Tag: Features

  • Rehab Redemption: Faking It in the Fishbowl

    Rehab Redemption: Faking It in the Fishbowl

    As I shared my experience with the group, I knew that I should be expressing some kind of emotion, but the tears simply refused to come.

    There was a group activity – an exercise – they made us do at the inpatient treatment facility where I ended up because I couldn’t stop drinking. It was called “Fishbowl,” and it required an individual to sit in the center of a large circle of folding chairs and describe something horrible that had happened to them, or some shameful act they’d committed against somebody else. The other addicts and alcoholics would sit in these chairs — the “bowl” — and listen as the “Fish” shared this traumatic event from their past. Without fail, by the time the tale was over, the storyteller and most of the people in the room would be sobbing uncontrollably. 

    Often, the Fish would reach a point mid-story when their emotional response would render them incapable of carrying on. The audience would sit there uncomfortably, waiting to hear how the narrative played out, watching in disappointment as a counselor wrapped the Fish in a tight, one-armed hug while holding a box of tissues up to their tear-streaked and quivering face. And yet, regardless of the tears, and despite the very real prospect of either witnessing or suffering a complete mental breakdown, everyone in the facility — staff and patients alike — absolutely loved doing Fishbowl.

    Get That Shit Out of Your System

    It was a 30-day treatment program, and Fishbowl was conducted on a four-week rotation, meaning that with a little luck, you were able to participate twice during your visit. I had essentially won the lottery by walking into the beginning of an intense Fishbowl session on my very first day at the facility. My peer advisor — a skinny 20-year-old in khakis who was trying to quit heroin — told me as much as he led me away from the reception area and down a hallway that ended at pair of steel double doors. “Fishbowl fucking rules,” he told me. “It feels so good to just get all the shit out of your system!” 

    He cautioned me to be quiet as we entered the lecture hall. The doors opened to reveal a ring of people seated in a circle and segregated by gender along a diametric divide. A few people turned to look as he directed me to an open seat between a middle-aged man with a Wyatt Earp mustache and a teen with a shaved head wearing a tattered blue hoodie. The chairs were pointed inwards towards a young woman who was, to my horror, sobbing and convulsing as she gulped down air and twisted a plastic water bottle in her hands as if wringing a towel. 

    The Fishbowl was my first experience in treatment. Before I’d even been shown to my room, I witnessed a stranger scream through tears about how she’d barely escaped a house fire she’d caused by passing out with a lit cigarette in her hand. Her cat, she bellowed, had died in the blaze.

    The young woman finished her story and the audience members thanked her for sharing while providing a light round of applause. As she walked back to her seat, a stocky man with a buzzcut and the general demeanor of a high school gym coach stood up and asked who would like to be next in the bowl. Instantly, 50 synchronized hands shot into the air and a raucous chorus of “Me! I will! Me! Bryan, pick me!” resounded from the perimeter of the folding chair circle. My peer advisor – Mr. Khaki – was the lucky one chosen, and he clapped in excitement as he trotted to his place in the center of the room. 

    Once seated, he placed his hands in his lap, took a breath, and launched into a story about showing up to a trap house to score drugs and being robbed by a pair of dealers who beat him severely and then forced him into the trunk of their car. They drove around for hours, stopping intermittently to exit the vehicle for brief periods of time before returning and driving off to their next location. Mr. Khaki recounted through barely decipherable sobs how every time the car stopped, he assumed they were about to pop open the trunk lid and kill him. That feeling of powerlessness, he explained, combined with his ever-worsening heroin withdrawals, created a hellish experience of total vulnerability that ultimately set him on his current course to recovery. 

    Eventually they stopped and the trunk opened an inch, as if someone had pulled the release handle inside the cab of the car. He heard the dealers exit the vehicle and assumed the worse, feeling around for anything he could use as a weapon to defend himself. But the men simply walked away, the sound of their voices and footsteps quickly fading into silence. He climbed out of the trunk and took off running. After a few blocks he slowed down and then walked several miles to the house where he lived with his mother. He cleaned himself up, and never reported the incident to the police. When his mom asked about his black eye and the cuts on his face, all he would say is that he wanted to stop using, and that’s what led him to the inpatient treatment center where he was now sharing his story. 

    Mr. Khaki’s traumatic experience clearly resonated with the other members of the group. There was an explosion of thunderous applause, along with shouts of appreciation and encouragement as he accepted a tissue from Bryan and stood up from the chair. He was replaced by a girl who told a story about being abused by an ex-boyfriend — a man who, she told us, was currently undergoing treatment at a different facility. Then the gentleman with the mustache fell to pieces as he recalled missing his daughter’s birthday party because he was passed out drunk behind the wheel of his pickup truck in the woods where he’d go to drink in secret. Bawling and quivering, he choked back sobs as he recounted how he’d regained consciousness in the dead of night, unsure of how to get back to the highway. 

    My Turn in The Fishbowl

    Eventually, Bryan, the linebacker of a counselor who was running the Fishbowl session, turned to me and asked if I’d like to give it a try. “How about it… Jason K.?” He squinted at my adhesive name tag. “Why don’t you tell us something about yourself?”

    “Uh… I’m okay. I’m still getting the hang of things,” I replied, wondering if anyone would try to stop me if I made a run for the exit.

    “What’s your D.O.C.?” Mr. Khaki interjected. I wasn’t sure what he meant. I knew that most of the other people at this facility were here by court order. Was he talking about the Department of Corrections? 

    “Um, I’m actually here voluntarily,” I said. “I checked myself in.”

    “No, your drug of choice,” said Mr. Khaki. 

    “Oh, um, alcohol mainly, but once I get started with that, anything is fair game.” There were murmurs of understanding and acceptance from the other members of the group. 

    “How much clean time do you have?” asked Bryan.

    “I’m two weeks sober today,” I replied. “A week in the detox center, then six days waiting for a bed to open up here.” At this admission, a roar of applause even bigger than the one elicited by Mr. Khaki’s story erupted from the circle.

    “I know you just walked into this, and it probably seems overwhelming, but it’s a great way to start your time here. Get something off your chest.”

    “Yeah,” Mr. Khaki chimed in. “You’re gonna have to do it eventually. Might as well get it out of the way.” Other members of the group were urging me on as well, offering words of encouragement to motivate me into that chair at the center of the room. I felt like they were starving for my trauma. Like everyone was eager to get a taste of the new guy’s emotional pain. 

    “Alright,” I said, to a round of anticipatory cheers. “Fuck it. I’ll go.” 

    The seat was still warm from the cumulative body heat of the last dozen people to sit here and make their confessions. I began rooting around in my brain for something to share, wanting nothing more than to escape through a window and suck down ten cigarettes in rapid succession. I’d chain smoked nearly that many on the sidewalk outside the treatment center just one hour earlier while mustering the courage to propel myself inside. It took everything I had left, courage-wise, to flip through the smoke-damaged photo album of my mind in search of a suitable story to share. 

    The Tears Refused to Come

    Should I tell them about the time I got caught breaking into a bar where I worked? How I was fired, couldn’t pay my rent, and subsequently ended up being evicted? Or the time I was kicked out of a rock show for being too drunk, and when the bouncer led me out the door at the back of the club, I fell down the stairs and landed on my face in the alley below? How a police officer sat me on the curb and held napkins to my nose and mouth until an ex-girlfriend of mine just happened to walk by, and how she took me to her brother’s apartment and cleaned my wounds while sobbing and begging me to go to treatment? And even then, how I refused to stop drinking after one of my teeth became abscessed and my jaw swelled up to the size of a grapefruit, and the doctor told me I might die? Or maybe I could share about the time I stole an acquaintance’s wallet out of his coat pocket as we walked through a crowded bar, then pulled out the cash and threw the rest down a storm drain. About how, when he noticed it was missing, I convinced him he’d left it at the last bar we were at, and even helped him look for it. I had hundreds of stories like these to share, each one a reminder of who I’d become and why I now sat there, frightened and confused in the Fishbowl, hating myself. 

    In the end, I decided to share the story of how my mother deserted my family when I was eight years old. Better to throw her under the bus, I thought, than to expose myself as the world’s biggest piece of human garbage. I began by talking about how she simply disappeared one night while we were sleeping. She’d written a note, explaining that she was too young to be married with kids, and she needed a chance to go live her life. I told the group how my sisters and I went to live with my aunt and uncle until my dad was able to figure out how to proceed in the aftermath of being abandoned by his partner. We ended up moving into my grandmother’s house, where we began the laborious process of rebuilding our lives. We didn’t see mom again for several months, by which point she was drinking pretty heavily.

    As I shared my experience with the group, I knew that I should be expressing some kind of emotion — that I should be bawling my eyes out like everyone else — but the tears simply refused to come. I tried forcing myself to cry by thinking about how I’d ended up here — an emotional phone call to my dad at a time when suicide was starting to look like the most sensible option — but it soon became obvious that my emotional moment wasn’t going to happen. I’d already cried so many tears for her over the course of my life that I now seemed to be tapped out at a moment when they actually might have done me some good. I wanted to fit in, to exhibit the vulnerability that my peers had so fearlessly demonstrated before me, but the best I could do was to put on a show, burying my face in my hands and pseudo-wailing while doubled over in my chair, a pale imitation of the genuine anguish I’d so recently witnessed. 

    My performance was a hard sell to this group of master-level bullshit artists. No applause followed, and no thanks were given. Instead, we all sat there blinking at each other for what felt like a decade before someone finally spoke up. 

    “Okay, that’s enough for today,” Bryan said. “Let’s finish with the serenity prayer.” 

    I stood up and made my way back to the circle, joining hands with Mr. Khaki and the blue hoodie kid. I’d learned the words to the prayer a few years earlier, when a previous landlord — herself a recovering alcoholic — convinced me to attend Alcoholics Anonymous, the implication being that it was the only way to save myself from eviction. I went to a few meetings and learned just enough to convince her I was working the program, but I never actually stopped drinking. She eventually caught on to my scam and kicked me out, but still, the words of the prayer had stayed with me.

    “God,” Bryan began.

    “God,” we echoed, linked by our tobacco-stained fingers around the now-empty folding chair. 

    “Grant me the serenity to accept the things I cannot change,” we continued in unison, our words echoing across the high ceiling of the lecture hall. 

