Skip to main content

mental health mondays :: going through a crackhead phase?

addictions are a controversial area of mental health research, what with conflicts over whether an addiction is a mental disorder, a symptom of a disorder or both. [note: it can be both, the conflicts generally arise in determining which it is in each specific case.] but the discussions are about to get even more controversial, because there is evidence we might be giving addictions more credit than they deserve.

because of the degree to which an addict can damage themselves and the people around them, it's tempting to ignore some of the complexities of the disorder and to concentrate on getting addicts into treatment as soon as possible so that they recover as completely as possible. however, the results of a massive study in the united states have shown that the majority of people who meet the criteria to be considered addicts of a large variety of substances recover whether or not they're given treatment. that's a big, scary statement, but there's a lot of data behind it.

stranger still, it seems that some of the drugs associated with the greatest risk of addiction and damage, e.g. cocaine, are associated with higher rates of recovery [from the addiction itself- this doesn't cover any health problems that may have been exacerbated by the addiction] than drugs like nicotine and alcohol. in fact, nicotine addicts had the lowest rate of recovery of any addict group, but a substantial majority were able to break their addiction at some point.

there is a lot of information that needs to be analysed here, not least the fact that gender, race and socio-economic status seem to influence your odds on being able to shake the addiction bug or that those with co-morbid mental or mood disorders are less likely to recover , but the point is that our woefully inadequate understanding of what addiction is and how it works is more woefully inadequate than we realise. health journalist maia szalavitz thinks, for instance, that we should reject the model of addiction as a disease, which is by nature progressive unless treated/ cured and more like a developmental condition that may well pass with time if controlled. this absolutely flies in the face of the usual methodology [used by so-called 12 step programs like alcoholics/ narcotics anonymous], where someone is an addict for life whether they are in remission or not.

now let me be clear that no one is saying that you shouldn't treat addiction and that it will just get better with time. what's being said is that not all addictions require treatment and that rather than painting everyone with the same brush, health professionals should consider a lot of factors, such as the level of damage that's being done, the age of the addict and the substance that's being abused in order to come up with the best individualised plan.

this ultimately seems to be the truth behind much of the research on mental disorders: the more we study, the fewer general rules there seem to be.

Comments

as long as you're here, why not read more?

dreamspeak

ok, so i've been lax about posting here. i apologise. there are reasons. i don't know if they'ree good reasons, but they include:


i've had a lot of work to do, which is nice because i'm a freelancer and things tend to slow down in the summer, so the more work i get now, the less i have to worry about later [in theory].i started watching the handmaid's tale. i was a little hesitant because i didn't actually like the novel very much; i found it heavy-handed and predictable. the series relies on the novel for about 80% of its first season plot but i nevertheless find it spellbinding. where i felt that the novel beat readers with its politics, the series does a better job of connecting with the humanity in the midst of politics. i'm dithering on starting season two because i am a serial binger and once i know damn well that starting the second season will soon consign me to the horrors of having to wait a week between episodes. i don't know if i can han…

i agree, smedley [or, smokers totally saved our planet in 1983]

so this conversation happened [via text, so i have evidence and possibly so does the canadian government and the nsa].

dom and i were trying to settle our mutual nerves about tomorrow night's conversion screening, remembering that we've made a fine little film that people should see. which is just about exactly what dom had said when i responded thusly:

me :: i agree smedley. [pauses for a moment] did you get that here?

dom :: no?

me :: the aliens who were looking at earth and then decided it wasn't worth bothering with because people smoked even though it was bad for them?
come to think of it, that might mean that smokers prevented an alien invasion in the seventies.

dom :: what ?!?!?

me :: i've had wine and very little food. [pause] but the alien thing was real. [pause.] well, real on tv.

dom :: please eat something.

of course, i was wrong. the ad in question ran in 1983. this is the part where i would triumphantly embed the ad from youtube, except that the governmen…

making faces :: written in the stars [in lipstick]

are themed collections of things you like dangerous to you? once you've started down a rabbit hole, does it become a necessity to complete the set, lest you be left forever feeling like something is missing from your life? are you interested in lipsticks? then stay away from the astrology by bite collection/ series that is rolling out month by month throughout 2018.

the collection is pretty much exactly what you think it is: a lipstick a month inspired by the zodiac sign that begins in that month. a lot of people are interested in getting the one for their own sign. but that's not me. i'm interested in collecting the whole damn thing. it helps that bite's amuse bouche lipstick formula is one of the nicest on the market and that i've been weeding through my collection of lipsticks to find those that have started to "turn" [smell like crayons or grow dry] so that in theory, i have room to add more. [you have enough lipsticks for three people who wear lipsti…