
COMMENTS: The drugs don't work? Which drugs? The authors do not even bother to specify. They know that their readers will understand that they are talking about antidepressants. Why? Because the authors assume (alas, correctly) that readers will construe their work according to the usual drug-war prejudices, according to which outlawed drugs are assumed to have no positive uses for anyone, ever, and to be thoroughly unscientific.
The authors strike a self-congratulatory tone in the abstract as well. We're told that the creation of antidepressants was "serendipitous." Really? For whom? For the medical industry, perhaps. Not for those who have been turned into wards of the healthcare state by an underperforming "med" after being denied the use of the godsend medicines that grow at their very feet. There is the obligatory allusion to the high costs of depression: "£9 billion in 2000 alone." They quote the World Health Organization as predicting that depression will become the leading cause of global disability by 2030. How can anyone possibly make such statements (or quote them) without simultaneously reminding their readers of the existence of drugs that can end depression in a trice? How? This is why I say that employees in the behavioral health field are living in a land of make-believe, a world in which they live by false assumptions that prevent them from drawing any conclusions that would run counter to the drug-hating sensibilities of the west.
Another interesting thing about the paper's abstract. It tells of the "serendipitous" advent of antidepressants, failing to even mention the fact that such drugs are causing dependency that leads to a lifetime of use -- closely supervised use, at that -- which turns the user into a ward of the healthcare state. That is simply not a problem in the age of 'science triumphant.' Nor are these authors exceptions to a more humane rule. I have yet to find any psychiatrist or drug researcher who considers that lifetime dependency to antidepressants is a downside of such drug use. Well, at least they are being honest. Lifetime dependency is not a downside for them, personally, since it keeps the patients coming back for decades to come.
And notice the word "management" in the title. We are not supposed to simply end our depression with the common-sense use of substances and be done with it: we are supposed to "manage" our depression, over time, with the well-remunerated help of psychiatrists and chemists. We are reminded here that the interests of doctors as healers are quite different from the interests of doctors as capitalists. The former want what is best for the patient; the latter want what is best for their bank account. The former's wish is to free us from the "patient" label entirely; the latter's wish is to turn us into patients for life.
COMMENTS: This is as close as scientists ever come to understanding what the depressed really need. The authors realize, correctly enough, that "meds" are not the answer, and they've even advanced to the stage of realizing that the barbaric practice of ECT might not even be ideal for us, either. (Verily, scientists are the slow kids in the class on matters of mind and mood.) And yet they still miss the point. They still reckon without drug prohibition. They still believe that drugs do not exist, except for "meds." And so instead of simply concluding that "meds do not work," they proceed straight to the mother of all non-sequiturs by implicitly telling us that "drugs do not work." Which drugs? Apparently, all of them. Or rather none of them.
COMMENTS: It's amazing how scientists can turn common sense into front-page news when we put them in charge of the behavioral health of human beings. The authors tell us that drug use may equate with self-medication. You think? There needs no ghost come from the grave, nor chemist come from the laboratory, to tell us THIS. Of course people are self-medicating when they take drugs. What else could they be doing? Are they merely swallowing illegal substances for the thrill of putting one over on the police? No, they are trying to achieve what they consider to be beneficial changes in their mental processes. For their part, the depressed wish to ingest substances that will lift them out of the doldrums. If we wish to give such acts a rebellious gloss by calling it "self-medicating," so be it. Yet let us still remember that self-medication has been the time-honored right of all human beings since the beginning of recorded history. The choice of such a title by the authors suggests that they have forgotten this fact and wish to characterize self-medication as pathological, or at very least as highly unusual.
I say they "apparently" wish to do this because I only have access to the abstract of this 2009 paper. The rest of the text is firmly ensconced behind paywalls, and I can't bring myself to pay $19 or more to read an article that is sure to pluck my last and final nerve. This is one of the problems that one encounters when attempting to investigate academic drug attitudes from a "patient's" point of view. The more influential and established an academic becomes, the more likely their papers will not be available to the mere mortals whose lives are negatively impacted by their philosophically challenged analyses. The very online infrastructure of academia puts "patients" in their place, telling us by implication that we need to "shut up and take our meds" while those who know best discuss our fate behind the closed doors of the ivory tower.
