Author: The Fix

  • No Vacation from Recovery: A Packing List

    No Vacation from Recovery: A Packing List

    Recovery cannot be left to chance but requires planning, even—and maybe especially—on vacation with its temptations: tropical drinks, laissez-faire schedule, swim-up bars, and late nights.

    For a long time, when my bipolar disorder, alcoholism, and eating disorder were out of control, I believed that the geographic cure, specifically travel, was the antidote to all my ills, as if I could take a vacation from addiction and mental illness. I would pack my bags and land in some exotic port of call, a Greek island, for instance, certain that I would find happiness in the reliable sunshine, the deep blue water, the daily swims, the Mediterranean food, and in a self somehow suddenly better—better in illness and better in soul.

    “Surely, surely the less frenetic island pace will slow me down,” I would tell myself. “I’m always happy there, lying on the beach, eating ripe peaches, hiking through the olive groves, and snorkeling in search of sea urchin shells.” Within days of arrival, I’d be miserable, again, flat out suicidal, wanting to swim out into the blue sea, going and going, or wanting to hurl myself off a steep cliff. No vacation from addiction and mental illness.

    What I have learned in my eight years of stability and sobriety is that there is no vacation from recovery, either.

    My first sober vacation with my now-ex-husband was to Jamaica. Hubris testing those waters, which was a paradise for my ex with its endless supply of Red Stripe and ganja but treacherous for me, only a few months sober. My then-husband had been travelling to Negril for twenty years chasing that perfect beach buzz while I was trying to stay steady, surrounded by all these happy (seeming) vacationers, and trying to remember why I did not want to drink, why I could not ever drink again. Naively, I packed without a contingency plan, bringing just a bikini, sunscreen, and a dress. Nothing to support my recovery. Thankfully, my Higher Power had a contingency plan. 

    The first day while we were lazing in the sun, another couple, Amy and Rich*, sat in the lounge chairs beside us. We made small talk and my then-husband said, “I’m heading up to the bar for a Red Stripe. Anybody want anything?”

    “Coke for me,” I said.

    “I’ll take a coke,” Rich said. “Thanks.”

    “Me, too,” Amy said.

    My antennae attuned, I said, “Are you guys in the club, too?”

    They knew what I meant and from then on, we were inseparable. Amy and Rich, sober for decades, prepared in advance for the trip. With a little online research, they’d found a 12-step meeting off the beach in a tiny church and we went together, in flipflop solidarity. Lesson learned? Recovery cannot be left to chance but requires planning, even—and maybe especially—on vacation with its temptations: tropical drinks, laissez-faire schedule, swim-up bars, and late nights. What happens in Vegas or London or New York City or Rome or Kathmandu doesn’t stay there, but stays with you, a permanent souvenir. In recovery, we don’t get a free pass.

    I now have a packing list that I stick to for all my travels, the practical essentials and spiritual necessities that support my recovery and stability. When we leave home for the unknown, we can get lost, even with the precision of GPS, even with years of sobriety or stability, even if we are confident in our now reliable happiness.

    My Recovery Packing List:

    1. Proper Running Shoes: Know whether you are running away from your life or running towards a bigger life. I have used travel as an escape from myself, from the circumstances of my life that felt out of control (my drinking, my starving, my depression). Every time I tried to run away to some other place, I wound up desperate, without family or friends, without a support system, and hit a new bottom each time. But when I am running on stable ground towards a joyful life? A few years ago, I stayed at a yoga ashram in the Bahamas. One morning, I took a sunrise walk down the beach and felt utterly content breathing in the sun and sea, at ease with myself in my solitude. 
    1. A Map: Know where you came from, where you are now, and where you are going. On a three-week solo trip to Morocco, I meticulously planned the route between the Atlas Mountains and Marrakech and Ouarzazate and Essaouria—unfamiliar terrain without a co-pilot. But more, I needed to remember how far I had come in sobriety so that I could travel alone, out into the world, without family and friends worrying that I might hit bottom, and to know that my journey forward was now one filled with adventure rather than danger. So, I wrote myself a note that I kept inside my wallet: I was once at the bottom of the well; I am now on dry land; I am heading for the horizon!
    1. Carry On (Not Checked Luggage): That is pack light. Don’t carry the weight of the past, only your sober and stable self. What use are sandals and sneakers and snorkels and sunscreen and travel guides and a Kindle downloaded with beach reads if you don’t have room for The Big Book or a journal to record 12-step work? And what use are these essentials for continued recovery if they get lost in checked baggage? If books are too heavy, download 12-step apps and The Big Book to your phone. And why bring them along if you don’t read them? Begin the day reading whatever you might find that anchors you to recovery. Me? It is usually the poem “Late Fragment” by Raymond Carver:

