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Stanton Peele

Stanton Peele

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Why Do We Now Have a Prescription Drug Abuse Problem?

Posted: 05/30/11 09:35 AM ET

Everybody's talking about it -- the fastest-growing drugs of abuse are prescribed painkillers, synthetic opiates like OxyContin. "Responding to America's Prescription Drug Abuse Epidemic" is the lead story at the Web site of the White House's Office of National Drug Control Policy, for instance.

There's nothing surprising about these drugs' ascendance. Painkillers have always been Americans' number-one drug attraction, in direct descent from morphine to heroin to Demerol to Percodan to... the present.

The best painkillers provide a sense of detachment from stress and emotional incontinence; that's why soldiers in Vietnam loved the heroin there so much, although most overcame their addictions (even including those who sampled narcotics stateside) once they got home.

Now, it's harder to escape the duress that drove soldiers bogged down in Asia to require pain relief.

Kids learn from the earliest ages to accept and welcome pain relief in a bottle. We don't want our kids to hurt. The best way to do that is through pain meds. As Matt Dillon muses playing the addict protagonist in "Drugstore Cowboy," he feels sorry for civilians, who, unlike him, can't tell exactly how they'll be feeling a few moments after ingesting some powerful chemical substance from a drugstore container.

As I have explained in my books "Love and Addiction" and "The Meaning of Addiction," people seek most critically in addiction the certainty of an experience, especially that of powerful relief from pain and anxiety. Anything with that effect has strong addictive potential, and anyone raised to be not so much sensitive to pain as intolerant of it is a good candidate for addiction.

And so, the standard bromides for reversing our current (actually it's been more or less continuous) painkiller epidemic -- tell kids pills in bottles are dangerous (unlike the ones we often give them), keep pills away from kids (while we generate and distribute more such chemicals virtually by the day), be involved in their lives (isn't that what makes us give them pain pills in the first place?), and be good role models (does that mean we have to be able to tolerate pain ourselves?!) -- are useless. They're hypocritical self-contradictions, really.

The addicted society devolves to the easiest source of addictive relief, as it generates more and more addicts.

We have seen the enemy -- and it is us.

 
 
 
 
 
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04:30 PM on 06/08/2011
This youtube explains why we have this drug prescription problem: http://www.youtube.com/watch?v=X9cg4454mYA&feature=related
Abram Hoffer was the doctor that cured Bill W of his depression with Vitamin B3. He has wrote his last book for us addicts, 'Vitamin Cure for Alcoholism', just before he passed away aged 91 years in 2009. Do tell other addicts and alcoholic about it. And for the Nutritional cures for addictions, do watch the youtube videos of Abram Hoffer, Joan Larson, and Linus Pauling, the only person to have won two independent Nobel Prizes and who discovered the alpha helix structure of protein and was the pioneer of molecular(genetics) medicine.
10:28 PM on 05/31/2011
The conclusion of the article appears to be that the parents who are addicts are the primary reason why younger generations are addicts as well. As a reader it is difficult to take a fact like this as accurate information because no statistics are noted. The same goes for the paragraph about the soldiers because some sort of statistical evidence would give the author more authority in making such a claim.Also, the point of Vietnam has no apparent connection to the point of parents “devolving” these tendencies to kids. The point of the “certainty of experience” that comes from pills also fails to make me believe that that is why we as adults are to blame for our children’s addictions because that idea seems to support a different conclusion: younger generations are in danger of developing such addictions because of the addictive nature of the medications which would affect them even if their parents were not addicts. This article states that pills are addictive because of how they make the person feel, the history of drug abuse in soldiers, and the fact that pills are deemed as seemingly harmless because they are given by a doctor – yet, the problem lies in the older generation who also suffers from addiction. The article makes a bold statement but has chosen random facts and instances of addiction that provide no statistical data for proof and little, if any connection to the main conclusion.
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Stanton Peele
The meaning of addiction
10:30 AM on 06/01/2011
My main points were (a) we have always had a painkiller problem, (b) we are a culture (beyond individual parents) that increasingly relies on psych pharms (particularly painkillers), particularly among the young (for whom psych med prescriptions have risen exponentially). Pain killer addiction focuses our attention on (a) how addiction is not a function of illicit substance use, (b) the essence of the addictive drug experience is that it provides a powerful source of pain relief.

Datawise, our best source of information is the National Survey on Drug Use and Health. There was an uptick in illicit drug use (use of illicit drugs plus illicit use of prescription meds) in 2009 (the latest year available ), but the latter is not at a high point.

Why now is there so much noise about psych meds -- particularly painkillers? More people are reporting to treatment for these meds, and authorities are now hyper-alarmed at what has been occurring for a number of years - youthful "recreational" use of pharms.

