Category: Addiction News

  • No More Psychotropic Drugs For Migrant Kids Without Consent, US Judge Rules

    No More Psychotropic Drugs For Migrant Kids Without Consent, US Judge Rules

    Several migrant children have given disturbing testimony about being forced to take psychotropic drugs at a facility in Texas.

    The Trump administration must end the practice of unreservedly administering psychotropic medication to migrant children in US custody.

    On Monday (July 30), US District Judge Dolly Gee in Los Angeles ordered the government to obtain consent or a court order before administering medication such as antidepressants and anti-anxiety drugs, except in dire emergencies.

    Several migrant children have given disturbing testimony of their treatment at Shiloh Residential Treatment Center in Manvel, Texas, one of many facilities contracted by the US Office of Refugee Resettlement to house immigrant children since 2013, the Washington Post reported

    One 12-year-old boy named Lucas R. from Guatemala, who was detained in February, was transferred to Shiloh after refusing to take Zoloft, a popular antidepressant, because it was causing him stomach pain, according to court filings.

    Medical staff at the facility diagnosed the boy with major depressive disorder and informed him that he would continue to be held at Shiloh unless he was declared psychologically sound.

    But the court documents contend that a large part of his depression had to do with “being kept from his family” who had arrived in the US before him, according to the Post.

    Other testimony described the forceful administration of medication on children on multiple occasions. “I witnessed staff members forcefully give medication four times… Two staff members pinned down the girl… and a doctor gave her one or two injections,” said Isabella M., another child at Shiloh who was prescribed “multiple psychotropic medications” at the facility including topiramate, without her family’s consent.

    “Nobody asked me for permission to give medications to my daughter, even though the staff at Shiloh has always had my telephone number and address,” Isabella’s mother testified.

    Other children described being forcibly injected with drugs and being given pills “every morning and every night.”

    Another child at Shiloh, Julio Z., said he “never knew exactly what the pills were.” Court documents list his drug regimen: Clonazepam (anti-anxiety), Divalproex (anti-convulsant), Duloxetine (anti-depressant), Guanfacine (ADHD medication), Latuda (anti-psychotic), Geodon (anti-psychotic), and Olanzapine (anti-psychotic).

    “The staff threatened to throw me on the ground and force me to take the medication. I also saw staff throw another youth to the ground, pry his mouth open and force him to take the medicine,” Julio Z. testified. “They told me that if I did not take the medicine I could not leave, that the only way I could get out of Shiloh was if I took the pills.”

    The Center for Investigative Reporting also found that a doctor at Shiloh had for nearly a decade prescribed psychotropic medication to children without board certification to treat children and adolescents.

    View the original article at thefix.com

  • The Joys of Being Wrong

    The Joys of Being Wrong

    I am limited when I am in my own power, convinced of its sufficiency.

    I had initially thought to write this story – the story of a person once self-presumed irreparably broken who recently completed chemotherapy turned Ivy League law student in a sensible, stable long-distance relationship – once I had received official acceptance letters from myriad top-ranked schools and the boundless adoration of a future wife, an expression forged in platinum, maybe with a tasteful emerald or cushion cut. Submitting it now, though, amid this very particular brand of uncertainty so laden with the weight of proving my worth, after many rejections and healthily parting ways with my girlfriend, seems a far more fitting representation of the point of recovery.

    What is that point?

    The wording will vary for everyone, of course, but to me:

    The point is not what you get: the point is what you do with it.

    Were I to await the above, the increased likelihood of this lesson being misconstrued as “quit drugs, win big!” would overshadow the actual essence of sobriety. Sure, the cash and prizes sometimes include overwhelming esteem, material gain and skyrocketing popularity; more often than not, though, the promises of recovery entail something less expected – something that we wouldn’t at onset necessarily identify as exceeding our wildest dreams, but that somehow does. That’s one of the most amazing things about all of this, really – that what we think is humdrum is actually fulfilling, and that what we think will be fulfilling actually sells us short.

    There’s a reconciliation of paradoxes implicit to the recovery process. When I heard of the addict mentality described as “negative ego” I didn’t fully grasp its implications until I heard the same rephrased by a young woman who said that, in her active addiction, she felt like a “piece of shit in the center of [her] own universe.” Later I heard such peculiar self-evaluation termed as “arrogant doormat” and “I didn’t think much of myself, but I was all that I thought about.”

    When I first got clean, the catalyst beyond threat of discontinued financial support was certainty that I would finally be recognized for the meteoric talent that I was – that all of the reasons for which I thought I used substances would be reinterpreted and rightly understood as unappreciated genius and, once so affirmed, I would no longer indulge that self-destructive tendency born of being “misunderstood” – no wait sorry – not just misunderstood like you are – distinctively misunderstood. Quitting drugs for me, however, has actually shown its primary benefit to be that I now get to participate in life just as other people do – like a person looking to what actually is instead of constant consumption with what is not, with how they’ve been wronged, with how they are somehow simultaneously better and worse than ____, all at the same time.

