Substance Abuse Quotes

An alcoholic is someone you don't like, who drinks as much as you do.

An over-indulgence of anything, even something as pure as water, can intoxicate.

Society. The same society, I might add, that dictates that little girls should always be sugar and spice and everything nice, which encourages them not to be assertive. And that, in turn, then leads to low self-esteem, which can lead to eating disorders and increased tolerance and acceptance of domestic, sexual, and substance abuse." "You get all that from a pink Onesie?" Leah said after a moment.

You know how most illnesses have symptoms you can recognize? Like fever, upset stomach, chills, whatever. Well, with manic depression, it's sexual promiscuity, excessive spending, and substance abuse - and that just sounds like a fantastic weekend in Vegas to me!

She's a baby," Maggie told me. "Babies wear pastels." "Says who?" I asked. ... "Society. The same society, I might add, that dictates that little girls should always be sugar and spice and everything nice, which engourages them to not be assertive. And that, in turn, then leads to low self-esteem, which can lead to eating disorders and increased tolerance and acceptance of domestic, sexual, and substance abuse.

What is this thing you call substance abuse? All I wanna do is forget and get loose. Drinking and smoking over and over What's so great about a life that's sober? There's nothing cool about being young When the monsters of night have stolen the sun. I'm tired of searching for words in the sky. All I wanna do is drink and die. Nothing is real. It's all a big lie. All I wanna do is drink and die. There's nothing cool about being young When the monsters of night have stolen the sun.

Getting help for substance abuse can be reduced to the deceptively simple focus of ‘keeping away from the dope.’ But what does getting help with depression mean? Learning to keep away from your own mind?

If the last to know he’s an addict is the addict, then maybe the last to know when a man means what he says is the man himself, he reflected.

If he were any other man, I might have suspected him of substance abuse, of being coked up or something. But Barrons was too much a purist for that; his drugs were money, power, and control

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.

If love is a form of substance abuse, I hope to die high.

The question is never “Why the addiction?” but “Why the pain?” The research literature is unequivocal: most hard-core substance abusers come from abusive homes.

I wanted to meet the monster. Why go down if you can go up?

The idea that the creative endeavor and mind-altering substances are entwined is one of the great pop-intellectual myths of our time. ... Substance abusing writers are just substance abusers — common garden variety drunks and druggies, in other words. Any claims that the drugs and alcohol are necessary to dull a finer sensibility are just the usual self-serving bullshit. I've heard alcoholic snowplow drivers make the same claim, that they drink to still the demons.

They got drunk and high on a regular basis, but this is a vestige of youth that you either quit while you're young or you become an addict if you don't die. If you are the Old Guy In The Punk House, move out. You have a substance abuse problem.

If, by the virtue of charity or the circumstance of desperation, you ever chance to spend a little time around a Substance-recovery halfway facility like Enfield MA's state-funded Ennet House, you will acquire many exotic new facts [...] That certain persons simply will not like you no matter what you do. Then that most nonaddicted adult civilians have already absorbed and accepted this fact, often rather early on [...] That sleeping can be a form of emotional escape and can with sustained effort be abused [...] That purposeful sleep-deprivation can also be an abusable escape. That gambling can be an abusable escape, too, and work, shopping, and shoplifting, and sex, and abstention, and masturbation, and food, and exercise, and meditation/prayer [...] That loneliness is not a function of solitude [...] That if enough people in a silent room are drinking coffee it is possible to make out the sound of steam coming off the coffee. That sometimes human beings have to just sit in one place and, like, hurt [...] That there is such a thing as raw, unalloyed, agendaless kindness [...] That the effects of too many cups of coffee are in no way pleasant or intoxicating [...] That if you do something nice for somebody in secret, anonymously, without letting the person you did it for know it was you or anybody else know what it was you did or in any way or form trying to get credit for it, it's almost its own form of intoxicating buzz. That anonymous generosity, too, can be abused [...] That it is permissible to want [...] That there might not be angels, but there are people who might as well be angels.

At the bottom of every person's dependency, there is always pain, Discovering the pain and healing it is an essential step in ending dependency.

Abusive men are masters of excuse making. In this respect they are like substance abusers, who believe that everyone and everything except them is responsible for their actions.

Think of how many male artists gambled all their money away; how many had substance abuse or mental health issues. No one tried to take away their control over their body and money. I didn’t deserve what my family did to me.

I was in a race to see if I would die from the outside in or the inside out.

Chronic trauma (according to the meaning I propose) that occurs early in life has profound effects on personality development and can lead to the development of dissociative identity disorder (DID), other dissociative disorders, personality disorders, psychotic thinking, and a host of symptoms such as anxiety, depression, eating disorders, and substance abuse. In my view, DID is simply an extreme version of the dissociative structure of the psyche that characterizes us all.

I always want to feel good and I never want to feel bad. Because of this, I’m experienced in substance abuse issues.

Abusive relationships exist because they provide enough rations of warmth, laughter, and affection to clutch onto like a security blanket in the heap of degradation. The good times are the initial euphoria that keeps addicts draining their wallets for toxic substances to inject into their veins. Scraps of love are food for an abusive relationship.

