Seven Addiction Myths You’re Sold Stanton Peele,
Description: Seven Addiction Myths Youre Sold Stanton Peele, Ph.D. Brooklyn, NY Western Region (Ireland) Drug and Alcohol Task Force November 13, 2018 Addiction, Nature or Nurture: Where does it come from and what can be done? Introduction Where do you
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slide1. Seven Addiction Myths You’re Sold Stanton Peele, Ph.D. Brooklyn, NY Western Region (Ireland) Drug and Alcohol Task Force
November 13, 2018
Addiction, Nature or Nurture:
Where does it come from and what can be done?<br>
slide2. Introduction Where do you get your information about addiction?
Much of it from America
But by now you have your own myths
Every bit is wrong<br>
slide3. 1. Opiates are addictive Has anyone here ever taken a painkiller?
Were you addicted?
Why or why not?
Quinones (Dreamland): the miracle molecule
The purpose, meaning, setting of use
YOUR IDENTITY<br>
slide4. 2. Drug addiction is inescapable What’s the toughest addiction to quit?
Have you quit it?
Did you receive treatment (meds)?
WHY did you quit?<br>
slide5. Your beliefs You’ve been misinformed AGAINST your own experience!
How does that occur?
Why do you ignore your own truths?
That’s the secret of the addiction field<br>
slide6. 3. Addiction equal opportunity A. West Virginia (52/100,000)
Dr. Rahul Gupta said: “If you’re a male between the ages of 35 to 54, with less than a high school education, you’re single and you’ve worked in a blue-collar industry, you pretty much are at a very, very high risk of overdosing.”
B. Baltimore (70+/100,000)
“According to the Office of the Medical Examiner in Washington, D.C., overall opioid overdose deaths (read poisonings) among black men between the ages of 40 and 69 increased 245 percent from 2014-2017.”<br>
slide7. Let’s review Did you think men and women were equally dying from opiates?
Did you think young were dying equally/more?
Did you think rich and poor, educated or not?
Solitary people and familial people?<br>
slide8. Why sell equal opportunity? 1. It’s another way of saying drugs addiction
2. So we can attack drugs
3. So we can avoid complicated social solutions
4. So we can protect our own<br>
slide9. 4. Drugs cause addiction Is this a drug problem?
Trivariate
- experience (involvement)
- person
- situation
Vietnam, Rat Park<br>
slide10. 5. Addiction will be solved medically How are we doing in the U.S.?
Discovered endorphins in the late 1960s, addiction to be solved fifty years ago
WRONG-HEADED
- addiction is a people problem
- convincing people otherwise CAUSES addiction<br>
slide11. Explain This<br>
slide12. AMA Report Opioid Prescriptions Between 2013 and 2017, there was a 22.2% decrease in opioid prescriptions nationwide.
Patrice A. Harris, MD, MA, chair of the AMA Opioid Task Force, said in a press release:
“While this progress report shows physician leadership and action to help reverse the epidemic, more than 115 people in the United States die daily from an opioid-related overdose.”<br>
slide13. MAT – Modern Miracle? The areas where MAT is most readily available, urban areas, are now showing the greatest surge in drug deaths, usually from heroin mixtures, to wit: “Large U.S. cities see big jump in deadly opioid overdoses.”<br>
slide14. Defining addiction— The Addictive Process Diminish awareness of surroundings and feelings
Provide immediate, predictable, and encompassing sensations
Offer a false sense of control and personal value
Reduce healthy options (impairing the person)
Worsen negative feelings about self (causing distress
Occur along a continuum of severity
Reverse as people engage in positive life experiences (they “recover”)<br>
slide15. Addressing addiction— Life Process Program Purpose and meaning
Values and personal resources
Skills and attitudes
Relationships and community
Agency, engagement, maturity<br>
slide16. 6. Convince people they’re addicts LPP doesn’t diagnose/label people
What effect does that label have?