    And did you get what
    you wanted from this life, even so?
    I did.
    And what did you want?
    To call myself beloved, to feel myself
    beloved on the earth. 

    1. Emergency Contacts: Not just family and friends, but sponsors, therapists, and doctors. Too expensive to call overseas? Download an app (such as WhatsApp) so it is free to call people who will remind you who you are becoming, to hear a familiar voice when you’re out there wandering the world and veer off map. In the middle of the Sahara, just off a camel ride through a sandstorm, I Skyped with my sponsor. “Hellooooo,” I said. “I’m calling from the middle of nowhere though I am somewhere beautiful and not at all lost!”
    1. Local Hangouts: Once upon a time, you might have researched bars and nightspots. Now, as I learned from Amy and Rich, I research local 12-step meetings and make it a traveling priority to attend the meetings. Fellowship exists across this world and all we have to do is walk through the door to find our tribe. And if no meeting exists? Keep our antennae attuned to those around us who aren’t ordering booze. On a recent trip to Ireland, I met a local over dinner who I noticed wasn’t drinking. I mentioned to him that I didn’t drink either. “Are you a friend of Bill W.?” he asked, then invited me to go with him to a 12-step meeting later that night. Home on the road.

    Of course, make sure your passport—proof of citizenship and of far-flung travel—is up-to-date. A passport is a dream journal: where have I been and where do I want to go? And in recovery, a passport is a record of courage (those stamps) and of hope (those blank pages) that says: I want to risk myself in the world and am ready for the journey. Necessities packed. Never alone on the road.

     *Not their real names

    View the original article at thefix.com

  • Lyft Offers Incentives To Stop Drugged Driving In Massachusetts

    Lyft Offers Incentives To Stop Drugged Driving In Massachusetts

    Lyft has pledged $50,000 in fares to keep stoned drivers off the roads of Massachusetts.

    Popular ride-sharing service Lyft is encouraging people to drive cannabis-free with a special fare credit offer, according to High Times.

    Law enforcement in Massachusetts believe there could be a greater potential for drug-related accidents since cannabis has become legal in the state, so the state has teamed with Lyft to help educate the public on the dangers of driving high.

    Jennifer Queally, undersecretary of the Office of Public Safety and Security in Massachusetts, became concerned when she noticed an increase in people driving stoned in Colorado.

    “It’s not uncommon to hear people say, ‘I drive better when I’m high,’” Queally explains. “[But] if you are high or stoned, you are not a safe driver. And you are a danger to everyone on the road.”

    At the same time, ride-sharing companies like Lyft see a potential business boom. Just as Lyft and Uber are giving potential drunk drivers everywhere a safe ride home, the general manager of Lyft in New England told High Times, “We want to make sure residents can consume marijuana and not think twice about how they’re going to get home responsibly.”

    To help promote cannabis-free driving, Lyft has partnered with the Massachusetts Chief of Police Association, as well as the Cannabis Reform Coalition, to pledge $50,000 in Lyft fares to keep high drivers off the road. And if you make a pledge on social media not to drive high, you can get $4.20 in Lyft ride fare credit.

    As WBUR reports, there is also a new public service campaign that has been launched in Massachusetts called “Drive Sober or Get Pulled Over.”

    In the commercial, several actors tell the audience, “There are roads. Ones you take and one’s you don’t. There are laws. There are rules. And there’s you. You driving. You drunk driving. You driving high. You stoned and driving. You spinning. You crashing. You arrested. You killing… There are roads. And then there are just dead ends.”

    The commercial ends with a title card telling the audience, “Drunk? Stoned? Driving? Don’t.”

    According to a study released this year by the Governors Highway Safety Association, the rates of people driving high has increased 16% in the last 10 years. In 44% of fatal car crashes in 2016, 38% of the drivers tested positive for marijuana, with 16% of the drivers testing positive for opioids, and 4% testing positive for both.