People who aren't asleep when Ruby comes around have to take sleeping pills. Everyone is afraid of those pills- even the substance- abuse guests.

Economists have calculated that every dollar invested in high-quality home visitation, day care, and preschool programs results in seven dollars of savings on welfare payments, health-care costs, substance-abuse treatment, and incarceration, plus higher tax revenues due to better-paying jobs.

Addiction does not cause partner abuse, and recovery from addiction does not “cure” partner abuse.

The disorder is more common in women." Note the construction of that sentence. They did not write, "The disorder is more common in women." It would still be suspect, but they didn't bother trying to cover their tracks. Many disorders, judging by the hospital population, were more commonly diagnosed in women. Take, for example, "compulsive promiscuity." How many girls do you think a seventeen-year-old boy would have to screw to earn the label "compulsively promiscuous"? Three? No, not enough. Six? Doubtful. Ten? That seems more likely. Probably in the fifteen-to-twenty range, would be my guess - if they ever put that label on boys, which I don't recall their doing.... In the list of six "potentially self-damaging" activities favored by the borderline personality, three are commonly associated with women (shopping sprees, shoplifting, and eating binges) and one with men (reckless driving). One is not "gender specific," as they say these days (psychoactive substance abuse). And the definition of the other (casual sex) is in the eye of the beholder.

Treatment for dependency at substance abuse treatment centers must change if alcoholism and addiction are to be overcome in our society.

When his daughter was a teenager, Jim used to think that children were like kites, so he held on to the string as tightly as he could, but eventually the wind carried her off anyway. She pulled free and flew off into the sky. It's hard to tell exactly when a person's substance abuse begins, which is why everyone is lying when they say: "I've got it under control." Drugs are a sort of dusk that grant us the illusion that we're the ones who decide when the light goes out, but that power never belongs to us. The darkness takes us whenever it likes.

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

If you examine your motive for doing anything, you'll soon discover that your reason is that you believe it will make you happy.

Don't ever think you're better than a drug addict, because your brain works the same as theirs. You have the same circuits. And drugs would affect your brain in the same way it affects theirs. The same thought process that makes them screw up over and over again would make you screw up over and over as well, if you were in their shoes. You probably already are doing it, just not with heroin or crack, but with food or cigarettes, or something else you shouldn't be doing.

It’s hard to tell exactly when a person’s substance abuse begins, which is why everyone is lying when they say: “I’ve got it under control.” Drugs are a sort of dusk that grant us the illusion that we’re the ones who decide when the light goes out, but that power never belongs to us. The darkness takes us whenever it likes.

If, by the virtue of charity or the circumstance of desperation, you ever chance to spend a little time around a Substance-recovery halfway facility like Enfield MA’s state-funded Ennet House, you will acquire many exotic new facts… That certain persons simply will not like you no matter what you do. That sleeping can be a form of emotional escape and can with sustained effort be abused. That purposeful sleep-deprivation can also be an abusable escape. That you do not have to like a person in order to learn from him/her/it. That loneliness is not a function of solitude. That logical validity is not a guarantee of truth. That it takes effort to pay attention to any one stimulus for more than a few seconds. That boring activities become, perversely, much less boring if you concentrate intently on them. That if enough people in a silent room are drinking coffee it is possible to make out the sound of steam coming off the coffee. That sometimes human beings have to just sit in one place and, like, hurt. That you will become way less concerned with what other people think of you when you realize how seldom they do. That there is such a thing as raw, unalloyed, agendaless kindness. That it is possible to fall asleep during an anxiety attack. That concentrating intently on anything is very hard work. That 99% of compulsive thinkers’ thinking is about themselves; that 99% of this self-directed thinking consists of imagining and then getting ready for things that are going to happen to them; and then, weirdly, that if they stop to think about it, that 100% of the things they spend 99% of their time and energy imagining and trying to prepare for all the contingencies and consequences of are never good. In short that 99% of the head’s thinking activity consists of trying to scare the everliving shit out of itself. That it is possible to make rather tasty poached eggs in a microwave oven. That some people’s moms never taught them to cover up or turn away when they sneeze. That the people to be the most frightened of are the people who are the most frightened. That it takes great personal courage to let yourself appear weak. That no single, individual moment is in and of itself unendurable. That other people can often see things about you that you yourself cannot see, even if those people are stupid. That having a lot of money does not immunize people from suffering or fear. That trying to dance sober is a whole different kettle of fish. That different people have radically different ideas of basic personal hygiene. That, perversely, it is often more fun to want something than to have it. That if you do something nice for somebody in secret, anonymously, without letting the person you did it for know it was you or anybody else know what it was you did or in any way or form trying to get credit for it, it’s almost its own form of intoxicating buzz. That anonymous generosity, too, can be abused. That it is permissible to want. That everybody is identical in their unspoken belief that way deep down they are different from everyone else. That this isn’t necessarily perverse. That there might not be angels, but there are people who might as well be angels.

