talk to me all you want about happy families, but let me loose at a wedding or a funeral and I’ll bring you back the family crazy. They’re that easy to find.

Despite the intervening six decades of scientific inquiry since Selye’s groundbreaking work, the physiological impact of the emotions is still far from fully appreciated. The medical approach to health and illness continues to suppose that body and mind are separable from each other and from the milieu in which they exist. Compounding that mistake is a definition of stress that is narrow and simplistic. Medical thinking usually sees stress as highly disturbing but isolated events such as, for example, sudden unemployment, a marriage breakup or the death of a loved one. These major events are potent sources of stress for many, but there are chronic daily stresses in people’s lives that are more insidious and more harmful in their long-term biological consequences. Internally generated stresses take their toll without in any way seeming out of the ordinary. For those habituated to high levels of internal stress since early childhood, it is the absence of stress that creates unease, evoking boredom and a sense of meaninglessness. People may become addicted to their own stress hormones, adrenaline and cortisol, Hans Selye observed. To such persons stress feels desirable, while the absence of it feels like something to be avoided. When people describe themselves as being stressed, they usually mean the nervous agitation they experience under excessive demands — most commonly in the areas of work, family, relationships, finances or health. But sensations of nervous tension do not define stress — nor, strictly speaking, are they always perceived when people are stressed. Stress, as we will define it, is not a matter of subjective feeling. It is a measurable set of objective physiological events in the body, involving the brain, the hormonal apparatus, the immune system and many other organs. Both animals and people can experience stress with no awareness of its presence. “Stress is not simply nervous tension,” Selye pointed out. “Stress reactions do occur in lower animals, and even in plants, that have no nervous systems…. Indeed, stress can be produced under deep anaesthesia in patients who are unconscious, and even in cell cultures grown outside the body.” Similarly, stress effects can be highly active in persons who are fully awake, but who are in the grip of unconscious emotions or cut off from their body responses. The physiology of stress may be triggered without observable effects on behaviour and without subjective awareness, as has been shown in animal experiments and in human studies.

I resolved to come right to the point. "Hello," I said as coldly as possible, "we've got to talk." "Yes, Bob," he said quietly, "what's on your mind?" I shut my eyes for a moment, letting the raging frustration well up inside, then stared angrily at the psychiatrist. "Look, I've been religious about this recovery business. I go to AA meetings daily and to your sessions twice a week. I know it's good that I've stopped drinking. But every other aspect of my life feels the same as it did before. No, it's worse. I hate my life. I hate myself." Suddenly I felt a slight warmth in my face, blinked my eyes a bit, and then stared at him. "Bob, I'm afraid our time's up," Smith said in a matter-of-fact style. "Time's up?" I exclaimed. "I just got here." "No." He shook his head, glancing at his clock. "It's been fifty minutes. You don't remember anything?" "I remember everything. I was just telling you that these sessions don't seem to be working for me." Smith paused to choose his words very carefully. "Do you know a very angry boy named 'Tommy'?" "No," I said in bewilderment, "except for my cousin Tommy whom I haven't seen in twenty years..." "No." He stopped me short. "This Tommy's not your cousin. I spent this last fifty minutes talking with another Tommy. He's full of anger. And he's inside of you." "You're kidding?" "No, I'm not. Look. I want to take a little time to think over what happened today. And don't worry about this. I'll set up an emergency session with you tomorrow. We'll deal with it then." Robert This is Robert speaking. Today I'm the only personality who is strongly visible inside and outside. My own term for such an MPD role is dominant personality. Fifteen years ago, I rarely appeared on the outside, though I had considerable influence on the inside; back then, I was what one might call a "recessive personality." My passage from "recessive" to "dominant" is a key part of our story; be patient, you'll learn lots more about me later on. Indeed, since you will meet all eleven personalities who once roamed about, it gets a bit complex in the first half of this book; but don't worry, you don't have to remember them all, and it gets sorted out in the last half of the book. You may be wondering -- if not "Robert," who, then, was the dominant MPD personality back in the 1980s and earlier? His name was "Bob," and his dominance amounted to a long reign, from the early 1960s to the early 1990s. Since "Robert B. Oxnam" was born in 1942, you can see that "Bob" was in command from early to middle adulthood. Although he was the dominant MPD personality for thirty years, Bob did not have a clue that he was afflicted by multiple personality disorder until 1990, the very last year of his dominance. That was the fateful moment when Bob first heard that he had an "angry boy named Tommy" inside of him. How, you might ask, can someone have MPD for half a lifetime without knowing it? And even if he didn't know it, didn't others around him spot it? To outsiders, this is one of the most perplexing aspects of MPD. Multiple personality is an extreme disorder, and yet it can go undetected for decades, by the patient, by family and close friends, even by trained therapists. Part of the explanation is the very nature of the disorder itself: MPD thrives on secrecy because the dissociative individual is repressing a terrible inner secret. The MPD individual becomes so skilled in hiding from himself that he becomes a specialist, often unknowingly, in hiding from others. Part of the explanation is rooted in outside observers: MPD often manifests itself in other behaviors, frequently addiction and emotional outbursts, which are wrongly seen as the "real problem." The fact of the matter is that Bob did not see himself as the dominant personality inside Robert B. Oxnam. Instead, he saw himself as a whole person. In his mind, Bob was merely a nickname for Bob Oxnam, Robert Oxnam, Dr. Robert B. Oxnam, PhD.