    “The courage to change what I can,” we went on, most heads bowed and eyes closed, but not mine… not yet. “And the wisdom to know the difference.”

    “Free time for 30 minutes, then small groups,” said Bryan, prompting the crowd to disperse. Most people went outside to smoke while Mr. Khaki showed me to my room. I expected him to give me shit about my performance, but we walked down the hall in silence until we reached the door marked D402. He showed me around and then left me alone to unpack. I opened the suitcase I’d borrowed from my dad and started taking out the clothes he’d purchased for me just before dropping me off at the bus station. I placed a pair of flannel pajama pants in a drawer with the price tag still attached to the waistband. Then a package of white t-shirts, and socks, and toiletries that we’d shopped for with the enthusiasm of preparing for the first day of school. Rehab and kindergarten were similar for me in that way; the excitement of a new beginning, combined with a sense of absolute, bowel-clenching terror. And finally, at the bottom of the bag was a carton of cigarettes — Camel Lights — with a note taped to the front: 

    You got this, boy
    Love, Dad.

    That’s when I started to cry. 

    View the original article at thefix.com

  • The Other Side of Service: When Giving Back Becomes Exploitation

    The Other Side of Service: When Giving Back Becomes Exploitation

    Being of service means sharing our story of recovery to someone who is struggling or taking a newcomer to their first meeting, not taking away someone’s ability to support themselves.

    The greatest travesty in our field is exploiting people with lived experience for free labor. Peers and other recovery support specialists should be paid a fair, living wage. -Robert Ashford

    I have lost count of the number of times I’ve been asked to provide some kind of service — giving a talk, organizing an event, facilitating a panel discussion, attending and supporting a conference, writing a blog, or reviewing a website — for no pay, under the guise of giving back to the recovery community. 

    There is this notion within the community that because we found recovery, we should show our gratitude by giving back. This thought process originates from 12-step fellowships — specifically Step 12: “Having had a spiritual awakening as the result of these steps, we tried to carry this message to alcoholics, and to practice these principles in all our affairs.” 

    Exploitation Presented as Service

    The literature goes further to suggest that our recovery is incumbent upon that giving: “The joy of living is the theme of A.A.’s Twelfth Step, and action is its key word. Here we turn outward toward our fellow alcoholics who are still in distress. Here we experience the kind of giving that asks no rewards. Here we begin to practice all Twelve Steps of the program in our daily lives so that we and those about us may find emotional sobriety. When the Twelfth Step is seen in its full implication, it is really talking about the kind of love that has no price tag on it.”

    But asking someone to work in the recovery space for free isn’t service — it’s exploitation. 

    That statement sounds harsh, but I’ve found it to be true. And I learned the hard way. I found my recovery in a 12-step fellowship, and I dutifully gave back in abundance: I had several service positions at two to three meetings for the majority of my first five years. I’ve held literature, chair, secretary, treasury, and coffee/tea person positions. I have sponsored. I have learned that when you give, you also commit to regular attendance and are there to help newcomers. 

    While I don’t dispute that service helps others and is helpful for continued recovery, there comes a point where it can have a detrimental and potentially harmful impact. 

    I found that people began to take advantage of the commitment I made to show up. They did not arrive to perform their own duties, leaving me to do their jobs. Sometimes the coffee person showed up at the start time of the meeting rather than earlier as planned. A literature person would only show up halfway through the meeting, or not at all, and treasurers would show up at the end of the meeting. So I had to set up the room, unpack and set out the literature, make tea and coffee, buy milk, welcome the newcomers, and start the meeting. This was a regular occurrence, and I thought it was my duty to put up and shut up. I did this for many years, until I got fed up and realized that I wasn’t there to carry other people: I was there to support my recovery. 

    When I left AA I felt a tremendous relief. There was a lot about the program and fellowship that didn’t work for me. I was able to leave and find a pathway that was better suited to my needs. In doing so, I realized a number of truths, one of which is that my recovery isn’t incumbent upon what I give away for free. My emotional sobriety and sustained recovery depend on my continued development — in therapy, and through various other means of self-development and care. 

    The problem of service is not isolated to the rooms of 12-step meetings. It is an issue that is prevalent in the recovery community at large: there is an assumption that if you inhabit the recovery space within any capacity, you can rightfully ask someone to provide a service for free. I’m not talking about sharing at a meeting, hospital, or other institution, I’m talking about the request to provide professional help for free in the name of service. 

    I have lost count of the number of times I have been asked to write for free, to attend a conference and speak (and to pay for the ticket to the conference as well as all other travel expenses), to interview someone on my website or promote someone’s product or service, and to provide my online content expertise by reviewing business websites. All with no compensation offered. On the contrary, I was expected to provide these services for free, and the underlying presumption was that I should feel grateful to do it.

    I learned the hard way that while I want to help out anyone who is trying to pursue their dreams, I cannot do that at the expense of my well-being. I burned myself out by saying yes all the time. I also kept my earnings in a low-income bracket because I was afraid to say no. How would that reflect on me and my recovery? I was terrified that someone would think I wasn’t willing to help another person in recovery, or that I wasn’t grateful for what I had been freely given to me. 

    But here is the important difference: I wasn’t being asked to give back the hand of recovery; I was being asked to perform a specialized professional service — using the experience that I have gained by working incredibly hard (mostly seven days a week for several years) — for free. The irony is that these requests typically come from organizations and employees who are paid. An event, for example, generates income and typically has sponsors. Many of the attendees at these events work for organizations in a paid position and are given the luxury of attending during work time or are sponsored or paid to attend. These employees also have benefits: health and dental insurance, as well as paid leave. 

    What makes this particularly hard to digest is that many of these grassroots organizations are advocating for the better treatment of people in recovery and with substance use disorder, but they are unwilling to instill those values by paying the people who work to further their cause. 

    Placing Value on Expertise

    I am a full-time freelance writer and content strategist. The only way I pay my bills, and the exorbitant fees of running a business, is by getting paid for the work that I do. And often this involves having to negotiate fair pay from highly profitable businesses within the recovery industry — where executives earn six figures — because they do not value or understand what goes into being a writer. I haven’t had a vacation since I have been self-employed, and I pay for my own insurance.

    Apart from the role recovery culture plays in the idea of labor as service, I think the expectation of free labor also comes down to a lack of knowledge, value, and respect for the role of writers and what we do. 

    Writers don’t just sit down and the words flow onto a screen in 20 minutes. We spend hours, days, and weeks formulating content. We put in the emotional labor of transforming our emotions and experiences into words that others can relate to. We spend months — years even — developing relationships with researchers and other stakeholders within the community to provide reliable sources of information. We do research in order to gain different perspectives. And then we go back to the work and rewrite it, again and again. It is beyond a full-time job. The same goes for speaking: it takes time and energy to prepare and deliver a speech. I could write an entire essay on how long it takes to develop regular business, too. Work doesn’t just fall into our laps. 

    So if you work within the recovery industry, before asking someone in your community to do something for free, ask yourself whether you would do it for free if you didn’t have any other source of income. Ask yourself if you would ask any other professional to do that for free. When you ask someone to attend and participate in your event for free, ask yourself if you are taking away that person’s opportunity to pay their bills by working for someone willing to pay them and show respect and value for their work. 

    The True Meaning of Service

    I think it’s time that we revisit the true meaning of service: sharing our story of recovery to someone who is struggling. That means sharing at a meeting, or taking a newcomer to their first meeting. It doesn’t mean taking away someone’s ability to support themselves.

    That said, I am still here because some organizations do value my work. Others take note of my boundary that I won’t work for free and change their perspective. Then there are some community organizations that are already leading the way, like the Alano Club of Portland. Executive Director Brent Canode says, “As a recovery community organization, we feel a moral obligation to pay our dedicated staff fair and competitive wages for the important work they do to support recovery in our community. Our industry has a checkered past when it comes to labor standards and capitalizing on the free service of recovering men and women who naturally want to help others. We must always strive to set the bar high when it comes to valuing our recovery workforce because who else is going to if we won’t?”

    View the original article at thefix.com

  • Redefining Recovery: The Evolution of the Addiction Memoir

    Redefining Recovery: The Evolution of the Addiction Memoir

    From “Drugstore Cowboy” to “My Fair Junkie,” the focus of addiction literature has shifted to recovery.

    In July, the Centers for Disease Control and Prevention announced that last year, overdose deaths dropped slightly—from 70,000 to 68,000—the first dip since 1990.

    “Lives are being saved, and we’re beginning to win the fight against this crisis,” tweeted Alex Azar, the U.S. secretary of health and human services.

    But who’s “we,” exactly?

    Though I doubt Azar had contemporary literature in mind in the fight against addiction, it was the first thing I thought of when I read the statistic. For years, drugs and alcohol were so romanticized in literary culture, the words “writer” and “addict” seemed inseparable. Here it’s worth noting that, while you and perhaps many of the authors listed here might disagree, for this article—and, truthfully, because I do in general—I’m merging alcoholism and drug addiction into one thing, even if the individual recovery looks different.

    Back in 1990—when overdose deaths began to climb—novels like Drugstore Cowboy (1990), Leaving Las Vegas (1990), and Jesus’ Son (1992) presented a glamorized view of addiction. While these depictions weren’t sanitized, and it could be argued that they were less celebratory of boozy culture than the party chic depicted by F. Scott Fitzgerald and Ernest Hemingway, or even the work of beat generation authors like Jack Kerouac and William S. Burroughs, or later Hunter S. Thompson, these portrayals left their mark.

    Sarah Hepola, author of 2014’s best-selling memoir, Blackout (a redemptive portrait of addiction), agrees that she, too, “link[ed] writing with drinking and a kind of artful indulgence and libertinism… something close to a job description.” 

    But the culture has changed dramatically, and books today—like Hepola’s—offer more views of recovery than debauchery.

    The groundwork was perhaps first laid with Caroline Knapp’s Drinking, A Love Story (1996). Knapp took on not only addiction, but cutting, anorexia, and compulsive spending. Harrowing as her account was, the narrative throughout was informed by the lens of inevitable sobriety.

