Opiate Nation

Adrenaline Junkie or High Sensation Seeker? Part 1

(Translation into most languages at tab to right)

Have you ever pondered how different people drive and approach the objective of getting from one place to another? Are there certain people you would rather not get into a car with when they are driving? I was thinking about this the other day when John and I were driving to meet friends and the same scenario played out when he is driving: the race is on. It’s not that John exceeds the speed limit too much – he’s only ever had a few tickets in his entire life – although he drives on the high end of the limit. But it is the way he views the entire undertaking.

This is nothing new. Years ago, we had rented a car to drive across Italy with our kids. We were on unfamiliar freeways where the speed limit was more of a suggestion than a limitation. Not much time passed before I, as the navigator in the front seat, was looking for anything I could hold on to in fear of my life as John joined in the race. After my repeated shrieks of “Slow down!” and exclamations of “Watch out!”, we decided that I needed to be in the back seat and close my eyes while someone with steadier nerves took my place.

His adrenaline was flowing and so was mine. But the difference was that for John, this was exciting. For me, it was terrifying. I am a risk-averse person and tend to avoid risks in most areas of my life as much as possible. Yet, I am also an anxious person and my adrenaline can flow when there is no real threat. But the ways it affects my life are different. One thing we all have in common is that these predispositions have a physiologic base and are most likely passed down to us from preceding generations.

What is adrenaline and what role does it play in our bodies and lives?

Adrenaline (epinephrine) is a hormone our adrenal glands make to help us prepare for stressful, threatening, or dangerous situations. Adrenaline rush is the name for the quick release of adrenaline into our bloodstream and turns on our sympathetic nervous system which gets our body ready for a “fight or flight” response to a real or perceived danger.

An Adrenaline Junkie is someone who seeks activities that give them that “rush” which is addictive. Recent studies have shown that dopamine and serotonin, neurotransmitters that regulate risk-taking and impulsivity, are downregulated in people with substance use disorders. (1) This means that if we constantly stimulate our adrenal glands, dopamine and serotonin are no longer able to help protect us from high-risk and impulsive decisions. We are then in need of, craving, more adrenaline, a vicious cycle.

But when I looked at the characteristics of an adrenaline junkie and thought about the things my husband seeks out and enjoys, he didn’t quite fit the pattern of seeking one-off thrills like skydiving, bungee jumping, hang gliding. He instead seems to regularly engage in high-risk activities and behaviors. How is this different than being an adrenaline junkie?

What I discovered in my search to understand is another type of adrenaline-seeking personality, High Sensation Seekers. When I looked at those characteristics, they fit him much more closely. I will go into them in Part Two of the next blog.

For others like me with minds that race full of thoughts and worry, adrenaline and other stress-related hormones like cortisol are released. The anxiety can be most pronounced when we are lying in bed and keep focusing on what has happened or what might happen in the future. That extra boost of energy has no use and instead leaves us restless and unable to sleep. The parasympathetic nervous system relaxes us and predominates in quiet and rest and drives our “rest and digest” systems. It conserves our energy for when it is needed. So, any type of adrenaline-using behavior depletes our adrenal glands and overrides our parasympathetic system leaving us exhausted.

In relation to addictions, we can easily see how risk-taking and thrill-seeking behaviors include heavy or binge drinking, using drugs, high-risk sex, gambling etc. Adrenaline addiction of any type brings with it withdrawal symptoms like cravings, decreased interest in other activities, and negative emotions and restlessness.

Regardless of how we deplete our adrenaline reservoir, here are some suggestions to help us respond to unhealthy urges or stress in our lives and to help restore our sense of well-being and peace:

prayer and meditation
deep breathing and muscle relaxation
regular exercise – which releases endorphins (3)
balanced diet– low in refined sugars and carbs, high in protein
avoid cellphones, bright lights, computers, loud music, and TV right before bedtime
leisure activities
listening to peaceful or positive music
creativity
social support
practicing gratitude
counseling/therapy

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https://www.verywellmind.com/how-to-tell-if-youre-an-adrenaline-junkie-3145035

https://www.verywellmind.com/tips-to-reduce-stress-3145195

https://my.clevelandclinic.org/health/body/23040-endorphins

TEMPTATION: Fight it or Heed the warning signs?