He told us that it was important to eat right, exercise, and treat your body as a temple. But he didn't tell us how to get health care services that people with no money could afford. He didn't tell us how we could quickly obtain birth control and other reproductive health services. He didn't recommend any solutions for behavioral or psychiatric care, and for sure some of those broads needed it. He didn't say what options there might be for people who had struggled with substance abuse, sometimes for decades, when they were confronted by old demons on the outside.

In the debate over opioid addiction, there’s one group we aren’t hearing from: chronic pain patients, many of whom need to use the drugs on a long-term basis.

When you push someone's head under water for 5 minutes, they will drown. It doesn't matter if the person is a sinner or a saint. It's just a natural process. If their head is under water, the lack of oxygen will make them drown. That rule applies to everyone, good or bad, equally. It doesn't matter if the drowning person has strong moral fiber. And it doesn't matter if you're a good or a bad person, once you become addicted to drugs. What happens next is inevitable. It's a natural process that happens in everyone's brain, once the drugs take over. So don't ever fool yourself into thinking that only weak or bad people get addicted.

People are the biggest drug addiction in the world, and I mean that quite literally. Take any single substance abuse problem in the world, and it's dwarfed in comparison to the addiction to feelings and people.

Alcohol does not a change a person’s fundamental value system. People’s personalities when intoxicated, even though somewhat altered, still bear some relationship to who they are when sober. When you are drunk you may behave in ways that are silly or embarrassing; you might be overly familiar or tactlessly honest, or perhaps careless or forgetful. But do you knock over little old ladies for a laugh? Probably not. Do you sexually assault the clerk at the convenience store? Unlikely. People’s conduct while intoxicated continues to be governed by their core foundation of beliefs and attitudes, even though there is some loosening of the structure. Alcohol encourages people to let loose what they have simmering below the surface. ABUSERS MAKE CONSCIOUS CHOICES EVEN WHILE INTOXICATED

There's talk he's become emotionally unhinged.

Now I’m sober and I realize, I didn’t drink to escape the world, I drank to escape myself

The last thing I ever wanted was to be alive when the three most powerful people on the whole planet would be named Bush, Dick and Colon. Our government's got a war on drugs....But get this: The two most widely abused and addictive and destructive of all substances are both perfectly legal. One, of course, is ethyl alcohol. And President George W. Bush, no less, and by his own admission, was smashed, or tiddley-poo, or four sheets to the wind a good deal of time from when he was sixteen until he was forty. When he was forty-one, he says, Jesus appeared to him and made him knock off the sauce, stop gargling nose paint. Other drunks have seen pink elephants.

Someone who is trying to be sober is often trying to work out deeper emotional issues and is attempting to undo years of habitual behavior. When you reduce recovery to just abstinence, it simplifies what is really a much more complex issue.

As applied to substance abuse, the cognitive approach helps individuals to come to grips with the problems leading to emotional distress and to gain a broader perspective on their reliance on drugs for pleasure and/or relief from discomfort.

Killing yourself is a major commitment, it takes a kind of courage. Most people just lead lives of cowardly desperation. It’s kinda half suicide where you just dull yourself with substances.

Anyone who takes opioids on a regular basis will become dependent upon them, meaning they will have to taper off gradually to avoid withdrawal symptoms. But very few chronic pain patients exhibit the compulsive drug-seeking behaviors of someone who is addicted.

Honey, I usually get $300, but I like you, so I'll just take $200.

Studies conducted around the world have shown a close correlation between materialist values, depression, and substance abuse.

Consumption seems to be our favorite high, our nationally sanctioned addiction, the all-American form of substance abuse.

Substance abuse is a very real trap. Drugs and alcohol are very much like an abusive lover who treats you well at first and then beats you up, apologizes, gives you nice treatment for a while, and then beats you up again. The trap is in trying to hang in there for the good while trying to overlook the bad. Wrong. This can never work.

Ninety-six per cent of juvenile prostitutes are fugitives from abusive domestic situations; 66 per cent began working before they turned 16. (Prostitution is their only perceived means of survival.) Millions of children work as prostitutes around the world. A third are male. One study revealed that over 50 per cent of prostitutes are the children of alcoholics or substance abusers, and 90 per cent are deflowered through incest or rape. Ninety-one per cent of prostitutes do not speak of the abuse. (The truth of life is told through the language of behavior.) Abused children suffer Post-Traumatic Stress Disorder, guilt, self-destructive impulses, suspicion, fear. Seventy-five per cent of prostitutes attempt suicide. (Imagine their scrapbook of memories.)

to live a substance-free life under the pressures of the daily grind is state-sponsored suicide

Under the influence, I am easily influenced. I try to keep my pants on, but some things are easier said than done.

I know an alcoholic is the worse, but sometimes I wonder if it's better to have a drinking father that lives at home, or a drinking father, that never comes around.

Sunrise is starting to feel like a guilt trip.

Too many codeine pills, Too many nights of cold chills Too many weak-handed deals Too many lives, the addict steals

and tonight we held each other, one last time, like a dance to a slow song on an empty floor, underneath a single disco ball in front of no one at all

Do not be blind in love and try not to suffer in silence. -Alba Castillo

One thing you must realize is that: you either kill your addiction or your addiction will eventually kill you.