    View the original article at thefix.com

  • Planned Safe Injection Sites Put On Hold In Canada

    Planned Safe Injection Sites Put On Hold In Canada

    Advocates of safe injection sites called the Canadian health minister’s decision to halt the opening of the facilities “horrifying.”

    A trio of planned safe injection sites in Ontario, Canada have been put on hold while the province’s new health minister conducts a review to determine if such facilities “have merit.”

    Health Minister Christine Elliott said that she remains unconvinced that such sites are effective in reducing drug overdose deaths and the spread of HIV infection; she also cited concerns from neighboring businesses over security and biohazard refuse as core reasons for the review.

    Advocates of safe injection sites and harm reduction policies called the health minister’s decision “horrifying,” that runs contrary to the needs of individuals in the midst of Canada’s opioid epidemic.

    The CBC reported that in a letter sent on Friday, August 10, to health integration networks and health units in the province, Roselle Martino, assistant deputy minister of the population and public health division, said that the approval process for new safe injection sites in the cities of Toronto, Thunder Bay, and St. Catharines would be halted immediately.

    The sites would allow for supervised injection of opioid drugs, grant access to harm reduction support and allow users to safely dispose of needles and other paraphernalia.

    In the letter, Elliott wrote that she will be “reviewing the evidence and speaking to experts to ensure that any continuation of supervised consumption services and overdose prevention sites are going to introduce people into rehabilitation and ensure people struggling with addiction will get the help they need.”

    CTV News also noted that Elliott will address how local businesses have been impacted by existing sites. The network cited concerns by Mark Garner, a member of the Downtown Yonge Business Improvement Area (BIA) in Toronto, who said that his organization has found discarded needles in the area near the Works, the city’s first supervised injection site, which opened in November 2017.

    Garner stated to CTV that while his organization supports efforts to reduce drug overdoses, the businesses in the BIA have felt the need to increase security and allocate funding to clean up discarded needles, especially ones discarded in toilets which have caused plumbing issues.

    “This is the number one tourist destination in Canada,” he said. “How do we integrate that into the neighborhood, what resources are needed, and how do we make it safe for everybody?”

    But harm reduction advocates and health care professionals have expressed alarm at the province’s move, which some described as a decision motivated more by politics than any actual health concern.

    “It’s a complete disaster, and I do worry about people on the ground,” said Marilou Gagnon, an associate professor of nursing and president of the Harm Reduction Nurses Association. “The science is very clear that overdose prevention sites do work, and we’ve known this since the ’80s. [I’m] extremely concerned about a government going against science.”

    View the original article at thefix.com

  • California Aims To Tighten Law That Diverts Suspects To Mental Health Treatment

    California Aims To Tighten Law That Diverts Suspects To Mental Health Treatment

    Prosecutors argue that a new law should restrict the type of suspects who can qualify for mental health treatment in lieu of jail.

    California prosecutors are fighting to amend a law aimed at diverting mentally ill suspects to treatment in lieu of the criminal justice system.

    The law, signed by Governor Jerry Brown in June as part of a budget bill, gives judges the option to divert a suspect to a mental health treatment program and dismiss charges if it is decided that mental illness “played a significant role” in the crime, NBC News reported.

    The diversion program was intended to reduce the backlog of suspects sent to mental hospitals, NBC News reported, because they are judged incompetent to stand trial.

    California law already allowed for the diversion of mentally ill suspects, but prosecutors argue that the new law extends the privilege to too many people, namely people charged with serious crimes.

    The new law allows the diversion of “any suspect with mental illness”—including bipolar disorder or schizophrenia, but excludes anti-social personality disorders and pedophilia, the LA Times reported.

    In response, Governor Brown submitted a proposal on Monday night to limit who can participate in the diversion program. The proposal allows judges to exclude a “much broader range of dangerous suspects,” specifically banning those charged with murder, rape and other sex crimes from participating in the program.

    Another part of the proposal prohibits suspects from owning firearms while participating in the program, and they may be required to pay restitution.

    El Dorado County District Attorney Vern Pierson said the proposal is “a significant improvement from the original language that was passed and signed into law as part of the budget,” according to the Times.