(Translation into most languages at tab to the right)

I have been thinking about temptation recently and how differently we each respond when we face something that is hard for us to resist. How do we resist something that is alluring and that we have repeatedly succumbed to in the past? Something that we are addicted to like lying or shoplifting, alcohol or drugs, gossip or gambling, social media or overeating? The list of behaviors that can derail our lives in one way or the other is endless. It’s not just how an addiction can cause us harm, but also how it can debilitate or destroy our relationships, that makes learning how to beat temptation important.

So, when we are tempted to indulge in our pet addiction, what do we do?

I read an article on Medium about temptation and willpower that supports the thoughts I’ve held throughout my life. Riikka Iivanainen (1) confesses that she has high self-control and discusses her research into why some people succeed at resisting temptation while others don’t.

She says, High self-control does predict many positive life outcomes: People who’re good at self-control do better in school, have fewer mental health problems, have better relationships with friends and family, and generally exhibit fewer impulsive behaviors like binge eating and alcohol abuse. They’re even happier.

From the many scientific studies she researched, she goes on to say, Having good self-control doesn’t mean a constant battle against temptations. The kind of self-control that gets you all those good outcomes is more effortless than what’s commonly suggested by the term’s “willpower” and “self-discipline.”

Psychologists tell us that constantly resisting temptation is exhausting and will soon leave us with ego-depletion. Relying on self-control in the face of temptation is destined to fail. So what kind of self-control is “more effortless”? Riikka says, The people who reported fewer problematic desires and less conflict related to those desires were good at avoiding temptation, not resisting it.

Isn’t this insight what the basis of what most recovery programs are built upon? The acronym HALT is a tool to remind us to take a moment and avoid temptation by being aware of the primary things that can lead us to it: Hungry, Angry, Lonely, Tired. We are susceptible to self-destructive behaviors, temptations, and relapse when these basic human needs are unmet. HALT is a reminder, an early warning system. Being self-aware helps us recognize our needs and address them in a positive way before turning to harmful habits or destructive people.

Hungry – being hungry can be physical or emotional hunger

Angry – being angry at someone else or at yourself

Lonely – being lonely can be while in a crowd or from self-isolation

Tired – being tired affects our body, mind, and spirit

Some ways to deal with these needs is the subject of my Opiate Nation blog post April 14, 2018, H.A.L.T. https://opiatenation.com/2018/04/14/h-a-l-t/

We need to know ourselves and be honest about what our problematic desires are and avoid them rather than flirt with them. Desires are matters of the heart and we need to do all we can to support the healthy, life-affirming desires we have. I’ll end with pertinent insights from some of my favorite sources:

There are several good protections against temptation, but the surest is cowardice.(2)

Strength comes prior to temptation, not during it. Overcoming is a prior act. It involves making a decision to remain pure before the temptation comes. (3)

Rather than waiting for temptation to raise its inevitable head and struggling to resist it, researchers at the University of Wyoming say it’s more effective to plan in advance to manage those temptations with well-thought-out self-control strategies. (4)

It is easier to prevent bad habits than to break them. (5)

Paul repeatedly told the early Christians in their very pagan cultures to “flee” temptation. (6)

Learning takes us through many states of life, but it fails utterly in the hour of danger and temptation. Then faith alone saves. (7)

But for persons needlessly to expose themselves to temptation, and to do those things that tend to sin, is unwarrantable, and contrary to that excellent example set before us. (8)

Jesus showed us by example when we are confronted with unavoidable temptation to speak the truth in order to help us resist until we are able to escape. (9)

