One thing I'd argue as a starting point is there is no "theory" or a "model" of addiction as a disease. The arguments associated with that claim are actually not that cohesive. A common position associated with addiction as a disease is that it is an essential category, which is an idea we can get our arms around a bit better and which I discuss... See more

It’s common for addicts to realize that it’s addiction all the way down. While some of us have had more “extreme” addictions, all of us have been captured by a recurring false possibility that a certain solution will ease our pain, only to make our problems and pain worse.

It’s baffling how susceptible we are to this progressive,... See more

Moreover, depending on something to function, in and of itself, is not pathological. Many people require a daily medication to keep a chronic condition in remission, for example insulin, blood thinners, anti-retroviral therapy, and anti-hypertensives. Dependence becomes a problem when people persist in using a substance despite its use causing harm... See more

I remember when marijuana was medically legalized in Los Angeles. I would see massive lines out the door of dispensaries in my neighborhood. Looking at everyone waiting for their kush, I’d ask myself, “Are all these people really here for ‘medical’ usage? This feels more like legalizing mass addiction to cope with depression, anxiety and god knows... See more