I do love Oregon." My gaze wanders over the quiet, natural beauty surrounding us, which isn't limited to just this garden. "Being near the river, and the ocean, and the rocky mountains, and all this nature ... the weather." He chuckles. "I've never met anyone who actually loves rain. It's kind of weird. But cool, too," he adds quickly, as if afraid to offend me. "I just don't get it." I shrug. "It's not so much that I love rain. I just have a healthy respect for what if does. People hate it, but the world needs rain. It washes away dirt, dilutes the toxins in the air, feeds drought. It keeps everything around us alive." "Well, I have a healthy respect for what the sun does," he counters with a smile." "I'd rather have the sun after a good, hard rainfall." He just shakes his head at me but he's smiling. "The good with the bad?" "Isn't that life?" He frowns. "Why do I sense a metaphor behind that?" "Maybe there is a metaphor behind that." One I can't very well explain to him without describing the kinds of things I see every day in my life. The underbelly of society - where twisted morals reign and predators lurk, preying on the lost, the broken, the weak, the innocent. Where a thirteen-year-old sells her body rather than live under the same roof as her abusive parents, where punks gang-rape a drunk girl and then post pictures of it all over the internet so the world can relive it with her. Where a junkie mom's drug addiction is readily fed while her children sit back and watch. Where a father is murdered bacause he made the mistake of wanting a van for his family. In that world, it seems like it's raining all the time. A cold, hard rain that seeps into clothes, chills bones, and makes people feel utterly wretched. Many times, I see people on the worst day of their lives, when they feel like they're drowing. I don't enjoy seeing people suffer. I just know that if they make good choices, and accept the right help, they'll come out of it all the stronger for it. What I do enjoy comes after. Three months later, when I see that thirteen-year-old former prostitute pushing a mower across the front lawn of her foster home, a quiet smile on her face. Eight months later, when I see the girl who was raped walking home from school with a guy who wants nothing from her but to make her laugh. Two years later, when I see the junkie mom clean and sober and loading a shopping cart for the kids that the State finally gave back to her. Those people have seen the sun again after the harshest rain, and they appreciate it so much more.

In 1994, Friedman wrote a memo marked “Very Confidential” to Raymond, Mortimer, and Richard Sackler. The market for cancer pain was significant, Friedman pointed out: four million prescriptions a year. In fact, there were three-quarters of a million prescriptions just for MS Contin. “We believe that the FDA will restrict our initial launch of OxyContin to the Cancer pain market,” Friedman wrote. But what if, over time, the drug extended beyond that? There was a much greater market for other types of pain: back pain, neck pain, arthritis, fibromyalgia. According to the wrestler turned pain doctor John Bonica, one in three Americans was suffering from untreated chronic pain. If that was even somewhat true, it represented an enormous untapped market. What if you could figure out a way to market this new drug, OxyContin, to all those patients? The plan would have to remain secret for the time being, but in his memo to the Sacklers, Friedman confirmed that the intention was “to expand the use of OxyContin beyond Cancer patients to chronic non-malignant pain.” This was a hugely audacious scheme. In the 1940s, Arthur Sackler had watched the introduction of Thorazine. It was a “major” tranquilizer that worked wonders on patients who were psychotic. But the way the Sackler family made its first great fortune was with Arthur’s involvement in marketing the “minor” tranquilizers Librium and Valium. Thorazine was perceived as a heavy-duty solution for a heavy-duty problem, but the market for the drug was naturally limited to people suffering from severe enough conditions to warrant a major tranquilizer. The beauty of the minor tranquilizers was that they were for everyone. The reason those drugs were such a success was that they were pills that you could pop to relieve an extraordinary range of common psychological and emotional ailments. Now Arthur’s brothers and his nephew Richard would make the same pivot with a painkiller: they had enjoyed great success with MS Contin, but it was perceived as a heavy-duty drug for cancer. And cancer was a limited market. If you could figure out a way to market OxyContin not just for cancer but for any sort of pain, the profits would be astronomical. It was “imperative,” Friedman told the Sacklers, “that we establish a literature” to support this kind of positioning. They would suggest OxyContin for “the broadest range of use.” Still, they faced one significant hurdle. Oxycodone is roughly twice as potent as morphine, and as a consequence OxyContin would be a much stronger drug than MS Contin. American doctors still tended to take great care in administering strong opioids because of long-established concerns about the addictiveness of these drugs. For years, proponents of MS Contin had argued that in an end-of-life situation, when someone is in a mortal fight with cancer, it was a bit silly to worry about the patient’s getting hooked on morphine. But if Purdue wanted to market a powerful opioid like OxyContin for less acute, more persistent types of pain, one challenge would be the perception, among physicians, that opioids could be very addictive. If OxyContin was going to achieve its full commercial potential, the Sacklers and Purdue would have to undo that perception.