    Even now, despite years of practiced right-sizing and spiritual dependence, there is a part of me that continues to sustain the myth that I am somehow so special as to be immune to the conditions that dog other people, despite a consistent undercurrent of fraudulence: that I can put in a little less effort, that I am somehow shrouded in a halo sufficient to enchant those so blessed to gaze upon my angel face.

    We do not look at the world as if it were a mirror, reflecting only ourselves and whatever lies behind us: we look at the world as through a window; we see what is ahead but can’t help also catching our own reflection. Who we are, and what we think, informs what we see. That myth I maintain is delusional, so a part of who I am is delusional, and that part collects evidence to support that delusion’s accompanying grandeur. For as much as I develop my faculties of reason and reality, I think I might always retain a degree of magical thinking where I believe that maybe more is possible than may actually be possible. Sometimes I think that gives me the courage to take actions in faith and belief that might otherwise be precluded by too much logic, or not enough magic; while I can’t parse the precise extent to which that contributes to faith-based actions, it does seem to keep my chin parallel to ground and sky.

    The other day someone asked me “How do you get from pain to faith?”

    When I am in pain I am drawn closer to God. I do not balk at those who feel that pain instead causes division, or interpret pain as an absence of God: it is an absence, if you choose it to be. God is not the cause of pain; God is the solace that might be sought within it. It is almost as easy to blame God as it is to seek God; it is almost as easy to see differently as it is to see the same. When I am disappointed, it is not because God did not respond to my commands – God is not obligated to obey me; to the contrary it is I who is afforded the choice to obey God. All people have that agency – the ability to decide whether or not to honor and uphold that which is divinely informed, however “divinely informed” may be interpreted.

    Whatever face you give to God, whatever name – that entity is with you. God is intended to comfort you in the impossible length of the dark night; God is intended to draw you closer.

    What is closer? What does it feel like? Closer is the humoring of my will, the acknowledgment of its concerns and demands without automating action upon them. Closer is the awareness that maybe someone or some thing, either vaguely understandable or wholly intangible, may know better than I know. Closer is the nearly imperceptible sense of warmth you feel when you’re in great pain but know that this will not break you, that what you feel is not fully representative of your capability, because you are not just you – you are you plus that something greater; you are you and not alone.

    ___________________________________________

    When I am charged with the full control and conduct of myself, as though my will and intention were affected within a vacuum, my ego enters stages left, right and center. When I surrender some bit of my will I am more closely actualized as who I am meant to be, rather than who I think I am meant to be, or who I project that I am. When I willingly enter into and actively sustain that relationship – severing ties to the notion that it has to be just me, that it means more if I do things on my own – then the way that I see the world, as it is and with my reflection, is limitless. I am limited when I am in my own power, convinced of its sufficiency. When I am in my own power, my options consist solely of those that I am capable of conceiving; when I am in God’s power, my options are as limitless as that to which I am intentioned.

    I do not always agree with that to which I am intentioned. I recently received another “no” from an elite law school – another from one to which I was sure I’d be admitted – and have, in the past 10 minutes alone, assigned permanent and predictive weight to that decision. I have convinced myself that both my present and future fate are tethered to those rejections. I have projected that those rejections foreshadow a coordinated stonewalling effect that will prove ever prohibitive of every ambition that I have ever had, and as such I should just learn to teach spin, because that is probably how I will end up – alone, undereducated, and teaching spin – *not even at SoulCycle* (see what I did there?) – for the rest of my life.

    When I fully inhabit my individualized agency I am downright apocalyptic. I allow no slit through which a ray of truth might shine; I do not suffer fools as I misunderstand soothsayers to be. At those times, I am in the most limited space I can occupy. And then, the break; then, the unexpected; then, that which I’d so quickly discounted, manifests.

    View the original article at thefix.com

  • Sober Cleveland Police Officer Gives Back To Local Recovery Community

    Sober Cleveland Police Officer Gives Back To Local Recovery Community

    After a lengthy battle with alcoholism, a Cleveland detective got sober and inspired those around him to change their lives.

    Today, Cleveland police detective Chris Gibbons puts the bad guys in jail cells, but in 1992 he was on the other side of the law, sitting in a jail cell soaking wet and shivering after being brought in for public intoxication. After seven years of battling alcoholism, Gibbons had hit rock bottom. 

    “How did the son of a policeman end up here?” Gibbons said to News 5 Cleveland

    After that night, Gibbons was determined to turn his life around. He became a police officer just like his father and grandfather had been. And he inspired his sister, Erin Becker, to start her own path to sobriety. 

    “Most of my struggle was internal,” Becker said. “I just got to a point of hopelessness.”

    Gibbons has been sober for 26 years and Becker has been in recovery for 17 years. Now, the siblings run a sober house together, helping women start their lives in recovery. Becker co-founded the Edna House, which has grown over the years, helping woman with limited means get sober. 

    “It started with three women. Now we have 40 women,” Becker said. “The women that come in, they see that the people that are here helping them, the staff, the woman that runs the program, we’re all in recovery. That catches their attention. Nothing is asked of them here. When they come to Edna and the only thing that is asked is, ‘Do you have a willingness to work on your own recovery?’ They know something is different.”

    Gibbons is on the board of directors for Edna House and volunteers with men’s recovery programs though the area. He enjoys seeing the transformation of the 300 women who have graduated from Edna House.

