01/13/2015
The Truth About Drug Users and Addictions!
and why it's still a problem!
"Most drug users are intelligent resourceful people with good life skills, supportive networks and loving families. These assets enable them to manage the risks associated with their drug use, avoiding the most dangerous drugs and managing their frequency and scale of use to reduce harm and maximise pleasure. Crucially they will have access to support from family and friends should they begin to develop problems, and a realistic prospect of a job, a house and a stake in society to focus and sustain their motivation to get back on track.
In contrast the most vulnerable individuals in our poorest communities lack life skills and have networks that entrench their problems rather than offering solutions. Their decision making will tend to prioritise immediate benefit rather than long-term consequences. The multiplicity of overlapping challenges they face gives them little incentive to avoid high risk behaviours.
Together these factors make it more likely that, instead of carefully calibrating their drug use to minimise risk, they will be prepared to use the most dangerous drugs in the most dangerous ways. And once addicted, motivation to recover and the likelihood of success is weakened by an absence of family support, poor prospects of employment, insecure housing and social isolation.
In short what determines whether or not drug use escalates into addiction, and the prognosis once it has, is less to do with the power of the drug and more to do with the social, personal and economic circumstances of the user.
Heads in the sand
Unfortunately the strong relationship between social distress and addiction is ignored by politicians and media commentators in favour of an assumption that addiction is a random risk driven by the power of the drug.
It does happen. But the atypical experience of the relatively small number of drug users from stable backgrounds who stumble into addiction and can legitimately attribute the chaos of their subsequent lives to this one event drowns out the experience of the overwhelming majority of addicts for whom social isolation, economic exclusion, criminality and fragile mental health preceded their drug use rather than being caused by it.
Viewing addiction through the distorting lens of the minority causes policy makers to misunderstand the flow of causality and pushes them towards interventions focused on changing individual drug-using behaviour and away from addressing the structural inequality in which the vulnerabilities to addiction can flourish.
Until we re-frame our understanding of drug addiction as more often the consequence of social evils than their root cause, then we are doomed to misdirect our energy and resources towards blaming the outcasts and the vulnerable for their plight rather than recasting our economic and social structures to give them access to the sources of resilience that protect the rest of us."
