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Taking Drugs Is Not a Disease

Posted: 31/05/2012 00:00

With sessions still on-going at the Home Affairs Select Committee on Drugs, I thought I'd write a few words before they get round to publishing. Words are important. Labels are important. And it's my view that labelling drug addiction as a 'disease' is dangerous and wrong.

No-one I have known in my immediate family has, to the best of my knowledge, suffered from any serious addiction. These, however, are the boxes I can tick: alcohol, drugs, sex, gambling.

As far as drugs are concerned, cocaine and sleeping pills were my drugs of choice. And yes, it was a choice. I chose them. They did not choose me. It wasn't like I woke up one day and discovered I had this terrible 'disease' which wasn't my fault and for which I should receive your sympathy and compassion.

I agree that drug addiction should be dealt with by doctors and not by policemen. But we shouldn't make the mistake of labelling that addiction as a disease. Addiction is an illness caused by taking too many drugs for too long, the physical reaction to excessive use. I don't mean to be unsympathetic - I feel desperately sorry for the many vulnerable people who made the leap into drugs and slipped too far. All I'm saying here is that to call drug abuse a 'disease' is wrong.

This is more than just semantics. By labelling drug abusers as 'diseased,' we negate them from any real sense of responsibility for their individual actions. I'm all for a bit of love and compassion, but let's get real here and call things by their proper names. Taking drugs is avoidable, Parkinson's is not.

I can't stress this enough, but when you initially take drugs you are essentially making a life gamble: Can I handle this or not? If you can't, then you'll lose the bet and become an addict.

You may lose everything, including your life. If you're lucky - and many of us are - you won't. But the decision to take drugs is not ingrained in your DNA, it's not a genetic fault-line, it's just... a gamble. By calling it a 'disease' we're implying that in a drug-free parallel universe you'd still fall 'ill,' succumb to your 'disease' and start seeking out substances that you didn't even know existed.

Taking drugs is a decision, not a disease.

People use narcotics usually for one of two things - for the pursuit of pleasure, or to escape painful memories. And drugs can, initially, be great fun, and they can also be a vacuous obliteration. And then addiction can take over, at which point, sure, a medical condition results. But it's a choice first, and a condition later; let's not label the telephone call to your dealer a symptom of some greater 'disease.'

To think of my drug-taking activities as a medical condition is a complete cop-out. Did this disease make me roll up that ten pound note, stick it up my nose and snort a line of cocaine? Hardly. It was impulsive behaviour and impulsive behaviour is exactly that - behaviour.

In life, we define ourselves by what we do, and if we choose drugs, the choice is ours, not some indefinable, ethereal illness. There's no disease controlling me if I decide to chop out a line. For me, it was usually just a temporary error of judgement and an appetite for self-destruction. For others it may be something different, but whatever it is, it's got nothing to do with disease.

Someone like Russell Brand - curiously invited to speak to the Home Affairs Select Committee on Drugs - has received the best therapy money can buy, treatment which has succeeded, I believe, only in brainwashing him into thinking he's devoid of all responsibility for his actions. For someone so self-indulgent, that's the best medical diagnosis he could possibly have heard. No wonder he's embraced it so warmly.

When he appeared in parliament, Brand said that "the illegality makes no difference, the consequences in the country of origin makes no difference."

With the comforting blanket of having been told he has an illness, people like Russell can sleep soundly at night, for in his diseased heart he knows it was never his fault that blood was spilled in the poppy fields of Afghanistan to feed his former addiction. Perhaps a poverty-stricken drug mule died from ingesting a stash of the brown stuff destined for his front door. Well, don't look at Russell, it was beyond his control. Another contract killing in the slums of Rio? Nothing to do with Russell; please don't disturb him, he's dozing.

As long as the use of drugs is considered a disease then we are all blameless, we can all carry on obeying the higher calling of our 'illness' and stick another needle in our arm and to hell with the consequences. Leave us alone, we're stricken.

I'm not saying you should or shouldn't take drugs, but if we do then we should face the consequences of that drug use, deal with the guilt and shame, accept responsibility and know that you, that I, and that thousands of others have caused misery, both on our own doorstep and many miles away, to countless faceless, impoverished individuals.