We cannot incarcerate ourselves out of addiction. Addiction is a medical crisis that—when it comes to nonviolent offenders—warrants medical interventions, not incarceration. Decades later, data unequivocally illustrates that this war has been a massive failure. It has not only failed to reduce violent crime, but arrest rates—throughout its tenure—have continuously ascended even when crime rates have descended.

social media addict? This is a very real problem—so much so that researchers from Norway developed a new instrument to measure Facebook addiction called the Bergen Facebook Addiction Scale.[3] Social media has become as ubiquitous as television in our everyday lives, and this research shows that multitasking social media can be as addictive as drugs, alcohol, and chemical substance abuse. A large number of friends on social media networks may appear impressive, but according to a new report, the more social circles a person is linked to, the more likely the social media will be a source of stress.[4] It can also have a detrimental effect on consumer well-being because milkshake-multitasking interferes with clear thinking and decision-making, which lowers self-control and leads to rash, impulsive buying and poor eating decisions. Greater social media use is associated with a higher body mass index, increased binge eating, a lower credit score, and higher levels of credit card debt for consumers with many close friends in their social network—all caused by a lack of self-control.[5] We Can Become Shallow

My sister stood up, trembling, and I must admit that I expected her familiar sneer to have taken its usual place on her face. But all I could find there was unhappiness and fear. Fear of my reaction, perhaps. But when a person has lived a life like hers, a life of promiscuity, rootlessness, and substance abuse, resentment and fear tend to replace all reasonable and proper emotions, and the world becomes your enemy.

While humans have the propensity to develop a suite of prosocial behaviors, they are also capable of developing antisocial behavior, engaging in substance abuse, experiencing depression, and bearing children at an early age...Young people who develop aggressive behavior tendencies are likely to develop problems with tobacco, alcohol, and other drug use; to fail academically; to have children at an early age; and to raise children likely to have the same problems.

It's the causes, not the dependent person, that must be corrected. That's why I see the United States' War on Drugs as being fought in an unrealistic manner. This war is focused on fighting drug dealers and the use of drugs here and abroad, when the effort should be primarily aimed at treating and curing that causes that compel people to reach for drugs.

Love is the best drug, bar none.

Domestic violence is frequently excused when alcohol and other substances are involved.

To enable is to kill.

Hayes and his colleagues have distilled these insights into seven skills for coping with loss. In more than a thousand studies over thirty-five years, they’ve found that the acquisition of this skill set predicts whether people facing loss fall into anxiety, depression, trauma, substance abuse—or whether they thrive. The first five skills involve acceptance of the bitter. First, we need to acknowledge that a loss has occurred; second, to embrace the emotions that accompany it. Instead of trying to control the pain, or to distract ourselves with food, alcohol, or work, we should simply feel our hurt, sorrow, shock, anger. Third, we need to accept all our feelings, thoughts, and memories, even the unexpected and seemingly inappropriate ones, such as liberation, laughter, and relief. Fourth, we should expect that sometimes we’ll feel overwhelmed. And fifth, we should watch out for unhelpful thoughts, such as “I should be over this,” “It’s all my fault,” and “Life is unfair.” Indeed, the ability to accept difficult emotions—not just observe them, not just breathe through them, but actually, nonjudgmentally, accept them—has been linked repeatedly to long-term thriving.

We live in a time when the values of courage and honesty, particularly for women writers, equate to confessing only the darkest, most painful parts of our lives. "How brave you are," my students say to each other over workshop tables, "to expose that." Meaning, to uncover this family secret or that heinous act or to openly confront the demons of alcoholism, promiscuity, substance abuse, incest, infidelity, illness, betrayal....I have also wrestled many dark angels, and continue to do so, so I acknowledge the price such writing exacts. But more and more I have come to respect the honesty and courage required to recognize the bright angels when they appear in our memory, and to allow them equal space in our narratives.

Maria, it sounds like he was insane. Rational people don't intentionally addict people. I feel sorry for those poor people who were unsuspecting victims.

The legal and judicial system view substance use as a criminal matter; while the mental health system has been fighting for generations to change that particular perspective.

February falls on top of me like a cartoon piano. I reek of champagne, come, and CK One.

ALCOHOL HAS NO BIOLOGICAL CONNECTION TO ABUSE OR VIOLENCE Alcohol does not directly make people belligerent, aggressive, or violent. There is evidence that certain chemicals can cause violent behavior — anabolic steroids, for example, or crack cocaine — but alcohol is not among them. In the human body, alcohol is actually a depressant, a substance that rarely causes aggression. Marijuana similarly has no biological action connected to abusiveness.

Toxic stress response can occur when a child experiences strong, frequent, and/or prolonged adversity—such as physical or emotional abuse, neglect, caregiver substance abuse or mental illness, exposure to violence, and/or the accumulated burdens of family economic hardship—without adequate adult support. This kind of prolonged activation of the stress-response systems can disrupt the development of brain architecture and other organ systems, and increase the risk for stress-related disease and cognitive impairment, well into the adult years.