    “They’re almost unrecognizable when they’re done. They look so much better. They feel so much better,” Gibbons said. “You can actually see the happiness and the glow on their face whereas when they came in they were totally broken.”

    In addition, Gibbons serves on the Cleveland Police Department’s Employee Assistance Unit, which helps officers navigate traumatic and stressful situations.

    “It gives you a little credibility,” Gibbons said. “When I approach an officer or someone in the community who is struggling with it, I can say I’ve been there and I have a good life today because of my decision not to drink.”

    Gibbons has prompted other law enforcement officials to become involved in the recovery community and sponsor events. Some of the people in recovery have even followed Gibbons’ footsteps and started a law enforcement career. 

    “Several dispatchers who actually went through this house are sober to this day because of their involvement here,” Becker said. 

    View the original article at thefix.com

  • Pain Patients Turn To Controversial Injection After Cuts To Opioid Coverage

    Pain Patients Turn To Controversial Injection After Cuts To Opioid Coverage

    The anti-inflammatory drug has been banned in Australia, Brazil, Canada, France, Italy, New Zealand and Switzerland.

    Back problems are the most common cause of chronic pain, and at the time when Medicare is cutting coverage for many opioid pain relievers, lawmakers are increasing Medicare coverage for a potentially dangerous off-label treatment for back pain. 

    Depo-Medrol is an injectable anti-inflammatory drug made by Pfizer. When it is injected into muscles and joints it can provide pain relief, but the drug is not supposed to be injected into or near the spinal chord. In fact, in 2013 Pfizer asked the Food and Drug Administration to ban back injections.

    The FDA declined to issue the ban, despite the fact that Australia, Brazil, Canada, France, Italy, New Zealand and Switzerland all issued bans, according to The New York Times

    “Serious neurologic events, some resulting in death, have been reported with epidural injection of corticosteroids,” Pfizer told the FDA. “Specific events reported include, but are not limited to, spinal cord infarction, paraplegia, quadriplegia, cortical blindness, and stroke.”

    In June, legislators approved an increase in reimbursements for the Depo-Medrol shot.

    At the same time, Medicare finalized a restrictive plan for covering opioids that will make it difficult for all but the most severe patients to access opioids long-term. This combination could make injectables a more appealing treatment, despite their risks. 

    “The victims of our era of aggressive opioid prescribing are being exploited in some cases by interventional pain doctors, who will continue them on opioids in exchange for allowing them to perform expensive procedures that they don’t need,” said Dr. Andrew Kolodny, co-director of opioid policy research at Brandeis University and executive director of Physicians for Responsible Opioid Prescribing. “These are not benign procedures. Patients can be harmed and are harmed.”

    Despite this, use of Depo-Medrol and similar drugs increased 7.5% among Medicare patients between 2012 and 2016. Dr. James P. Rathmell, chairman of anesthesiology, perioperative and pain medicine at Brigham and Women’s Hospital, said that Medicare coverage policies have the potential to make the shots even more popular. 

    “The truth underlying it is that doing an injection is faster and results in higher reimbursements, compared to other ways of managing the same pain,” he said. “The use of injections has increased dramatically, yet the prevalence of back pain has remained relatively unchanged.”

    Dr. Brian Yee, an anesthesiologist who practices in West Virginia, said that injections have the potential to be useful, but that they need to be handled carefully in order to ensure that they are being used responsibly. 

    “With people trying to take away opioids now, we are opening up another doorway for people to overutilize other options that can be helpful with the right doctors and the right patients,” he said.

    View the original article at thefix.com

  • California Says “No” to Mixing Marijuana & Alcohol in Public

    California Says “No” to Mixing Marijuana & Alcohol in Public

    California state regulators have drawn a line in the sand for businesses that wish to sell marijuana and alcohol in the same location.

    California state regulators have temporarily dashed hopes for bars and pubs where people can consume alcohol and marijuana at the same time, according to High Times.

    The Golden State issued an industry advisory on July 25, which listed frequently asked questions of the state’s Department of Alcoholic Beverage Control (ABC). The advisory drew a clear line in the sand between alcohol and cannabis in the state, making it illegal to sell the two together.

    “The MAUCRSA (Business and Professions Code section 26054) states that the holder of a license issued under the MAUCRSA ‘shall not sell alcoholic beverages or tobacco products on or at any premises licensed under this division,’” the memo stated.

    The ABC also says beverages that blend the two substances together, such as marijuana-infused cocktails or Canada’s newly infamous “cannabis beer” will be illegal in the state. Cannabidiol (CBD) is out of the question for ABC licensees, too.

    “It does not matter if the CBD comes from industrial hemp or from cannabis,” the memo said. “This also includes non-alcoholic beverage products and edibles. It is thus prohibited… regardless of source, in the manufacture or production of any alcoholic beverage, including using it in mixed drinks or cocktails.” 

    State regulators added that businesses licensed to sell alcohol won’t be allowed to permit their patrons to bring (and use) their own marijuana on the premises, either. No cannabis products, including vaporizers and edibles, can be consumed in public, under California law.