    However, not everyone agrees with the proposal. One deputy public defender said the proposed revision “guts mental health diversion and goes far beyond a reasonable compromise,” allowing California counties to “continue to do what they have done for years—send sick people to prison instead of treatment.”

    “The end result is higher incarceration rates for ill Californians, lawsuits for ill Californians, lawsuits against counties for mistreatment of the mentally ill and higher recidivism rates for untreated offenders,” said LA County deputy public defender Nick Stewart-Oaten, who is a member of the California Public Defenders Association’s legislative committee.

    View the original article at thefix.com

  • Restaurant That Gives Second Chances To People In Recovery Gets Rave Reviews

    Restaurant That Gives Second Chances To People In Recovery Gets Rave Reviews

    DV8 Kitchen provides a supportive, flexible work environment to ensure employees are “meeting their goals and staying on a good path.”

    One restaurant is not only giving people in recovery a second chance—they’re doing it incredibly well.

    DV8 Kitchen, which was recently featured in The Fix, opened last September, but it’s already garnered rave reviews and five stars on Yelp.

    All 25 employees at DV8 are in recovery from substance use disorder. Co-owner Rob Perez himself has 28 years of recovery. “I was a binge drinker. I didn’t have to drink everyday but when I did, I would frequently get out of control,” he told The Fix.

    With his Lexington, Kentucky eatery, Perez has created a workplace that caters to recovery. “Our staff don’t leave programs or meetings or houses and come to a foreign environment 40 hours a week, they come to a place where we all speak the same language, have the same customs, and discussions, so it’s a 24/7 program,” said Perez.

    The restaurant functions around the needs of the employees. For example, as Perez explained to the Dayton Daily News, DV8 does not open for dinner service so that employees may attend meetings, and tips are split evenly and added to paychecks instead of giving out cash.

    Schedules are flexible and work to fit in mandatory appointments for court or treatment centers, and each Tuesday a guest speaker comes in, covering topics including health and wellness, financial responsibility, teamwork and mindfulness.

    The restaurant works in partnership with treatment centers, where most new employees are hired from. “We work in tandem with the sober living houses to ensure the employee is meeting their goals and staying on a good path,” Perez told The Fix.

    Perez is well aware that, whether they like it or not, DV8 has something to prove. It’s more than a restaurant, it’s a chance to show people that “second chance” doesn’t mean “second rate.”

    Hoping to establish a higher standard for his restaurant, employees are paid 20% more than they would get at similar fast-casual restaurants, resulting in less turnover and better service, Perez told the Daily News.

    “I think that the customers see a different face of recovery. It is about helping the folks that work here,” Perez told the Daily News. “But it’s also about helping the general public understand that the recovery community is worth a shot. The recovery community can perform good work.”

    Perez believes that with hard work comes self-respect. “When you do a job with quality, you build self respect, self-esteem and pride in a craft you’re developing,” he told The Fix. “In recovery, we need a support system and an accountability system. And the camaraderie you get out of a job when you have common interests, backgrounds and circumstances, is pretty powerful.”

    View the original article at thefix.com

  • AA Meetings Are Thriving In A Country Where Alcohol Is Illegal

    AA Meetings Are Thriving In A Country Where Alcohol Is Illegal

    A new episode of PBS’s “Frontline” offers a glimpse inside Alcoholics Anonymous meetings in Iran. 

    Alcohol is banned in the Islamic Republic of Iran, but the fellowship of Alcoholics Anonymous is alive and well in a country where the consequences for drinking are severe.

    Many Iranians are starting to believe the true cost of alcohol—everything from brutal lashings to the death penalty—is worth it. At least, that’s the message suggested in an eye-opening new episode of the PBS documentary series Frontline.

    “I was arrested [with alcohol] and got 77 lashes,” an AA member said in the episode. “They use leather whips, just like with a horse. That’ll hurt, yeah. My skin was all torn apart.” He’s not alone, Frontline reveals, as the episode explores how AA has increasingly taken root in the country.

    The country’s Ministry of Information has allowed the AA Big Book (in which co-founder Bill Wilson outlined the 12-step program) to be printed and shared, with meeting groups rising all over Tehran, Iran’s capital. The results are telling, as one AA group member says he’s celebrated eight years of sobriety while another has another four under his belt. 