During his appearance, Brand said "I think that there's a degree of cowardice and wilful ignorance around this condition..."

I couldn't agree more.

 

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With sessions still on-going at the Home Affairs Select Committee on Drugs, I thought I'd write a few words before they get round to publishing. Words are important. Labels are important. And it's my ...
With sessions still on-going at the Home Affairs Select Committee on Drugs, I thought I'd write a few words before they get round to publishing. Words are important. Labels are important. And it's my ...
 
 
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HUFFPOST SUPER USER
ccraiglamont
Sometimes funny, other times...not!
12:24 PM on 06/06/2012
Drug taking is not a disease.... it is an epidemic!!
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HUFFPOST SUPER USER
Nathan0316
TrueBlueTory Age quod agis
12:17 AM on 06/06/2012
Whilst I agree that actually taking drugs is not a disease but a choice, there are some people who have an addictive personality in which the probability of excessive consumption of something is more likely. A case in point, some people will turn to religion instead of drugs, some to exercise, still others to the shopping channels, the one thing they all have in common is an addiction.

My point is that while some addictions are incredibly harmful to yourself and others, some go unnoticed and untreated. My father for instance was a hoarder, a condition I only only found out about some time after his death. Had I realised, I would have sought him help because, looking back, his hoarding probably contributed to his death. (He died of double pneumonia in June, I think partly because of all the dust, grime and dirt in his flat because he couldn't clean anything.)

What I'm trying to say is, although taking drugs is not a disease, addiction is. If it wasn't to drugs, Russell Brand would have become addicted to something else, yoga or drink, sex or skydiving, travelling or whittling, it doesn't matter what he would have been addicted to, the underlying problem would still have been addiction.
11:19 PM on 06/04/2012
I agree that it is absolutely futile to criminalise drug taking (certainly to the extent we have). Young people will always take risks, again it is futile to run around looking at "legal highs" and "illegalising" them. The facts of life are that people young and old, but mostly young, will take risks, and some of them will die as a direct result.
Tough.
It's difficult to do, because people are mostly stupid, but we should just shrug our shoulders (legally speaking) when someone looses their life gamble - I can't help myself! Its a shame when it happens, but we could spend the rest of eternity, and spend 100% of GDP on criminalising any substance (unless its taxed of course) people sniff, snort, ingest, inhale, or inject for a bit of fun and prosecuting users; people would still try something which kills them.

As an analogy: antibiotics have led to super-bugs. Criminalising "designer" drugs simply forces the evolution of new drugs. Evolution is as powerful a driver in the illegal drug ecosystem as it is in nature, or more accurately here, pharming - I did it again :)

Bring back Ecstasy I say. Reclassify it as B or C, it really isn't as "dangerous" as Heroin. This will stop the evolution of new designer drugs, to a great extent, people will know what they are dealing with, after a few more deaths, then ...
The survivors live happily ever after.

Something like that anyway.
11:17 PM on 06/04/2012
That was funny what you said just then, "a life gamble: ...you'll lose the bet and become an addict".
Part of your life experience, if not a problem, is your gambling. Let's imagine someone very like you, except he is definitely has a compulsion - a disease - to gamble. Then you explain that choosing to take drugs isn't a disease, there's nothing in DNA which compels someone to sniff out cocaine, see what I did there? OK, with you so far.
But then you describe his "choice" of taking drugs as a "life gamble" - come on, surely you can see it now!
The outside observer (hello!) will say; because of his gambling disease he gambled on drugs, and because of the addictive nature (inherent as part of gambling) he becomes addicted to drugs.