    “The restriction applies at all times, even after hours or during private functions,” the High Times story explained. “That means food, wine, and cannabis pairing events are not allowed at ABC licensed establishments.”

    Interestingly enough, California’s Cannabis Portal site observed that the memo’s guidelines won’t stop any of it from happening: “There are many bars and pubs that [currently] turn a blind eye to such behavior, and did well before recreational marijuana was legalized in California.”

    Additionally, the existence of Denver Initiative 300 (a pilot program that allows public pot consumption in Denver) suggests that attitudes could eventually shift in the opposite direction in California. 

    Since its legalization in November 2016, the laws around marijuana use have been as controversial as they have been somewhat ambiguous.

    While “there has been some lack of clarity” in how and where marijuana can be consumed, a Marijuana Moment article hinted that there is “perhaps a bit of willful ignorance” among businesses and entrepreneurs.

    Even the advisory itself says that it’s not the “be-all and end-all” on the subject and is, instead, meant to simply provide some better clarification: “This is not intended to be a comprehensive review of what may be permitted or prohibited,” the memo cautioned. “You should obtain independent legal advice before engaging in business involving either alcoholic beverages or cannabis, and you should not act in reliance on any information presented herein.”

    And while the ABC prohibits anyone from mixing alcohol and weed, there are no stipulations that prevent a person from holding licenses to sell both alcohol and cannabis.

    View the original article at thefix.com

  • Chuck Schumer: Feds Playing Yo-Yo With Funds To Fight Opioid Crisis

    Chuck Schumer: Feds Playing Yo-Yo With Funds To Fight Opioid Crisis

    Senator Schumer is pushing for the CDC to reconsider its decision to pull anti-opioid funding from New York City.

    Senator Chuck Schumer of New York is unhappy with a recent decision from the Centers for Disease Control and Prevention (CDC).

    Schumer says that last year, he added $350 million to a budget designed for the CDC to allocate funding to large cities including New York City, Philadelphia and Houston, Pix 11 reports.

    However, Schumer said, that funding was suddenly taken away with no reason provided.

    “Even more galling, New York City had already allocated this money,” Schumer said. “The CDC already said we’re going to send you this money.”

    According to the New York Daily Newsrather than be allocated to metropolitan areas, CDC officials say that a new federal policy dictates that the funds will be distributed between state offices.

    This, Schumer says, will set up cities like New York, Chicago and Los Angeles to get less funding than initially thought. 

    “There is simply no good reason for the feds to play yo-yo with critical federal funds that New York needs to beat back and address the opioid epidemic,” Schumer said in a statement. “By playing this dangerous and irresponsible game with these dollars, the federal government is setting an aberrant precedent and making a big mistake all at the same time.”

    Schumer added that the city already had plans for the funding.

    Pix 11 reports that New York City planned to use the federal funding for various programs, including one in which paramedics from the city’s fire department leave the opioid antidote, naloxone, in the homes of those with a history of substance use.

    Schumer says he plans to fight the funding takeaway, which he claims will affect the state as a whole.

    “Because when the city doesn’t get this money, the state has less money to go around,” he said. “New York City will have to now fight for state money, and that’ll hurt Long Island, hurt Westchester and frankly the whole state.”

    In a letter to CDC Director Robert Redfield, Schumer pushed for the organization to reconsider. 

    “As some of the nation’s largest localities, which are facing some of the harshest impacts from the current addiction and overdose crisis, it is imperative that CDC provide fair funding allocation mechanisms that effectively address public health needs,” he wrote.

    View the original article at thefix.com

  • Mackenzie Phillips Talks Addiction & "Orange Is The New Black" Role

    Mackenzie Phillips Talks Addiction & "Orange Is The New Black" Role

    “It was like, ‘Wow, I used to live this way.’ And now I get to act it out, and then walk away free and recovered. That in itself is magical.”

    Actress-turned-recovery counselor Mackenzie Phillips plays Barb, one of the “Little Debbie Murderers” on the Netflix series Orange Is the New Black.

    The One Day at a Time star, who beat drug abuse in the limelight and is now owner and director of Breathe Life Healing Centers in Los Angeles, said it was an “exciting challenge” to play Barb, who is “dying with untreated mental-health and substance-use issues.”

    “When I found out that [the character] was someone that struggles with a serious using problem, I was even more excited about it,” Phillips told People.

    Phillips has been in and out of rehab “more than several” times, and appeared on Celebrity Rehab in 2010. She’s now using her experience to help others.

    “I wanted to be on the forefront of this fight. I want to break the stigma. I want to be a part of hopeful healing,” she told The Fix in a 2016 interview. “I am enthusiastic and I am passionate about doing what I do today.”

    Phillips is grateful that she had access to treatment for her drug use—she acknowledged that many people, like her character Barb, do not. “I’ve had access to the best behavioral health care for my own addiction over the years. But someone who’s in prison or someone who doesn’t have the resources or the good insurance that I have, doesn’t have the opportunity,” she told People.

    A comprehensive treatment program is important to sustaining one’s recovery, she added. “So when you just take the substance out of the picture, all the behaviors are still in place and the only thing missing is the drug of choice. So real recovery comes through other channels, rather than just stopping using.”

