Reading Between the (Head)Lines

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Philip Seymour Hoffman: The Curse Of Addiction

Understanding Philip Seymour Hoffman's relapse after 23 years of sobriety. Read More

He was clean for 23 years?

You believe Philip Seymour Hoffman because you want to believe Philip Seymour Hoffman. He wasn't clean for 23 years, not by a long shot. Look at the skin and the face. That's a 46 year old man going on 80. He never was clean.

The only difference between 10 years ago and now is that now he was doing way more drugs than he was before. Silly white people, they'll believe in the tooth fairy if it made them feel all good and cozy.

You are right in that Philip

You are right in that Philip Seymour Hoffman was a heavy smoker; hence, he aged badly.

I don't believe in

I don't believe in abstinence. We wouldn't tell an obese person they could never have a cheeseburger again. Nor would we tell a compulsive cheater that he could never have sex again. Yet somehow people still think its normal to tell an alcoholic or an addict that they can never drink or do drugs again and if they do they have fallen from grace. This form of thinking is what make dieters binge eat when they mess up. The same is true for other addictions. If you are going to fail you might as well enjoy it and get the most out of it before you go back to being "clean" again.

No you are wrong

Sad that doctors are still spreading the disease myth. That disease model is behind all these deaths, self perputating, how can you ever escape from a chronic disease right????

Reality is you do have control, you are resposable for yourself and your behaviour, heroin or alcohol, whatever is not stronger than you are.

I say this as a ex-alcoholic who abstains for the moment, two years and counting.

Addicted for Eternity

“Once an addict always an addict”. And if you’re an addict you can never have “just one”.

Wow, your premise is arguable and old school thinking among your peers. Sounds like Dr. Silkworth in the 30s.

"When you choose the

"When you choose the behavior, you choose the consequences." And the vast range of possible potential consequences, including those that are unknown. If you truly fear those potential consequences, you choose to commit yourself to an environment where choice of the drug is beyond your control. You save your own life. For as long as it takes.

Certainly Hoffman had the resources to make that choice. It was his family's choice. His death is proof that he chose the drug. Not once, but innumerable times. Consequence? Death. And fatherless children.

“Once an addict always an

“Once an addict always an addict” is the most idiotic sentence I have ever seen. Simply untrue. Unbelievable someone could make such a broad statement.

Addiction is not a "curse"

"Curse of addiction"? As long as our mental health care providers ignore the disease model of addiction in favor of sensationalized constructs of the disease, addicts will continue to be misunderstood and face obstacles to receiving appropriate evidence-based medical treatment. You call addiction a "brain disease" in the text of the article, but your headline contradicts that idea and is misleading. Please avoid using catchy phrases and inaccurate attention-grabbing headlines and as it is a disservice to those who suffer from addiction and those who are seeking to understand the disease.

The disease model of

The disease model of addiction, "once an addict, always an addict" is seriously outdated and inaccurate. I would suggest Dr. Archer update his knowledge of neurophysiology, trauma, attachment and addictions. The books "In the Realm of Hungry Ghosts: Close Encounters with Addiction" by physician Gabor Maté, MD and "In an Unspoken Voice: How the Body Releases Trauma and Restores Goodness" by Peter Levine, PhD, are excellent treatises covering the research and the neurobiology on the topic.

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Dale Archer, M.D., is a clinical psychiatrist and author of The New York Times bestseller, Better Than Normal: How What Makes You Different Can Make You Exceptional.


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