Temptations, of course, cannot be avoided, but because we cannot prevent the birds from flying over our heads, there is no need that we should let them nest in our hair. (10)

https://riikkaiivanainen.medium.com/the-secret-life-of-people-with-high-self-control-its-easier-than-you-think-7dd26fb5282c
Mark Twain
The Mind of Christ by T.W. Hunt & Claude V. King, 1990
https://www.psychologytoday.com/au/blog/cravings/201911/4-ways-avoid-temptation-and-reach-your-goals
Benjamin Franklin
I Corinthians 10:14; I Timothy 6:11; II Timothy 2:22
Mahatma Gandhi, Mohandas Gandhi, Homer A. Jack (2005). “The Wit and Wisdom of Gandhi”, p.40, Courier Corporation
Jonathan Edwards, https://www.biblebb.com/files/edwards/temptation.htm
Matthew 4:1-11
Martin Luther

Disordered Loves, Disordered Lives

(Translation into most languages at tab to the right)

A common feature of an addicted persons’ life is its lack of order. Chaos seems to swirl around them like clouds circling the earth. There is very little, if any, organization to their life and the only structure is what must be done in order to score the next hit for their chosen addiction and survive. Their lives are in disarray, they are dis-ordered. I remember this from when our son was using Oxy’s and heroin. Thinking about this brought up a related thought.

“Disordered Loves” is a phrase taken from the writings of St. Augustine who lived and wrote in the 4^thcentury A.D. I have only read a fraction of his impressive work, and I am amazed at how modern many of his insights on the human psyche and condition were. In City of God he said, “…though [something] is good, it can be loved in the right way or in the wrong way – in the right way, that is, when the proper order is kept, in the wrong way when that order is upset.” (1) He writes elsewhere, real love knows how “to love things…in the right order, so that you do not love what is not to be loved, or fail to love what is to be loved, or have a greater love for what should be loved less.” (2)

For example, we can look to the workaholic. They love their work and want to do a good job and be successful. But they love work more than loving the people in their life: family, friends, co-workers, and employees. To succeed, they may become dishonest even if they are normally an honest person. The need to feel successful and to be recognized supersedes all other things in their life – they fail to love what is most important. This is true of any addiction. When we love “what is not to be loved or have a greater love for what should be loved less” – anything from travel, purchases, drugs, alcohol, events, prestige, etc. – the important relationships and responsibilities will suffer.

Augustine agreed with Cicero that humans are mostly discontent and lack joy. Because of that, we search for happiness and fulfillment. So, we attach ourselves to objects that we hope will make us happy. We prioritize those objects by how valuable they are to us. We put them in order. His point is that what we spend our time on, what we value and prioritize, is what we love. And what we love directs our lives. And Augustine believed that when we place our ultimate love in temporal and finite objects, or even another person, we will still not be fulfilled because God is the ultimate source for joy, contentment, and fulfillment.

Even for people who do not embrace the spiritual truths Augustine taught, the principle remains: look at your life to see what you prioritize and spend your limited time doing and this will tell you what you love. If your life revolves around filling your life with things such as accomplishments, money, drugs, alcohol, food, pleasure, excitement, etc. – i.e., your loves – your life is disordered.

Re-ordering our loves, and therefore our lives, is not easy. As with any major change, the first step is recognizing that something is wrong. After that, seeking help from counselors or trusted and knowledgeable friends or programs can help us with the next steps. Sacrifice will be required and we do not embrace the loss of anything we love without pain and struggle. However, we can choose to not live with turmoil and discord. We can choose to bring peace and order to our loves and to our lives.

(Special thanks to the late Dr. Timothy Keller’s work on Augustine in Making Sense of God: An Invitation to the Skeptical. Keller’s writing and teaching has informed my life in innumerable ways.)

City of God, XV.22
On Christian Doctrine, I.27-28

Dis-Couraged or En-Couraged?

Discouragement is the opposite of having the heart, the courage to face something. It’s when the heart has been sucked out of you. But the en in encouragement means “into”, the process of putting courage into someone. Giving them the heart and hope to go on.