    Hepola remembers reading that book, “Chardonnay in hand.” But even if her “stomach sank” when Knapp sobered up, Hepola sensed that the author “was also thriving.” For Hepola, reading that book was part of an awakening that sobriety “might not be the death [she] feared.”

    Yet it wasn’t until Mary Karr’s Lit came out in 2009 that readers really got the chance to see addiction from the vantage point of long-term sobriety. This isn’t to say Karr made recovery look easy. As Karr wrote, “I haven’t so much gone insane as awakened to the depth and breadth of my preexisting insanity, a bone-deep sadness or a sense of having been a mistake.” That she would recover, however, was a foregone conclusion. That she would flourish—more so as a sober person than a drunk one—was obvious from her career.

    Since then, books more focused on recovery than addiction began to trickle in. There was Bill Cleggs’ 90 Days (2012), Hepola’s Blackout (2014), Lisa F. Smith’s Girl Walks Out of a Bar (2016), Amy Dresner’s My Fair Junkie (2017), and Catherine Gray’s The Unexpected Joys of Being Sober (2017).

    Then last year brought an avalanche. Leslie Jamison’s The Recovering, Kristi Coulter’s Nothing Good Can Come from This, Janelle Hanchett’s I’m Just Happy to Be Here, Porochista Khakpour’s Sick, Stephanie Wittels Wachs’ Everything is Horrible and Wonderful, and Tom Macher’s Halfway all came out in 2018.

    And it was this plethora of titles that made me wonder, could this uptick in rehabilitative tales have contributed to the decrease in overdose deaths? 

    It may not be possible to establish a cause-effect relationship, but there are clear correlations between art and life. The Netflix show 13 Reasons Why (based on a novel of the same name), has faced tremendous backlash over alleged copycat suicides, and research has shown these concerns to be valid. And despite the number of holes that could be poked in this idea—starting with how incomplete this list of titles is and including the fact that this study was provoked by the broadcast and not the book—it’s undeniable that recovery from addiction has a new kind of cachet thanks to these books. 

    And this trend doesn’t show signs of slowing, with more recovery titles on the way, including Dan Peres’ As Needed for Pain (February 2020), Eileen Zimmerman’s Smacked: A Story of White Collar Ambition, Addiction, and Tragedy (February 2020), Erin Khar’s Strung Out: One Last Hit and Other Lies That Nearly Killed Me (February 2020), and Rose Andersen’s The Heart and Other Monsters: a Memoir (July 2020).

    What may be even more interesting—and, dare I say, hopeful—about these titles, is that each offers its own individual path in recovery. There’s no one right way to do it, which not only reflects reality, but might make the prospect more palatable to more people.

    Khar, for instance, recalls looking for relatable stories“There were very few books about drug addiction written by women, and I didn’t find any of them.” So she set out to write one.

    “I want my book to give people hope and to reduce the stigma around speaking about drug addiction,” says Khar. “I wrote Strung Out because it was the book I needed when I was younger.” 

    Andersen, whose forthcoming book addresses both her and her deceased sister’s addiction, puts it bluntly—”For so long, [the] addiction [narrative] has been centered on the white, male experience,” she says. “Even basic AA literature was written by and for men, so to expand the voices that can be read and heard in this genre is vital.”

    Another important facet of this trend is that getting sober isn’t the end of the story. Hepola puts it this way: “Addiction and alcoholism has been a helpful lens through which to understand my relationship with alcohol (and food and men), but it’s not the only lens.”

    These books reassure us that there is life beyond addiction, more to recovery than the sad dirge of replaying past exploits.

    “Sobriety is really about cracking open possibilities,” says Hepola. “A life that is so much bigger than the bar stool.”

    View the original article at thefix.com

  • Learning to Have Sex in Recovery

    Learning to Have Sex in Recovery

    I had forgotten that I was once again in control of my own life… I needed to take charge of my sexual experiences just like I had taken charge of my recovery.

    So you used to hang from the chandeliers and now you avoid seeing yourself naked in the mirror? I can relate, friends. When I made the decision to stop using drugs 21 years ago, I was told “the only thing I needed to change was everything.” While this was not entirely true, there was one area that needed a complete overhaul: my relationship to sex. I wondered how I would ever transition from substance-fueled sex to a physical interaction that requires a bit of delicacy, and, dare I suggest, intimacy? 

    It wasn’t easy. 

    Men Are Pigs

    For background, I was raised by two very conservative parents that stopped sleeping in the same room by the time I was 12. The only “talk” my mother had with me was to explain that “men are pigs.” Fairly vague, even for the 1980s. My exposure to “sex” was accidentally finding pornographic magazines in bushes, late night movies on cable tv, and being sexualized by drunk adults. Sex became hardwired in my brain as this thing that men required and to which women begrudgingly submitted. There was little to no information about having sex for fun. Sex was associated with a quiet sense of shame. 

    On top of this, I was fat, and that made me feel unfuckable in suburban Ohio. I was okay with this at some level – remember, “men are pigs” — but I still wanted to try it. 

    The summer of my 17th year, my world got turned upside down. I lost 30 pounds, and suddenly the neighbor boy wanted to show me his dick, which I found entirely confusing. He’d never even given me as much as a sideways glance. I frequently got teased for being a virgin until finally my first real boyfriend “took” what I never felt like I had in the first place. Was I supposed to be feeling something? Anything? I mostly felt indifferent. 

    Alcohol and drugs arrived on the scene at the same time I was trying to figure out the machinery of an adult woman. After a few drinks, I would feel this rush of male attention that suddenly made sense. I felt “sexy.” My sexuality was a lure to pull in a person I thought liked me. Sex became a way of gaining what I wanted, a way of garnering much needed attention. Sex suddenly became more interesting. 

    The first time I had sex with a woman, I woke up from a blackout with her underneath me. Oh hey. Sex was this jumble of things, many of which made no sense to me. I had no idea how to make this thing work. Where was the owner’s manual?

    A Sense of Urgency

    Imagine my surprise ten years later when, 24 hours into my last detox, my crotch suddenly sprung to life without notice. There was a sense of urgency to explore the areas I had so frequently ignored while steeped in a nod. Unfortunately, all this was taking place in a jail cell. My bunkmate complained to deputies I was keeping her up at night with my vigorous activities. For the first time in my adult life, my sexual experiences didn’t revolve around what I could convince someone to do to me or with me. I would have to figure things out for myself. 

    When the first 20 pounds of jail house grits and potatoes hit my thighs, I wasn’t particularly worried. I had become so thin after years of heavy use, I vaguely fit the stereotype of a woman. As I was flat chested with the collarbones sunken in, a bit of padding was a welcome addition on my bony ass…until it went from a folding chair to a whole loveseat. My reignited passion for life was matched by my love of food. 

    Slowly, incrementally, the increasing pounds began stripping away my self-esteem. The idea of fucking anyone seemed like an effort. I fell into a state of sadness. I would not consider letting anyone touch me, outside of a few random pats on ass from my “brothers” in the rehab. 

    This was in stark contrast to my life six months earlier. I had spent many years in a community of sex workers, thirsty bottoms, and quid pro quo relationships with the dopeman. There were no boundaries, and even less consent. In those days, my body was open for business, while my mind was frequently sedated and broken into tiny pieces. 

    What was the solution? My first sponsor insisted that I look at myself in the mirror every night while proclaiming “I love myself.” The intention was good but the reality felt forced. What was it I loved? My face– with a distinct scar across my forehead from a drunken car crash? My smile– which was marred by chipped teeth from grinding on meth benders? The insecure person inside? 

    My First Time…Sober

    Despite my fears, I had a growing interest to road-test the plumper machine. My first sober sexual encounter in recovery was clumsy. I was on a four-hour pass from rehab but I returned in less than 45 minutes. I don’t know why I had even bothered to take my pants off. I stuck my head against the wall in the shower, soaking in the regret. I was disappointed he didn’t even notice that my bra and panties matched. The nerve! 

    The second was much more extravagant. We went to a cheap hotel because he did not have the proper ID to visit my sober living. I barely knew him. I just knew he wanted me. He left me a gift: a ring of hickeys around my neck that made it look as if someone had choked me. This skin memento provided uncomfortable material for my next women’s support group. 

    “What are you getting out of this?” one of the group members asked me. 

    Was I supposed to be getting something? I had forgotten that I was once again in control of my own life. It had been so long since anyone had taken my feelings and my pleasure into consideration. I needed to take charge of my sexual experiences just like I had taken charge of my recovery.

    After bumping my head one more time in the early days– literally and figuratively as the person was quite acrobatic– I made a conscious decision to give my body the rest it deserved. Until I could unravel sex from the need for validation, I would be just fine exploring my own body without the bitter aftertaste. I had confused attention with affection. I presumed that desire meant connection. For me, none of these turned out to be the case. It wasn’t bad sex, per se. It was the fact that my expectations were far exceeding the actual experiences. I had done none of the work to heal my wounded soul and had greedily assumed my equally recovering body would be able to catch up. 

    My Body Is a Gift

    My story has a happy ending. It took many years of unraveling my emotional and physical baggage and eventually creating a filter, a boundary, and a screening process. I began to realize that it was 100% necessary to communicate my needs. I had to discover what I liked, create my list of dos and don’ts. 

    For the first time, I began to enjoy my sexual self with no shame. My body is a gift. Not everyone gets to unwrap it. 

    View the original article at thefix.com

  • 6 Movies That Portray Mental Health and Depression Realistically

    6 Movies That Portray Mental Health and Depression Realistically

    Movies have the power to shape how we perceive the world. Here are several films that treat mental illness respectfully and honestly, instead of contributing to stigma.

    Hollywood holds a lot of influence when it comes to current cultural beliefs surrounding mental illness, which is why fighting stigma should be a central tenet for filmmakers who tackle psychology and mental health in their projects. Films like Split demonize mental illness by twisting real disorders into monstrous villains. The real horror of mental illness is the pain it inflicts on the person with the disorder. Mental illness can affect those closest to us, but not in the horrifying ways portrayed in Split. The movies in this list are all successful in accurately depicting one or more aspects of mental health conditions.

    What films are we missing? Add your own recommendations in the comments.
     

