Doped-Up Nation: How America Became a Country of Addicts

Vicki

Herbal Alchemist
Doped-Up Nation: How America Became a Country of Addicts

http://www.alternet.org/drugs/doped...UWum&rd=1&src=newsletter694348&t=3&paging=off

The external fixes to our internal problems are readily available, and every addiction fuels somebody else's craving—for cash.

August 14, 2012

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We’re a nation of addicts. Would you care to dispute it?

Recent studies confirm an alarming reality: As a country, when it comes to dealing with personal problems, we use an external fix. Whether it's routine disruptions we face at work, the common crises at home, or our children trying to parse the maelstrom of media overload—the fact is that it's increasingly rare that Americans turn to internal or interpersonal resources to establish equilibrium.

Instead, our first impulse is to seek out a quick and external source, which becomes both the cause of our problems, and the solution.

The first place people look is the simple dopamine spike. Most people have reliable techniques to make themselves feel better—or, as I like to say, to give themselves a little “dopamine spike.” Dopamine, as you probably know, is the neurotransmitter triggered by “rewarding events.” These pleasurable moments may occur naturally, but they are also the direct result of specific drugs, such as cocaine, methamphetamine or nicotine.

While we may admire the American impulse to applaud hard work, innovation, and daring, the rewards of these labors aren't immediate. We’re an impatient nation; we seek more immediate gratification. We’ve come to accept an approach of “why wait?”, so we grab ahold of whatever it takes to feel better, to keep feeling better, to make it through the day.

In our addicted culture, we go for the artificially-induced dopamine spike—and not just one, but one right after the next. Consider the following: Roughly one in ten Americans is currently an illicit drug user; nearly one quarter of American adults engage in binge drinking, many on a regular basis; and the majority of those with problem drug or alcohol use do not seek treatment for their problems.

Now, if we broaden the criteria that we use in thinking about addiction to include unhealthy coping mechanisms and other “ways-to-get-through-the-day”—we face staggering results. For one, most Americans have lost their ability to eat normally, with two-thirds of the nation’s adults meeting the definition of obese. As another example, approximately one out of every five American women is on an anti-depressant. I recently signed up with a new primary care physician. When she found out that I’m a psychologist, she asked me “Why is every kid in New York on Ritalin, and every adult taking Ambien?”

It’s an excellent question.

How is it that we’ve wrapped ourselves in the fuzzy dopamine blanket of substance misuse, prescription medication, compulsive eating, celebrity worship, compulsive shopping, internet addiction, video gaming, and compulsive sexual behavior?

Here’s one reason: these external fixes are readily available, and every addiction fuels somebody else's craving—for cash. The alcohol industry takes in over $100 billion a year; Big Tobacco earns $35 billion. Gambling, pornography, prostitution, and texting all add fuel to our country's dopamine fire.

The root issue is that direct, undiluted, authentic engagement with the world and others is a challenge, and the strategy of occasional mood alteration that many employ to "take the edge off" can slide into something more dangerous. Others end up in another kind of distorted dependence, finding that it's easier to move your onscreen avatar through the world than to actually navigate it on your own. What about the tragic case of the Korean couple who found it easier to raise a “virtual” baby in a popular internet cafe than to take care of their child who died while they were busy online?

The couple’s three-month old starved to death. She was only fed between sessions of the game.

According to police, these parents “indulged themselves in the online game raising a virtual character so as to escape from reality, which led to the death of their real baby. Here in Dopamine Nation, internet and video game addiction are real concerns.

Those of us who work in the addiction treatment community find our most critical task—helping clients find an authentic path to recovery—more challenging than ever. In part, this is due to a culture that seems engineered to foster dependence on artificially induced means to “feel OK.”

Turn on the TV, and the prevailing wisdom says there’s no reason to suffer discomfort. Moreover, we’re being instructed that continuous synthetic “adjustment” is the norm - in other words, there’s a pill for whatever ails you: ADHD, shyness, erectile dysfunction, fibromyalgia—you name it. Of course, abuse of these drugs is soaring, from anxiety medications to pain pills. But the problem is more insidious.

We’re so addicted to food that we literally have to seek surgical intervention to staple our stomachs in order to control our weight. Technologies allow us to seemingly be everywhere at once, but we’re never quite “right here now.”