    Alcohol may be highly illegal, but it’s clearly not impossible to find. “You call someone who sells it and they come and deliver it to you,” an AA member explained to Frontline. “They bring it in a paper bag, you pay them, and they’re off again.”

    The simplicity of that transaction belies many other stories about Iran’s hidden drinking subculture, which is almost as hidden as the country’s burgeoning AA fellowship.

    Despite Iran’s alcohol ban and frequent police raids, “drinking in Iran is widespread, especially among the wealthy,” the Independent reported.

    There aren’t any nightclubs, so all of the illegal imbibing occurs behind closed doors. Some of the booze is smuggled in, but much of the wine and beer is made right under the noses of Iranian law enforcement, who are all too eager to mete out punishment.

    And while AA meetings reveal that some Iranians are seeking help they desperately need, Iran itself remains a country in denial about its larger alcohol problem.

    The Daily Beast published a feature that considered why “cruel penalties [have] not managed to reduce the popularity of drinking alcohol, particularly among young people, or its dramatic abuse by a stunning number of alcoholics.”

    Put into context, Iran ranks 166 in alcohol consumption per capita, but that statistic isn’t telling the whole story. If you look at World Health Organization estimates for people who consume 35 liters or more of alcohol over a year, the country actually ranks 19th in the entire world.

    “In other words, the number of alcoholics per capita puts Iran ahead of Russia (ranked 30), Germany (83), Britain (95), the United States (104) and Saudi Arabia (184),” The Daily Beast reported.

    Still, the Islamic Republic refuses to address its problem, beyond some scattered public ad campaigns that depict the dangers of drinking and driving. 

    View the original article at thefix.com

  • First Fentanyl Execution Carried Out In Nebraska

    First Fentanyl Execution Carried Out In Nebraska

    Fentanyl was one of four drugs used to kill Carey Dean Moore.

    Nebraska has become the first state to execute an inmate using the powerful synthetic opioid fentanyl. 

    On Tuesday, Aug. 15, the state used a lethal injection of fentanyl to execute Carey Dean Moore, a 60-year-old who was given the death penalty for killing two cab drivers, Reuel Van Ness and Maynard Helgeland, in 1979. 

    Fentanyl was one of four drugs used to kill Moore. According to the New York Times, the four-drug cocktail included “diazepam, a tranquilizer; fentanyl citrate, a powerful synthetic opioid that can block breathing and knock out consciousness; cisatracurium besylate, a muscle relaxant; and potassium chloride, which stops the heart.”

    The first drug was injected at 10:24 a.m., and Moore was pronounced dead at 10:27 a.m..

    As drug manufacturers increasingly refuse to allow states to use their products for lethal injections, states are looking for alternative execution means. Some people say that this is why states are using fentanyl, a painkiller that has become better known as a dangerous street drug and blamed for a spike in overdose deaths around the nation. 

    “There’s no particular reason why one would use fentanyl,” Robert Dunham, executive director of the Death Penalty Information Center, a Washington nonprofit group, told The Washington Post. “No one has used it before, and we’ve had hundreds and hundreds of executions by injection. That suggests that the state is using fentanyl because it can get its hands on it.”

    Scott R. Frakes, director of Nebraska’s Department of Correctional Services, said in a federal affidavit that states were very limited in the drugs they could use for executions. 

    “Lethal substances used in a lethal injection execution are difficult, if nearly impossible, to obtain,” he wrote. 

    In July, Nevada was slated to become the first state to use fentanyl as part of a lethal injection. However, the execution was stopped because Alvogen, maker of the sedative midazolam, objected to the drug’s use as part of a lethal injection. 

    After a judge blocked the execution, the company said that it “does not condone the use of any of its drug products, including midazolam, for use in state-sponsored executions.”

    After the court hearing the Nevada execution was put on hold indefinitely. 

    In a handwritten statement distributed Tuesday, Moore said that he did not wish to delay his execution after spending 38 years on death row. However, he urged people who are against the death penalty to turn their attention to the four individuals on death row in Nebraska who claim to be innocent. 

    “How might you feel if your loved one were innocent and on death row or if you were the innocent on death row,” he wrote. 