(Translation into most languages at tab to the right.)

It’s time for a confession. I have not been writing many blogs for Opiate Nation in the past two years – not because I haven’t had time but because I have felt discouraged. Decades into the Opioid Epidemic and all the information and media coverage, the hope that addiction and deaths from drug overdoses would decrease has proven unfounded. It seems that people in general are just tired of hearing about it, especially if it doesn’t particularly concern them. And I have felt that I didn’t have anything helpful to add to the conversation and wondered: what more needs to be said?

But I felt reprimanded in my heart and soul for being one more person who is fatigued by the persistence of a problem that seems to never get better, let alone go away. What about all the people living in active addiction? And what about their friends and family who spend sleepless nights and anxious days worried about them? And what of those who have lost loved ones to addiction and are living in debilitating grief?

I started thinking about discouragement and how to “snap out of it”? For me, there is no snapping out of it on my own. Once I’m dis-couraged, I have found that only being en-couraged changes things. And encouragement usually comes to me through two avenues: a few intimate friends and God, both of whom know me well. The words spoken out loud by friends and the ones directly into my soul by God are what lift my troubled and discouraged heart and bring hope and courage.

Courage comes from Latin cor meaning “heart”. The dis in discouragement means “opposite of”. Discouragement is the opposite of having the heart, the courage to face something. It’s when the heart has been sucked out of you. But the en in encouragement means “into”, the process of putting courage into someone. Giving them the heart and hope to go on.

Although my life has not been characterized by addiction personally, encouragement has been important in my life, especially after my son died from addiction. How much more important would encouragement be to those struggling with addiction? And for the families and loved ones of those struggling or already lost? And how can we encourage without enabling?

So, I have been reminded of the importance of an encouraging word. Knowing this, how can I offer encouragement in the arena of addiction and Harm Reduction? Although people do recover from addiction and live full lives, there will always be people struggling with addiction and using drugs. When we acknowledge and accept this, we must try our best to help minimize the harm from that use in the ways we can. For me, that has been through writing to offer information, comfort, and encouragement.

International Overdose Awareness Day – August 31, 2023

(Translation into most languages at tab to the right)

No one can recover from addiction if they have died from an overdose.

International Overdose Awareness Day (IOAD) is the world’s largest annual campaign to end overdose. It is a day to raise awareness about the risks of overdose, honor the individuals whose lives have been lost, and acknowledge the grief felt by families, friends, and the community

With synthetic drugs made from chemicals in China and added into illicit drugs around the world, the need has never been more urgent to alert us all to the risk of overdose facing millions of people worldwide. What can we do to help prevent further loss of lives for those already struggling with addiction?

Prof. Dan Lubman (Australia) shared a thought that stuck in my mind because it brought up memories of conversations I had with my son while he was addicted. Instead of asking, “Why are you taking drugs?” A more engaging question would be, “What put you in this vulnerable position?”

This question shows the understanding that addiction is not just a matter of choice or will-power but that it is a complex problem that will not be helped with simplistic answers such as “Just Say No.” When a person feels less stigma, that they are not being judged, and that there is hope for them, they are increasingly likely to consider treatment.

So, what does put people into the vulnerable position where drugs/alcohol are helping them cope with life? The 5 main factors that contribute to addiction are:
genetics, mental illness, home and social environment, stress, trauma/abuse.
We can’t do anything about our genes although if you know there is alcoholism/addiction in your family tree there is need for extra awareness and precautions. Mental illness once recognized and diagnosed properly, can be treated with therapy, education, and medication. Home and social environments, stress, and trauma and abuse are absolutely within parents, extended family, and society’s control. This is where raising our children as “a village” is so important, but it is in peril with our upwardly-mobile lifestyles of frequently moving house, not enough time together, and not engaging with our community. Educating our families and involvement in healthy and safe support networks such as service organizations and faith and school communities are a good place to start.