    Melancholia

    Kirstin Dunst plays the leading role of Justine in Melancholia, a fantastical science-fiction film giving a terribly real reflection on depression. When I first saw this movie, I was in a severe depressive downswing. I was desperate to feel less alone in my isolation, and this movie helped. It was like a friend sitting down next to me and accepting me without me needing to explain myself.

    The story circles around two sisters as Justine prepares to be married (clearly unhappily). There are many moments that capture the listlessness of depression, such as when Justine is served her favorite meal, but she can’t taste it. Other characters try to support Justine in completing basic tasks such as bathing and eating, things that can be excruciatingly difficult for someone with depression. It touches on the compulsive urges that drive self-destructive behavior and the dull ache of depression.

    “It tastes like ashes.” – Justine
     

    What Dreams May Come

    Another fantastical meditation on the complexities of the human condition, What Dreams May Come stars Robin Williams as Chris Nielsen, a bereaved father who then dies himself, leaving his widow to her severe depression. We follow his journey through “heaven” and “hell” to save his wife who later dies by suicide. The colors in this film are out of this world, and the ideas it presents about severe depression and mental illness are beautifully depicted. There are some problematic ideas about a cure for depression, such as saving yourself to save someone else or that someone can save you from the pain of depression. But these potentially troubling aspects of the movie are overshadowed by poignant lines such as:

    “Everyone’s Hell is different. It’s not all fire and pain. The real Hell is your life gone wrong.” – Albert

    “What’s true in our minds is true, whether some people know it or not.” – Chris

    I had a hard time rewatching this movie after my own father passed away, because there is something about Robin William’s thin-lipped smile that was reminiscent of my dad’s closed mouth grin.
     

    Prozac Nation

    Released in 2001, Prozac Nation stars Christina Ricci as real-life Elizabeth “Lizzie” Wurtzel, a college student with atypical depression. The narrative connects early trauma with current depression as we see Lizzie’s traumas via flashbacks. Lizzie makes risky decisions and alienates people she once pulled close. Despite her success as a journalism student and writer for The Harvard Crimson, Lizzie can’t find happiness. Eventually by seeking professional mental health support and taking the antidepressant Prozac, Lizzie’s life stabilizes.

    “Hemingway has his classic moment in ‘The Sun Also Rises’ when someone asks Mike Campbell how he went bankrupt. All he can say is, ‘Gradually, then suddenly.’ That’s how depression hits. You wake up one morning, afraid that you’re gonna live.” – Lizzie
     

    Inside Out

    A Disney-Pixar success, Inside Out takes place in the mind of a young girl going through a big life transition. We see the complications of memory formation play out through the personification of five basic emotions: Joy, Sadness, Fear, Disgust, and Anger. We come to understand the importance of each core emotion, even Sadness. Memories are more complex than depicted in this film, but the basic premise is solid — our life experiences become memories which power our personalities. In this movie, the young girl at the center of the story experiences a breakdown of her personality until all her core emotions can learn to work together.

    “Do you ever look at someone and wonder, what is going on inside their head?” – Joy
     

    It’s Kind of a Funny Story

    Released in 2010, It’s Kind of a Funny Story is an honest portrayal of what can manifest from depression. Following a teenager after a near suicide attempt, Craig Gilner (played by Keir Gilchrist) is admitted into a hospital’s psychiatric ward. What this film doesn’t do is challenge notions about the success and helpfulness of psychiatric wards, which vary greatly in quality and care. And there’s an element of romanticism that is problematic. What this film does well is show the negative self-beliefs that can accompany depression. The film also addresses the common fears that people seeking psychiatric care experience because of the stigma around mental illness.

    “Okay, I know you’re thinking, ‘What is this? Kid spends a few days in the hospital and all his problems are cured?’ But I’m not. I know I’m not. I can tell this is just the beginning. I still need to face my homework, my school, my friends. My dad. But the difference between today and last Saturday is that for the first time in a while, I can look forward to the things I want to do in my life.” – Craig
     

    Helen

    Helen is a 2009 film starring Ashley Judd as Helen Leonard, a college music professor living with severe depression. What is particularly poignant about this story is that it captures the irrationality of depression. There is no trigger, there is just depression. No matter how many times someone asks “why?”, there is no answer that fully explains the underlying causes of depression. From an outside perspective, Helen’s life seems wonderful and successful. Feeling like you have no good reason to be depressed is a common experience for many people with depression. No amount of self-flagellation helps ease the pain, and we see that played out in this movie as Helen spirals.

    “Your wife is not unhappy, Mr. Leonard. Your wife is ill.” – Dr. Barnes

     

    View the original article at thefix.com

  • An Atheist's Guide to Alcoholics Anonymous

    An Atheist's Guide to Alcoholics Anonymous

    Simply put, when we do not understand how something works, we chalk it up to god.

    The following is an excerpt from a longer work.

    Spiritual Caulk and the Great Puppeteer in the Sky

    One of the most profound insights I’ve discovered in atheist literature is that god concepts serve the purpose of filling in gaps in our knowledge. “Miracles” like lightning and earthquakes and sudden changes in personalities were considered inexplicable. In order to satisfy the natural human hunger for explanation deities were invoked. To this day god serves the same purpose. Simply put, when we do not understand how something works, we chalk it up to god. God serves as a metaphysical caulk, a generic, all-purpose filler that effectively fills in the gaps in our understanding.

    One time at an AA meeting at San Francisco’s 1010 Valencia I heard a woman talk about a ride on a city bus. She was fairly new to sobriety, feeling pretty shaky at the time. As she rode the city bus she looked up and, there on the seat directly before her, she recognized a fellow member of AA. This chance encounter and their subsequent interaction helped her through a difficult time. She interpreted this as a miracle. She described it as “god working in her life”, a very common expression in the rooms of AA.

    This is what I have come to refer to, yes, somewhat derisively I confess, as the puppeteer god. It refers to the idea that god arranges worldly matters to reinforce our AA lifestyle, to miraculously guide our “spiritual” development. This god is very helpful, offers us numerous opportunities for growth, but never gives us more than we can handle. On good days god even finds us parking places when we are on the verge of being late for some important event, like an AA meeting or a job interview. The puppeteer also likes to miraculously inspire our sponsor to call us just when we most need to hear from him or her. I understand the comfort such beliefs bring. A safe, orderly world. Like a household in which a caring, attentive parent oversees all.

    But I wondered as she spoke, hadn’t this other fellow been on that bus before? Undoubtedly when she was still “in her cups”, that same rider was right there, sitting before her unnoticed. In fact that very same rider might have been sitting across the way, waving a Big Book directly in her face just the day before. But she would have been unable to acknowledge this fortuitous encounter and all the mutual good that it afforded. Perhaps she had been blinded to the world around her as she obsessed over how and where she was going to get her next fix, pill or drink.

    Wasn’t the difference, the real deal maker in this scenario, our speaker’s newfound willingness to perceive and imbue with value this most excellent opportunity for enhancing her recovery? Wasn’t her newfound openness and willingness really the crux of the matter, regardless of theistic interpretations?

    I find it very difficult to relate to the sharing of AA members whose Higher Power arranges the world to fix them. They utilize god to fill in the void in their understanding when interesting and impressive things happen in their lives. To me this just smacks of mental laziness. I feel very uncomfortable in meetings where this sort of thing takes place. I think they are dismissing the power of genuine willingness in their lives, denigrating the incredible capacity of humans to embrace change and transform for the better.

    If you choose to interpret recovery experiences in this way, you are left with some inexplicable and particularly onerous implications. For example, why did god not similarly come to the rescue of Freddy, or Jim, or Alice, or Tom? Each of them has relapsed and are now out stumbling drunk or shooting up in an alley somewhere. Why did the puppeteer not come to their aid? Is there a merit system involved? Is it karma? Unlikely to be the case, as we all know miscreants who have been spared, yet sweethearts who have succumbed.

    I believe that the real work in our bus rider’s life is being done largely by her newfound attitude. She is open to solutions and opportunities to grow her recovery that, prior to this time, she could not even have recognized. She is ready for new, life changing experiences that could move her forever away from the needle and the bottle, and instead towards sober well-being. This mindset, of open-mindedness and willingness, is essential to recovery. Theistic interpretations are not. And it is this newfound mindset that’s really doing the heavy lifting here. Not god.

    Courage to Change

    Prayer and meditation are among the most obvious examples of definitively religious practices considered essential to recovery. This morning, ironic though it may be, I prayed before returning to these blasphemous writings. Why? Because I need a daily restoration to sanity and this activity is a learned and habitual component in that process. 

    But the heavy lifting in prayer is not done by anything outside of us. The puppeteer deity does not meet our requests, or deny them, or even hear them. Through prayer and meditation we make fundamental changes to ourselves. It is an act of commitment and recommitment to a new set of values. But there is nothing that is literally miraculous involved, no outside deity at work. Praying for people, places and things does nothing to affect the people, places or things in question. What it can do is change us, and thereby our relationships with the people, places and things in question. What prayer does is simply change our thinking, our emotions, our action choices, and thereby everything about our relationships with the rest of the world.

    AA members often jest that we should be careful what we ask for. A common interpretation is that, when you begin to pray for something, to ask god for something, god will present you with opportunities to develop or earn that thing. Say, for example, you discover in your inventory process you suffer from impatience. Recognizing this as a defect in your character, you subsequently pray for increased patience.

    The popular mythology in AA is that, at this point, The Great Puppeteer in the Sky will place before you a frustrating series of circumstances intended to shine a spotlight on your impatience. “Our higher power presents us with opportunities for growth.” Having become ready to have this defect removed, god now tests, or forges, us through exposure to temptation. That god gives us what we need in order to allow us the opportunity to develop our character is a historically common theistic interpretation.

    But it is fairly easy to see how a non-believer, or conversely, if you will, one who believes in human potential, can interpret such experiences as simply highlighting our newfound sensitivity and awareness, along with our newfound willingness to change. Occam’s Razor, or the Law of Parsimony, suggests that, all other things being equal, we should employ the explanation which posits the least extra parts, as it were. Certainly employing supernatural deities to explain straightforward psychological and social phenomenon directly conflicts with this most common sense philosophical principle.