Many „pathogens“ (both chemical and behavioral) can influence how you turn out; these include substance abuse by a mother during pregnancy, maternal stress, and low birth weight. As a child grows, neglect, physical abuse, and head injury can cause problems in mental development. Once the child is grown, substance abuse and exposure to a variety of toxins can damage the brain, modifying intelligence, aggression, and decision-making abilities. The major public health movement to remove lead-based paint grew out of an understanding that even low levels of lead can cause brain damage that makes children less inteligent and, in some cases, more impulsive and aggressive. How you turn out depends on where you´ve been. So when it comes to thinking about blameworthiness, the first difficulty to consider is that people do not choose their own developmental path. It´s problematic to imagine yourself in the shoes of a criminal and conclude, „Well, I wouldn´t have done that“ – because if you weren´t exposed to in utero cocaine, lead poisoning, or physical abuse, and he was, then you and he are not directly comparable.

Because of media portrayals, clinicians may believe that dissociative identity disorder presents with dramatic, florid alternate identities with obvious state transitions (switching). These florid presentations occur in only about 5% of patients with dissociative identity disorder.(20) How ever, the vast majority of these patients have subtle presentations characterized by a mixture of dissociative and PTSD symptoms embedded with other symptoms, such as post-traumatic depression, substance abuse, somatoform symptoms, eating disorders, and self-destructive and impulsive behaviors.(2,10)

The idea that creative endeavor and mind-altering substances are entwined is one of the great pop-intellectual myths of our time. The four twentieth-century writers whose work is most responsible for it are probably Hemingway, Fitzgerald, Sherwood Anderson, and the poet Dylan Thomas. They are the writers who largely formed our vision of an existential English-speaking wasteland where people have been cut off from one another and live in an atmosphere of emotional strangulation and despair. These concepts are very familiar to most alcoholics; the common reaction to them is amusement. Substance-abusing writers are just substance abusers—common garden-variety drunks and druggies, in other words. Any claims that the drugs and alcohol are necessary to dull a finer sensibility are just the usual self-serving

We recognize that you've used substances to try to regain your lost balance, to try to feel the way you did before the need arose to use addictive drugs or alcohol. We know that you use substances to alter your mood, to cover up your sadness, to ease your heartbreak, to lighten your stress load, to blur your painful memories, to escape your hurtful reality, or to make your unbearable days or nights bearable.

The advertise their products in such a fashion as to make it seem wonderful to drink their ethanol products. It does not matter if they give their products fancy name like Cabernet Sauvignon or Pinot Noir, or if they put bubbles in an ethanol product and call it champagne or beer- everyone is selling ethanol.

I cut these cords to support myself. I knew by then that it was only from that space that I could make my own assessments. It was only then that I could finally confront him about his abusive behavior. I told him that he had been a terrorist in our family, that he had so profoundly ruined some of its members’ lives that they struggled with substance abuse, that my mother still flinched at loud noises. I told him that if he ever wanted to communicate with me again, he would first have to acknowledge the truth of who he was. Instead of admitting that any of what I’d said had even occurred, he vanished. He made his choice.

Is it possible nevertheless that our consumer culture does make good on its promises, or could do so? Might these, if fulfilled, lead to a more satisfying life? When I put the question to renowned psychologist Tim Krasser, professor emeritus of psychology at Knox College, his response was unequivocal. "Research consistently shows," he told me, "that the more people value materialistic aspirations as goals, the lower their happiness and life satisfaction and the fewer pleasant emotions they experience day to day. Depression, anxiety, and substance abuse also tend to be higher among people who value the aims encouraged by consumer society." He points to four central principles of what he calls ACC — American corporate capitalism: it "fosters and encourages a set of values based on self-interest, a strong desire for financial success, high levels of consumption, and interpersonal styles based on competition." There is a seesaw oscillation, Tim found, between materialistic concerns on the one hand and prosocial values like empathy, generosity, and cooperation on the other: the more the former are elevated, the lower the latter descend. For example, when people strongly endorse money, image, and status as prime concerns, they are less likely to engage in ecologically beneficial activities and the emptier and more insecure they will experience themselves to be. They will have also lower-quality interpersonal relationships. In turn, the more insecure people feel, the more they focus on material things. As materialism promises satisfaction but, instead, yields hollow dissatisfaction, it creates more craving. This massive and self-perpetuating addictive spiral is one of the mechanisms by which consumer society preserves itself by exploiting the very insecurities it generates. Disconnection in all its guises — alienation, loneliness, loss of meaning, and dislocation — is becoming our culture's most plentiful product. No wonder we are more addicted, chronically ill, and mentally disordered than ever before, enfeebled as we are by such malnourishment of mind, body and soul.

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.