Once someone is using substances to self-medicate, what can we do? First, we need to look for, and reach out to, people struggling with addiction. There may be some in your circle of friends – even in affluent communities. If we truly understand that those individuals will shrivel in shame from stigma, we can start by changing how we speak about them and to them – we’ve changed our language for things a lot less deadly. Building trust over time is critical to someone feeling they can openly discuss their problems. We can find out more about what is being done in our community to support recovery efforts and get involved with clean needle exchanges, Narcan training and distribution, opioid substitution therapy, food distribution, safe injection and health facilities, etc.

In a report from Norway discussing housing for people who are addicted, Jon Storaas, manager of RIO, an organization in Norway working to help substance abusers, said, “We need to provide residences to ensure that addicts can live with neighbors who don’t share their drug problems…meet with them, talk about their problems…this kind of experience and openness can strip people of their ordinary prejudices. You need to create these encounters so people can see that drug addicts are human, too. Extreme examples of ordinary people, you might say. But ordinary nevertheless.” (1)

In 2018 Time reported that in the 1990’s, Portugal was in the grip of heroin addiction. An estimated 1% of the population—bankers, students, socialites—were hooked on heroin and Portugal had the highest rate of HIV infection in the entire EU. But in 2001, Portugal took a radical step. It became the first country in the world to decriminalize the consumption of all drugs… while drug dealers still go to prison.

The results? The drug-induced death rate has plummeted to five times lower than the EU average and stands at one-fiftieth of the United States’. Its rate of HIV infection has dropped dramatically. Drug use has declined overall among 15-24 yr-olds, those most at risk of initiating drug use. And, by eliminating the threat of criminal penalties—and along with it, a great deal of stigma—it has become easier for people to seek treatment.

“What America and other countries can learn from Portugal is to treat people with more dignity.” Portugal has showed that, without spending significant sums, governments can give drug users the tools to put their lives back on track. But to do so, it will have to stop treating them like criminals. (2)

Ultimately, what IOAD is about, what this blog is about, is Awareness: Becoming aware of a problem is the first step towards solving that problem. For this August 31st, I want to remember all those who have died from drug or alcohol overdose, my son included. Remember that they were precious individuals who were loved by their parents, family, friends and God. And although we live in a world where death is something that happens to every person who is born, premature and preventable death is a tragedy that each and every one of us should work diligently to prevent. Let’s find our arena and fight for the lives of those we love.

No one can recover from addiction if they have died from an overdose.

(1)

Addicts Want Sober Neighbours by Georg Mathisen
Saturday 11. January 2014, Norway
https://sciencenorway.no/addiction-drug-rehab-drug-use/addicts-want-sober-neighbours/1395274

(2)

WANT TO WIN THE WAR ON DRUGS? PORTUGAL MIGHT HAVE THE ANSWER By Naina Bajekal | Photos by Gonçalo Fonseca – August 1, 2018
https://time.com/longform/portugal-drug-use-decriminalization/

Death: Painful or Beautiful?

(Translation into most languages at tab to right)

My husband and I recently watched the streaming memorial service for his niece who died of cancer at 51 years old. Her mother, husband, children, sister and extended family all mourning the inescapable truth that there is now a gaping hole in their hearts and lives where once a beautiful woman had lived. She has been torn from their lives like when a thief grabs a bag from your hand and you struggle and try to hang on to it but, in the end, it’s gone. Weeping is the only thing that feels appropriate.

Although it’s been nine years since our son JL died from an accidental heroin overdose, the sense of him being torn away from us remains. Whether it was the death of our son, my siblings, our parents, or friends, the undeniable fact remains that death is painful. Almost always painful for the person dying, especially with a protracted illness or debilitating condition. But always painful for those left to live with the empty space where the person they knew and loved used to reside. We will never forget the Sherriff’s knock at our door that Saturday morning and hearing him say, “I’m sorry to have to tell you…”

We all naturally focus on our loved one’s beautiful life and the memories we have of them. This is only right and good. And there can be beauty in the way someone dies – this I have seen, and this has been recorded throughout history. Regardless of the kind of death – whether by illness, accident, torture, or plain old age – history tells us about those who have faced pain and death with grace. How? Because they saw beyond this world and had hope for life in the next.

