Why Addiction Isn’t Really

“In other words, the establishment of an addiction requires a certain discipline or determination. It is not something that creeps up on your unnoticed or unannounced or all unawares. As a moment’s reflection would suggest to anyone not blinded by self-interest, this fact has important and profound implications for the very concept of treatment, which …

Son of a Gun. Whattaya Know?

“Unfortunately, it is not only those who take heroin who are blinded by illusions, but almost the entire population, including—or especially—the experts. Every problem in contemporary society calls forth its equal and supposedly opposite bureaucracy. The ostensible purpose of the bureaucracy is to solve that problem. But the bureaucracy quickly develops a survival instinct and …

Addiction Is Behavior

“But medical consequences, however terrible, do not make a disease. Many mountaineers break their legs or get frostbite, but mountaineering is not a disease . . . to conceive of opiate addiction as a disease seems, after my experience with thousands of drug addicts, to me to miss the fundamental point about it: that it …