    Phillips’ extensive experience with drug use came in handy on set. She described one instance where she had to revise a scene that didn’t ring true: “Being the expert drug snorter, I was like, ‘No, no, no, that’s not the way she should do it. Let’s cut the straw at an angle,’” she told Vanity Fair. “It was weird. It was like, ‘Wow, I used to live this way.’ And now I get to act it out, and then walk away free and recovered. That in itself is magical.”

    View the original article at thefix.com

  • Keith Urban & Other Celebs Offer Demi Lovato Recovery Advice

    Keith Urban & Other Celebs Offer Demi Lovato Recovery Advice

    Kelsey Grammer and Mackenzie Phillips are among the celebs who offered words of encouragement to the pop star.

    Pop star Demi Lovato is expected to make a full recovery after landing in the hospital last Tuesday for an “apparent overdose.” CNN reports from a source close to the singer that the next step will be to enter a recovery program.

    News of Lovato’s apparent overdose was especially striking; as the “Sorry Not Sorry” singer and Disney Channel alum has made a name for herself as a champion of mental health and recovery support. She celebrated six years of sobriety in March.

    Fellow celebs in recovery have offered words of encouragement as the dust settles from last week.

    While appearing on The Today Show in Australia, country singer Keith Urban, who has over a decade of sobriety, shared that it would benefit Lovato to have “good people around her and a willingness to want to live a different way if that’s what she wants to do.” He added, “It’s all up to her.”

    The “Blue Ain’t Your Color” singer spent time at the Betty Ford Center in Palm Springs, California in 2007 for alcohol. “I wish I’d gotten sober many years earlier than I did, but it is what it is,” he said in March.

    Kelsey Grammer, star of the classic sitcom Frasier, could also relate. “Forgive yourself. That’s about it,” he advised Lovato. “Somebody told me a long time ago, a pretty smart guy, [that] ‘Any kind of addiction is really the result of unsolved grief.’ And that has held true for me as I’ve gone through life ever since and that’s why I give that piece of advice.”

    Grammer said last summer that alcohol and drugs were his way to cope with a series of family tragedies, including the murder of his father during a home invasion.

    He was finally able to move on, with the help of the proper treatment. “I just put [that pain] where it is: in the past. But it’s a pain that you can always stumble into again—it’s with you 24/7, especially in the case of tragic death, and there have been a few of those. It’s just a part of life. Maybe I learned a little earlier than most, but it’s just the way it goes.”

    Actress and recovery counselor Mackenzie Phillips also put a word in. “You’re talking about someone’s life. You’re not talking about a breadwinner, you’re talking about a human being who’s struggling with a real, real problem. And so people need to just let her do her thing and get well.”

    View the original article at thefix.com

  • Your Thoughts Are Not Your Friends

    Your Thoughts Are Not Your Friends

    Your Thoughts Are Not Your Friends

    You are not in charge of the thoughts that arise in your mind. Otherwise you would choose to be happy all the time – or to remain unruffled in every moment.

    If you’re not sure about whether you are in control of your thoughts, try the following three minute experiment. All you need is a sheet of paper, a pen and the stopwatch on your smartphone.

    Now start your stopwatch and scribble down every separate thought – however fleeting or insignificant – that occurs to you during the next 180 seconds. Then stop and cast your eye over ‘Exhibit A’. You may or may not be surprised by the volume of thoughts that have just streamed through your mind. And by the instances of repetition.

    You now have practical evidence that a ‘thought tap’ is permanently open in your mind, producing a constant dribble of material. A lot of it is trivia. A lot of it is nonsensical. A lot of it is negative. Some if it is loving. Some of it makes you feel happy. Some of it is harmless. Some of it makes you bristle with anger, jealousy or insecurity.

    I don’t know where these thoughts come from and that doesn’t really bother me. What’s more important is to see that attempting to attend to every one of these thoughts is madness. Because to do so would be to commit myself to a life of virtual slavery. It would be rather like spending the rest of my life trying to tidy up the floor of the Amazonian rainforest by picking up every twig, leaf, seed pod or vine that fell to earth.

    I prefer instead to think of my mind as resembling a weather system. I know that I don’t choose the weather. And I know it doesn’t give a hoot about my preferences. Sometimes it’s sunny, sometimes it’s raining. Sometimes there’s a thunderstorm. And I can rage against the rainclouds as much as I like, but I can never ‘fix’ them.

    Even if I get onto Twitter and express my dislike for the particularly menacing raincloud that has parked itself above my home I will not alter the outcome. The raincloud will pass in its own good time. So I prefer to ignore the rainclouds (as far as I can) and get on with what needs to be done. More weather will be on the way, because we are never ‘weather free’.

    You don’t choose your thoughts either. If you wish you can rage against your thoughts all day long, but you can never ‘fix’ them. So why not leave them to their own devices and get on with what needs to be done (your cat, dog, child, friend, mother, partner or work colleague probably needs you)?

    Like rainclouds your thoughts will eventually pass, unless you obsess about them and let them take over your life. More thoughts will be on the way, because we are never ‘thought free’.