    Consider, for example, the sixth and seventh steps of Alcoholics Anonymous. These prescribe for us that we become willing to have god remove all of our defects of character and humbly ask him to do so. If we work the steps with genuine honesty, open-mindedness and a willingness to change, we will come to identify our negative tendencies and reach a state of willingness to change. From here on out, if we are genuinely interested in changing, we will be hyper-aware of these traits and their consequences in our daily life. This newfound sensitivity to both the trait and its impact on self and society are sufficient, when coupled with an awareness of viable alternatives, to fully explain the process.

    This is what happens when we identify problematic tendencies (steps 4 and 5), and subsequently become willing to change (steps 6 and 7). Through this process of honest and critical self-reflection we are now more acutely aware both of the behavioral propensities and of their negative effects upon self and society. We have heightened our awareness and see these things at work in our lives with greater honesty than ever before. Most of us are aware that some practice is then required, as we strive daily to employ different behaviors when the occasion arises to do so. In this manner we slowly but surely change our habits of word and deed regarding the problematic behavior.

    An introduction to viable alternative attitudes and actions
    +
    A genuine willingness to change
    +
    The passage of time
    =
    All the defect removal we need.

    The result of this process is that we can be significantly transformed. Some defects are removed quickly and easily, perhaps because they are directly correlated with using behaviors. These fall to the wayside as physical sobriety begins. But many defects of character we must grapple with slowly over time. Willingness to change includes being honest enough to identify the defects, to face their effects on ourselves and those around us, to see the daily flare-ups, to learn alternative attitudes and actions from our fellowship or literature, and then to practice the implementation of those alternative methods in our daily lives.

    On this “one day at a time” basis we experience slow, yet certain, incremental change. We gain nothing by understanding these profound transformations as dependent upon theistic intervention. In fact, we may be inclined to take less responsibility, to wait for the miracle rather than work for the change.

    Sometimes a genuine spirit of willingness will create moments of inspiration, moments of sudden change. This, too, should come as no surprise. These rapid changes are miraculous, indeed, in the sense that they are often life-changing and profound. But whether the change is slow and incremental or sudden and immediate neither requires theistic interpretation. In fact, by so doing, we denigrate the amazing and wondrous capacity of humans to change for the better. Perhaps taking the blame for the bad, while giving god credit for the good, is an antiquated and counter-productive tradition.

    The changes brought about by a life in AA can indeed seem profound, even miraculous. We are surprised. One day we could think of nothing but alcohol or drugs, and would obsessively, energetically and compulsively shape our lives around the need to use them constantly, regardless of the horrendous damage done to ourselves and to those around us. The next day (seemingly) we are caring, sober, responsible, unselfish and kind people, almost entirely transformed. We do not recognize that there is within us this capacity for transformation which is perfectly and entirely explicable on humanistic grounds. Because the change is beyond our understanding, we apply the spiritual caulk, the fill-all in our understanding that is “god”. But the caulk is not needed. Miracles happen every day. I know. I am one of them. If you are reading this, you are probably one too. But god is not required to make sense of them. In fact, in so doing, we denigrate and belittle our own innate capacity for transformation and positive change.


    The above is an excerpt from the book Common Sense Recovery: An Atheist’s Guide to Alcoholics Anonymous. The book was originally written as a journal by long-term member Adam N., as he sought to bridge the gap between the religious language and perspectives of AA, and his own increasingly secular, atheistic understanding of the fundamental principles of recovery. Now in its third edition, this work continues to be a valuable guide for many who struggle with the religious nature and language of AA and contains important insights for the future of the fellowship.

    An audio version of Common Sense Recovery will soon be available through audible.com.

    View the original article at thefix.com

  • My Family Is Obsessed with Legal Marijuana

    My Family Is Obsessed with Legal Marijuana

    Mason jars of homegrown flower, plans for a “bud and breakfast,” and a pipe named Zelda: How one family holiday opened my eyes to just how rapidly the cannabis-ation of America is rolling out.

    In my long-sober view, the new normal now wafting across my extended family from legal and soon-to-be legal weed states is nothing short of surreal.

    The U.S. is in the midst of a profound social shift. According to an October 2018 Gallup poll, 66% of Americans now support legalization of marijuana, up from 44% in 2009 (and 14% in 1969!). One in three Americans currently live in a state where pot is completely legit for adults, and with New York and New Jersey poised to join the legalization bandwagon, that number is likely to drop to one in two. National legalization is one of the more mundane talking points among the 2020 Presidential candidates, and the U.S. House of Representatives recently took a break from pondering impeachment to pass the SAFE Banking Act to ease restrictions on financing of marijuana-related ventures. The recent vaping scare notwithstanding, cannabis has gone from taboo to mainstream in the generational blink of an eye.

    Are We Rolling Into Post-Prohibition with a Clear Head?

    It’s that generational aspect of this marijuana moment in America that is most intriguing to me. As I celebrate more than 30 years of a sobriety that very much includes abstinence from pot, it seems that every other Baby Boomer I know — from my 65-year-old Alaska-homesteading sister to high school classmates moving gleefully into Parrothead-themed retirement communities — is reliving their doobie-driven youth with medical or recreational pot. Meanwhile, my Generation Z nephew tells me that he and his college friends consider marijuana as indispensable as their iPhones.

    Everyone I’m related to seems to be smoking, dabbing, growing, marketing, or otherwise celebrating cannabis. As I anticipate another family Thanksgiving turning into Weedsgiving, I have to wonder: Are we rolling into post-prohibition with a clear head?

    It’s not like we’re strangers to the dangers of substances in my family. It all goes back to the patriarch, our charming drunken newspaperman of a dad, a man who always had a pint and a half-written novel in his top desk drawer. By the time he died in the mid-1980s, he couldn’t write, or walk, or remember more than 30 minutes at a time. Alcohol had taken it all away.

    That was about when I got sober, having followed far enough in dad’s footsteps to know I had to stop. Our mom quit her Gallo Vin Rose and Marlboros not long after, and my sisters dialed their partying back to near zero as well. Our younger brother? He was always the straight one anyway, his only apparent vice a cigar once a year, smoked in his California backyard to avoid bothering anyone.

    Fast forward to 2017. We’re standing in that same backyard a year after voters across the Golden State approved Proposition 64, the Adult Use of Marijuana Act, and 20 years after California pioneered medical marijuana. I’ve come to Bakersfield for my niece’s pop-up wedding shower, but I’m the one who gets a surprise: my clean-living little brother, his ever-sensible wife, and our earthy-sane older sister all sharing a joint amid the streamers and hydrangeas. 

    Is It Purely Medicinal If You Also Get High?

    “It helps unkink my back just like it does Nancy’s,” my sister Adrian says, nodding toward our sister-in-law, “though at home I prefer my pipe.” Since Alaska legalized in 2015, she says, her little town of Haines is considering a future as a marijuana tourist destination.

    Brother Matt exhales and scratches his beard. “Honestly, it just helps me concentrate when I’m working on software, and then lets me ease up after.”

    What a bunch of potheads! I think, but don’t say. Instead I nod and listen and try to parse the difference between the toke you take for an ache and the pill you might pop for the same, or the puff that relaxes versus the bourbon that unwinds. Is it purely medicinal if you also get high? Is that pipe ritual upon waking the equivalent of a morning espresso — or a morning vodka? 

    I wonder what our parents, gone now more than 7 and 30 years respectively, might say about this latest chapter in the family history. Mom might chuckle at the sight of adults indulging in what she’d always known as a dumb kid pursuit, the province of the runaways she counseled at the shelter where she was lead social worker all those years. Dad might raise a glass of port — his drink of choice near the end — to anything that eases the pain that living sometimes brings. “And you say it’s legal now?” they would both ask, looking around anxiously. “Marijuana, legal. Imagine that.”

    A little over a year later, in the fall of 2018, we gather all the generations together for a once-a-decade family reunion at our sister Melody’s Airbnb in the Berkshire Mountains. Massachusetts has just legalized recreational marijuana, and Melody’s turned her green thumb to the task of growing. 

    Family Revelations

    Melody got sober the same time I did, and doesn’t herself partake. But the bounty of her harvest has the extended family abuzz. In pairs and trios, our siblings and spouses and offspring step out onto the smoking porch. Niece Kelly huddles with Melody to craft a listing for the inn as the Berkshires’ newest “bud and breakfast,” complete with a crystal bubbler pipe in each room. 

    Matt tells us what his wife and daughters have known since the early 1990s: that he smokes daily but didn’t want his sober sisters to find out; he’s now relieved to be out of the cannabis closet. When Melody hands out jars of bud for folks to take home as a souvenir of the weekend, our formerly militantly straight-edge nephew sheepishly claims one. “My friends got me a pipe for my 21st birthday,” he says. “I named it Zelda.”

    “Fitzgerald?” I ask, shaking my head at the enduring appeal of addiction and madness.

    “No, from Nintendo,” my nephew giggles. In his tween years, he spent hours composing electronic music for video games, and now I imagine him doing the same with Zelda and his Massachusetts weed, which he tells me “all of New York knows is the best.”

    On the way back to the city, I’ve designated myself the driver. Everyone else in the rental minivan is in various states of sleep or stupor, except for Adrian, who gets a little speedy after the third bowl of the day. She’s telling a story about the elders she works with back home, how gummies are getting this one off of painkillers and CBD ointment turns out to be just the thing for that one’s bad knee. 

    Half-listening, I have a vision of the senior center of the not-so-distant future. Old people who are my age now, swaying in their wheelchairs and walkers while aides pass among them, dispensing wafers and puffs of vape. A visiting DJ plays “Sugar Magnolia,” some Marley and a touch of Wu Tang. Staffers smoking up on their break outside create a welcoming cloud for the teenager who walks in with a water pipe wrapped in cellophane and ribbons for grandpop. A visiting daughter rubs sweet-skunky oil into her mom’s hands, fingers entwining. The world beyond is raging, but everything here is chill.

    I get a chill.

    Coming Home

    I drop off the rental car and head straight to an AA meeting. I’ve never been happier to raise my hand.

    “I’m Mickey, I’m an alcoholic, and I’m celebrating 33 years clean and sober.”

    View the original article at thefix.com

  • Overdose Deaths: Not an Epidemic or a Crisis, and Not by Accident

    Overdose Deaths: Not an Epidemic or a Crisis, and Not by Accident

    Overdoses are not mysterious, they result from predictable causes like criminalizing drug use, ineffective policies, poverty, lack of stable housing, and persistent racism.