The disease theory = life-long labeling
RETARDS natural growth process/options<br>
slide17. 7. Tell people drugs uncontrollable John Davies has recently died
Kids who were most afraid of drugs encountered the most problems
Children with most self-mastery, experience of personal initiative, ENGAGEMENT AND PURPOSE, least likely to become addicted<br>
slide18. 7. Less use less problems * Neg correlation between consumption & problems in Europe
ECAS (European Compar Alcohol Study): Alcohol-related deaths
- Men—North: 18/100,000; South: 3/100,000
- Women—North: 3/100,000; South: 0.5/100,000
Northern European countries drink less; Southern drink earlier
ESPAD—15-16 year olds
- Past year drunk—Irish: 47 %; Italian: 27 %
- Past month drunk —Irish 26 %: italian: 12 %<br>
slide19. Why youth drunkenness in Ireland? Mediterranean countries—like Greece, Spain, Portugal, Italy and France—view alcohol, consumed mainly in wine, as a natural, healthy food product. Alcohol is seen as an essential accompaniment of good times at social and family gatherings, where its use is subject to strict, if informal, social controls.
In Mediterranean countries, first alcohol use typically occurs at a young age—so young, most can’t remember the first time they drank—at multi-generational mealtime gatherings.
In Northern Europe, first use typically takes place during illicit binge-drinking sessions with teenage peers. The practice of drinking large amounts in a short period of time, often in single-generation groups, is ingrained, with resulting social and health problems.<br>
slide20. Drinking and Society in Ireland BIG Solution
Promote pro-social, community drinking
- my time at a music concert
Smaller Solutions
Make bars socially cohesive
Train brief interventionists (in bars et al.)
Make help ACCESSIBLE – like LPP<br>
slide21. Can we treat away addiction? People in Appalachia, Baltimore
America is the most treated place in world
- suicides rose about a third 1999-2016
- long-term antidepressant treatment tripled
SAMHSA’s Nonmedical Redefinition of Recovery
“Recovery is a process of change whereby individuals work to improve their own health and wellness and to live a meaningful life in a community of their choice while striving to achieve their full potential.”<br>
slide22. SAMHSA Recovery Principles SAMHSA’s Pillars of Recovery
● Health: overcoming or managing one's disease(s) as well as living in a physically and emotionally healthy way;
● Home: a stable and safe place to live that supports recovery;
● Purpose: meaningful daily activities, such as a job, school, volunteerism, family caretaking, or creative endeavors;
● Community: relationships and social networks that provide support, friendship, love, and hope.<br>
November 13, 2018
Addiction, Nature or Nurture:
Where does it come from and what can be done?<br>
slide2. Introduction Where do you get your information about addiction?
Much of it from America
But by now you have your own myths
Every bit is wrong<br>
slide3. 1. Opiates are addictive Has anyone here ever taken a painkiller?
Were you addicted?
Why or why not?
Quinones (Dreamland): the miracle molecule
The purpose, meaning, setting of use
YOUR IDENTITY<br>
slide4. 2. Drug addiction is inescapable What’s the toughest addiction to quit?
Have you quit it?
Did you receive treatment (meds)?
WHY did you quit?<br>
slide5. Your beliefs You’ve been misinformed AGAINST your own experience!
How does that occur?
Why do you ignore your own truths?
That’s the secret of the addiction field<br>
slide6. 3. Addiction equal opportunity A. West Virginia (52/100,000)
Dr. Rahul Gupta said: “If you’re a male between the ages of 35 to 54, with less than a high school education, you’re single and you’ve worked in a blue-collar industry, you pretty much are at a very, very high risk of overdosing.”
B. Baltimore (70+/100,000)
“According to the Office of the Medical Examiner in Washington, D.C., overall opioid overdose deaths (read poisonings) among black men between the ages of 40 and 69 increased 245 percent from 2014-2017.”<br>
slide7. Let’s review Did you think men and women were equally dying from opiates?
Did you think young were dying equally/more?
Did you think rich and poor, educated or not?
Solitary people and familial people?<br>
slide8. Why sell equal opportunity? 1. It’s another way of saying drugs addiction
2. So we can attack drugs
3. So we can avoid complicated social solutions
4. So we can protect our own<br>
slide9. 4. Drugs cause addiction Is this a drug problem?