    View the original article at thefix.com

  • Academics and Alcoholism

    Academics and Alcoholism

    Academics too often share a simultaneous denial and pride in their alcoholism, and the profession does little to dissuade such a sentiment, even with all the attendant problems it brings, preferring to interpret self-medication as mere collegiality.

    I’ve heard it repeated as a recovery truism that nobody is too dumb to stop drinking, but plenty of people are too smart. One supposes that’s the sort of thing intended to be helpful. I’ve no idea on the particular veracity of the claim, though I’ll say that people who are smarter (or think they’re smarter) can certainly generate some novel justifications for their alcoholism. 

    When I was deep in my cups, after stopping for one drink after class that turned into a blackout which had me checking the soles of my shoes for evidence of which way I stumbled home, I could structure an argument with recourse to French philosopher Michel Foucault’s The Birth of the Clinic about how “alcoholism” was a construction of the medical-industrial complex.

    After I woke up another countless time cringing as I recalled how I’d embarrassed myself yet again, it was only a short period until I was crafting a rationalization that drinking expressed an idyllic, pre-capitalist, medieval past that was based in revelry and joy.

    While noticing that my hangovers seemed to go on a bit too long, or that my hands were a little bit too unsteady, or that I seemed less and less able to stop that second drink from sliding into that twelfth, I could wax philosophical about how intoxication evoked the Dionysian rites, for after all it was Plato in The Symposium (a booze-soaked party) who claimed that “For once touched by love, everyone becomes a poet,” and when I was getting my PhD in English what I loved was pints of lager, gin and tonic, and Jameson on the rocks, and sometimes if I was drunk enough and squinting with one eye, I could convince myself that I was a poet.

    If I was smart, it certainly manifested itself in the same tired old story as any other alcoholic, even if my justifications seemed clever to me. Because whether or not it’s true that some people are too smart to quit drinking, many academics might enthusiastically agree that’s the case, the better to avoid church basements. Psychologists call this “rationalization”…

    Lots of discussion is rightly had about the problems generated by substance abuse among undergraduates, but much less is had about alcoholism on the other side of the podium. Something is surprising about this – the cocktail hour is valorized in academe, especially in the humanities where with cracked pride there is a certain amount of cosplaying Who’s Afraid of Virginia Wolf?, where the past tweedy imagined pleasures of sherry fueled conviviality run strong. Rebecca Schuman (who is not an alcoholic) writes in Slate about how this “campus alcohol epidemic, one largely ignored,” is often “heralded as an inextricable virtue of the Life of the Mind.”

    But for alcoholic academics there are also often darker particulars for returning time and time again to the bottle. The unnaturalness of living in one’s head all of the time, the stress and intermingling of life and work so that it almost always feels like you’re stuck in the latter (and people think we get summers off!), the often incapacitating imposter syndrome. Professors aren’t the only alcoholics of course; there are plenty of alcoholic plumbers, alcoholic nurses, alcoholic accountants, alcoholic cops, alcoholic lawyers, alcoholic janitors. Yet academics too often share a simultaneous denial and pride in that alcoholism, and the profession does little to dissuade such a sentiment, even with all the attendant problems it brings, preferring to interpret self-medication as mere collegiality.

    University of Notre Dame history professor Jon T. Coleman writes movingly of his own struggles with alcoholism in academe, explaining in an essay for The Chronicle of Higher Education that one of the “most sinister aspects of alcoholism was the intramural loathing it encouraged,” describing how he drank to “mute the feelings of guilt, failure, and panic that came from not being able to control my drinking,” despite having “graduated from college, earned a Ph.D., secured a job, won book awards, and received tenure from a top-tier university while engaging in a habitual behavior that rendered me a dumbass.”

    In her remarkable new book The Recovering, Leslie Jamison similarly sees the appeal of annihilation and escape as central to the professorial preoccupation with self-destruction, explaining that drinking “plunged me into a darkness that seemed like honesty,” misinterpreting that “desperate drunk space underground” as “where the truth lived.” As a way of proffered hypothesis, that’s some of what fuels the alcohol problem among humanities scholars, a misapplied radical skepticism that’s suspicious of recovery-speak (which allows for convenient rationalizations). Combine this with the accumulated boozy romance of past generations, and one sees part of what motivates the problem.