    Given that our minds are already besieged by thoughts we probably don’t need any more material. We can choose to partially release ourselves from ‘slavery’ by taking regular breaks from texts, emails and social media and practising mindfulness. Or we can choose to open the proverbial floodgates and allow the floor of the Amazonian rainforest to become even more cluttered.

    The weather is not your friend and neither are your thoughts. It’s your call.

     

    View the original article at itstimetologoff.com

  • Language Sideways: The Poetry of Addiction

    Language Sideways: The Poetry of Addiction

    In what ways do current poems of addiction represent the minds of addicts in the throes of active disease as well as after the process of recovery’s begun?

    Something poet Sam Sax said in an interview for The Fix has me thinking about poetry and addiction. “Poetry for me,” he told writer Christian Arthur, “is the only medium I’ve found that can accurately mimic how the brain moves.”

    I’ve sensed this ever since I stumbled into poetry in my early 20s, and though I’ve written books of poems and have taught writing for years, Sax’s statement reminds me that poets use language in radically unexpected ways. Rather than communicating directly, poetry sidesteps logic in ways that may enervate or baffle. Because its language may seem sleight-of-hand (or even swindle), poetry is a medium well-suited to embody the multidimensional shifting and meandering that the mind enacts on a regular basis. But what may seem merely perplexing language that distorts reality may also be noted as presenting how the brain actually moves, with dizzying speed from present to past, reality to fantasy, hard fact to symbolic representation, all in a moment or, more likely, a split second.

    Got it, and now we’re good to go back to our double espresso lattes and the latest CNN infuriation, right? But not so fast, for my coffee-charged mind is cycling through thoughts faster than I can process them, and my news-cycle drenched brain—well, never mind the news. The brain on coffee gets us closer to poetry, at least in the sense that I wish to explore here in relation to Sax’s statement. How, I wonder, does poetry fare under the strain of the addictive mind? What are the ways that poems written by recovering addicts mimic the mental circuitry of addictive thinking, that snarled labyrinth of brain moves that torture every addict I’ve known, both before and after sobriety? In what ways do current poems of addiction represent the minds of addicts in the throes of active disease as well as after the process of recovery’s begun?

    * * *

    Since American poetry is presently enjoying what may well be its golden age, I push away a stack of books by familiar poets and take up three recent books by first-time authors. Though Anne Sexton, Robert Lowell, John Berryman, Charles Bukowski, Etheridge Knight, Jean Valentine, Gregory Pardlo, Cynthia Cruz, Nick Flynn, Maggie Anderson, and Joan Larkin—whose poems on alcoholism The Los Angeles Times described as “the finest ever written on the subject”—have much to tell us about how the addictive mind works, I wish to witness the mental machinations of those at the frontlines of sobriety.

    So I turn to the most recent debut poets issue of Poets & Writers magazine, where I find ten first books, at least three of which address the subject of addiction.

    To read Sam Sax’s Madness, William Brewer’s I Know Your Kind (both chosen for the National Poetry Series) and Kaveh Akbar’s Calling a Wolf a Wolf is to enter danger zones in which the only direction we have comes not from GPS, but from eyeballing how close we drive to the edge of a cliff. In these poems, the mind is vertiginous, and in many cases its language sidesteps reductive meaning in order to reproduce, in the reader’s mind, states of mentality pertaining to the addictive impulse. In each of these books, non-linear, sideways-moving language introduces us to harrowing inner worlds. Words swoop down without warning to initiate us in the experience of drug-induced psychosis or to the grief in watching a brother overdose. Lines come at us from around blind corners to ambush us with the minutiae of what detox feels like, from the inside out. Meaning strips us bare then retreats, and words act not as locatable comfort, but as ventriloquized ephemera, cast-off detritus of the unspeakable degradations and mysteries of the addicted mind.

    In its 79 pages, Madness (Penguin 2017) reveals a mind reeling from institutionalization, addiction to alcohol and painkillers, and the initial stages of recovery. Its concision may appear, at first, as imprisonment until you find that Sax’s language is liberating, untethered, and—dare I say it?—downright playful. You read these poems as interior landscapes. Though statements such as “i can only half-blame alcohol for my overdose / the other half is my own hand / that poured the codeine” (“On Alcohol”) occur, by virtue of Sax’s skill with wordplay and cadence, we’re invited to participate in a mind surveying its experience of an addictive trajectory that spans active withdrawal to whispered reprieve.

    The heft of his subject matter—inpatient mental illness, queer identification and sex as painkiller, an uncle’s cancer, and, of course, drug use—may seem weighty enough to crumple the reader into one of Sax’s finely-wrought pages. Yet the writing style renders Sax’s project one of resuscitation and, for this gay reader, affirmation.

    I have to work for it, though, and Sax gives nothing away cheap. Starting with a prefatory block of clinical language from the DSM-1 (1952), words, in and of themselves, cannot be trusted. “[T]his must be the way of things,” Sax writes in one of the four poems titled “Psychotherapy,” “—all signs pointing toward unknowable destinations.” In the mental states of addiction, nothing clear-cut will do. Sax’s speaker opts for a more chaotic approach. “i’ve begun to grow distrustful of sense,” he says in “On Syphilis,” “let there be madness in the text.” Linear meaning oppresses the mind the way disease oppresses the body, until there’s nothing for language to do but to burst out of its skin. That means, in the mind moving in these poems, out and up, into the freedom of wordplay.