So, as a society we have always been susceptible to painkillers (and related pharms like tranqs), there is a culture-wide increase in pharm use, licit more so than illicit, including very much the young, and -- although illicit use of these substances is not now peaking -- it is drawing wider and more worried attention as we have now decided to focus on pain killer addiction.

There are thus both underlying truths to focus on, and typical drug hysteria in operation.
08:32 AM on 05/31/2011
I feel like it's more the case that we have a doctor problem combined with a "for profit" problem. So many doctors seem content to do little more than fire off a scrip and send patients on their way, having paid for the visit of course. It seems that the days of investigation and contemplation are history in respect to considering the client's signs and symptoms. The medical community is actively involved at this moment in taking addiction treatment out of the hands of addiction professionals. The new model being championed by SAMSHA is one where addiction professionals work in doctor's offices, FOR the doctors. While it might seem good on paper the problem is - is that few doctor's are subscribing to the model. This of course can lead to addiction treatment experiencing another lurch in its history. We have to wait until the "experts" see this model fail and then watch them scratch their heads and say "Huh, guess that wasn't such a good idea." My experience has been that doctors have little concern for what happens to their clients after they write the script. Hell, there's another pain managemet doctor they will send you to after your condition gets out of hand.
07:46 AM on 05/31/2011
While Rx abuse continues to be a growing problem, the biggest problem our country faces in terms of substance abuse is alcoholism and alcohol abuse. Yet it is rare that anyone in a position of power or influence tackles this issue with the same fervor and zeal that they tackle addicition to ilicit drugs or Rx abuse.
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Stanton Peele
The meaning of addiction
12:38 PM on 05/31/2011
Buddy - you're never going to get 918 fans like thinkingwoman!

America is CONSUMED with alcohol phobia and PREOCCUPIED with alcoholism. Tell me -- do you think a lot of countries have Betty Ford Centers, multiple AA chapters in ever town (been to Spain lately?), and new biographies each month revealing that another star is in recovery (latest - Rob Lowe's)?

Quiz question: name ALL the English-speaking and other Western countries that legally restrict drinking to 21-year-olds. Come up with your answer yet? Nonetheless, despite the fact that only the U.S. among its peers has restricted drinking to full adults for decades, in 2006, the Senate voted UNANIMOUSLY in favor of The Sober Truth on Preventing Underage Drinking (STOP). Whereas 23 senators voted against the resolution that authorized the invasion of Iraq, NONE dared oppose this war. The bill was supported by a wide range of government agencies and public interest groups, and MANY Senators, Congresspeople, and others spoke forcefully on its behalf.

I've got an idea -- let's borrow a page from Saudi Arabia, and KILL people we find with alcohol -- that's about the only way we can up the ante on our anti-alcohol jihad!
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Whistlejackett
Hey stop doing that
01:08 AM on 06/01/2011
In reference to Spain. Alcoholism in Spain is very frowned upon. AA in Spain is underground in many areas. It is also underground in many other countries.
12:05 PM on 06/01/2011
Mr. Peele-

Please do not address me as "buddy," and please do not measure my expertise in this field by the number of fans I have- or lack- on Huffington Post.

Thank you.
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GoogleAlphaPublishing
nothing, nobody, not a representative
10:05 PM on 05/30/2011
In a certain way probably those who are worst off when it comes to any drug addiction are the functional addicts, those who seem to lead a double life in which the meds are a secret. If a person finds the meds so costly in terms of the kinds of damaging experiences many drug takers go through then being straight is obviously a better choice.

It is obviously the better choice.
05:12 PM on 05/30/2011
We have to "medicalize" every condition and pretend we're (by proxy) in control.

Quit minding other peoples' business and maybe there won't be so many problems.

Illegal drug use is a "mature market". People who want to get high are getting high.

What you've got is a whole country full of people whose jobs (if they have them) are
more or a pressure cooker than ever, house underwater, price of everything except
your labor is going up. Face it, middle America needs a break and the only legal
one, you have to get by prescription. So all the goody-goody types, who have no
real idea how to handle their drugs, are coming to the table and guess what?

Welcome to the War on You, armchair soldiers. Who'da thunk that not following
the label would be criminalized, just because everything else has been? Fear not,
somebody will make a nice paycheck by "helping" you get over that "help".
03:29 PM on 05/30/2011
First they correspond to greater tranquilizers (Neuroleptics) than are used substances to fight psicóticas conducts like the maniac’s schizophrenia, processes or the depression. Also they are used for the treatment of the fármacodependencia. Another drug class is the smaller tranquilizers (Anxiolytic), applied to treat some neurotic conducts.

They are very dangerous products since they can get to produce a serious syndrome of abstinence. The dependent drugs mix moderate and high doses of these products with spirits to harness the effect of these last ones.

http://www.findrxonline.com/rss/articles/farmacodependencia-drugs.htm
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lightist
light as a photon, heavy as tungsten.
01:08 PM on 05/30/2011
Mr. Peele -

I take due note that you mention nothing about the truth of the society we live in, but rather use the kind of "buck up" approach. I thought your beard freaked me out for a reason and now I know why. You're the addiction psychology police. It might be time to reboot. I for one, do not feel your communication method to be in tune with the realities on the ground.