    Opioid-related overdoses are not a crisis or an epidemic, and should not be described as either. Both words stigmatize the victims of a phenomenon that is not happening by accident. Such overdoses have been steadily increasing throughout the United States and are especially high in Appalachia (where we both work). Yet overdoses are not a natural or mysterious phenomenon. They result primarily not from individual, but from larger structural factors — criminalization of drug use, ineffective social policies, poverty, lack of stable housing, historical and persistent racism, and other forms of systemic oppression — which are all the result of deliberate policy decisions.

    We are told by the media, CDC, and state governments that the region where we live and work is ground zero for a drug “crisis.” Yet those same entities contribute to the problem through policies, funding allocations, and covering-up of underlying systemic causes. We must shift our language to reflect this. Substance use and overdose happen in predictable contexts and disproportionately affect marginalized communities.

    Terms Like “Epidemic” and “Crisis” Cause Alarm and Hysteria, Stigmatizing People Who Deserve Compassion

    More than 67,000 people in the United States died from opioid-related overdose in 2018. Alarmist headlines, even well-intended reports, do not justify an inaccurate framing. We advocate instead for the use of the term impact, or other language that indicates the underlying roots of suffering, instead of epidemic or crisis.

    Epidemic is most accurately used to describe infectious or viral spread of a disease within a population over a short period of time. Substance use, even for the relatively low 18% of people who use “chaotically,” does not meet this criteria. People who overdose or suffer negative consequences of substance use may be more socially or genetically vulnerable to a substance use disorder but in basic epidemiological principles, that does not an epidemic make. Calling structural violence that leads to specific overdose patterns an epidemic or a crisis feeds into a hysteria that marginalizes drug users and their loved ones. Both words take the focus away from the underlying causes of suffering; naturalizing it and leaving the conversation at a surface level without motivating real change. 

    We both work in and study harm reduction and overdose prevention in North Carolina: a microcosm of opioid-related deaths and specific patterns of suffering repeated elsewhere in Appalachia and throughout the country. Daily, we observe the dynamics of economic policies, limited healthcare access, and stigmatization that impact people already at greater risk for substance use and overdose. Later in this essay we discuss how it plays out in North Carolinians’ overdose risks — making it more likely they and their loved ones will be blamed if they do.

    How Misguided Drug Policies Blame the Victims While Ignoring the Causes

    Like the thousands of lives lost to fentanyl poisoning in the context of increased drug use criminalization today, there was nothing natural about the thousands of lives lost to alcohol poisoning during prohibition a century ago; or the increase in deaths and drug-related arrests that ravaged inner-cities during the government-manufactured “crack era” of the 80s and 90s. Consequences of drug use, like mass incarceration, have never been a natural disaster. Instead, policy responses to drug use tend to create systemic storms that rage in vulnerable communities. This is a classic example of blaming the victims of problems while ignoring the causes.

    If a “crisis” is happening to those around you, you may feel bad for them, you may vote for a politician who promises to address it — but you probably won’t ask how the same politicians or political system contributed to creating it, or how arresting and jailing poor and Black and Brown people will fail to fix it. Overdose deaths in the U.S. have always been both a symptom and outcome of discriminatory policies

    Suffering is further exacerbated by punitive policies such as drug-induced homicide laws that increase overdose deaths, weaken Good Samaritan legislation intended to reduce overdose, and criminalize drug users and their loved ones. For example, opioid de-prescribing mandates in 19 states appear to result in an increase in heroin overdose deaths. And, healthcare policy is an oft-overlooked aspect of overdose prevention — states that did not expand Medicaid (which increases coverage of treatment) are disproportionately states with higher overdose and substance use.

    Mainstream media portrays sympathetic stories of the middle-class sons and daughters of urban politicians dying of overdose, while the stigmatized partners and friends of poor Appalachians who disproportionately die of overdose from drugs often laced with fentanyl fear being arrested under ‘drug-induced homicide’ and ‘death by distribution’ laws if they call 911. The ways that drug users are talked about serve political agendas that further contribute to patterns of suffering.*

    We must acknowledge and address what is missing, obscured, and ignored when we promote an inaccurate framing of drug use as a “crisis” or “epidemic,” rather than something caused by policy decisions. Who is disproportionately blamed? Who is left out of the conversation? 

    When we fail to address how a combination of economic, political, biological, behavioral, genetic, and social factors intersect within the lives of drug users and their wider communities, we legitimize the use of simplistic and punitive approaches to complex issues. Where we live and work, North Carolina policy makers used the 2016-2017 increase in drug overdose deaths to justify an argument for harsher punishments despite a wealth of research that shows that such approaches increase the very health consequences they claim to reduce. Further, these approaches do nothing to address economic disparities in North Carolina where 13 of 100 counties have experienced rates of poverty at 20% or higher for the last three decades. They do nothing to address the lack of Medicaid expansion or limited employment and economic growth — all upstream drivers of overdose and suffering.

    Simply put, an increase in overdose deaths is not the result of society’s inability to get tough on crime, or even the need for more biomedical treatment. Rather, overdose deaths persist due to an unwillingness to acknowledge that treatment expansion and more or harsher punishment fail to address gaping social wounds

    Communication: Start Using Language That Reveals the Roots of Unequal Suffering

    As long as policymakers, politicians, and journalists continue to use inaccurate terms like “opioid crisis/epidemic,” opportunities are missed to discuss and address the causes and effects of substance use and overdose. We advocate for talking instead about “opioid impact” or “overdose impact.” A more neutral term like impact is less stigmatizing and hyperbolic, and thus less marginalizing for those directly affected. Impact is also more flexible — not all drug use is harmful, nor leads to substance use disorder, illness, or overdose. Impact is a more accurate and flexible term to allow for discussion of people’s lived experiences with substances.

    Even so, it may not go far enough. As a parallel example, public pressure and justice-oriented advocacy shifted public conversation and journalistic style from talking about human beings as “illegal” to “undocumented.” But referring to these same folks as “economic refugees” would be even more accurate and less stigmatizing. Similarly, impact is a more useful term than “crisis” or “epidemic” when referring to patterns of opioid-related overdose and substance use-related illness. And, terminology that clearly unmasks the deeper roots of unequal suffering would be even better.

    A person using drugs is not a disease vector nor the precipitator of a crisis. What we witness in communities like Philadelphia, Austin, and Asheville are not drug-related epidemics or naturally occurring crises. The harms impacting these communities are symptoms of destructive social policies that ensure the most vulnerable populations remain vulnerable, shamed, and disproportionately suffering from the very problems for which they are blamed. 

    So where do we go from here? We can start by answering this with another question: How might our conversations, and thus policy and response efforts change, if we use language that reveals the structural roots of suffering instead of further contributing to stigma and hysteria that shames the people who are most directly affected?

    View the original article at thefix.com

  • Halloween Special: Tales of Addiction Horror

    Halloween Special: Tales of Addiction Horror

    “Addicts are like vampires. We hide our behavior and feed off the living, siphoning their money, their sanity, their trust.”

    Mark Matthews spent years fighting the insatiable monster that screams for more. He says that he still dreams about the electricity of cocaine, the soothing caress of heroin, the heaven in a bottle of Stoli vodka. But the party for him ended long ago. By age 23, Matthews was a wreck. He had alcoholic hepatitis of the liver, swollen pancreas, and a bleeding stomach. 

    After several failed detoxes, Matthews finally hit bottom and crawled into residential treatment. Getting sober was excruciating, yet rewarding. Equipped with his new recovery tools, he learned to manage life without killing himself. He returned to college and earned a Masters in Counseling and a BA in English.

    Now, with 25 years sober, Matthews has built a thriving career that encompasses his two passions. As a certified addictions counselor, he’s dedicated to helping minds heal. As an author, he’s a master at using his characters’ addictions as a metaphor in the genre he calls “addiction horror.” 

    The Fix: What made you combine horror and addiction?

    Mark Matthews: There is nothing more diabolical than the voice of addiction hijacking thoughts, rationalizing atrocious behavior. It plagues us with lies. Aw, come on, you can get high one last time. That monster’s voice that lurks within ignites seductive memories of how good that first hit feels. Addiction is deep in my blood. When I write, I put a knife in my heart and it spills all over the page. That force to get high can be equal to the will to survive.

    Like a mirror image? 

    Yes. It’s the same strength that makes a drowning person fight to the surface for air. With addiction, the will to live is flipped and becomes self-destruction. Addicts are like vampires. We hide our behavior and feed off the living, siphoning their money, their sanity, their trust. We live in shadows, cursed with our affliction but unable to stop the compulsion.

    Your stories show such empathy for your characters.

    Oh yeah. I’m not demonizing the addict. Some of the greatest fiction comes from the deepest of personal pain. The blood we suck out of our families reminds me of The Exorcist, the most terrifying horror movie ever made. I see an analogy—a desperate, powerless mother trying to save her daughter from addiction.

    What can you tell me about your new book, Lullabies for Suffering: Tales of Addiction Horror?

    It’s available for preorder October 22. It’s a thrill that great horror writers are in this collection. It’s six novellas written by different authors—Gabino Iglesias, Caroline Kepnes, Kealan Patrick Burke, John FD Taff, Mercedes M. Yardley. 

    That’s five.

    [Laughs] I’m the sixth. Addiction horror is an important reminder. Even after 25 years in recovery, if I used, everything I’ve worked so hard for—family, career, sanity—it would all be gone. But that monster doesn’t stop begging to be fed. My mouth waters just by thinking of vodka. There’s a jolt in my spine when a TV character snorts powder. I have using dreams. But it’s up to me to find joy in living and there’s nothing more badass than facing every day sober.

    * * *

    Caroline Kepnes’ exquisite contribution to Lullabies for Suffering is “Monsters,” but you may remember her as the writer of YOU, the best seller that became the binge-worthy Netflix series. Horror master Stephen King tweeted about YOU, calling it “Hypnotic and scary. A little Ira Levin, a little Patricia Highsmith, and plenty of serious snark.”