These same devices create a state of continuous partial attention. We’re so busy attending to our screens and keys, so dependent on the next little dopamine surge that comes in the form of a text, that we turn our eyes from the road and accidents are increasing in record numbers.

Speaking of cars, picture this. Your vehicle is acting up, so you take it to the service station. You know there’s something wrong because it just doesn’t run the way it used to. You explain the problem to the mechanic, and he lays out your options.

“OK,” he says. “You have a choice. You can put some goop in the engine every day. It’s expensive, you’ll have to do it forever, and it may make the problem worse. Plus, we’ll never know what’s wrong. Or, I can lift the hood and see what’s going on.”

Which option would you choose?

We’re all human, and we like to feel good. Dopamine is naturally generated from any number of physical and emotional sources. The accumulation of externally generated dopamine, however, creates a vicious cycle of relief- seeking that ultimately spirals out of control. For those who are lucky – or smart – it lands patients in our offices where we can finally begin to “lift up the hood”—and actively address the real problems.
 

sunsett70

Member
For the past 100 years, car crashes have been the nation's leading cause of accidental death. Now, for the first time, more Americans die from prescription pills

http://www.thefix.com/content/america’s-newest-top-killer9999?page=all

and this http://www.npr.org/2011/09/27/140849083/prescription-drug-deaths-major-killer-in-the-u-s
".....most of the deaths occur among people in middle age, and some of the greatest increases in overdose deaths in the past five to 10 years are among people even older than that, in their 60s."

guess most of 'em got brainwashed with how evil the good 'erb is and they (after probably getting 'advice' from some screwed up physician) decided to put their trust in pharma companies instead. :(
 
sunsett70,
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RaoulDuke007

Well-Known Member
I must say, I really, really dislike this article. I don't disagree with the idea that Americans are addicts sipping at the font of Pharmaco-nation. Doctors are prescribing, and have been prescribing benzos like candy. Oxycontin, all the legal 'doctor-safe' highs, this is true. I've been used and abused by different doctors and put on roughly 10 different anti depressants of the SSRI and SNRI variety. I've thrown all those in the bin, though, and given up on the traditional anti-deps.

However, the article itself seemed to do nothing but rail against modern technology and used it as a springboard to say that 'spiking dopamine' (lol, how sensational) is somehow a new practice tied with modern contrivances. People have been getting drunk/stoned/high/spun out since the first Neanderthal nibbled on the first giant Cannibisaurus plant. Human beings want respite. From working a plow, to trading stock, to typing on a keyboard, at the end of the day many humans just want relief when they go home. Some choose to do so by altering their state of conscious with chemicals. The more intelligent animals (other than us) do it, too.

For simple comparisons to modern life; the remote, often primitive societies sometimes seen on Anthony Bourdain's show, for example, brew their own alcohol. One tribe consumed their concoction (with a snake in the bottle! blargh) every single day and was a source of pride on who's brew was the most inebriating. Not a text message or tweet in sight.

Humans want to feel better than bad. They always have. The idea that this is a new concept... oy.

I'm also quite surprised that a psychologist would infer that chemical imbalances in the brain aren't real. My Doctors have always said that I likely have naturally low levels of dopamine. My brain doesn't produce enough for whatever reason. By definition, I can't be as happy as a 'normal' person without SPIKIN' MAH DOPAMEEN.

I guess I just fail to see the message here. He seems to be correlating two entirely different ideas.

1.) We're overmedicated- Yeah, true. Duh?

2.) Technology makes us addicts! - LOLNO

So, we conclude... Technology drives us to find instant gratification. Humans have never done this before the invention of the intarwebz and smartphones. :doh:

Kids today with their Emm Pee Three Eight-track gramophones in their auto-coaches, and their Hula Hoops!
 
RaoulDuke007,

Vicki

Herbal Alchemist
The fact that doctors and pharmaceutical companies push these poison pills is the biggest problem. It's their fault people are addicts. Them and the gov't that makes the plant illegal, but lines their pockets with lobby money from the same doctors and pharmacuetical companies.

This isn't about respite, or recreation. It's about creating addicts.
 
Vicki,

RaoulDuke007

Well-Known Member
Human beings are addicts. I've never met a human being that wasn't addicted to something. Whether it's God(s), their jobs, their children, their homes, their sex, their phone, their beer, their cannabis or heroin.