    Even now I’m hesitant to use the word “alcoholic” in describing myself, chaffing at the “One Day at a Time” folk-wisdom of 12-step philosophy, historicizing and critiquing recovery in a manner that at its worst could easily justify relapse (though it hasn’t yet). But a certain saving grace also is gifted from my vocation, for as an English professor nothing is more paramount than the sanctity of words, and if I’m not an alcoholic, then the word itself has no meaning. One of the bits of hard-earned wisdom I’ve been gifted through the haze is the understanding that if my disease isn’t my fault, it’s surely my responsibility. I believe that had I not been an academic with a drinking problem, I’d have had some other job and identity – with a similar drinking problem.

    Even as a personal responsibility, the wider academy, because of its particular culture and history, must also do more to provide support for graduate students and faculty with substance abuse disorders. Graduate student Karen Kelsky in a guest blog for “The Professor is In” writes that the “stigma associated with addiction may be stronger than stigmas for mental illness,” in part because alcoholism is so often perceived as a “choice,” and not a complicated issue of heredity, acculturation, and brain chemistry. Even moderate drinkers face opprobrium in the wet groves of academe, with Shuman writing about how after she decided to quit excessive social drinking, she was “cut off socially” and that as she “drank less and less,” she was “accepted less and less by my peers.”

    There needs to be a shift in how academe grapples with alcoholism, and with alcoholics. In the short term, a small start would be to provide alternative possibilities at conferences and symposia that are so often permeated by alcohol. Jeffrey J. Cohen, a scholar of medieval literature at Arizona State University (who is not an alcoholic himself) argues in The Chronicle of Higher Education that those “who arrange conference social events were alcohol is served must ensure that they are not the sole access provided to conference conviviality.”

    In the long term, academics need to become more sensitive to and aware of the definitions of alcoholism and addiction. Kelsky writes of how a “common misconception… is that once someone has gone through treatment, they are ‘cured.’” Consequently, non-drinking graduate students and faculty are often shut out of professional opportunities, their self-care interpreted as being the behavior of a scold or a Puritan. With an important awareness of how difference is manifested for various marginalized groups in our culture, too often academics don’t extend the same consideration to those in recovery, or provide assistance for our colleagues in need.

    Of course even if mental health and substance abuse care are woefully lacking in professional contexts, most fellow individual academics can and do respond to those in recovery with care and empathy. I first read Coleman’s essay after it was sent to me by a concerned colleague and I was able to recognize the malady, so eloquently described, as my own. I drank for two more years.

    My thirst was unquenchable, simply confirming Coleman’s observation about being “Caught in a trap… [with] an inability to break loose.”

    The kindness in being sent that essay had an effect, though, part of that arsenal in my spirit that I was able to drudge up after numerous shaky mornings haunted by fear, a little indication in which I knew that the center could not hold, and in which I could sometimes glimpse the awful grace of that thing called hope, which we alcoholics know as a “moment of clarity.” Coleman did break loose, and so have I for the time being, while always remembering that “There but for the grace of God go I.”

    Three years after my bottom I still work on that first step sometimes, but I find that the organ which made those old rationalizations so evocative can be helpful in actual not drinking. I wake up sober in the morning, and I can reflect on the ways in which recovery bares the mark of the conversion narrative, I can trace the historical antecedents of 12-step groups, I can examine how important issues of race and gender affect how we discuss addiction and recovery. More than enough intellectualism in sobriety; actually, more than there ever was in the tantalizing hum of drunkenness. There can be, as it turns out, as much hope in the classrooms as there is in the rooms, occluded though it may seem, but for that I am grateful.

    Ed S. is a widely published writer and an academic.

    View the original article at thefix.com

  • How Binge Drinking May Affect Young Adults

    How Binge Drinking May Affect Young Adults

    Young adults who are heavy drinkers may be heightening their risk for future cardiovascular issues, according to a new study.

    In addition to the obvious effects of excessive drinking, young adults who binge drink may also be at risk of heart disease and stroke as they age. 

    Authors of a new study published in Journal of the American Heart Association suggest that the one-in-five college students who binge drink have reason to be concerned for their health. 

    In the study, researchers examined the responses of 4,710 individuals between 18 and 45 years old who had taken part in the U.S. National Health and Nutrition Examination Survey between the years 2011 and 2012, and 2013 and 2014. 

