| Drug Addiction: An Illness Or A Crime? This thread currently has 611 views. |
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http://timesunion.com/AspStories/story.asp?storyID=701857&category=OPINION&newsdate=7/8/2008
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Drug addiction an illness, not a crime By ANTHONY PAPA First published: Tuesday, July 8, 2008
Tatum O'Neal, the Oscar-winning actress, took a plea deal last week stemming from her June 1 arrest while supposedly trying to score some crack cocaine on the Lower East Side of Manhattan. She was initially charged with possession of a controlled substance and faced a year in prison if convicted. The court allowed her to plead out to a disorderly conduct charge and ordered her to attend two half-day drug treatment sessions. If she follows the court's orders, the cocaine possession charges will be dismissed. O'Neal has been open about her history of heroin addiction as outlined in her memoir, "A Paper Life." When she was arrested by undercover officers, they searched her and found two bags of cocaine along with an unused crack pipe. She had initially told police she was doing research for an acting role. Then she changed her story and told them that the death of her 16-year-old dog nearly triggered her into relapse.
Some say O'Neal was treated with a slap on the wrist. Others say she did not deserve to do any jail time because of her addiction. This raises a critical question that we as a society need to address. Should we treat drug addiction as a criminal matter, or as a medical problem?
For most people, treatment is a much more effective approach than imprisonment for successfully breaking their addictions, yet our prisons are full of individuals whose only crime is their drug addiction.
According to Justice Department statistics, the United States has more prisoners than any country in the world, 2.5 million and rising. In 2006, the Justice Department recorded the largest increase since 2000 in the number of people in prisons and jails. Criminal justice experts attribute the exploding prison population to harsh sentencing laws and record numbers of drug law violators entering the system, many of whom have substance abuse problems.
Nonviolent drug offenders like Tatum O'Neal should be given an opportunity to receive treatment, not jail time, for their drug use. This would be a more effective (not to mention much more affordable) solution for both the individual and the community. Prosecutors in many states, most notably New York, have leeway to recommend a defendant to treatment instead of incarceration. More than likely, however, they will not do it. This is because it would not be considered a victory for them. The system does not reward prosecutors for doing the compassionate thing.
O'Neal can be an example for millions of young people. One can only hope that her experiences with addiction and the realities of the drug war will encourage her to join the movement to reform U.S. drug policy. If she decides to take up the cause of treatment, she could help change laws across the country. After all, if treatment instead of jail is good enough for her as she struggles with her addiction, surely it is good enough for the thousands of others just like her who struggle with their own substance abuse problems.
Like depression, addiction affects tens of millions of Americans. How best to treat it is a serious a question we need to explore. Rich or poor, young or old, addiction has no boundaries. But the drug war does. Our long war on drugs has stifled the open debate society should be having about the nature of addiction and how best to deal with it. It is time to treat addiction for what it is -- a medical problem, not a criminal one.
Anthony Papa is a communications specialist for the Drug Policy Alliance, http://www.drugpolicy.org.
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Smoking cigarrettes- a crime ? |
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Rene |
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I wouldn't go so far as to say a crime, but I would say life is full of choices. |
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bumblethru |
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Smoking cigarettes- a crime ?
Yes smoking cigarettes is a crime if someone is caught smoking in a restricted area. Or buying cigarettes over the internet and having them shipped to your home in NYS. And that is just NYS. Other states have even stricter restrictions. So yes, cigarette smoking is a crime...and a choice...just like every other drug including caffeinated coffee in the morning. |
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Addiction is a Neurological Disorder
Addiction is a neurologically based disease. For many years recovery specialists have compared alcoholism or addictions to a physical disease: like diabetes. In reality addictions are more closely related to a neurological disorder like Tourette's Syndrome* than they are to diabetes.
If the problems you suffer stem from severe alcoholism or addiction, you must accept that these problems are not primarily mental or free will issues. Addictions are not about will power.
