Like almost every other writer on the topic of addiction, you write as if we are living in a free country as far as scientific research is concerned and that we can therefore draw adequate generalizations from the status quo. To the contrary, we live under a drug-war sharia that strictly outlaws almost all research of psychoactive drugs, many of which could work wonders with alcoholics and other addicts. Although you don't mention this, Bill Wilson himself had great initial success in treating alcoholics with LSD. It was not science that stopped such treatment, but rather politics, when Richard Nixon decided to launch a war on Timothy Leary and hippies by outlawing their drugs of choice, namely psychedelics. And US-inspired drug law remains as anti-patient as ever, as therapist Gabor Mate was recently forced to stop his promising treatment of Canadian alcoholics with the entheogenic concoction known as ayahuasca.
So if AA is ineffective -- as I would definitely agree - it is as much the Drug War's fault as it is that of Bill Wilson and his theories.
Given the existence of the unscientifically motivated Drug War, it may well be true that Naltrexone is a relative godsend for alcoholics. That said, this is a huge "given." We should remember that we are choosing from a starkly limited pharmacopeia when we make that choice. There are thousands of potential psychoactive godsends out there that we are forbidden from studying, notwithstanding our pretensions at being a scientific country. By failing to acknowledge this outrage, we may be giving far more kudos to Naltrexone than it deserves. How good is it, you ask? How can we know until we compare it to the thousands of other potential therapies that we have chosen to ignore? It may well be the best thing currently "going" for alcoholics, and for that I yield to the experts - while yet pointing out that {^there really are no experts on addiction treatment per se since the Drug War has essentially placed all the potentially valuable therapeutic substances off-limits, not merely to individuals but to addiction researchers as well. No surprise there. We'd have just as few aviation experts today if the only legally available planes were gliders.}{
Also there is a real irony in the use of Naltrexone to block the action of opiates, at least when used in a Drug Warrior country such as the USA. By waging drug-war colonialism, we have sent our military abroad to destroy opium crops that have been used in moderation in the east for millennia, forcing other countries to turn to the western drug called alcohol to achieve, in general, a far uglier form of self-transcendence and relaxation than that supplied by the judicious poppy user. {^Not content to destroy the poppy in the East (always against the will of the local people, who have no say in the matter), we now seek out a drug that will obviate the poppy's effects, thus ensuring the prosperity of American Big Liquor for centuries to come. This is fundamentally a racist and anti-scientific war on the poppy, one which dogmatically recognizes only evil in the plant, failing to acknowledge its role in providing human transcendence over the ages}{ - a viewpoint that keeps Anheuser Busch heirs smiling on their way to the bank (just as they were no doubt smiling when the DEA stomped onto Monticello in 1987 to steal Thomas Jefferson's poppy plants).
This brings me to the other problem with the Naltrexone approach, namely that is all stick and no carrot. Yes, the substance helps to destroy the addiction but it also gets rid of the transcendence which the addict was seeking in the first place. Psychedelics, on the other hand, work by actually providing the sought-after transcendent experience and it is that very transcendent experience from which the psychedelic user often emerges with new insights into their earthly condition and a new mental flexibility in dealing with their drinking problem.
One other bone to pick: I would ask you to question your apparently strong faith in science, at least as practiced in the States.
It is the alleged "scientific" approach to psychiatry that has led to the great but unacknowledged addiction of the American people, in which 1 in 8 Americans are now chemically dependent on antidepressants, all under the discredited theory (promulgated by a full-court media press by academic talking heads under the pay of Big Pharma) that these substances fix a chemical imbalance. As Robert Whitaker demonstrates, however (in "Anatomy of an Epidemic"), this is pseudoscience, not science. These antidepressants (SSRIs and SNRIs) have been shown to CAUSE the imbalances that they purport to fix. They certainly don't work for me after decades of use, and I am now forced to take Effexor the rest of my life against my will - Effexor, a drug that has a relapse rate just as high as heroin.
But I've yet to hear of one single addiction "specialist" wringing their hands on my behalf, or on behalf of the tens of thousands of unacknowledged antidepressant addicts actively cursing modern psychiatry online even as I speak - cursing it for one's loss of empowerment, one's unsought-for life-time role as an "eternal patient," having to apply to a doctor for their monthly fixes. (Part of the professional silence is based on the convenient myth that there's a meaningful difference between addiction and chemical dependency. Tell that to an Effexor addict after he or she has gone cold turkey for three days.)
Since psychiatry has no problem with thus addicting users like myself -- and to ineffective medicines at that - they have no leg to stand on in warning me that I might become chemically dependent upon, say, opium, should I be given the same legal access to that drug that I would have had in 1913, and they have even less standing in remonstrating against my use of totally non-addictive psychedelics. If such drugs are not even considered for treating alcoholism it is thus merely for political reasons, not scientific ones. So let's not write so as to imply that these therapies have somehow been tried and found wanting, when in reality such therapies remain unthinkable to Western researchers under the thrall of Drug War propaganda.
CONCLUSION: I believe we have no right to opine on the relative insolubility of addiction problems until we have re-legalized Mother Nature's medicines. Until then, any conclusions we reach on this topic should be followed by a huge footnote, both for the patient's benefit and by way of protest, stating that the addiction problem, for aught we know, could turn out to be far more soluble than we currently suppose, once the United States finally renounces its anti-patient Drug War, along with its efforts to enforce that war worldwide by way of the financial blackmail of its friends and foes alike.
