Monday, February 24, 2014

Facing Addiction is an Act of Heroism




 Philip Seymour Hoffman,  who died from an overdose of heroin on February 2  was a great actor, but he suffered  in order to bring the roles of tortured characters to life.. In spite of the trappings of brilliance and success, Hoffman suffered and escaped his discomfort in a destructive way.

Psychological suffering lies at the core of addiction, the invisible, deep-seated, intense psychic pain that (mercifully) many of us can’t understand or imagine. (People experiencing intense psychological pain often wish for a physical illness, a visible sign that they are suffering).

 The tragic loss of a talented actor uncovers the horrors of addiction. Numerous articles have appeared in the press describing the resurgence and changing pattern of heroin and prescription drug abuse. Twenty years ago an addicted person would use heroin. Today, depending on availability, users switch between expensive prescription pain killers referred to by some as “heroin-lite” and inexpensive heroin. (The New York Times, February 11).

The change comes with repercussions. Given the availability of choice, a drug user is less likely to go through a period of withdrawal and instead, switches from one drug to another. Without a drug-free period, he’s more likely to remain permanently addicted and lost to himself.


Addiction is one of the most tragic and horrific illnesses known to humankind. Outside observers may have difficulty understanding and identifying with addiction. An immediate response is obvious-just don’t do it. But the matter is not simple.

Caught in addiction’s grip, a person often has little or no awareness that he is hooked, that he has lost perspective of his life and responsibilities, and is in danger of dying. He has been swallowed up by the habit he denies. He has crossed the boundary of caring into the land of oblivion.

People who care and depend on the addicted person, are often unable to help. Without his cooperation, no one can change the deadly tide of the invisible struggle.

Factors in the environment contribute too. In the past, an individual’s basic needs in his early life may not have been met.  He may have experienced mental or physical abuse.
In the present, he may want to escape his painful reality.

The good news is that addiction is no longer viewed solely as a character defect. (The fault lies not in the stars but in the neurochemistry.) Some of us will never become addicted; others are vulnerable from an early age and struggle against the temptation all their lives.

Most of us have a switch that tells us when we’ve had enough booze, for example. But the individual prone to addiction lacks that mechanism. Instead, his inner voice says, “Wow, this feels good. Let’s have some more.” This message leads to the dangerous state of oblivion.

An example of a person who achieved sobriety after many years of treatment is Mr. L.  His wealthy family focused on their business, and spent little time with him, unaware of his emotional needs. Although they met his material needs with money, he felt emotionally deprived. In order to numb his psychological distress, he began drinking in high school. He spent years in and out of programs before he was able to take responsibility. His recovery in part depended on recognizing and accepting his parents’ emotional limitations to “love.”  Eventually he was able to experience gratitude and appreciation for their help in getting good therapy.

In approaching an addicted person, these pointers may help:

1. Don’t judge but listen. Try to understand, not punish. Increasing the addicted person’s guilt is counter-productive, causing more distress from which he wants to escape.

2.Help the addicted person recognize that lessening the demands on himself is better than having to narcotize the discomfort.

Facing addiction is an act of heroism. Remaining addicted is antiheroic, involving failure to take responsibility, and often blaming others. He (and his actions) deplete(s) others too. (For more on Heroism and Anti-heroism please refer to the blog post of February 17).

Conclusion: Chemistry underlies the potential for addiction.
Many addicted persons betray themselves and others in attempting to escape from deep-seated suffering no matter what the origin. The goal for the addicted person and for us is to address and help relieve the underlying psychological suffering.

Dear Reader, I welcome your response.

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