The that an addict "could change if he wanted to" is a serious misunderstanding of the long term dynamic of addictive disorder. The fact is precisely that an addict cannot change in the long run even if he wants to! That is the definition of addiction: "the loss of control over the use of a substance." It is important to understand that this loss of control is manifested not in terms of days or weeks, but in longer term behaviors: terms of months and years. |
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JoAnn |
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I smoke. And it was "my choice" many years ago. And I am now addicted to cigarettes and that too was "my choice". I blame no one nor do I place "my addictive choice" on the tobacco industry or anyone else. I take full responsibility for the choices I have made in my life, both good and bad, and will live with the consequences, either good or bad. |
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Rene |
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I chose to smoke and I chose to give it up, although I choose to enjoy a cigarette now and then. Anyone who chooses to use substances of any type in this day and age knows what the consequences can and probably will be. The substance should not have been chosen in the first place. I don't mean to sound so merciless but I am weary of excuses people make for their own misjudgements. (Is that a word?) |
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Cigarettes are not a good example- up until 2001 they actually didnt even meet the legal or medical definition for addiction- sort of like saying your addicted to rocky road ice cream.
Rene I guess without trying to sound merciless you pretty much are- So i guess with just enough willpower you should be able to do anything. You know like mind over matter- |
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CICERO |
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Addiction is a Neurological Disorder
Addiction is a neurologically based disease. For many years recovery specialists have compared alcoholism or addictions to a physical disease: like diabetes. In reality addictions are more closely related to a neurological disorder like Tourette's Syndrome* than they are to diabetes.
I think what Rene is saying is, with all the information available out there, people don't have to test their pre-disposition to addiction by ingesting drugs and alcohol to see if they're addicts. You're saying that people are alcoholics or addicts right out of the womb, and don't have a choice but to become an addict in adulthood. So, what you're suggesting is, I might have been born a crack addict, I just don't know because I haven't used crack in my life. And you're saying that I may still become a crack addict, if I were born pre-disposed to crack addiction, and I am unable to consciencely resist the urge for crack. Even having no knowledge of the feeling or high crack produces. That's a tough sell for me. But in a world where people need excuses for their lack of self control and poor personal choices, this line of thinking fits perfectly. |
| "Broad-minded is just another way of saying a fellow is too lazy to form an opinion."-Will Rogers- |
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Studies have shown that nicotine addiction is as hard to kick as a heroin addiction for a lot of people. |
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CICERO |
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Cigarettes are not a good example- up until 2001 they actually didnt even meet the legal or medical definition for addiction- sort of like saying your addicted to rocky road ice cream.
Soooooooooo, the medical definition of addiction prior to 2001, which excluded nicotine as an addictive substance is the correct definition? I thought medical science was progressive? Which means new studies and conclusions replace old outdated ones. I guess if the new information doesn't fit your argument, you stick with the old info. |
| "Broad-minded is just another way of saying a fellow is too lazy to form an opinion."-Will Rogers- |
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Prior to 2000 part of the medical and legal definition for ADDICTION included a requirement that the dose needed to increase accordingly to reach the users high-
Dont you remember - how do you think the cigarette manufacturers could swear in front of congress tha cigarettes were not addicting- short memory everyone- they cant do that anymore
The lay public including myself often misuse the correct term- such as in a craving- devoted or whatever-
Im not an expert- and apparently no one here has anyone in their family that has any of these cravings or addictions and if they do they are probably not invited to Thanksgiving dinner- or whatever |
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Im not an expert- and apparently no one here has anyone in their family that has any of these cravings or addictions and if they do they are probably not invited to Thanksgiving dinner- or whatever
Sure there are people in my family with addictions or cravings. I just don't except excuses for their personal choices which got them to that point of not being able to control those cravings. Everybody is faced with choices in life, and there is tons of information made available showing the pitfalls of making certain unhealthy choices. And I'm not saying that I am immune of making these poor choices, I'm saying that I hold myself responsible for my poor choices and the consequences that come with them. I don't like being labeled a victim. |
| "Broad-minded is just another way of saying a fellow is too lazy to form an opinion."-Will Rogers- |
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bumblethru |
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The government/medical society and every bleeding heart liberal would like nothing more than to make us all feel like victims of society. This allows them the luxury of dipping into our pockets in the name of taxes to fund programs for 'people who make bad choices'. There is clearly more information available through the internet, magazines, tv, media, library etc....on the positive and negative effects of just about everything out there. Ya don't need to be an expert...just literate!! |
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Rene |
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Great discussion, and I am truly sorry to sound so merciless. It is not my nature and has taken a while to develop that attitude, but I am at the end of my rope with excuses being made for others bad choices and having to pay for their bad choices to boot. From the time we were children we were told "Just say no to drugs", "drugs are bad for you". "don't "drink and drive". It isn't anything we don't already know by the time we reach an age of decision. The effects of drugs and drinking and driving etc. is all over tv, in the news, in our schools. and hopefully re enforced every single day at home from parents.