It's also not clear to me why the title refers to "Drug Abuse" rather than to "Drug Use." But then I suppose that self-medicating is drug abuse by definition for healthcare professionals (it's an attempt to put them out of a job after all) just as "drug use" is the same thing as "drug abuse" from the DEA's point of view, insofar as it involves the use of a psychoactive substance without a doctor's prescription.
COMMENTS: I have said that behavioral scientists pretend that drugs do not exist -- but that, of course, is only when they are discussing drug benefits. They are more than happy to talk about outlawed drugs providing that the subject is drug downsides. I recently performed a search on Google Scholar for "cocaine and depression," feeling that I surely must encounter at least a few papers discussing the common-sense use of cocaine to elevate the mood of the suicidal, that protocol having been suggested by Sigmund Freud himself, before self-interested doctors started demonizing the drug by looking only at downsides. But I found no such articles whatsoever. After some "hopeful" speculation, one of the authors concluded, somewhat grudgingly, that cocaine didn't seem to contribute to depression, at least not directly, but... You could almost hear the academic sighing with disappointment about his own conclusion.
The search also revealed a paper about a woman who claimed that she was using cocaine for the purpose of beating her depression. Now, that's a rarity, indeed! Unfortunately, the academic was writing about her as if she were an alien from Mars, speculating on the various dangers that she would surely encounter with her unheard of protocol, and asking metaphysical questions like, "Is she REALLY addressing her depression?" This is the metaphysics to which academics resort when they wish to lend a veneer of science to their attempt to toe the Drug War party line about the uselessness of drugs: the idea that only expensive dependence-causing meds and decades of talk therapy can "really" treat a problem. I wonder if these academics realize that they themselves are not REALLY treating their own problems when they have a "cold one" at home after a long day at work, or when they pray to God for that matter. This is the whole problem with academics in the healthcare business: their belief that they can -- and should -- find a “real” answer for human sadness, rather than allowing human beings to treat their problems symptomatically, as all other peoples have done, with the help of religion, exercise, philosophy, and the use of the diverse and sundry medicines that we know-it-all moderns dismiss with the pejorative epithet of “drugs.”
My cousin says we should punish drug dealers. I say we should punish those politicians who created those drug dealers out of whole cloth by passing unprecedented laws against the use of Mother Nature's bounty.
Attempts to improve one's mind and mood are not crimes. The attempt to stop people from doing so is the crime.
If there is an epidemic of "self-harm," prohibitionists never think of outlawing razor blades. They ask: "Why the self-harm?" But if there is an epidemic of drug use which they CLAIM is self-harm, they never ask "Why the self-harm?" They say: "Let's prohibit and punish!"
The healthcare industry turns all the emotional downsides of drug prohibition into "illnesses."
Many psychedelic fans are still drug warriors at heart. They just think that a nice big exception should be carved out for the drugs that they're suddenly finding useful.
William James knew that there were substances that could elate. However, it never occurred to him that we should use such substances to prevent suicide. It seems James was blinded to this possibility by his puritanical assumptions.
Imagine if there were drugs for which dependency was a feature, not a bug. People would stop peddling that junk, right? Wrong. Just ask your psychiatrist.
Almost all talk about the supposed intractability of things like addiction are exercises in make-believe. The pundits pretend that godsend medicines do not exist, thus normalizing prohibition by implying that it does not limit progress. It's a tacit form of collaboration.
This is why it's wrong to dismiss drugs as "good" or "bad." There are endless potential positive uses to psychoactive drugs. That's all that we should ask of them.
The Drug War is based on a huge number of misconceptions and prejudices. Obviously it's about power and racism too. It's all of the above. But every time I don't mention one specifically, someone makes out that I'm a moron. Gotta love Twitter.

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