I think you just confirmed that drug addiction is indeed a disease. An addict perhaps becomes addicted to "life gambling" as you put it, taking risks. So, as you say, he gambles on handling drugs, but the addictive personality ...
I liked your reasoning, it was good; flawless even. Well, you know, apart from the starting point!
04:10 PM on 06/03/2012
I agree with u that taking drugs is not a disease, and people need to take responsibility, not blame others, but addiction does bring us into the medical realm, rather than the criminal one. Should we spend money on propaganda, drugs squads and prisons, or education, nurses and clinics? (Clue: drug squads and prisons don't work, cost a fortune, fill our prisons, allow billions of untaxed money leave our economies, and cause all that bloodshed you refer to).
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ginadeoliveira2008
Seen a shooting star tonight and I thought of you
02:53 PM on 06/03/2012
I'm sure the mental health community--psychiatrists, psychologists, psychoanalists and therapists-- will all disagree with you. The drive for drugs and the intensity of addiction are symptoms. There's proven tendency to addiction.
12:33 PM on 06/03/2012
calling drug addiction a disease is silly. Suggesting drug takers are accountable for the collateral damage the production and shipping their drugs has caused holds them to a far higher standard than the rest of capitalist society.
12:32 PM on 06/03/2012
'With the comforting blanket of having been told he has an illness, people like Russell can sleep soundly at night, for in his diseased heart he knows it was never his fault that blood was spilled in the poppy fields of Afghanistan to feed his former addiction. Perhaps a poverty-stricken drug mule died from ingesting a stash of the brown stuff destined for his front door. Well, don't look at Russell, it was beyond his control. Another contract killing in the slums of Rio? Nothing to do with Russell; please don't disturb him, he's dozing.'
This is dreadful nonsense! Trying the guilt trip. All the bloodshed youseem to enjoy describing arises from the efforts of authorities to prevent the movement of illegal drugs. Not from the desires of users. No blood is shed in the tobacco, alcohol or broccoli markets, because they are legal.
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HUFFPOST BLOGGER
Ashley Hames
01:34 PM on 06/03/2012
I do accept this point but if you go to Colombia as I have and speak to anti-narcs they roll their eyes at the suggestion that Western consumers are blameless.
I perhaps made the point too strongly however...I didn't mean to simply put users on a guilt trip...I'm just saying if you do drugs, they come laced with issues, and that 'guilt' is something we need to swallow and accept, rather than say 'I can't help it, I've got a disease.'
And yes, it's not necessarily the fault of the users - it's politicians who have decided that drugs should be illegal - but in the world we live in, its a practical truth that if you consume, you can't help but fan the flames.
02:08 PM on 06/03/2012
Guilt, again. Why arent you equally keen to evoke the guilt of those who insist on the violent repression? Users absolutely do not require all the mayhem that results from prohibition. They would prefer safer, unadulerated products, fairer trade, taxes paid..
08:50 PM on 06/02/2012
Addiction is a undoubtedly a disease of the brain. Yes we make choices, all of us have that ability. The difference between "Normal" people and people with the Addictive gene is very subtle. Scientists have proved that a Person's brain receptors react differently. In the case of alcohol, there are three basic reactions when alcohol is mixed into the bloodstream. The first is the no-effect reaction, where the person does not respond to alcohol. The second is that nice comforting feeling which reaches a peak after 4 or 5 drinks, at which time the person will cease and enjoy the experience. The third is "WOW, that is nice, keep it coming till I reach oblivion".!
Saying it's all about "choice" is far too simplistic. If everything was simply about choice, what a wonderful World it could be. People with drug addiction lose the power of choice. Unfortunately we only find that out in practice. No sane person takes drugs through choice.
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HUFFPOST SUPER USER
Laatab
All The Worlds A Stage
11:35 PM on 06/01/2012
Weather it's objectivelty true that addiction is a disease is a mute point really. If it works what does it matter? And if Russel Brand takes comfort from a perception of his one time addiction being a disease well so what. For some people it's a good thing to hang onto guilt for the stupidities of their past I'm sure, but if one can find a path to a more peaceful mind who is to say that's wrong?