    Linguistic play sets the reader on notice as to the liberties this book takes with documenting a mind that refuses to move in acceptably linear ways. Words rub against each other, a form of auditory intrigue. “[A]ll our white blood / cells an oven,” Sax writes in “Fever Therapy, “a coven of bees blushing,” the off-rhyme (eye rhyme) of “oven” and “coven” creating a kind of linguistic harmony. Elsewhere Sax puts into motion a series of two- and three-word morphing patterns—“comets” / “comma” and “boarding” / “boring” and “sickle,” “silk,” “sick” (“Diagnosis”); “ward,” “warden,” “wars” (“Willowbrook”); “city,” “family,” “ancestry” (“On Syphilis”)—chains of sound that please the ear and, in one possible interpretation, mirror the circularity of the speaker’s addictive mind. Rationality is turned on its side, and we are driven over it, roughshod.

    As I read, Sax’s cadence catches my attention as language becomes a percussive instrument drumming out the mind’s anguish. Punctuation, or its lack, emphasizes these poems’ rhythms, as well as their barrage of mental buzz. In Sax’s hands, driving cadences refuse logic while simultaneously giving rise to a clashing sonic beauty that articulates feeling (drowning? enclosure?) better than most narrative can. Take these lines, for instance, from “Transorbital Lobotomy”:

    in the fifties there were tens of thousands performed in the states

    sour mess. sour mash. mash-up. macerate.

    cut a rug. jitterbug. wonder drug. gutter. tug. suture. lacerate.

    erasure. erase. raced. deadened. dead end.

    How can writing about lobotomy sound so, um, appealing? So mentally alive? There’s more than meets the eye: an outpouring of mind that moves toward implying the panic and dis-ease of circular thinking, while simultaneously (and subliminally) encoding that which is sonically recuperative. In one of the main ways that Sax’s poems encode mental activity, sound, in and of itself, simultaneously embodies the horrors of addiction and enacts recovery.

    Recovery’s brain moves happen in William Brewer’s I Know Your Kind (Milkweed 2017), but differently. New York magazine calls Brewer “America’s poet laureate of the opioid crisis,” but even those like myself who have never taken recreational opioids might find familiar ground here. Addiction is addiction, and in “Oxyana,” the place Brewer defines as “[a] nickname given to the town of Oceana, West Virginia, after becoming a capital of OxyContin abuse,” the addictive mind proliferates. But it’s also where I experience a degree of skepticism with regard to Brewer’s poetics, for this statement seems more explicit than what I’ve come to hope for in poetry. My misgiving only increased as I read further: “Following a successful crackdown on prescription painkillers, heroin has now flooded the state. West Virginia has the highest fatal overdose rate in America, nearly three times the national average.” How, I wonder, can this factual language reach a state of epiphany that poetry is primed to offer? Explanation, my thinking goes, kills the spell that lyricism attempts to cast.

    Which is what I expect to happen in I Know Your Kind. Brewer’s emphasis on Oxyana feels narrow, literally confining. And I sense a further problem in Brewer’s first poem, “Oxyana, West Virginia,” which opens with a panoramic view that winds through the Alleghenies and arrives at the town where the action is. Does the addictive mind think this way—in aerial shots panning down from the ethers to land us in an Oxyana? This seems too staged to be a useful representation of the addictive mind in action.

    But in the book’s second poem, “Icarus in Oxyana,” a striking image leads me to the discovery of another way poetry renders how the brain moves: “Someone on the porch / who’d lost both his arms / chain smokes.” This single image–bold, bewildering, painfully true–clarifies the addictive mind at work. It allows me to settle into this book, an eye out for other potent images.

    And I find them: “waking up in an alley with a busted face, // teeth red and penny-sweet, the rain / coming down clear as gin” (“To the Addict Who Mugged Me”); “have held the still hive of his head, / have placed my lips against the shadow // of his mouth, screamed air into his chest” (“The Messenger of Oxyana”). And these, from “Detox Psalm”:

    With the waves’ jade

    coaxing, I heaved my every organ

    through my mouth, then cut a mouth,

    at last, in my abdomen and prayed

    for there to be something more divine

    than the body, and still something

    more divine than that, for a torrent

    of white flies to fly out of me,

    anything, make me in the image

    of the bullet, I begged, release me

    from myself and I will end a life.

    Language moves sideways here by creating literal impossibilities—heaving internal organs through the mouth—that are metaphorically accurate. Detoxing does feel like the body throwing itself out of itself, the skin all wrong. The detoxing body is its own enemy, and glad we would be, at the worst of it, to be our own bullet that ends the body’s dangers. Such is the power of Brewer’s imagery to carry the reader through the stages of addiction, partial recovery, relapse, and finally sustained recovery. Brewer’s images depict the emotional and mental rot at the foundation of addiction, the skewed thinking at the heart of the disease.

