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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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.
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.
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!
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.
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.
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.
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.
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".
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.
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.
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.