The traditional and long standing theory of addiction
maintains that most people who use drugs beyond a certain amount become
addicted (alcohol is a drug). No matter
what proportion of drug users become addicted, this is caused by exposure to
the drug. The solution then is to eliminate drugs, but the War on Drugs has
been shown to escalate the illegal drug industry as the rates of addiction
continue to rise. Has nothing has been learned from the Prohibition Era
(1920-1933)?
Data supporting this prevalent theory of
addiction came from numerous laboratory trials with rats and monkeys and
observing how frequently caged animals would push levers to obtain drugs. Predictably,
the caged animals would avoid normal eating and drinking leading to death without intervention.
Dr. Bruce Alexander, author of The Globalization of Addiction: A Study in Poverty of the
Spirit challenged this belief in the late 70's with his experiments known
as Rat Park. He professed that the
laboratory rats kept in cramped metal cages were distressed (dislocated) and
like distressed people would relieve their distress pharmacologically.
To test his hypothesis, he designed an
alternative laboratory environment based on the needs of the rats rather than
the researchers. Rat Park was 95 sq ft or 200 times larger than a standard
laboratory cage. There were 20 rats of both sexes, an abundance of food, wheels
for play, aromatic cedar shavings, woodland vistas painted on surrounding walls
and enough space to socialize as well as for mating and raising litters. Given
a choice of plain water or water laced with morphine they chose the plain
water. Then rats that had been forced to consume morphine for 57 straight days
were introduced to the colony and chose the tap water and went through
withdrawal. This validated his theory that addiction is not directly caused by
access to drugs but is a symptom of dislocation. (refer to blog post #7)
Major science journals at the time rejected
his paper mainly because it challenged the current theories. Dr Alexander feels
we over-individualize addiction, rather than look at the cultural / social / spiritual
roots of his theory of dislocation. Although these experiments have been replicated
they still have not influenced the mainstream of addiction theory. Rat Park
measured not the addictiveness of opiates, but the cruelty of the stresses
inflicted on rats in solitary confinement and dislocation from their natural
environment.
It is estimated that at least 80% of those
incarcerated in North America are there for a drug related crime and very few
jails and prisons offer treatment. It seems there is money to build prisons
which have become a major industry often run by contractors. I believe those who manufacture or sell drugs
should be incarcerated, but we need to re-evaluate the process of incarcerating
users of drugs when no other crime was committed. The answer is not legalizing
drugs but discussing decriminalizing the possession of small amounts and
providing treatment. Sadly, with budget cuts the former availability of
treatment even 5 years ago is not available in the USA.
My next post will discuss the success of a
long term treatment program in the Douglas County Jail in Roseburg OR. that integrated the theories of Proxemics and
Dislocation.
No comments:
Post a Comment