    YOU follows the demented path of creepy yet sexy stalker Joe Goldberg. Joe’s a sociopath who meets a woman in a book store, becomes obsessed with her, and uses social media to stalk and manipulate her. He’s a narcissist convinced that only he knows what’s best for her. Booklist called the sequel Hidden Bodies, “the love child of Holden Caulfield and Patrick Bateman.”

    “Monsters” is another disturbing trip into the mind of Kepnes. Like all of her work, “Monsters” grabs you by the ankle. Interviewing Kepnes for The Fix was a titillating highlight in my lifelong devotion to dark humor and the scary books I’d push way under my bed. I love that thrill of terror.

    The Fix: Any vivid memories of Halloweens past?

    Caroline Kepnes: I grew up in Massachusetts, on Cape Cod. It’s a place so primed for Halloween. The seasons change, the days are shorter and the library is rumored to be haunted. My elementary school always had a parade. I loved being creeped out. In high school I went to a haunted house and got so scared that I punched someone dressed up as a zombie (sorry, Zombie).

    Any plans for this Halloween?

    In LA it lasts for a month and you see people in costumes in the grocery store at all hours.

    Ever struggled with dependency on drugs or alcohol?

    I’m a really addictive person. I saw myself in a lot of artists who battled addiction and it was so easy for me to imagine myself finding one thing that obliterates everything else. In high school, Sassy Magazine gave me an honorable mention for a story about a girl who is speaking from the afterlife. She died from an angel dust overdose. [My] guidance counselor was concerned.

    Painkillers were tricky for me.

    I get it. When I had emergency throat surgery they gave me liquid Percocet. Oh God, the way I held onto that bottle and begged for more. When my doctor refused, I couldn’t sleep. I was shaking all the time. Brutal. It gave me so much empathy for people who are in the throes of that growling, incessant beast.

    In every book, and in “Monsters” for Mark’s anthology, I think of the height of my [Percocet] dependency and how to put that level of pain on the pages. When your brain is an exasperating place to be, there’s no escape.

    Do you know anyone in recovery?

    Some of the kindest, most thoughtful people I know are in recovery. They have so much heart. They root for people [and] have this enormous capacity to care about others. That dazzles me … because my God, what a powerful thing, to be in the intimate, internal process of overcoming [an addiction] and simultaneously be so generous with your heart.

    What makes you write such dark stuff? Black comedy seems so necessary during America’s surreal political nightmare.

     [Laughs] When anyone says “black comedy” I light up inside like “Ooh-where-what-gimme.” I love being in the whirlwind of feeling amused, mortified, scared, disgusted, enraptured all at once. It feels genuine to what it’s like to be a living, breathing human.

    Where do your ideas come from?

    It’s just the way my brain works. I look at a basement [and] think, “Gee, I wonder who’s trapped down there?” I’m always wondering what people are capable of, why they do what they do, how they got there. I knew this was my jam in high school when I was in this summer-long intelligence experiment at Yale University. It was a college level class on abnormal psych. [We read] about serial killers, violent kids, case studies. I didn’t want to sleep.

    Have you known any stalkers or scary fans like Annie Wilkes in Stephen King’s Misery?

    Ha! Annie Wilkes [is] one of my all-time favorite gals. But I did have a stalker many years ago…. It was a terrifying experience and there was nothing even remotely funny or rom-com about it. It was a humiliating mind fuck. 

    Was Joe based on him?

    In a sick way, Joe was … a way of revising that history, a personal coping mechanism for processing those phone calls and that terror that was with me for so long…. You watch movies where dreamy guys break boundaries to get with women. But [with my stalker] there wasn’t an ounce of Cusack in him.

    Why do you think thrillers appeal to people?

    I’ve met my share of monsters…I like to read about people who lack self-awareness and empathy and have logic systems that enable them to do terrible things. It’s empowering, in a know thy enemy sort of way.

    Do you have a favorite movie?

    I love The End of the Tour and watch it a lot because of the conversations about addiction to television. That was part of my way into Joe Goldberg—the danger of one-way street friendships that we cultivate with characters in books, TV shows, and movies. I go through phases where I’m depressed and hide in the TV, my drug of choice.

    TV is in our phone 24 hours a day. People [like me] with addictive tendencies can get our hands on so much. What a miracle that a bottle of vodka can appear on your doorstep—a miracle and a horror. Writing helps me stay happy. It gives me a purpose and a healthy place to put my obsessive energy.

    What thoughts do you have when writing about Joe?

    I made him up out of that self-critical voice in my head. That’s the worst demon of all, your own inner-hater. The voice that sounds like the mean girls from middle school, the creepy stalker, the bitch from that time, a violent monster who gets away with it. That voice is the part of me that gets disgusted with myself, with others, that voice in my head is the most helpful thing in the world where writing is concerned.


    Lullabies for Suffering: Tales of Addiction Horror will be available in January, 2020.

    Read You or binge watch it on Netflix.

    View the original article at thefix.com

  • Getting Better Meant Getting Bigger

    Getting Better Meant Getting Bigger

    It meant eating past the point of comfort. It meant not letting yourself feel that high, that addictive strength that filled your stomach when you kept it empty of everything else.

    Your fingers fumble to find the key to your front door. Your breath is ragged, tired from climbing the three flights of stairs to get here. 

    It took you 12 minutes to bike back to your small and pointy two-by-two apartment from the university, where you teach two English courses to 50 first-year students who care as much about writing as they do about their parents’ sex lives. 

    Finally finding the right key, you open, walk through, push shut your front door and switch on the dining room light to find the box of a greasy, half-eaten frozen pizza and two empty bottles of diet Coke on the table. Wads of dirty napkins are crumpled and scattered across both the table and floor beneath the mess. Your roommate’s caffeine-induced chatter wafts from down the hall, she’s on the phone with her boyfriend again, as you slink off your backpack and take two steps into your tiny kitchen. Bits of crumbled sausage and cheese strings stretch across the stove’s burners. 

    The smell of hot meat and milk still linger in the air. You pull them from the stovetop in an effort to clean the mess and turn towards the laundry room, which holds your trash bin. It’s overflowing, which pisses you off. In fact, you’d sworn to yourself that you’d let the mess keep piling until your roommate might finally notice that there is, astonishingly, no such thing as a trash fairy. You don’t know yet that before you go to sleep tonight you’ll have emptied and replaced the bin, grumbling the whole time about people who never clean up their messes. But now you only toss the scrapings of cheese and stale sausage into the sink behind you before reaching for the second cabinet from the fridge. 

    Hunger

    You’re tired, hungry, and looking for something to make for dinner. You look into the cabinet, one hand gripping the silver metal knob you’d pulled to open the door, the other pushed up against a corner’s edge. You lean into the structure, arms raised slightly higher than your head, and stare at the boxes inside

    bland bran cereal

    whole wheat pasta shells

    cannellini beans

    light tuna packed in water. 

    You’d paid for these things with small handfuls of change you’d found squirreled away in secret spots across your apartment, as if you’d been preparing for a harsh winter back in central New York where you grew up. 

    When you were eight, maybe nine years old, you’d save your coins from doing chores, searching between couch cushions, found under pillows after losing a tooth the day before. You’d tuck them in between the slats of cedar wood that held your twin bed up off the floor. Behind stacks of messily folded socks and underwear in your top dresser drawer. Between the pages of your favorite Dr. Seuss books—savings you’d use to buy green eggs and ham or a wocket for your empty pocket. You’d learned to hide your money from your brother, who’d once used the two dollars you’d gotten from vacuuming the living room to buy a deck of Pokémon cards from the Indian gas station in town; you never stopped stashing your fortunes since.

    Seventeen years later, in Texas, you continually hide your change in new places. Some in the right breast pocket of a jacket you hadn’t worn in weeks. Some folded and stuffed into a back zippered pouch of the fading brown leather purse you stole from your mother back in high school. More still, wadded up somewhere in the depths of your backpack, amidst the books and pens and folders, almost forgotten. The bills and quarters, dimes and nickels and pennies you pulled from their spaces like hidden treasures elated you at first, but within minutes an unease would set in. 

    When you were eight and your father, on Sundays after getting home from golfing with his buddies from the Legion, asked if you wanted to head to Buell’s Fuels before dinner, you’d collect your coins and clench them in your tiny hands the whole drive to North Bay, anticipating mouthfuls of Skittles or Jolly Ranchers, shaking with excitement as if you’d already been on the sugar rush. Your father wasn’t driving you these days though. Now, your trips were only made when your cabinets got so bare, your fridge so empty, that your roommate might ask you if you were going away for the weekend. 

    A Higher Level of Care

    You knew you needed to make a trip soon. At the thought of it alone, you could feel the anxiety bubbling into the base of your stomach like acid from a science experiment gone wrong. The acid burned harsher though when, three days ago, your nutritionist called to tell you it was time to consider a higher level of care. I don’t think we can continue to see you, she said, not after seeing so many abnormalities in your bloodwork. Your psychiatrist had taken your weight before your last meeting, asked you more questions than usual, looked at you longer after each of your answers as if she was searching for things left unsaid. She suggested increasing your meds, sent you home, then reached out to your doctor.

    The next morning, he called you to discuss your alarming drop in weight and the dangerous condition he believed you were now in.

    These people suggested taking a leave of absence from work, from school, after you lost another eight pounds over the past month. Their words made you feel smaller than you already were. Their concerns, meant to help, made you feel lost, unsure of yourself, desperate to get back in control of the life you’d begun here, before they could force you out of it. 

    You worked too hard to get here. Left behind your last job, your home, your friends and family in upstate New York to come here. You wouldn’t let them take that away from you, so you stopped answering their phone calls, replying to their emails, and promised not to keep making excuses to not eat. You’d get better without them. Getting better meant getting bigger. It meant eating past the point of comfort. It meant not letting yourself feel that high, that addictive strength that filled your stomach when you kept it empty of everything else. In your mind, it was all about control: the less you ate, the more power you had.

    It was glorious, going without, but no one seemed to understand that. Maybe not even you. 

    You couldn’t afford to feel that way anymore, though. You couldn’t afford to keep saving your change in tucked-away corners and worn pockets like you did when you were eight. You were 25 now and sat in the driver’s seat of a black SUV that you paid $200 a month for, as you drove four minutes down the road, money clenched in hand, to the bulk-foods store where you walked down aisle after aisle, admiring the rows of temptation. Finally, painfully, you surrendered to one box of pasta, one of cereal, a can of beans and a tin of tuna.