The blood in the poppy fields and victim of the hitman can be laid at the door of those that insist on prohibition every bit as much as the drug user.
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HUFFPOST SUPER USER
Ben Wilson
What's the story mourning Tories?
10:52 AM on 06/01/2012
I'm a legalise all drugs kind of a guy, but addiction to me is a disease and I think you may be playing on semantics by pointing out it is a choice. Most actions which lead to diseases are a choice, like jumping into water, having sex or eating something you didn't know was infected by something. Using the word disease I suppose is for the want of a better term, but it obviously comes from a place where people are trying to get us to treat addiction more seriously. I've had many friends who remain addicted to cocaine and they I must describe as being infected by some insideous. Frankly it has made them all evil. Cocaine is an infectious substance that has destoryed one too many people I cared about, it has made me hate them, and that upsets me the most, and I know it is going to take some serious and imaginative medical treatment to save them, if it isn't terminal.
12:11 PM on 05/31/2012
Taking drugs is certainly not a disease. Just as jumping off a bridge or shooting oneself is not a "disease". Your approach, however, misses the important point that taking drugs may be a SYMPTOM of a disease - as can many other examples of risky, self-injurious behaviour.

To describe these behaviours as evidence of a disease does not remove personal responsibility for choices made, but it does allow us to consider more humane and effective approaches towards dealing with society's "drug problem".
12:11 PM on 05/31/2012
I understand the point the author is making, even sympathise with it to an extent but feel he fails to really understand the purpose and benefits of calling addiction a disease. His third last paragraph suggests he feels those who recover dont face the guilt and shame and dont face thier responsibility over thier drug use. Anyone familiar with 12 Step programmes of recovery know this is not correct - I would have assumed the author does as well.His final sentence is a rather snide sarcastic one and it suggests the author really hasn't dealt with some of his own issues- is there an element of resentment ?. Perhaps rather than criticising other people and their attitudes, may be he should deal with his own issues. AA people have an expression in relation to dry drunks - it is one, maybe ,the author should think about.
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HUFFPOST BLOGGER
Ashley Hames
07:00 PM on 05/31/2012
sure, but you can't just change language to suit people's needs can you? Must we label something out of convenience, because it has 'benefits' ?
11:47 PM on 05/31/2012
the word disease ( dis-ease) actually suits the whole experience and process of addiction very well.No one takes the product or commences the behaviour that leads to the addiction with the intention of becoming addcited . Addiction is a subtle process . Again 12 Step programmes explain the process quite well. The benefit to the recovering addict in looking on the addiction as a disease is that it emphasies the potential deadly consequences that may flow from re-engaging with the addiction, it helps the revcovered addict to take the actions that prevent them from re-entering the addictive process. And that helps the addict and it helps society.And it enables them to to do the vrey thing that you say they should do, i.e to take responsibility. So why on earth should you quibble about what word they use to describe the process. Addiction can be devasting, it can kill, not just the addict, but also others. It imposes huge damage and cost on society. So why on earth shouldnt it be called a disease ? After all it can ' be cured' - one day at a time.
Using the disease terminology also helps the addict, or at least many addicts, to understand or make sense ofhow they could have enagaged in such a diastrous way of life and it enables them to beging the long hard road to recovery.
So it isnt a matter of convenience. It is, frequently a matter of life and death.
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08:27 PM on 05/31/2012
In agreeing with you here it struck me that the author has maybe just managed the 1st step and left the other 11 alone. That's a recipe for potential disaster in one shape or form or another.
HUFFPOST SUPER USER
honeynutcornflakes
your micro-bio is empty
11:40 AM on 05/31/2012
what an awful article.

does that mean that schizophrenia is simply when someone makes the decision to carry on thinking strange delusional thoughts? their own fault, not a disease.

does that mean that depression is simply when someone makes the decision to carry on thinking negative and suicidal thoughts? their own fault, not a disease.

psychological problems are mental disorders, and are characterised by maladaptive thought processes. the inability to stop taking a drug even though it is killing you and destroying you, is a maladaptive thought process, is it not?

by this logic, therapy for any kind of psychological problem would simply be: hey, get over it chap. just stop thinking those things. waahey. next person.
04:51 AM on 05/31/2012
I wonder what you do consider a 'serious' addiction then? You freely admit drugs can destroy your life but that it isn't a 'serious' addiction? And neither is sex, gambling or alcohol?

I agree, in the scale of effects; destroying your life is more of a setback than tragedy, god help those who get involved with the really dangerous stuff.