    In the work 2018 Pulitzer Prize winning poet Frank Bidart calls “an intensely inventive and original debut,” Kaveh Akbar’s Calling a Wolf a Wolf (Alice James 2017) is alive with images that render shifting mental states at dizzying speeds. Akbar’s poems shunt from one emotional state to another, giving a sense of mental motion more reminiscent of driving too fast on hairpin curves than of logical elucidation. We race to keep up with speakers who pay no heed to safety. In “Portrait of the Alcoholic with Withdrawal,” Akbar offers a description that veers from one image to another: “I can hardly picture any of it now / save the fox I thought / was in the grass but wasn’t // I remember him quiet / as a telescope / tiny as a Plutonian moon.” Dimension derails, and disproportion prevails as the poem’s narrator lurches from fox to telescope to a moon so far in space that we’re granted a sense of how distorted the mind is that’s lining up these improbable—and emotionally accurate—images of DTs. “It’s amazing what you can find / if you just dissect everything,” Akbar writes in another poem, followed by a tumble of images: “Once / I pulled a glowing crystal from my beard / and buried it in the earth. The next day / I went to the spot and dug up a silver trumpet.” These images aren’t locatable in a linear context. They lurch and undulate beneath the skin of sense, advancing a project that, as with both previous poets, incites a sense of skepticism in relation to the body. As such, Akbar’s images wobble, as if they’re about to topple headlong onto bloody pavement. It’s no wonder, given the sidewinder moves the mind in these poems makes, that Akbar admits, “When I wake, I ask God to slide into my head quickly before I do.”

    Because of Akbar’s linguistic bravura, it takes time for me to become aware of his use of topographical space representative of another way the mind moves. In the context of his poetry, empty space is not vacant; it connotes the unsaid, the impossible-to-say, the outer limits of implication. Every silence is an admission of not-knowing, a blow against hubris. Amid the linguistic swerves of Akbar’s poems, ample white space sometimes surrounds words, engulfs lines and whole stanzas in a silence that cordons off a kind of quiet amidst mental chaos. For showing brain moves in his poetry, silence is as meaningful as articulation.

    Akbar offers extra spaces between words (“my whole life I answered every cry for help with a pour   with a turning away” [“Calling a Wolf a Wolf (Inpatient)”], and he occasionally jettisons left-margin conventions in favor of lineage that moves across the page (“Portrait of the Alcoholic with Moths and River,” “The New World,” “Against Hell”). Though the silences of the intake interview embodied in “Drinkaware Self-Report” indicate physical and emotional distance between interviewer and interviewee, the majority of Akbar’s silences are indicative of commonalities. The space between the three-line stanzas that filter across the page of “Learning to Pray,” for instance, are silences of communion, of reaching toward something greater than the addicted self. The white space between the unrhymed couplets found in “Portrait of the Alcoholic with Relapse Fantasy” is tentative with an uncertainty suggesting a fragile state of mind.

    In Akbar’s best work, silence girds understatement, and what remains unsaid gives a sense that within the frantic place of the addictive mind lies a locus of calm. There, the mind doesn’t explain. It doesn’t offer delusion or false comfort. Yet it comforts, perhaps because open space is public space that has the potential to welcome us all. In its meaninglessness, it aspires to greater meaning, the way, say, our parks and canyons and monuments are open to everyone. Language can undercut commonality, but silent space knows no identity other than that of all. Silence is, in a word, collectivity. We is its pronoun, as in we are not alone. No matter how difficult may be the stages of overcoming addiction, Akbar’s silences imply, there are others with us. The silences I see in his poetry of addiction are perhaps the most hopeful of all the mental moves I’ve observed.

    * * *

    Poetry of the caliber of these three debut poets reminds me that the mind is not a linear muscle. How can it be that I so easily forget this? Wasn’t it just last week that a stain in my bathroom sink reminded me of the cigarette burn at the edge of my grandmother’s porcelain tub from forty-five years ago? Didn’t that image trail with it the smell of her Slavak cooking and her devotion, in absurdly equal proportion, to the L.A. Dodgers and As the World Turns? Standing in my apartment a few days ago, at the sight of a mar on my porcelain my mind catapulted back to four years before I took my first drink before ricocheting into a present that contains the seven years (this month) since I’ve had my last. It happened so suddenly that it shocked me.

    Which is frequently how our minds work. What sideways language does is enact this process, so that we can see it in action. It’s the conduit between our current and past selves, making us privy to states of being we might otherwise miss.

    Though the majority of Americans express intimidation and disinterest in poetry, I wonder if in doing so they aren’t inadvertently expressing a fear of language that moves the way the untethered mind does. Sideways language may nudge us to wonder if it’s not linear logic, rather than its sideways counterpart, that enacts distortion. Minds of addicts and non-addicts alike traverse multiple planes of experience simultaneously. Poetry, in enacting the mind in all its vicissitudes and pyrotechnics, its leaps and mental gymnastics, is an art that counters, not codifies, linear distortion. Shouldn’t we honor, rather than disparage, the depiction of mental states as we actually experience them, something that Sam Sax, William Brewer and Kaveh Akbar are teaching us to do?

    View the original article at thefix.com