In a laughable editorial in Friday’s Wall Street Journal, John Walter, ex-drug czar under George W. Bush, says that drug prohibition policies actually help to increase personal freedom by keeping us safe from “bad” drugs that steal our freedoms from us.
He begins:
Since 2001 the number of young people using illegal drugs has dropped by 900,000 to about 2.7 million. This drop is an important development for all the obvious reasons, plus one. Substance abuse is a disease. Until recently, we failed to grasp the nature of this disease and how to reduce the suffering it causes….We did not understand how this disease could alter personality and steal individual freedom. We have paid a high price for this confusion.
In fact, it is Mr. Walters who is confused. First of all, if one is to truly be a free individual, one has the right to do absolutely anything they want to themselves.
However, more important for the discussion here is that substance abuse is not a disease, but rather a behavior. Without a doubt, substance abuse can lead to diseases (any many other horrible things), but the act of using drugs is not and cannot be a disease.
Real diseases are diagnosed through the use of BOTH symptoms and signs. Symptoms are subjective complaints, normally reported by the patient. Signs are objective, empirically and physically verifiable. Basically, they are something you can see. Both signs and symptoms are primarily used to identify and treat disease.
Taking this into account, then, let’s look at alcoholism, which is generally considered to be a disease. (The disease model of drug addiction began as a way to describe heavy drinking and was then applied to all other drugs) How is it diagnosed? John Hopkins University Hospital uses the following checklist:
| 1. |
Do you lose time from work due to drinking? |
Yes___No___ |
| 2. |
Is drinking making your home life unhappy? |
Yes___No___ |
| 3. |
Do you drink because you are shy with other people? |
Yes___No___ |
| 4. |
Is drinking affecting your reputation? |
Yes___No___ |
| 5. |
Have you ever felt remorse after drinking? |
Yes___No___ |
| 6. |
Have you gotten into financial difficulties as a result of drinking? |
Yes___No___ |
| 7. |
Do you turn to lower companions/inferior environments when drinking? |
Yes___No___ |
| 8. |
Does your drinking make you careless of your family’s welfare? |
Yes___No___ |
| 9. |
Has your ambition decreased since you started drinking? |
Yes___No___ |
| 10 |
Do you crave a drink at a definite time daily? |
Yes___No___ |
| 11. |
Do you want a drink the next morning? |
Yes___No___ |
| 12. |
Does drinking cause you to have difficulty in sleeping? |
Yes___No___ |
| 13. |
Has your efficiency decreased since you started drinking? |
Yes___No___ |
| 14. |
Is drinking jeopardizing your job or business? |
Yes___No___ |
| 15. |
Do you drink to escape from worries or trouble? |
Yes___No___ |
| 16. |
Do you drink alone? |
Yes___No___ |
| 17. |
Have you ever had a loss of memory (blackout) as a result of drinking? |
Yes___No___ |
| 18. |
Has your physician ever treated you for drinking? |
Yes___No___ |
| 19. |
Do you drink to build up your self-confidence? |
Yes___No___ |
| 20. |
Have you ever been to a hospital or institution on account of drinking? |
Yes___No___ |
If you answered ‘yes’ to three or more, you are said to be definitely an alcoholic. There was a period of my life when I would have said ‘yes’ to about 15 of these questions. Does that mean I had a disease? Of course not. Did I have a problem? Certainly. When society is tells you that your behaviors constitute a ‘disease’ which makes you unable to control your behaviors, it makes it extremely easy to justify your actions and absolve yourself of responsibility - “It’s not my fault, I can’t help it, I have a disease.”
Thankfully for me I had the luck of meeting and studying under Dr. Jeffrey Schaler. Let me quote him on this subject from his book, Addiction is a Choice:
The putative disease called addiction is diagnosed solely by symptoms in the form of conduct, never by signs, that is, by physical evidence in the patient’s body. (A doctor might conclude that someone with cirrhosis of the liver and other bodily signs had partaken of alcoholic beverages heavily over a long period, and might infer that the patient was an ‘alcoholic’, but actually the doctor would be unable to distinguish this from the hypothetical case of someone who had been kept a prisoner and dosed with alcohol against her will. So, again, strictly speaking, there cannot possibly be a bodily sign of an addiction.) pg 16-17
This was revolutionary to me and made complete logical sense. Changing one’s behavior can be one of the hardest things in the world, but it is in the hands of the individual. When you are told you can’t control yourself because you have a disease, there is no reason to even try to change your actions, you “can’t.”
So how is alcoholism successfully “treated”? The most popular method is Alcoholics Anonymous (AA), born out of the Temperance movement. AA is a strictly moral and religious system - not medical. Read the 12 steps:
- We admitted we were powerless over alcohol—that our lives had become unmanageable.
- Came to believe that a Power greater than ourselves could restore us to sanity.
- Made a decision to turn our will and our lives over to the care of God as we understood Him.
- Made a searching and fearless moral inventory of ourselves.
- Admitted to God, to ourselves, and to another human being the exact nature of our wrongs.
- Were entirely ready to have God remove all these defects of character.
- Humbly asked Him to remove our shortcomings.
- Made a list of all persons we had harmed, and became willing to make amends to them all.
- Made direct amends to such people wherever possible, except when to do so would injure them or others.
- Continued to take personal inventory and when we were wrong promptly admitted it.
- Sought through prayer and meditation to improve our conscious contact with God as we understood Him, praying only for knowledge of His Will for us and the power to carry that out.
- Having had a spiritual awakening as the result of these steps, we tried to carry this message to alcoholics, and to practice these principles in all our affairs.
Is there any doubt this is a spiritual program?
Returning to Walters’ editorial, he states, “roughly one in 10 of the more than 100 million Americans who drink each month suffer from alcoholism “- so then, what does that really mean? They can answer ‘yes’ to three or more questions on the John Hopkins questionnaire? No wonder the war on drugs is so fatally flawed when it is based on foundations such as this.
The answer lies not in legislation, but in ourselves. As Schaler concludes:
I believe that people choose to addict themselves to drugs mainly because of unhappiness due to their problems-in-living. Many of these problems-in-living arise because people will not muster up the courage to do what needs to be done. They use drugs and get into negative addictions because they kid themselves that they can somehow solve problems by deadening themselves to those problems…
Watch The Wizard of Oz, the original version with Judy Garland. Dorothy, the Scarecrow, the Tin Man, and the Lion all symbolize parts of you. You’re suffering, in part, because you imagine there’s a wizard out there who is eventually going to give you what you think you need - a home, a brain, a heart, and courage. That’s all a myth….
Sources: Wall Street Journal - Drug Legalization isn’t the Answer March 6, 2009
Schaler, Jeffrey A. Addiction is a Choice. Open Court, 2002.