We will always, always be slaves to our own demons. That which we love the most often kills us.

Blaming the Doctors or even big Pharma for addiction and drug misuse in the world is passing the buck.

That said, they've certainly enabled addiction for a large portion of the 'must be socially accepted' crowd. They've un(lol)knowingly been feeding the public benzo addiction since the invention of the Mother's Little Helper (and it helps her on her way, gets her through each dying day) Valium.

For those that seek relief (or the need to feed their addiction), through chemicals, the Doctors are often just an easy-to-find dealer. I think the percentage of 'natural' addicts (alcoholics, potheads like us folk, cig-smokers, et. al.) is much higher as to those that have been manufactured by Wyeth, Glaxo, and Dr. Feelgood.

It is someone's CHOICE to misuse or abuse a drug. There are a small number of people who experience withdrawl when discontinuing different pharmaceuticals when used responsibly but that's a natural function of the body growing accustomed to a foreign substance. We are responsible for our own actions. Everyone should educate themselves about the medications their doctors try to prescribe. The information is everywhere.

I've been prescribed Vicoden and Percocet many times as I've had quite a few surgeries. It was my choice to learn about them, take them responsibly, and not crush them and snort them while sipping a white russian. As much as I hate to admit it, I *needed* those pills when my face was attatched to my skull with 50 stitches. Cannabis, good feelings, and prayers just wouldn't have done the trick.

Doctors should be more strictly regulated when it comes to prescribing pills. They shouldn't be able to profit in any way while dealing with the Drug Companies. The FDA is a bloody joke. The majority of these medications exist for a reason, though.

I can't blame my first dealer for my addiction (yeah, full blown addiction) to cannabis. That's on me. I'm sure as hell glad he existed though, and the plant as well.

And, yes, cannabis most certainly should be legal and provided as a natural alternative. I'd recommend it over pharmaceuticals for a multitude of mental and physical ailments. I moved cross-country to medicate with cannabis over the more dangerous and side-effect laden anti-deps and benzos my Doctors tried to feed me. It doesn't work for everyone, though.
 
RaoulDuke007,

Vicki

Herbal Alchemist
Blaming the Doctors or even big Pharma for addiction and drug misuse in the world is passing the buck.

I respectfully disagree. Doctors and pharmaceutical companies have a vested interest in keeping people addicts, profits. That's not passing the buck, that is acknowledging their role in all this, and they do have one, don't be fooled.
 

sunsett70

Member
Doctors should be more strictly regulated when it comes to prescribing pills. They shouldn't be able to profit in any way while dealing with the Drug Companies. The FDA is a bloody joke. The majority of these medications exist for a reason, though.

exactly! the 'pro-prescription' system put in place by big pharma & their government cronies in order to turn the middle class into a consistent source of never ending cash cows. yes, to be fair i think certain pharma products are needed and useful (imo, like those diabetic insulin shots) but every pill for some sort of ailment, real or imagined, and more pills to counter side-effect from the original pills, and a system that rewards pro-prescription attitude, oh my.......but we after all just a number to them.
 
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pakalolo

Toolbag v1.1 (candidate)
Staff member
It is someone's CHOICE to misuse or abuse a drug. There are a small number of people who experience withdrawl when discontinuing different pharmaceuticals when used responsibly but that's a natural function of the body growing accustomed to a foreign substance. We are responsible for our own actions. Everyone should educate themselves about the medications their doctors try to prescribe. The information is everywhere.

It is by no means always someone's choice. When I was a kid, I had osteomyelitis. I was put on morphine. I had no choice in the matter, in fact my doctors didn't either. It was the only painkiller powerful enough at the time. I was lucky. Most osteomyelitis victims from that era became morphine addicts, but somehow I did not. This sort of thing still happens: you have a condition and the only choice you have is either suffer or take an addictive drug that provides relief. Once you recover from your condition, the addiction doesn't go away. Continuing to take the drug is abuse, but it didn't result from choice.

Not everyone can educate themselves about the drugs that they are given. The people most at risk today are seniors, who are overprescribed with all sorts of addictive drugs. They grew up in an era when doctors were respected, trusted, and unchallenged, so they accept whatever the doctor gives them. Few of them even have access to the internet, let alone posess the skills to do research into their drugs. When they become addicted (and that happens a lot) I would not call that by choice. The person abusing the drug is the doctor not the patient.
 