Instead of showing visibly distinct alternate identities, the typical DID patient presents a polysymptomatic mixture of dissociative and posttraumatic stressdisorder (PTSD) symptoms that are embedded in a matrix of ostensibly non-trauma-related symptoms (e.g., depression, panic attacks, substance abuse,somatoform symptoms, eating-disordered symptoms). The prominence of these latter, highly familiar symptoms often leads clinicians to diagnose only these comorbid conditions. When this happens, the undiagnosed DID patient may undergo a long and frequently unsuccessful treatment for these other conditions. - Guidelines for Treating Dissociative Identity Disorder in Adults, Third Revision, p5

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.

and if a rainy morning deprived them of other enjoyments, they were still resolute in meeting in defiance of wet and dirt, and shut themselves up, to read novels together. Yes, novels; for I will not adopt that ungenerous and impolitic custom so common with novel–writers, of degrading by their contemptuous censure the very performances, to the number of which they are themselves adding — joining with their greatest enemies in bestowing the harshest epithets on such works, and scarcely ever permitting them to be read by their own heroine, who, if she accidentally take up a novel, is sure to turn over its insipid pages with disgust. Alas! If the heroine of one novel be not patronized by the heroine of another, from whom can she expect protection and regard? I cannot approve of it. Let us leave it to the reviewers to abuse such effusions of fancy at their leisure, and over every new novel to talk in threadbare strains of the trash with which the press now groans. Let us not desert one another; we are an injured body. Although our productions have afforded more extensive and unaffected pleasure than those of any other literary corporation in the world, no species of composition has been so much decried. From pride, ignorance, or fashion, our foes are almost as many as our readers. And while the abilities of the nine–hundredth abridger of the History of England, or of the man who collects and publishes in a volume some dozen lines of Milton, Pope, and Prior, with a paper from the Spectator, and a chapter from Sterne, are eulogized by a thousand pens — there seems almost a general wish of decrying the capacity and undervaluing the labour of the novelist, and of slighting the performances which have only genius, wit, and taste to recommend them. “I am no novel–reader — I seldom look into novels — Do not imagine that I often read novels — It is really very well for a novel.” Such is the common cant. “And what are you reading, Miss — ?” “Oh! It is only a novel!” replies the young lady, while she lays down her book with affected indifference, or momentary shame. “It is only Cecilia, or Camilla, or Belinda”; or, in short, only some work in which the greatest powers of the mind are displayed, in which the most thorough knowledge of human nature, the happiest delineation of its varieties, the liveliest effusions of wit and humour, are conveyed to the world in the best–chosen language. Now, had the same young lady been engaged with a volume of the Spectator, instead of such a work, how proudly would she have produced the book, and told its name; though the chances must be against her being occupied by any part of that voluminous publication, of which either the matter or manner would not disgust a young person of taste: the substance of its papers so often consisting in the statement of improbable circumstances, unnatural characters, and topics of conversation which no longer concern anyone living; and their language, too, frequently so coarse as to give no very favourable idea of the age that could endure it.

DID may be underdiagnosed. The image derived from classic textbooks of a florid, dramatic disorder with overt switching characterizes about 5% of the DID clinical population. The more typical presentation is of a covert disorder with dissociative symptoms embedded among affective, anxiety, pseudo-psychotic, dyscontrol, and self-destructive symptoms, and others (Loewenstein, 1991). The typical DID patient averages 6 to 12 years in the mental health system, receiving an average of 3 to 4 prior diagnoses. DID is often found in cases that were labeled as "treatment failures" because the patient did not respond to typical treatments for mood, anxiety, psychotic, somatoform, substance abuse, and eating disorders, among others. Rapid mood shifts (within minutes or hours), impulsivity, self-destructiveness, and/or apparent hallucinations lead to misdiagnosis of cyclic mood disorders (e.g., bipolar disorder) or psychotic disorders (e.g., schizophrenia).

Man's inhumanity to man will continue as long as man loves God more than he loves his fellow man. The love of God means wasted love. 'For God and Country' means a divided allegiance—a 50 per cent patriot. The most abused word in the language of man is the word 'God.' The reason for this is that it is subject to so much abuse. There is no other word in the human language that is as meaningless and incapable of explanation as is the word 'God.' It is the beginning and end of nothing. It is the Alpha and Omega of Ignorance. It has as many meanings as there are minds. And as each person has an opinion of what the word God ought to mean, it is a word without premise, without foundation, and without substance. It is without validity. It is all things to all people, and is as meaningless as it is indefinable. It is the most dangerous in the hands of the unscrupulous, and is the joker that trumps the ace. It is the poisoned word that has paralyzed the brain of man. 'The fear of the Lord' is not the beginning of wisdom; on the contrary, it has made man a groveling slave; it has made raving lunatics of those who have attempted to interpret what God 'is' and what is supposed to be our 'duty' to God. It has made man prostitute the most precious things of life—it has made him sacrifice wife, and child, and home. 'In the name of God' means in the name of nothing—it has caused man to be a wastrel with the precious elixir of life, because there is no God.