What I bristle against is the thought that death is somehow beautiful. There is nothing beautiful about the tearing away and finality of death. Sentimental and romanticized thoughts about death have never helped me when I have had to stare into the cold face of a dead loved one. I have watched people facing the intense and unpredictable emotions after the death of a loved one as they try to make sense of something senseless. Those who have no hope of seeing their loved one again and who do not have the hope of existence in another realm, often try to transform death into something else – as if the only way to survive their pain is to imbue death itself with beauty. Or perhaps attempt to ignore it altogether.

For me, I believe that there is a good God who will one day put this world back to the way he created it. In my view, death and the tearing separation and sadness that accompany it are a temporary condition of living in a fallen world. We are told that death is an enemy and that one day it will be abolished. Yet, knowing I will see my son and siblings and parents and beloved friends again one day, where there will be no more sickness or pain or tears, doesn’t change the sorrow and grief that I feel now. I am a mortal living in a physical body in a physical world facing real physical triumphs and tragedies. And until this life is over and this world is made new, death will be painful. Our response to pain, suffering, and death is what concerns us now. And comforting those who mourn and offering compassion, regardless of the circumstances surrounding their death, is something tangible that does not minimize or romanticize the pain of death.

UPDATE:

This morning, August 2nd, I just happened to find and listen to an affirming podcast on Hope In The Face of Death by Dr. Timothy Keller. It is well worth the 40 minutes of your time. He says what I am trying to communicate more eloquently and thoroughly.

https://podcast.gospelinlife.com/e/hope-in-the-face-of-death/

Slavery or Freedom?

(Translation into most languages at tab to the right)

I’ve been thinking about slavery and the people throughout the millennia who have been slaves – and the estimated 50 million people worldwide who are currently enslaved. (1) Every empire from the beginning of recorded history has functioned and prospered on the backs of slaves: people captured during war or kidnapped, enslaved against their will.

In the modern world, people can end up in ‘slavery’ in a variety of ways: economic, sexual, labor, etc. They may have been enticed or tricked into their captivity by promises of adventure or money, coerced or blackmailed because of a past circumstance, or forced into it due to poverty and debt.

How does it feel to be enslaved? Much of the time, it destroys one’s sense of personhood. Your ability to exercise your will and make choices has been stolen from you. Control and exploitation by another person or entity has robbed you of your dignity and ability to determine the direction of your life. It can feel like being on endless stairways that lead nowhere.

One thing is certain: no one ever consciously chooses to be enslaved. No one. But the many lures currently dangling in front of young people to have fun and feel free and to be in control of their own life and happiness can be so deceptive. Yet they are not mature enough to be capable of discerning that they are actually making a choice to become imprisoned – whether it is with alcohol, drugs, promiscuity, gambling, power, success, etc.

I think it is safe to say that anyone who has struggled with any type of addiction knows they are enslaved. They are in servitude to an all-consuming, dominating, master. Their world is restricted due to the demands their addiction places on them. I saw this play out in pitiful detail in our son’s long struggle with heroin and alcohol. I didn’t understand why he would want to cut a trip short or not go at all if we were flying. It was due to needing to use and/or maintain a supply of illegal drugs. As he became unable to focus on his university classes, he had to drop out and work at jobs frustratingly inconsistent with his interests and well below his God-given abilities.

He was not free in any sense of the word.