Cicero's analysis of my statement is correct. Don't start the use of drugs to begin with. |
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JoAnn |
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Personal choice and personal responsibility just don't seem to be in our vocabulary anymore. Like I stated in another post, "I made the personal choice to smoke".
I have three adult children and "they made the personal choice not to smoke". Two of them did smoke at one time but, "they made the personal choice to quit" years ago. |
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As an ex-smoker of too many years I found it difficulty to say the least to quit smoking. It was my choice when I was a youngster to decide to smoke in the first place so I made a bad decision and it wasn't advertising on the TV that influenced me. |
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Sombody |
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The government/medical society and every bleeding heart liberal would like nothing more than to make us all feel like victims of society. This allows them the luxury of dipping into our pockets in the name of taxes to fund programs for 'people who make bad choices'. There is clearly more information available through the internet, magazines, tv, media, library etc....on the positive and negative effects of just about everything out there. Ya don't need to be an expert...just literate!!
More like give you an oportunity to help your fellow man- The thought process of the " compassionate conservative " is hard to figure out. They always like to thow paranoia in there- you know someone is always trying to get thier wallet.- |
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bumblethru |
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Helping your fellow man starts with the person we look at everyday in the mirror. OURSELVES!! We have become so complacent, that we do in fact depend on the government to take care of our woes. And it costs $$$$$ to take care of our woes. So the government comes up with words like, addiction and dysfunctional and poor and minority etc....in other words VICTIMS! And that my friend is NOT helping our fellow man. It is just keeping him/her down so the government can boast about how wonderfully they take care of their citizens. And a fine job they are doing, wouldn't ya say?  |
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An excellent argument for not lifting a finger- |
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CICERO |
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Compassionate Conservatism was a campaign slogan to get G.W. Bush elected. Compassion is an emotion that only the individual can act upon. Helping people through selfless acts of compassion. It can't be legislated by government, and force people to pay into a system that supposed to help their fellow man. Because what you end up with is, resentment toward those who they are supposed to be helping.
Conservatives believe in personal responsibility. Whether it's our personal responsibility to take care of your fellow man, either by donating money or time to a church organization, or one of the many other non-governmental charitable organizations which help those in need. Not by forcing money out of my pocket to pay into a huge bureaucratic welfare program which has been proven to be ineffective. Or the belief that those who they are helping need to take personal responsibility for themselves and their actions, and that the compassion isn't unconditional. Throwing unlimited amounts of money at generational poverty or habitual drug use only perpetuates the bad behavior.
So let me try to break down the thought process.