It is only through an altered state of consciousness that a lesser being can see into the invisible and the immaterial. In our understanding, middling, certain substances are known to alter the manner a choice has been made. Some drugs will make one decide things one normally would not.’ ‘And choices are our domain,’ explained another Master. ‘The fabric of reality is stringed together by the unseen Threads of choice and consequence. As actors, storytellers and audience of reality, we cannot afford reality to unwire.

the media, at least in the U.S., tends to focus on pain pill use, abuse, and addiction by people who do not have chronic pain. Even if these stories offhandedly mention that these pills are used to treat pain in people whose physical pain does not go away, however, the stories of those who use pain medicine responsibly -- or, worse, accused of drug-seeking behavior because they need certain types of pills for chronic pain -- are usually overshadowed by the “How can we prevent pain pill addiction?” concern, instead of asking, “How can we treat chronic pain more effectively?

In this chapter I will describe the effects of the data deluge on all members of society generally and how it erodes the confidence, judgment, and decisiveness of leaders in particular. Then I will show the paradoxical side of the data deluge. Despite its anxiety-provoking effects, the proliferation of data also has an addictive quality. Leaders, healers, and parents “imbibe” data as a way of dealing with their own chronic anxiety. The pursuit of data, in almost any field, has come to resemble a form of substance abuse, accompanied by all the usual problems of addiction: self-doubt, denial, temptation, relapse, and withdrawal. Leadership training programs thus wind up in the codependent position of enablers, with publishers often in the role of “suppliers.” What does it take to get parents, healers, and managers, when they hear of the latest quick-fix fad that has just been published, to “just say no”?

If your boundaries have been injured, you may find that when you are in conflict with someone, you shut down without even being aware of it. This isolates us from love, and keeps us from taking in safe people. Kate had been quite controlled by her overprotective mother. She’d always been warned that she was sickly, would get hit by cars, and didn’t know how to care for herself well. So she fulfilled all those prophecies. Having no sense of strong boundaries, Kate had great difficulty taking risks and connecting with people. The only safe people were at her home. Finally, however, with a supportive church group, Kate set limits on her time with her mom, made friends in her singles’ group, and stayed connected to her new spiritual family. People who have trouble with boundaries may exhibit the following symptoms: blaming others, codependency, depression, difficulties with being alone, disorganization and lack of direction, extreme dependency, feelings of being let down, feelings of obligation, generalized anxiety, identity confusion, impulsiveness, inability to say no, isolation, masochism, overresponsibility and guilt, panic, passive-aggressive behavior, procrastination and inability to follow through, resentment, substance abuse and eating disorders, thought problems and obsessive-compulsive problems, underresponsibility, and victim mentality.

I nod, then let the conversation drop. But secretly I'm wondering if Haymitch sobered up long enough to help Peeta and me because he thought we just might have the wits to survive. Maybe he wasn't always a drunk. Maybe, in the beginning, he tried to help the tributes. But then it got unbearable. It must be hell to mentor two kids and then watch them die. Year after year after year. I realize that if I get out of here, that will become my job. To mentor the girl from District 12. The idea is so repellent, I thrust it from my mind.

The idea that creative endeavor and mind-altering substances are entwined is one of the great pop-intellectual myths of our time. The four twentieth-century writers whose work is most responsible for it are probably Hemingway, Fitzgerald, Sherwood Anderson, and the poet Dylan Thomas. They are the writers who largely formed our vision of an existential English-speaking wasteland where people have been cut off from one another and live in an atmosphere of emotional strangulation and despair. These concepts are very familiar to most alcoholics; the common reaction to them is amusement. Substance-abusing writers are just substance abusers—common garden-variety drunks and druggies, in other words. Any claims that the drugs and alcohol are necessary to dull a finer sensibility are just the usual self-serving bullshit. I’ve heard alcoholic snowplow drivers make the same claim, that they drink to still the demons. It doesn’t matter if you’re James Jones, John Cheever, or a stewbum snoozing in Penn Station; for an addict, the right to the drink or drug of choice must be preserved at all costs. Hemingway and Fitzgerald didn’t drink because they were creative, alienated, or morally weak. They drank because it’s what alkies are wired up to do. Creative people probably do run a greater risk of alcoholism and addiction than those in some other jobs, but so what? We all look pretty much the same when we’re puking in the gutter.

Whether the underlying cause of your dependency is a chemical imbalance, unresolved events from the past, beliefs you hold that are inconsistent with what is true, an inability to cope with current conditions, or a combination of these four causes, know this: not only are all the causes of dependency within you, but all the solutions are within you as well.

Drinking and drugs might temporarily bring some relief, but there is no problem in life that drugs and alcohol don't make worse--whether the issue is financial, emotional, or legal. If you are reading this and find yourself struggling, ask God to take the burden off your shoulders, reach out for help, and stop digging a deeper hole for yourself. There is a community of millions of men and women who have been in similar circumstances and will be there for you, stranger or not, because their own recovery depends on helping people like you.

As with all social service projects, a lexicon of terms accumulated around the Housing First movement. Permanent Supportive Housing (PSH) described the movement’s general aim and means, and a model program conducted in the 1990s in New York had shown that housing for chronically homeless people could indeed be long-lasting and beneficial, provided they received adequate support. This trial—The Consumer Preference Supported Housing Model (CPSH)—had involved 242 people who suffered from either mental illness or substance abuse or both. The model had housed them, via various grants and public subsidies, in apartments situated in “affordable locations throughout the city’s low-income neighborhoods.” And they had been supported by Assertive Community Treatment (ACT) teams, somewhat modified from the general prototype, but substantial. These included nurses, social workers, drug counselors, administrative assistants, and “peer counselors,” who directed the support services with the advice and consent of the tenants. Each team had access to psychiatrists and other professionals, and each stood ready to help the tenants every night and day of the week. After five years, 88 percent remained housed—a remarkable result.