What is real freedom? Is it to be ‘a free agent’ able to do whatever one wants regardless of society or others’ thoughts or needs? To not be responsible to anyone? To chant the modern mantra that individual freedom is our right and supersedes all other claims? Or is it something more, something that starts in our mind and soul and that results in the ability to make good choices in order to be healthy and safe and productive and of service to others? Webster’s Dictionary describes freedom as “the absence of necessity, coercion, or constraint in choice or action; liberation from slavery.” Liberty is not the power of doing what we like, but the right to do what we ought. (John Dalberg-Acton)

Once someone is addicted, how can they escape the slavery of addiction? We need reformers and abolitionists who know specifics of ‘the slave trade’ and how to liberate individuals. And also, how to reform not only the laws and principles of society but how we think about addiction in order to accurately view those who are enslaved. In the past, in whatever culture slavery was embraced, the way a society could justify its policies was to consider those people as ‘less than’ – less than human, less than worthy of normal rights, even less than deserving of wanting another way of living. And even further, that these slaves should be content with their bondage.

I love this song by Kim Hill, She’ll Come Around. It speaks to this point.

https://www.youtube.com/watch?v=uwf6rQnqkXQ

We all know that is not true because if we put ourselves in their place for a moment – walk a mile in their shoes – we would do anything to be free. But do we all understand and admit that most people who are living in addiction, if given a choice and a viable option, would choose to be free? If so, let’s get rid of denigrating thoughts and words and help change public policies to teach preventative measures to parents and young people and provide restorative solutions to those fighting addiction. (2) And may each of us encourage those who struggle by helping them find real, lasting solutions to the weight of bondage they stagger under.

Our freedom can be measured by the number of things we can walk away from.
Vernon Howard

Mark Heard’s Victims of the Age is a song all about what young people have been and continue to be struggling with growing up in the modern world.

The Least of Us, Pt 3: Reasons for Hope

(Translation into most language at tab to the right)

Sam Quinones is a quintessential storyteller in an investigative journalists’ body. And he uses his skill to weave in stories from families and communities along with the “true tales” from recent history of greed, corruption, deceit, and the politics surrounding the drug epidemic we are living with today. It is his reason for hope that I want to focus on now. Heaven knows we need some hope for The Least of Us… In the Time of Fentanyl and Meth. (1)

Part of the hope he feels comes from positive changes beginning in how drugs and addiction are viewed now compared to previous decades. ‘…greatly expanded drug treatment is part of what America needs…recovering addicts face scary odds as long as the drugs that torment them are widely available, potent, and almost free. The now-cliché is “We can’t arrest our way out of this.” We can’t treat our way out of it, either, as long as supply is so potent and cheap.’ (2) He discusses the mistake of drug criminalization, the possibilities and problems associated with drug legalization and drug decriminalization – all very well thought through and discussed. He traveled across America and interviewed professionals in every field to gain insights into this nightmare that is swallowing lives from every socio-economic group. (For those unclear about what opiates or meth do to our brains, there are detailed explanations woven in throughout the book.)

But his biggest reason for hope came from when Quinones traveled and also extensively interviewed another segment of American society: the addicted, their families, and those working in the many fields who are trying to restore the lives of those taken captive by these powerful substances. I have to say, many of the stories were hard to read, but it is from these people in the trenches and their stories that Quinones began to have hope.

Drug courts are one reason to hope. Because synthetic dope today does not allow users to hit rock bottom before seeking treatment – because ‘Today, rock bottom is death. We can use arrests – but not as a reason to send someone to prison. Instead, criminal charges are leverage we can use to pry users from the dope that will consume them otherwise.’ (3) It helps to put some space between their brain and dope so they can embrace sobriety where life repair can begin. Drug courts are not a luxury – they are a necessity.

Yet Quinones found that ‘…our best defense, perhaps our only defense, lies in bolstering community. America is strongest when we understand that we cannot succeed alone, and weakest when it’s every man for himself…That’s why the lesson we must learn is that we’re only as strong as the most vulnerable, as people who are in pain.’ (4)

As he traveled and listened, Quinones saw that it was people who loved those who are ‘the least of us’ who were making the sacrifices on a daily basis to help in ways they could. But they need help and support – from others and from the policies that are in place in our country.