Personal responsibility Large government programs ineffective Empowering the individual Excuses aren't answers |
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My primary college education was phys ed- I have felt for years that we are a nation of fat pigs-
The concept of personal responsibility in health care (exercising, maintaining a healthy weight, and not smoking) is rewarded by feeling better and spending less money. Now that sounds Republican-
Addiction to being lazy is very powerful- or wait its really a personal choice-
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We all have to take responsibility for our weight and physical condition and you're right being lazy is a personal choice. My primary college education was forestry always outside in the weather and lots of physical activity and fresh air. The real benefit is being healthy and not having to use the health care system except for physicals in order to get my prescriptions renewed. |
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CICERO |
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Addiction to being lazy is very powerful- or wait its really a personal choice-
I guess it depends if we are going by the pre 2000 medical and legal definition of ADDICTION. The user of lazy has to increase the dose of lazy, in order to reach the high of slothfulness. Only then, may they be an ADDICT. |
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Rene |
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In response to Cicero's post #20 of this thread, a hearty Amen. |
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Quoted Text
Main Entry: 1con·ser·va·tive Pronunciation: \kən-ˈsər-və-tiv\ Function: adjective Date: 14th century 1: preservative 2 a: of or relating to a philosophy of conservatism bcapitalized : of or constituting a political party professing the principles of conservatism: as (1): of or constituting a party of the United Kingdom advocating support of established institutions (2): progressive conservative 3 a: tending or disposed to maintain existing views, conditions, or institutions : traditional b: marked by moderation or caution > c: marked by or relating to traditional norms of taste, elegance, style, or manners 4: of, relating to, or practicing Conservative Judaism — con·ser·va·tive·ly adverb — con·ser·va·tive·ness noun
Quoted Text
Main Entry: com·pas·sion Pronunciation: \kəm-ˈpa-shən\ Function: noun Etymology: Middle English, from Anglo-French or Late Latin; Anglo-French, from Late Latin compassion-, compassio, from compati to sympathize, from Latin com- + pati to bear, suffer — more at patient Date: 14th century : sympathetic consciousness of others' distress together with a desire to alleviate it synonyms see pity — com·pas·sion·less \-ləs\ adjective
I think one should have a conservative compassion.......after all there are no crosses lined up with folks to be crucified........and everything has a time and it is presented to everyone everyday...... |
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Sounds like most have grown up with the paradigm that God helps those that help themselves -
Maybe my thinking is different- my grandmother told us God helps those that cant help themselves- |
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bumblethru |
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Otay then....let's put it in the hands of God and take it out of the government's hands. I'm sure God could do a better job. Sounds reasonable right? EXCEPT....there is no mention in the Bible that says..."God helps those that help themselves" OR "God helps those who can't help themselves". If there is I must have skipped over it. Perhaps your grandmother told you what verse that was from and could share it with us. |
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Lighten up - there is no scripture or verse- She also said- When you pray- move your feet-
Maybe you might want to check out the Beatitudes one more time though- |
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CICERO |
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I believe it was Ben Franklin who was quoted in an Almanac say "God helps those who help themselves" |
| "Broad-minded is just another way of saying a fellow is too lazy to form an opinion."-Will Rogers- |
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Personal choice and personal responsibility just don't seem to be in our vocabulary anymore. Like I stated in another post, "I made the personal choice to smoke".
I have three adult children and "they made the personal choice not to smoke". Two of them did smoke at one time but, "they made the personal choice to quit" years ago.
I do not see addictions being about will power. Thinking that an addict "could change if he wanted to" I feel- is a misunderstanding of the long term dynamic of addictive disorder. Addicts have lost control is because - medicine says they have suffered permanent physical neurological changes based in their brains and nervous systems. The disorder manifests in long term obsessive-compulsive behaviors outside the realm of the addicts own control. True the use of chemicals begins with chosen behavior- but if addiction develops, the problem has moved outside the realm of free choice. It has developed into a long term mental and physical neurological disorder- but of course I see this view does not go over well with the " Captain of my ship- master of my fate " crowd- |
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CICERO |
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but of course I see this view does not go over well with the " Captain of my ship- master of my fate " crowd-
Opposed to the "If it feels good- do it" crowd. Or the " I have no control over my behavior - I have mommy and daddy issues" crowd. I choose the captain of my ship crowd. I don't know about master of my fate, there are too many thing out of my control to make that claim. But the things I put into my body, I choose. |
| "Broad-minded is just another way of saying a fellow is too lazy to form an opinion."-Will Rogers- |
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I choose the captain of my ship crowd. I don't know about master of my fate, there are too many thing out of my control to make that claim. But the things I put into my body, I choose.
I dont think we are really talking about you or me- sitting here on a nice Sunday morning drinking coffee- reading the paper and typing away- We are talking about addiction- 'Feelings' involved in drug or alcohol ADDICTION are based in neurology. Addiction is based in physical dependency created by neurotransmitter balances that have gotten screwed up , and are then driven by millions of new living, functioning active neurological pathways which have been established to sustain the condition in the addicts brain. The new neurological pathways are permanently established, and they will not just disappear. It is not simply mind over matter- a crime? |
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JoAnn |
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Should we then view sex addicts and people addicted to gambling an addiction that is based in physical dependency created by neurotransmitter balances that have gotten screwed up , and are then driven by millions of new living, functioning active neurological pathways which have been established to sustain the condition in the addicts brain? |
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CICERO |
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I dont think we are really talking about you or me- sitting here on a nice Sunday morning drinking coffee- reading the paper and typing away- We are talking about addiction-
'Feelings' involved in drug or alcohol ADDICTION are based in neurology. Addiction is based in physical dependency created by neurotransmitter balances that have gotten screwed up , and are then driven by millions of new living, functioning active neurological pathways which have been established to sustain the condition in the addicts brain.