Speaking of the addicted society but pointing no fingers firmly at it is a 'cop' out in that it's the easy story, not the real story. Consumer society that offers empty content is feeding nobody anything of real nutrition soul, body-mind. You know it, and I sure as G know it.

Come on, man. The people know they're being lied to every second of every day. And what happens to change that for the better? Vote for the next promising liar. This country is committing suicide and you know why. Please raise the bar if you're going to carry on the discourse. This is not at the individual level anymore, though it's easy for you to say so and get away with it. If you're really serious about this, beyond the authority figure game play, you'll resonate with us. Perhaps.

A very concerned citizen.
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Scholastica8
RINOS & Bull-Mooses UNITE! People Matter!
12:04 PM on 05/30/2011
A good question to ask might be why is our society so filled with pain and anxiety? Why do so many find it necessary to seek relief in drugs and booze - or other addictions, like work, the Internet, sex, obsessive hobbies? Is it possible that despite all our self-hype and go-get'em attitude is delusional and destructive. Are we, as a society, on the wrong path?
06:07 PM on 05/30/2011
Right on! We as a society have lost touch with human values, we have lost ourselves in consumption and instant gratification.
Somehow it has become the norm that we should not endure pain. Why not? sometimes pain is a very good teacher.
Enduring hardship, pain, these are some of the ways of building character, another lost value.
We have to go back to basics, less consumption, more human interaction, more human values.
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GoogleAlphaPublishing
nothing, nobody, not a representative
09:55 PM on 05/30/2011
Yes, people will go for anything that seems to offer emotional relief. I'm sure quite a number of us from the 60's and 70's know the operative word here is seems. imo it's a dangerous world and legal and illegal mind altering methods don't make people safer.
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Stanton Peele
The meaning of addiction
11:20 AM on 05/30/2011
Are these two comments the opposite poles of our schizophrenic culture (forgive the mixed psychiatric metaphor) -- one (with 916 fans -- Thinkingwoman, could you lend me some?) -- sees reliance on substances as a universal human trait;

the other characterizes prescription med abuse as a tremendous contemporary problem and addiction, which BuckCarson is now in recovery from (Praise the Lord!).

Is it any wonder I got into the addiction-drug field?
06:12 PM on 05/30/2011
Stanton, addiction is so pervasive in our society, anyone who is willing to try to help should be welcome.
Sometimes I wonder if we haven't made it easy for people to conquer America, there's an army of zombies all over the country who couldn't care less about anything. In a way, Middle America has become the land of the zombies, of course, not all of Middle America, but part of the population is already lost, not sure how they can be recovered.
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GoogleAlphaPublishing
nothing, nobody, not a representative
09:57 PM on 05/30/2011
Man that's beautiful. A big part is lost. And they somehow have to get themselves un-lost. Each person has to do it for himself or herself.
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thinkingwomanmillstone
great, green, globs of greasy grimey GOPerspeak.
11:08 AM on 05/30/2011
We've always had a prescription drug abuse problem. It just wasn't considered an addiction if you or someone ele got the drug from a doctor. Tonics were prescribed right and left especially to take care of the little lady. This moved on to more widespread acceptance with RX tranquilizers throughout the 50's, 60's and onward. If you got it from a Doctor you needed it , you weren't an addict like those on the streets. Heroin was developed and touted as an antidote to morphine addiction....it was supposed to take over for the morphine without the bad side effects. There are certainly many more avenues for prescription pill abuse and addiction from ritalin type drug through the anti anxiety and anti depressants and the pain relief drugs but the misuse of pharmaceuticals is nothing new....just the recognition that it is the same as misuse of street drugs is. Of course the physician involvement is taken as new also. When, in effect, shamans, folk healers etc in all cultures have provided substances to people throughout human time...leaves to chew, smoke to inhale, seeds ground up into potions....all can be argued to be prescription drugs.
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BuckCarson
Life outside the ObamaSphere
11:00 AM on 05/30/2011
This is such a huge problem. I see it among younger people more and more. Adults too. For me it wasn't the pain, but the anxieties.

Five years sober now, many of my anxieties still exist. They largely revolve around the six figures that I owe the IRS for a capital gain that I promptly lost and couldn't pay in full.

I wish there was a simple solution. This is not something that one can enact a law and expect change. In the inner city, the addiction problem is not huge - it's staggering.

I am five years now without my pain medication. I can't think of anything government can do.

The best we can do, I think, is to continue a dialog on addiction and how it plays a part of our lives. Your book apparently focuses on this and I intend to buy a copy.

Thanks for your initiative.