    Those individuals were then broken into three categories: those who did not drink, those who binge drank 12 or fewer times per year, and those who binge drank 12 or more times per year.

    Of the individuals involved, about 25% of men and about 11% of women binge drank “frequently.” For those who binge drank 12 or fewer times per year, 29% of men and 25% of women fell into the category.

    Researchers found that those who binge drank frequently seemed more likely to exhibit risk factors such as high blood pressure and cholesterol levels, which could lead to cardiovascular issues and strokes later in life.

    Researchers also looked at the effects of alcohol consumption on young men versus young women. They concluded that men who binge drank often had higher blood pressure and higher cholesterol than those who did not binge drink often. When compared to low frequency drinkers, women who binge drank had higher blood sugar levels.

    Mariann Piano, an author of the study and professor of nursing at Vanderbilt University’s School of Nursing, tells Newsweek that a main takeaway from this study is that risky behavior can be changed. 

    “Implementing lifestyle interventions to reduce blood pressure in early adulthood may be an important strategy to prevent cardiovascular disease later in life,” she said to Newsweek. “As part of this intervention pattern, young adults should be screened and counseled about alcohol misuse, including binge drinking, and advised on how binge drinking may affect their cardiovascular health.”

    This study is only one of a few recent studies focusing on how unhealthy lifestyles in youth can affect them later in life.

    In July, researchers in England published a study that found that being overweight as a teen could change the heart’s shape and affect the manner in which it functions.

    Like Mariann Piano, Ashleigh Doggett, senior cardiac nurse at the British Heart Foundation, also told Newsweek that habits can be changed at a young age to avoid such dangers later in life. 

    “It can be a common misconception that heart-related issues only affect an older demographic, which we know isn’t the case,” she said. “This study highlights the importance of endorsing a healthy lifestyle from a young age—the earlier we reinforce healthier habits, the greater impact it can have.”

    View the original article at thefix.com

  • "Methadone Pope" Dr. Robert Newman Dies At 80

    "Methadone Pope" Dr. Robert Newman Dies At 80

    The doctor famously commissioned an unused ferry boat to serve as a temporary methadone clinic when a private clinic shut down in 1972.

    The “methadone pope” passed away this month, sparking a conversation about his groundbreaking contributions to the worlds of harm reduction and medication-assisted treatment (MAT) for substance use disorder.

    Dr. Robert Newman spent his career advocating for methadone access and defending patients’ rights.

    As a young public health doctor in New York City, Newman was instrumental in expanding the city’s methadone program. In its first year, it served 20,000 people.

    “He was on the front lines of advocating for methadone, when no one else was talking about it, when it was taboo and unwelcome,” said Kasia Malinowska, of the Open Society Foundations. “He thought that methadone was an effective, easy, cheap public health intervention; that it’s insane to deny it to people who are so deeply in need.”

    Newman believed in methadone’s ability to help people trying to quit heroin live normal lives. He further defended patients who did not wish to taper off the medication.

    “There’s no moral judgment as to how much penicillin one uses to treat gonorrhea, and there shouldn’t be any moral judgment as to how much methadone a patient is receiving if the result is satisfactory,” he said in 2011, according to the Huffington Post.

    The doctor famously commissioned an unused ferry boat to serve as a temporary methadone clinic when a private clinic shut down in 1972; and Newman would transport methadone from the makeshift clinic using his son’s stroller.

    Newman defended NYC’s methadone program when Mayor Rudy Giuliani tried shutting it down in 1998. The mayor believed that methadone maintenance was just substituting one substance use disorder for another.

    Newman also defended patients’ right to privacy when the government ordered that he relinquish patients’ methadone records to law enforcement—and won.

    “Not only was he passionate about this, but he was courageous. He was totally willing and prepared to go to jail,” said his nephew Tony Newman, director of media relations at the Drug Policy Alliance.

    The doctor’s advocacy did not end with methadone. As president of Beth Israel Medical Center, Newman advocated needle exchanges for drug users “long before the AIDS outbreak generated broader support for such controversial programs,” the New York Times reported.

    Under his leadership, the hospital became the world’s largest provider of methadone, serving about 8,000 patients by 2001, according to the Times.

    View the original article at thefix.com