RaoulDuke007

Well-Known Member
It is by no means always someone's choice. When I was a kid, I had osteomyelitis. I was put on morphine. I had no choice in the matter, in fact my doctors didn't either. It was the only painkiller powerful enough at the time. I was lucky. Most osteomyelitis victims from that era became morphine addicts, but somehow I did not. This sort of thing still happens: you have a condition and the only choice you have is either suffer or take an addictive drug that provides relief. Once you recover from your condition, the addiction doesn't go away. Continuing to take the drug is abuse, but it didn't result from choice.

Not everyone can educate themselves about the drugs that they are given. The people most at risk today are seniors, who are overprescribed with all sorts of addictive drugs. They grew up in an era when doctors were respected, trusted, and unchallenged, so they accept whatever the doctor gives them. Few of them even have access to the internet, let alone posess the skills to do research into their drugs. When they become addicted (and that happens a lot) I would not call that by choice. The person abusing the drug is the doctor not the patient.

You're putting words in my mouth. The simple addition of *always* in your post in reference to mine changes the meaning substantially to fit your argument.

Addiction and physical dependence are two separate animals. A person can easily become physically dependent on any number of drugs. You also seem to be illustrating my point by saying that both you, and the Doctors, had no other choice than to put you on this drug. Did you view the Doctors who treated you as Drug pushers who were trying to hurt you? If the answer is no, then you're agreeing with my original point.

Physical dependence is an unfortunate side effect of many drugs. I've experienced withdrawals from Clonazepam that I used *less* than my prescribed dose of. It was hellish. Benzo withdrawal is no joke. If I had continued to take the drug (-that helped me get through several surgeries like orbital decompression, eye muscle correction surgery, and radiation treatments-), and used it irresponsibly, I'd have no one to blame but myself. Withdrawals are hard, but I don't believe a drug has been made yet that prevents people from ever getting clean.

Medicating children in general is a tricky subject and, again, another matter. One can not always use the same medications on a growing, developing brain as it has significant impact. I *do* believe our children are grossly over-medicated.

As for seniors and the lack of information, I'll admit that can be tricky. I think that might stem from another issue entirely, which is the throwaway attitude of our society when it comes to our elderly. It's a tragedy. As I said, I believe Doctors should have stricter regulations on prescribing medications. Particularly when it comes to children and the elderly. With those two demographics, you have people who are not always in a position to make informed, educated choices.

I'm not fooled by big pharma. I'd be willing to lay dollars to doughnuts that I've had more medication slung at me in a year than most people experience in a lifetime. Again, I moved across the country so I could medicate with cannabis and remove myself from the pharmaceutical loop.

I also see Doctors several times a month that monitor my overall health and prescribe me the medications that I need to take to simply stay alive. Demonizing ALL of these people and what they do is just not in my nature. There are Drug-pusher Docs out there. There are Pharma-lackeys. There are also men and women who give their lives to healing and have genuine compassion that also happen to prescribe pills.
 
RaoulDuke007,

pakalolo

Toolbag v1.1 (candidate)
Staff member
You're putting words in my mouth. The simple addition of *always* in your post in reference to mine changes the meaning substantially to fit your argument.

Addiction and physical dependence are two separate animals. A person can easily become physically dependent on any number of drugs. You also seem to be illustrating my point by saying that both you, and the Doctors, had no other choice than to put you on this drug. Did you view the Doctors who treated you as Drug pushers who were trying to hurt you? If the answer is no, then you're agreeing with my original point.

Physical dependence is an unfortunate side effect of many drugs. I've experienced withdrawals from Clonazepam that I used *less* than my prescribed dose of. It was hellish. Benzo withdrawal is no joke. If I had continued to take the drug (-that helped me get through several surgeries like orbital decompression, eye muscle correction surgery, and radiation treatments-), and used it irresponsibly, I'd have no one to blame but myself. Withdrawals are hard, but I don't believe a drug has been made yet that prevents people from ever getting clean.

Medicating children in general is a tricky subject and, again, another matter. One can not always use the same medications on a growing, developing brain as it has significant impact. I *do* believe our children are grossly over-medicated.