No Drug War Keychains The key to ending the Drug War is to spread the word about the fact that it is Anti-American, unscientific and anti-minority (for starters)
Monticello Betrayed Thomas Jefferson By demonizing plant medicine, the Drug War overthrew the Natural Law upon which Jefferson founded America -- and brazenly confiscated the Founding Father's poppy plants in 1987, in a symbolic coup against Jeffersonian freedoms.
The Drug War Censors Science Scientists: It's time to wake up to the fact that you are censored by the drug war. Drive the point home with these bumper stickers.
You have been reading essays by the Drug War Philosopher, Brian Quass, at abolishthedea.com. Brian is the founder of The Drug War Gift Shop, where artists can feature and sell their protest artwork online. He has also written for Sociodelic and is the author of The Drug War Comic Book, which contains 150 political cartoons illustrating some of the seemingly endless problems with the war on drugs -- many of which only Brian seems to have noticed, by the way, judging by the recycled pieties that pass for analysis these days when it comes to "drugs." That's not surprising, considering the fact that the category of "drugs" is a political category, not a medical or scientific one.
A "drug," as the world defines the term today, is "a substance that has no good uses for anyone, ever, at any time, under any circumstances" -- and, of course, there are no substances of that kind: even cyanide and the deadly botox toxin have positive uses: a war on drugs is therefore unscientific at heart, to the point that it truly qualifies as a superstition, one in which we turn inanimate substances into boogie-men and scapegoats for all our social problems.
The Drug War is, in fact, the philosophical problem par excellence of our time, premised as it is on a raft of faulty assumptions (notwithstanding the fact that most philosophers today pretend as if the drug war does not exist). It is a war against the poor, against minorities, against religion, against science, against the elderly, against the depressed, against those in pain, against children in hospice care, and against philosophy itself. It outlaws substances that have inspired entire religions, Nazifies the English language and militarizes police forces nationwide.
It bans the substances that inspired William James' ideas about human consciousness and the nature of ultimate reality. In short, it causes all of the problems that it purports to solve, and then some, meanwhile violating the Natural Law upon which Thomas Jefferson founded America. (Surely, Jefferson was rolling over in his grave when Ronald Reagan's DEA stomped onto Monticello in 1987 and confiscated the founding father's poppy plants.)
If you believe in freedom and democracy, in America and around the world, please stay tuned for more philosophically oriented broadsides against the outrageous war on godsend medicines, AKA the war on drugs.
PS The drug war has not failed: to the contrary, it has succeeded, insofar as its ultimate goal was to militarize police forces around the world and help authorities to ruthlessly eliminate those who stand in the way of global capitalism. For more, see Drug War Capitalism by Dawn Paley.
Rather than apologetically decriminalizing selected plants, we should be demanding the immediate restoration of Natural Law, according to which "The earth, and all that is therein, is given to men for the support and comfort of their being." (John Locke)
Selected Bibliography
Andrew, Christopher "The Secret World: A History of Intelligence" 2019 Yale University Press
Aurelius, Marcus "Meditations" 2021 East India Publishing Company
Mate, Gabriel "In the Realm of Hungry Ghosts: Close Encounters with Addiction" 2009 Vintage Canada
Maupassant, Guy de "Le Horla et autres contes fantastiques - Guy de Maupassant: Les classiques du fantastique " 2019
McKenna, Terence "Food of the Gods: The Search for the Original Tree of Knowledge A Radical History of Plants, Drugs, and Human Evolution " 1992 Bantam
Miller, Richard Louis "Psychedelic Medicine: The Healing Powers of LSD, MDMA, Psilocybin, and Ayahuasca Kindle " 2017 Park Street Press
Pinchbeck, Daniel "When Plants Dream" 2019 Watkins Publishing
Poe, Edgar Allan "The Essential Poe" 2020 Warbler Classics
Pollan, Michael "How to Change Your Mind: What the New Science of Psychedelics Teaches Us About Consciousness, Dying, Addiction, Depression, and Transcendence " 2018 Penguin Books
Reynolds, David S. "Beneath the American Renaissance: The Subversive Imagination in the Age of Emerson and Melville " 1988 Oxford University Press
Richards, William "Sacred Knowledge: Psychedelics and Religious Experiences Hardcover" 2015 Columbia University Press
Rosenfeld, Harvey "Diary of a Dirty Little War: The Spanish-American War of 1898 " 2000 Praeger
Straussman, Rick "DMT: The Spirit Molecule: A Doctor's Revolutionary Research into the Biology of Near-Death and Mystical Experiences " 2001 Park Street Press
Streatfield, Dominic "Cocaine: An Unauthorized Biography" 2003 Picador USA
Swartzwelder, Scott "Buzzed: The Straight Facts About the Most Used and Abused Drugs from Alcohol to Ecstasy" 1998 W.W. Norton
Szasz, Thomas "Ceremonial Chemistry: the ritual persecution of drugs, addicts, and pushers" 1974 Anchor Press/Doubleday
Whitaker, Robert "Anatomy of an Epidemic: Magic Bullets, Psychiatric Drugs, and the Astonishing Rise of Mental Illness in America " 2010 Crown
Zinn, Howard "A People's History of the United States: 1492 - present" 2009
Zuboff , Shoshana "The Age of Surveillance Capitalism: The Fight for a Human Future at the New Frontier of Power" 2019 Public Affairs
Site and its contents copyright 2023, by Brian B. Quass, the drug war philosopher at abolishthedea.com. For more information, contact Brian at quass@quass.com.