That you do not have to like a person in order to learn from him/her/it. That loneliness is not a function of solitude. That it is possible to get so angry you really do see everything red. What a ‘Texas Catheter’ is. That some people really do steal—will steal things that are yours. That a lot of U.S. adults truly cannot read, not even a ROM hypertext phonics thing with HELP functions for every word. That cliquey alliance and exclusion and gossip can be forms of escape. That logical validity is not a guarantee of truth. That evil people never believe they are evil, but rather that everyone else is evil. That it is possible to learn valuable things from a stupid person. That it takes effort to pay attention to any one stimulus for more than a few seconds. That you can all of a sudden out of nowhere want to get high with your Substance so bad that you think you will surely die if you don’t, and but can just sit there with your hands writhing in your lap and face wet with craving, can want to get high but instead just sit there, wanting to but not, if that makes sense, and if you can gut it out and not hit the Substance during the craving the craving will eventually pass, it will go away — at least for a while. That it is statistically easier for low‐IQ people to kick an addiction than it is for high‐IQ people.

Many people are shocked when I say that the incest victims I’ve worked with are usually the healthiest members of their families. After all, the victim usually has the symptoms—self-blame, depression, destructive behaviors, sexual problems, suicide attempts, substance abuse—while the rest of the family often seems outwardly healthy. But despite this, it is usually the victim who ultimately has the clearest vision of the truth. She was forced to sacrifice herself to cover up the craziness and the stress in the family system. All her life she was the bearer of the family secret. She lived with tremendous emotional pain in order to protect the myth of the good family. But because of all this pain and conflict, the victim is usually the first to seek help. Her parents, on the other hand, will almost always refuse to let go of their denials and defenses. They refuse to deal with reality. With treatment, most victims are able to reclaim their dignity and their power. Recognizing a problem and seeking help is a sign not only of health but of courage.

The Conclusion NOW Reader, I have told my Dream to thee; See if thou can’st interpret it to me, Or to thyself, or Neighbor; but take heed Of mis-interpreting; for that, instead Of doing good, will but thyself abuse: 5 By mis-interpreting, evil ensues. Take heed also, that thou be not extreme, In playing with the out-side of my Dream: Nor let my figure or similitude Put thee into a laughter or a feud; 10 Leave this for Boys and Fools; but as for thee, Do thou the substance of my matter see. Put by the Curtains, look within my Vail; Turn up my Metaphors, and do not fail There, if thou seekest them, such things to find 15 As will be helpful to an honest mind. What of my dross thou findest there, be bold To throw away, but yet preserve the Gold; What if my Gold be wrapped up in Ore? None throws away the Apple for the Core. 20 But if thou shalt cast away all as vain, I know not but ’twill make me Dream again

As every close observer of the deadlocks arising from the political correctness knows, the separation of legal justice from moral Goodness –which should be relativized and historicized- ends up in an oppressive moralism brimming with resentment. Without any “organic” social substance grounding the standards of what Orwell approvingly called “common decency” (all such standards having been dismissed as subordinating individual freedoms to proto-Fascist social forms), the minimalist program of laws intended simply to prevent individuals from encroaching upon one another (annoying or “harassing” each other) turns into an explosion of legal and moral rules, an endless process (a “spurious infinity” in Hegel’s sense) of legalization and moralization, known as “the fight against all forms of discrimination.” If there are no shared mores in place to influence the law, only the basic fact of subjects “harassing other subjects, who-in the absence of mores- is to decide what counts as “harassment”? In France, there are associations of obese people demanding all the public campaigns against obesity and in favor of healthy eating be stopped, since they damage the self-esteem of obese persons. The militants of Veggie Pride condemn the speciesism” of meat-eaters (who discriminate against animals, privileging the human animal-for them, a particularly disgusting form of “fascism”) and demand that “vegeto-phobia” should be treated as a kind of xenophobia and proclaimed a crime. And we could extend the list to include those fighting for the right of incest marriage, consensual murder, cannibalism . . . The problem here is the obvious arbitrariness of the ever-new rule. Take child sexuality, for example: one could argue that its criminalization is an unwarranted discrimination, but one could also argue that children should be protected from sexual molestation by adults. And we could go on: the same people who advocate the legalization of soft drugs usually support the prohibition of smoking in public places; the same people who protest the patriarchal abuse of small children in our societies worry when someone condemns a member of certain minority cultures for doing exactly this (say, the Roma preventing their children from attending public schools), claiming that this is a case od meddling with other “ways of life”. It is thus for necessary structural reasons that the “fight against discrimination” is an endless process which interminably postpones its final point: namely a society freed from all moral prejudices which, as Michea puts it, “would be on this very account a society condemned to see crimes everywhere.