The new neurological pathways are permanently established, and they will not just disappear. It is not simply mind over matter- a crime?
I think we are confusing chemical dependancy with addiction. When ingesting an intoxicating chemical, whether alcohol, or heroin. Prior to taking them, most people in America are well aware of the risks and potential consequences of doing so. There's where the choice lies. If I choose to start using heroin, and I form a chemical dependancy to it. Not knowing how my body and mind are going to act under the control of this addiction, and I start robbing and stealing to feed my dependancy. I believe I should be held criminally responsible for the crimes I commit do to the addiction, because the initial choice to use a powerful opiate like heroin was made prior to dependancy. Don't play with fire, because you just might get burned. |
| "Broad-minded is just another way of saying a fellow is too lazy to form an opinion."-Will Rogers- |
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I think we are confusing chemical dependancy with addiction. When ingesting an intoxicating chemical, whether alcohol, or heroin. Prior to taking them, most people in America are well aware of the risks and potential consequences of doing so. There's where the choice lies. If I choose to start using heroin, and I form a chemical dependancy to it. Not knowing how my body and mind are going to act under the control of this addiction, and I start robbing and stealing to feed my dependancy. I believe I should be held criminally responsible for the crimes I commit do to the addiction, because the initial choice to use a powerful opiate like heroin was made prior to dependancy.
Don't play with fire, because you just might get burned.
Im not confusing anything. The idea that an addictive impulse is the result of a nerve impulse - leave most people unsympathetic. Addicts and non addicts alike have a hard time believing that drug or alcohol use is anything more than a choice that is made in response to a habit. Deep down inside, most people believe that at it's root - the behavior is always a choice. They are very wrong. Im not sure your understanding the physiology- The criminal behavior you reference is criminal- not the addiction. |
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Should we then view sex addicts and people addicted to gambling an addiction that is based in physical dependency created by neurotransmitter balances that have gotten screwed up , and are then driven by millions of new living, functioning active neurological pathways which have been established to sustain the condition in the addicts brain?
JoAnn- I have made an attempt at trying to understand the cause and effect of drug/chemical/alcohol addiction because of recovering family members -I have not looked at other compulsive behaviors . Ted Bundy did some very telling interviews with Dr. James Dobson that might give you some insight into sexual addiction- |
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Why is it if the brains of addicted people have neurological pathways formed from drugs some are able to kick the dependency after rehab and some don't. |
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Why is it if the brains of addicted people have neurological pathways formed from drugs some are able to kick the dependency after rehab and some don't.
Here is the anlogy I heard many years ago- Most people can not wiggle their ears. The wiggling of the ears is really nothing but flexing the muscles of the scalp above the ears- but the reason most people can not wiggle their ears is because they are not familiar with the neurological pathway which controls the muscle of the scalp above their ears. However, every person in the world can be trained to wiggle their ears. Put electrodes to the muscles of the scalp above the ears causes the muscles to contract. Once the person feels where these muscles are, he finds that in fact he CAN wiggle his ears. He couldnt wiggle his ears before, was because he had not established the neurological pathway which enabled him to do so. Before the electrode - there was no neurological pathway. After the electrode - the pathway has been established. The overwhelming craving for drugs or alcohol that endlessly defeats addicts is in reality a neurological impulse - and they have absolutely no control over the craving when it is triggered. All they know is that they want, they need, they feel they MUST have the drug. This "desire", this craving is not a free choice. This desire is an electro-chemical neurological brain impulse. This is why pschiatry refers to PROGRAMS almost like reprograming your computer- a plan of action- But the answere to your question- Some get rewired and some dont- Hey- I dont know jack- and Im not defending anyone or anything- I am at least am tying to understand - addicts need professional help- you nor I or normal people are just not equipped to deal with them- |
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