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What are your thoughts on people who suffer from substance addictions? *accidentally deleted this post, anyone who hasn't commented feel free!

As someone who is currently enrolled in school in the Human Services program, I am taking a class that is teaching us about substance disorders and how to diagnose them and help treat it. Do you think addiction should be treated like any other disease? Addiction is getting worse. We are locking them up instead of helping them. Then when they are released from prison/jail, they go back and do the same thing over and over again; resulting in a lifetime of misery and conflicts.

Any informative thoughts on this matter would be greatly welcomed and appreciated! 😊

vjohnson51 7 Sep 2
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11 comments

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@vjohnson51 ok i read it

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Portugal’s approach is ideal.

It is also important I feel to employ primary and secondary preventions from early childhood to late adolescence. For juveniles arriving at tertiary stage prevention it is usually too late and a life of criminality seems to beckon.

Primary and secondary programs can help to prevent juvenile crime before it becomes a Juvenile problem.

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Great point and have been decriminalizing drugs in California! I recalled voting several years+ ago to reduce many felonies to misdemeanors in California and quite a few prisons released these people with approximately in the 70+% were convicted of a drug related offense and should have rehabilitation. Now, this is more the case for rehab., unfortunately many state has a lot to catch up to California or for instance Portugal's methodology as noted in another post here.

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I think it's a choice. Most People know going in what drugs can do to you and how they effect and ruin lives, so why would you be so stupid to try it? Do you really think you can do heroine and not get addicted to it? Drugs and alcohol for the most part are an escape for people that can't deal with reality, that's how they get addicted, but i think it just makes their lives harder. I've never done drugs, I don't drink, I made the wise choice to deal with my problems head on..people that can't cope do dope. 🤷🏼♂️
Btw this is just my opinion..take it or leave it.

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I am in recovery,(opiods were handed out like candy),
alcohol my drug. We saw it as a willpower choice
and now we know its a chemical imbalance-there gets to be
no OFF switch for addicts. We need education , not imprisionment. Yes it is stark- we prioritze punishment
as opposed to curing the sickness. Mental health at all ends
of the spectrum are underfunded and overwhelmed- we
ration these services. Some countries have little or no
alcoholism -why . I think they are more comprehensive and
less commercialized. A person can become addicted to a veriety of things , and using old methods and band aids is
not going to make progress.Science,medicine ,education
will enable humanity to realize its potential.
Thanx,good post.

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When something is broken there are three options , repair it, dispose of it, or shove it in a box till later.
With addiction we can treat to fix the problem, with what seems to be limited success.
We could just decide to give each addict an overdose, let them go out on a high, the addict is probably happy for a while and the problem will slowly be reduced to a low level, but there are ethical considerations about 'life'
The current system is put them in a box (prison) and forget them for a while, which is no solution at all

Make drugs legal (which eradicates the illegal supply issues), tax the sales, use the money to fund real addiction treatment ... seems a better way forward

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Apart from the fact that harm minimisation/treatment works and punishment doesn't...
Ok, a few things about addiction. My main personal experience is with opiates. Heroin was ridiculously cheap and pure in Sydney during the 90's, and I watched a whole bunch of my mates fuck their lives up for, on average, 5-10 years.
Cold turkey is fucking horrible, but it's just the beginning. Opiates screw up your normal pleasure responses, leaving everyday life flat and unengaging. That lasts for at least a year and makes kicking long term really hard.
Also, junkies disconnect from society. The only people who want to hang around with junkies are other junkies, so you end up with your whole social circle being all about junk. So if you do kick, you lose the only support network you have.
Also, opiates are very dangerous for anyone with self esteem issues. It wraps you up in a big, warm cuddle of post-orgasmic bliss, and that little voice inside your head telling you how shit you are shuts the fuck up.
For a while, anyway.
In a weird way, being a junky also provides a degree of emotional predictability, too. Junkies become very emotionally binary - scored/wasted? Good. Hanging out/trying to get on? Bad. And this security can make normal life, with its complications, responsibilities and randomness difficult to cope with.
Just my 2c.

these are very astute observations. I've been dealing with addicts professionally for close to 30 years and your experience reflects my own. In the States we approach this problem all wrong - but mainly because we want to turn it into some capitalistic enterprise instead of having empathy and helping people.

"It wraps you up in a big, warm cuddle of post-orgasmic bliss, and that little voice inside your head telling you how shit you are shuts the fuck up." That sounds frign incredible.... almost makes addiction sound appealing XD

@demifeministgal unfortunately, that voice then comes back again, twice as loud and twice as nasty. It's why I'm so glad that I'm too much of an ADHD boy for smack.
Plus, it makes me horny but takes away my ability to achieve orgasm. Never a winning combo.

@MrBeelzeebubbles ooh no! That sounds as bad as having withdrawal symptoms when switching from one med to another :/ plus I guess being addicted is too rich for my frugal blood anyways XD

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There is addiction, then there is habit, so I hear. There is a physical and pyschological component, so I hear.