Trivariate
- experience (involvement)
- person
- situation
Vietnam, Rat Park<br>
slide10. 5. Addiction will be solved medically How are we doing in the U.S.?
Discovered endorphins in the late 1960s, addiction to be solved fifty years ago
WRONG-HEADED
- addiction is a people problem
- convincing people otherwise CAUSES addiction<br>
slide11. Explain This<br>
slide12. AMA Report Opioid Prescriptions Between 2013 and 2017, there was a 22.2% decrease in opioid prescriptions nationwide.
Patrice A. Harris, MD, MA, chair of the AMA Opioid Task Force, said in a press release:
“While this progress report shows physician leadership and action to help reverse the epidemic, more than 115 people in the United States die daily from an opioid-related overdose.”<br>
slide13. MAT – Modern Miracle? The areas where MAT is most readily available, urban areas, are now showing the greatest surge in drug deaths, usually from heroin mixtures, to wit: “Large U.S. cities see big jump in deadly opioid overdoses.”<br>
slide14. Defining addiction— The Addictive Process Diminish awareness of surroundings and feelings
Provide immediate, predictable, and encompassing sensations
Offer a false sense of control and personal value
Reduce healthy options (impairing the person)
Worsen negative feelings about self (causing distress
Occur along a continuum of severity
Reverse as people engage in positive life experiences (they “recover”)<br>
slide15. Addressing addiction— Life Process Program Purpose and meaning
Values and personal resources
Skills and attitudes
Relationships and community
Agency, engagement, maturity<br>
slide16. 6. Convince people they’re addicts LPP doesn’t diagnose/label people
What effect does that label have?
The disease theory = life-long labeling
RETARDS natural growth process/options<br>
slide17. 7. Tell people drugs uncontrollable John Davies has recently died
Kids who were most afraid of drugs encountered the most problems
Children with most self-mastery, experience of personal initiative, ENGAGEMENT AND PURPOSE, least likely to become addicted<br>
slide18. 7. Less use less problems * Neg correlation between consumption & problems in Europe
ECAS (European Compar Alcohol Study): Alcohol-related deaths
- Men—North: 18/100,000; South: 3/100,000
- Women—North: 3/100,000; South: 0.5/100,000
Northern European countries drink less; Southern drink earlier
ESPAD—15-16 year olds
- Past year drunk—Irish: 47 %; Italian: 27 %
- Past month drunk —Irish 26 %: italian: 12 %<br>
slide19. Why youth drunkenness in Ireland? Mediterranean countries—like Greece, Spain, Portugal, Italy and France—view alcohol, consumed mainly in wine, as a natural, healthy food product. Alcohol is seen as an essential accompaniment of good times at social and family gatherings, where its use is subject to strict, if informal, social controls.
In Mediterranean countries, first alcohol use typically occurs at a young age—so young, most can’t remember the first time they drank—at multi-generational mealtime gatherings.
In Northern Europe, first use typically takes place during illicit binge-drinking sessions with teenage peers. The practice of drinking large amounts in a short period of time, often in single-generation groups, is ingrained, with resulting social and health problems.<br>
slide20. Drinking and Society in Ireland BIG Solution
Promote pro-social, community drinking
- my time at a music concert
Smaller Solutions
Make bars socially cohesive
Train brief interventionists (in bars et al.)
Make help ACCESSIBLE – like LPP<br>
slide21. Can we treat away addiction? People in Appalachia, Baltimore
America is the most treated place in world
- suicides rose about a third 1999-2016
- long-term antidepressant treatment tripled
SAMHSA’s Nonmedical Redefinition of Recovery
“Recovery is a process of change whereby individuals work to improve their own health and wellness and to live a meaningful life in a community of their choice while striving to achieve their full potential.”<br>
slide22. SAMHSA Recovery Principles SAMHSA’s Pillars of Recovery
● Health: overcoming or managing one's disease(s) as well as living in a physically and emotionally healthy way;
● Home: a stable and safe place to live that supports recovery;
● Purpose: meaningful daily activities, such as a job, school, volunteerism, family caretaking, or creative endeavors;
● Community: relationships and social networks that provide support, friendship, love, and hope.<br>