Recently, I was sharing with a woman the contrast we experienced while we lived in Australia with our daughter and family for two years from the beginning of the Covid pandemic. I said that we were struck by the self-centered mentality – in private life and politics – we encountered when we returned to America and how different it is from the sense of being part of a community and responsibility to others that pervades Australian society. She responded: ‘I’d rather be selfish and self-centered than have my rights and freedoms taken away.’ I was literally speechless. What have we become?

Bolstering community will take a change from our self-centered culture where we who have plenty think we don’t have enough. Where we at the top of the food chain, instead of helping to maintain our communities, have corroded them in isolating and insulating ourselves by abandoning the places where we used to come together like neighborhood parks and community gatherings. ‘We need to again make policy of the belief that we can’t go it alone. The spirit of community needs to be built out, collectively, not just a shift of heart, which is necessary, but in taxation, in health care, in improved infrastructure – in other words, a shift in where the resources go…much of what neuroscience has learned about our brain confirms religion’s truths: humans need love, purpose, compassion, patience, forgiveness, and engagement with others. We’re built for simple things – for empathy and community. That is our defense.’ (5)

He ends his book, his plea to all of us, with this:

‘Community reconstruction doesn’t have to always be complex. It comes down to the unnoticed “constant habit of kindness” that French observer Alexis de Tocqueville, in the mid-1800’s, saw strengthened us locally and kept Americans from destructive isolation and the worst of individualism…The lessons are that we are strongest in community, as weak as our most vulnerable, and the least of us lie within us all.’ (6)

Thank you, Sam.

The Least of Us: True Tales of America and Hope in the Time of Fentanyl and Meth by Sam Quinones
Ibid, pg. 364
Ibid, pg. 367
Ibid, pg. 367
Ibid, pg. 369
Ibid, pg. 369

Remembering The Least of Us on Int’l Overdose Awareness Day August 31st, 2022

(Translation into most languages at tab to the right)

I wish everyone could read the penultimate chapter of The Least of Us by Sam Quinones. Its title is the same as that of the book. I have almost every line underlined and starred. In it, he describes the dire state we in Western society are in with addiction, the well-thought out reasons many of our public policies are still getting it wrong, and the slivers of hope that encourage us that the world could look differently for the next generation of young people. Some poignant quotes:

“Underground chemists seem to be searching the chemistry literature for drugs that might be molecularly modified to be more potent…The world Gary Henderson predicted when he coined the term ‘designer drugs’ in 1988 is now with us. Counterfeit pills laced with fentanyl (and new synthetics every day) and made in Mexico now dominate the market…There seems now no way to stop all the bizarre drugs devised by those whose own brain chemistry has been twisted by the profits of the underworld’s free market…recovering addicts face scary odds as long as the drugs that torment them are widely available, potent, and almost free. The now-cliché is ‘We can’t arrest our way out of this.’ We can’t treat our way out of it either, as long as supply is so potent and cheap.”

Unwelcome Reminders & Another Anniversary

(Translation into most languages at tab to the right)

“We were trying, all of us, so hard, and he just wanted to live.” (1)

Ursula Rauh said this about her brother, Tommy, after his death from a fentanyl overdose and a dozen stints in rehab in ten years. He became addicted to Oxy’s at 23 after being prescribed an unlimited amount for tendinitis and a year later, another prescription for wisdom teeth extraction. Sam Quinones retells the family story in The Least of Us: True Tales of America and Hope in the Times of Fentanyl and Meth. “The tragedy wasn’t just the death of her brother; it was all the time, effort, love, and pain that the family traversed, the hoping and living for the smallest encouragement.” (1)

When my husband, John, and I returned from Australia in May, we decided that we needed to address the decades of files we had saved and ‘stuff’ we had accumulated and ‘stuffed’ away in closets. We have shredded and recycled dozens of boxes of documents, cleared out half the books in our library, and now I have moved on to scanning and sorting thousands of photos. While I was pulling bins of photos and albums out of closets, I came upon a few more file bins. I sighed out loud to John, “Oh boy…more of JL’s file’s I’d forgotten about.”