I've never done drugs, so I have no experience understanding addiction. I do have bad habits, but can spend a month breaking them with some discomfort.

When an addicted person decides to commit a crime to buy drugs rather than seek medical help...is that voluntary? Is that person making a choice to hurt some one rather than seek help?

How is the drug responsible for the moral behavior of the addicted person?

Is it a good person making an involuntary choices? How are they involuntary? What is the disease mechanism of drugs 'creating' addict behavior? Is the craving urge so great that it affects mental behavior?

Those are the questions I have...

Your questions are honest. In criminal law we have the concept of "intent" to consider these issues. Some crimes require only a finding of general intent to make them actionable. That is the defendant meant to do the physical action that led to the harm - if not intending to cause that actual harm itself. This is actually the MIDDLE step of intent with strict liability being the first. Under strict liability the action constitutes a crime whether you intended for it to cause harm or not. This is reserved for very minor offenses ... usually with only fines as the punishment. So you have strict liability (easy punishment), general intent (medium punishment), and then specific intent for the worst offenses. In a specific intent offense you must not only intend to cause the action but also create the specific harm that occurred. I offer these to you to show that in the US legal systems addiction is a very reasonable defense to felonious crimes. There are some specific statutes and situations to address it, but breaking up ones' ability to understand the ultimate consequences of their actions separates one from criminal liability. Of course, the felony murder rule and a few other examples overcome the lack of intent - but generally addiction is a justifiable reason to sever liability.

@JeffMesser A bit like the ‘Twinkie Defence’ and diminished responsibility then.

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The way most countries (including the UK and USA) is currently trying to combat drugs is very clearly not working. In Portugal, where at one time as many as 10% of the population suffered heroin addiction, has decriminalised all drugs - if you get caught with heroin or cocaine there, you don't get thrown into prison (where drugs aren't hard to come by) but are instead steered towards treatment to get you off drugs. The stats from the Portuguese method are astounding: I've long argued that decriminalisation is worth a try, but it seems to have worked even better than anyone could have expected - for example, drug-related HIV infection has fallen from 104.2 per million to 4.2, which is massive (more here: [theguardian.com].

The fact that every other country hasn't followed Portugal's lead seems utterly bizarre; one can only guess that the law-makers elsewhere are off their heads on drugs.

Jnei Level 8 Sep 2, 2019

There's no votes in it. No party wants to take the risk of the tabloids screaming 'SOFT ON DRUGS!' at them

@MrBeelzeebubbles In the case of the USA, another reason is Unicor or FPI - having a large prison population who can be paid as little as 23c per hour to manufacture a wide variety of goods allows the US economy to compete with manufacturers taking advantage of cheap labour in developing countries.

@Jnei We seem to underutilize prisoners? It's a really whacky system that puts you in and can send you out with more addiction issues and zero help for any mental health issues.

I think there's money made from prisons period. Building them. Filling them. Providing food to them.
It's a nasty system. It needs rethinking.

@Jnei oh, yeah, slave labour in the good ol' US of A is a pretty big factor there.

I like your responses here and bringing up Portugal's way of dealing with their addicts and their laws. Great point and have been decriminalizing drugs in California! I recalled voting several years+ ago to reduce many felonies to misdemeanors in California and quite a few prisons released these people with approximately in the 70+% were convicted of a drug-related offense and should have rehabilitation. Now, this is more the case for rehab., unfortunately, many states have a lot to catch up to California or for instance Portugal's methodology as noted in another post here.

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With time and observation, I suspect there’s a root cause. It’s not that the substance ‘feels so good’ they can’t stop, it provides an escape from a deeper pain, most often caused by mental illness. I now view it as self medicating, if by alcohol, nicotine, or narcotics of any kind.

Determine that root cause, and work backward ~

Varn Level 8 Sep 2, 2019

You're completely neglecting to consider the effects on behavior when the brain is altered by addiction. The ONLY halfway-legitimate purpose being served by punishing people whose brains have been damaged by addiction is to protect the public. Punishing any creature for its' brain being miswired is cruel and inhumane. Try to stop breathing. When you wake up you'll find that your body took over - because your brain told it to. It IS the same thing, right on the cusp of autonomic. You have to treat the CAUSE, not the symptom.

@JeffMesser ...who’s suggesting ‘punishment’..? Not me. As far as ‘your brain being altered by addiction,’ the substance alters one’s brain, not their inability to kick it.. As mentioned ‘the cause’ is most often mental illness, the treatments vary. Some are incurable. ..strange rant…

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There are many reasons why a person becomes an addict; and, some people are genetically more prone to become addicted. Incarceration is not the answer unless other crimes are committed as well--and, even in those circumstances, the focus should be on trying to help the person rather than just locking them up. I personally think that drug use needs to be decriminalized (we all know who gets hurt most by the war on drugs); and we should focus on education, prevention, and rehabilitation.

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