Heroin

Here is an oldie but goodie I wrote back in 2001. Republished on my blog in 2004.
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Here is what got me started on the Chronic Drug Use is Caused by Chronic Pain track. The important thing is to read Dr.Shavelson’s book. The drug war in essence is a persecution of tortured children.
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Heroin. The name itself strikes terror into the heart these days. But originally it was named by the Bayer people from the word heroine. Or female hero. Why? Because it was so effective in relieving pain and suffering. If it were legal it would still be one of the most effective pain relievers in the doctor’s arsenal. It was also considered such a safe and effective medicine that it was available over the counter until 1914.
The story these days with heroin is different. It not only is not available over the counter, its not available anywhere in America legally.
So where does this leave us today? We have black markets and addicts. Black markets of course require police and addicts require treatment.
An interesting study by Dr. Lonny Shavelson looks into the world of the addicts and their treatment. What do we know? What works? How can addicts be helped?
First we start out with an unusual point of view. Most addicts are in pain. This is quite surprising. It surprised me. I thought they were just in it for the euphoria.
Here is what Dr. Shavelson found in his study of 200 addicts: a high proportion of severely abused children (beatings, rapes, rapes of siblings). He questioned his study methodology. He thought there must have been a flaw in how his sample was selected or in how the questions he asked were framed.
Then while he was doing his research, an article came out in the Journal of the American Medical Association that said that the addiction rate goes up for male sexually abused children. And it doesn’t just double or triple. It is 25 to 50 times higher than the rest of the population. Approximately 70% of the women in drug rehab experienced sexual abuse before they started on drugs. In other words, those heroine addicts not in actual physical pain are suffering from severe post traumatic stress disorder, PTSD. What is the preferred treatment in America today for these hurt and humiliated souls? We don’t deal with the pain that made them liable for drug abuse. We ask that before they can be healed that they heal themselves by giving up drugs. And then we wonder why rehab for hard-core addicts does not work too well. But how could it when the treatment does not match the disease.
So the next time the TV expose shows the junkie with the spike in his or her vein think of what torment that person must be in internally in order to put them in the place they are in. And all too often our response to those suffering is to jail them. Barbaric. Or treatment that deals with symptoms and not causes. Stupid.
Dr. Shavelson has written a book called Hooked about his experiences with addicts. A recent transcript of an interview by NPR with the doctor is available here.
Hooked – NPR interview.
Cross Posted at Power and Control


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5 responses to “Heroin”

  1. bob sykes Avatar
    bob sykes

    In the past, I have often thought you were somewhat of a crank on drug legalization. But your link this morning to Dr. Shavelson is a revelation.
    I have a brother in-law who is a long-term drug addict and who is suicidal. He has never gotten any meaningful treatment for his problems. And I now see somewhat that his pain must be severe.
    I am sending this link to my sister.
    Thank you.

  2. Eric Scheie Avatar

    At some point it was decided to label opiates as “pain killers” and also declare that pain consists only of physical pain. Additionally a very arbitrary moral line was drawn between emotional pain and physical pain, and it was deemed immoral to medicate emotional pain, and eventually people in emotional pain who did so were seen as (and had to be treated as) criminals.
    As to the reason, it may be that some people have a primitive instinct to hate and persecute those seen as weak, but because this cannot be done rationally, they must first be labeled immoral.

  3. Wacky Hermit Avatar

    I’m not sure what you mean by emotional pain not being seen as moral to medicate. There are n+1 medications out there for medicating depression and other mental conditions, and a concerted effort is made to medicalize these conditions for the express purpose of getting insurance companies to cover these medications, removing stigma, etc. Maybe 20 years ago medicating emotional pain was considered immoral, but nowadays there’s a pill for everything.

  4. M. Simon Avatar

    Wacky,
    It is amazing. So let me ask you why it is legal to medicate that pain with some drugs (Valium say) and not with Heroin or Oxycodone?
    Every patient is different. Some respond to one drug and some to others. Why have we taken a whole class of meds off the table?

  5. M. Simon Avatar

    Wacky,
    It is a genetics problem.
    It is the old theory of beat kids into submission and they will do right. Which in fact does work for 80% of the population.
    Your failure is that you know nothing of the 20% for whom such “training” only makes things worse.