As for seniors and the lack of information, I'll admit that can be tricky. I think that might stem from another issue entirely, which is the throwaway attitude of our society when it comes to our elderly. It's a tragedy. As I said, I believe Doctors should have stricter regulations on prescribing medications. Particularly when it comes to children and the elderly. With those two demographics, you have people who are not always in a position to make informed, educated choices.

I'm not fooled by big pharma. I'd be willing to lay dollars to doughnuts that I've had more medication slung at me in a year than most people experience in a lifetime. Again, I moved across the country so I could medicate with cannabis and remove myself from the pharmaceutical loop.

I also see Doctors several times a month that monitor my overall health and prescribe me the medications that I need to take to simply stay alive. Demonizing ALL of these people and what they do is just not in my nature. There are Drug-pusher Docs out there. There are Pharma-lackeys. There are also men and women who give their lives to healing and have genuine compassion that also happen to prescribe pills.

I see. So it's your position that "It is someone's CHOICE to misuse or abuse a drug." is not intended to be absolute. That's an unfortunate choice of wording then. Your previous post certainly seems to be stated in absolute terms:


Human beings are addicts. I've never met a human being that wasn't addicted to something.
...
We will always, always be slaves to our own demons. That which we love the most often kills us.
...
It is someone's CHOICE to misuse or abuse a drug.
...
We are responsible for our own actions. Everyone should educate themselves about the medications their doctors try to prescribe.
 
pakalolo,

RaoulDuke007

Well-Known Member
I see. So it's your position that "It is someone's CHOICE to misuse or abuse a drug." is not intended to be absolute. That's an unfortunate choice of wording then. Your previous post certainly seems to be stated in absolute terms:

It's a shame that you didn't respond to anything I had to say, and instead took this as an opportunity to 'win' an argument. I'm not certain what you intended to contribute to the discussion. I will therefore qualify, as to clear any confusion, that any and all of the views that I hold are my own, and are not fact. They are my beliefs. I do believe this will be my last post on the subject.
 
RaoulDuke007,

pakalolo

Toolbag v1.1 (candidate)
Staff member
I didn't see anything that needed response. You originally said:

Blaming the Doctors or even big Pharma for addiction and drug misuse in the world is passing the buck.
...
It is someone's CHOICE to misuse or abuse a drug. There are a small number of people who experience withdrawl when discontinuing different pharmaceuticals when used responsibly but that's a natural function of the body growing accustomed to a foreign substance. We are responsible for our own actions. Everyone should educate themselves about the medications their doctors try to prescribe. The information is everywhere.

I said that it's not always a matter of choice and that some people lack the ability to educate themselves about the drugs they've been prescribed. Now you say:

...I believe Doctors should have stricter regulations on prescribing medications. Particularly when it comes to children and the elderly. With those two demographics, you have people who are not always in a position to make informed, educated choices.

Clearly if you think doctors need stricter regulation then you agree they share some of the blame after all. You also admitted children and elderly need protection, so you backpedaled to agree with my point. No need to respond to that.
 
pakalolo,

VWFringe

Naruto Fan
interesting thread, for passing on a medical side I was mostly unaware of.

have you guys seen the documentary, "The Chilling Effect"? Skip to 42 minutes for some of the punch lines. Says the DEA is responsible for deaths from suicide of patients who can't get meds they really need, and takes doctors out. Data shows low incidence of addiction (0.27%) LINK to study. The film maker was Siobhan Reynolds, who became a pain patients' activist...sadly I just learned she died in January, and there's this excellent article about her: Link to article

I tend to think, after watching that, that doctors should be given back control over their medical decisions, and that we have simply been brain-washed by our media to think of this issue in an unrealistic light that favors the DEA, who have caused more pain and suffering than all of the addicts out there.

I'm writing a letter to the author in the OP, see if he can validate my radical views about being Reward Avoidant (ADHD)

I don't think we (I) go for the easy "fix" - I look back and think I didn't have enough experience of human natural pathways, kept my dopamine shut-down for emotional reasons that were more or less locked in before the age of two, and ended up developing pathways on my own...not like anybody on television's talking about the natural pathways, or anything intelligent except what the people who don't do drugs want to hear, no road-map for us except 12 step programs and religion (which leaves me where exactly, if I reject both? lol)

mod note: Back-to-back posts, merged. Please use the Edit button, thanks.
 
VWFringe,
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