    Life or Death

    Opponents, you think, staring back at the food now sitting inside the white-wood cabinet. Enemies challenging you to yet another battle, to life or death. Your head drops, eyes close, and you breathe out a sigh of exhaustion. Your stomach’s growling, a pestering nudge from the audience egging you on to face the attack and adding to the tension held within your unsettled gut, your sallow skin, the crease between your tired eyes that’s grown two-fold over the past year from moments like this.

    Focusing in on the dingy gray tiles of the kitchen floor, you think about the last phone call you had with your father. When he answered after three rings with a throat-deep ghuh-hemmm to clear away the beer-induced phlegm that had collected there before bringing up the most recent bill he’d gotten from the eating disorder treatment center you’d stayed at over the summer.

    Another couple hundred bucks, he said. Guess I won’t be getting the truck fixed this week. A joke. A laugh. Not from you.

    Herrr-hummm. You’d be staring out your passenger seat window, watching rows of tourists’ summer cottages whir by, while your father tapped his construction work-callused fingers against the steering wheel. Winding along paths paved alongside towering oak trees, driving down dusty dirt roads on a lake’s shore in central New York, you looked out at the passing arbors and breathed in the sickly-sweet smell of hydrangea bushes dotting the lawns. One bush after another of their hazy heated blossoms; some wedding-dress white, others a soft cashmere pink, still more in robin’s-egg blue. The smell of summer, of eight years old, of drives with your father to North Bay for lottery tickets and candy.

    You loved the 12 minutes it took to get from his house to Buell’s, loved to walk up and down the aisles inside looking at the brightly-colored bags of Sour Patch Kids, Slim-Jims, or tropical Skittles before he’d yell to you to come pick out a ticket at the register. You’d grab a bag of Cheetos and skip to his side, glance up at the man behind the counter, then spot the six-pack of Milwaukee’s Best sitting next to the ticket case. You’d look away from the beer, knowing the two men were waiting on your decision, and silently imagine choosing a scratch-off that could win you a night without your father’s drinking. Number four, you’d say, perhaps subconsciously, as you knew this would be the number of cans finished by the time you ate dinner. You’d never choose ticket five, because that’s the number when things started to get messy.

    Back in the kitchen, you notice your grip has tightened on the cabinet’s side panel. Your knuckles are white around bones that jab out like sticks, and you’re thinking about how much you hate that this is what dinner on an ordinary Thursday night has come to.

    Food wasn’t always so difficult for you. You remember the way you used to sprint down the staircase and bolt out the front door when your grandpa asked if you wanted to go get ice cream from Harpoon Eddie’s, how you’d look at the list of flavors and wonder if you could ever choose between cookie dough or moose tracks, until eventually deciding to get both for good measure. You remember when you could eat an entire box of Kraft macaroni and cheese, the kind shaped like Scooby-Doo or Spongebob, that your grandmother would make in her kitchen when you stayed home sick from school. You remember licking off the streaks of butter, cheese, and whole milk until your green plastic bowl was spotless. You remember when you could look into a cupboard filled with boxes and tins without thinking about the calories listed on their labels.

    What you don’t remember is when you started to think this way. It seems now that life without these thoughts would be impossible, as if they always were and always would be a part of you, a part of your anatomical structure passed down through generations of grandparents or great-aunts, or maybe fathers. 

    With your arms still flanking the cabinet in front of you, maybe you’ll start to wish that you’d been an alcoholic instead, like your mother always warned you about when you were 16 and starting to drink shitty, watered-down beer in your best friends’ basements after soccer practice. Maybe you’ll wish you were more like your father, who could glug down a gallon of beer without a second thought. How easy that would be, to be able to escape the stress of reality by simply sipping. You might be thinking it’d be an easier addiction to have, one that could be abstained from, unlike yours that ran solely on abstaining itself.

    Control

    Your father faced cabinets filled with beer cans: ones that could be bought or not, drunk or not, their taking in a nice but unnecessary addition to life. His high came from the insides of cans, while yours came from depriving your insides of cans. His addiction, like yours, helped him escape, to separate himself from who he was in reality. With every beer he became the man he wanted to be: powerful, strong, in control. By not sipping or slurping or swallowing, you’d found you could do the same. Not eating was one choice you could always make, one way to feel in control when everything else seemed to be accelerating without you.

    Still staring at the food before you, you might think about the years spent driving to Buell’s and strolling down aisles of Doritos and M&Ms, picking out lottery tickets, listening to your father’s drunken comments and targeted jokes, and remember how small you felt then, too. How his big voice bellowed even louder after a couple beers, and you sat in silence next to him. You hadn’t understood then, sitting in the bucket seat of his truck in Buell’s parking lot, that he drank to feel bigger himself. He craved the burning, trembling, passionate power that came when he was in control of something, of you. But you wouldn’t understand that until years later when you felt the same thing after not finishing your food or avoiding the cabinet that you stared into now.

    Instead, you’ll find yourself cursing your father between labored breaths, as you look at the boxes and tins in between your skinny, raised arms, trying to just make dinner. 

    Your stomach growls louder, hungrier, so you ease your grip and raise your head, hoping to forget about him. You shake back brittle strands of auburn hair from your cheeks, unclench your squeezed-shut eyes to stare once more into the rows of boxes and cans you’ve collected over the past week, hoping to see something that you can fathom choking down but find, instead, a cabinet filled with nothing but Milwaukee’s Best. Your eyes dart between cans. Confused. Panicked. Desperate. You squeeze them shut once more and reach blindly inside, grab whatever you can with two hands, and close the door before you open your eyes to see a box of spaghetti and a can of tuna in your grip. 

    You grab your roommate’s small saucepot from the back burner, fill it half-way with water from the sink behind you, and turn the stove’s dial to HIGH without bothering to clean out the stuck-on ramen noodles she’d made the night before. You toss a handful of pasta strands into the pot before waiting for the water to boil because you know if you don’t, you’ll never bring yourself to put them in at all. And while your pulse slows back to its usual 48-per-minute beat, you’ll notice that your roommate has stopped talking.

    You hate the silence, partly because it makes you feel alone, but also for making you feel like you’re parked back in Buell’s parking lot with a box of beer and a couple scratch-offs in your lap. 

    It’s All Crap 

    Your father refused to listen to the radio when you guys took trips to North Bay. It’s all crap, he said when you asked him why. Once, when he was still cashing out inside, you turned on the local country station and bobbed your head from side to side, eyes closed, before he opened the door and pushed the power button off before ever hearing a note of Shania Twain’s twangy tune. He already had a can popped open and half-guzzled before stepping out of the store, a second one cracked as you nickeled or pennied away the colored foil from your number four scratch-off. You handed him his ticket, one of the longer crossword-style ones, and wished it could slow him down a bit; as if the speed of his scratching could parry his drinking and make less time for the snide remarks and sarcastic jabs that were surely on their way.

    As usual, he scratched off the bottom section of his ticket to reveal the three letters that tell if your ticket’s a winner or not, a secret he’d taught you to save time, and you knew with those letters that you’d lose that night just as quickly as he’d lost on his ticket. 

    Your father tossed his empty can onto the floor by your feet and reached for a second. You bent over to wipe away a splash of beer that dribbled down your bare, sunburnt calf and, annoyed, returned to scratching. You made sure to get every corner of the foil off mostly just to spite his insolence, while he talked to some wrinkly, beer-bellied man he must know from the Legion standing outside his window.

    You opened your snack pack of Cheetos, grabbed a handful and ravenously stuffed them into your mouth while staring out the window. A woman pulled empty Coke cans from a black garbage bag and fed them to a giant machine with the words “Redemption” plastered on top. While your father kept talking you grabbed the empty can of Milwaukee’s Best he’d thrown at your feet and ran it over to the woman. She thanked you, glanced past your shoulder to your father’s black truck, and turned back to the machine with a look of what you’d one day realize was pity.

    Running back to the truck, you pulled your door shut and went back to your Cheetos. After a couple more minutes, your father turned to ask if you were ready to head home, never having realized you’d gotten out. Sure, you answered, noisily sucking Cheeto dust off of your fingers but quickly regretting it for the mixed metallic taste leftover from your scratch-off.

    Bigger Than Everything

    Your left pointer finger is in your mouth, and you’re not entirely sure why, until you realize that same taste of metal is coating your tongue. You pull out your finger, hold your hand in front of your face as the smell of tuna mixes nauseatingly with the taste of blood, and watch as a stream of red goo oozes from a two-inch slit in your skin. You don’t recall ever taking the can opener out of the drawer, clipping it to the can of fish, and cranking the knob in circles until, apparently, your finger decided to somehow get in the way. You try to think if you have any Band-Aids in your bedroom closet, assume you probably don’t, and decide that the green and beige polka-dotted kitchen towel will make a fine tourniquet. Your hands shake as you wrap the dishcloth tighter around your finger.

    It’s now 7:45 and you’re starting to feel faint. The last thing you ate was half a cucumber, sliced and salted, at three o’clock between teaching classes. 

    You pick a brown potholder from the same drawer you’d pulled the can opener from, grab the plastic handle flanking your roommate’s pot, and drain the starchy pasta water from the noodles. You see that only a few drops of blood got on the stovetop, adding to the red specks of pizza sauce, while unfortunately, your tuna is clean. You consider accidentally dropping the dirty dishtowel into the pot of pasta, making an excuse to not eat it, but ultimately push aside the thought as your vision goes slightly hazy. You start to feel lightheaded, your mind a tornado like the kind you get when you stand up too quickly, so you grab onto the countertop to steady yourself. You normally love this feeling. You welcome it, encourage it, get off on the dizziness that you, no one else, willed into being.

    Ironically, feeling dizzy made you feel grounded, powerful, an unstoppable force like the kind your father became when he drank. You became a body that was bigger than any German mustached man in a run-down corner store parking lot. 

    Bigger than yourself. 

    Bigger than everything. 

    But you’d made too many storms over the past couple of months; your body couldn’t handle any more. 

    Eat, you say, maybe out loud. Just eat, damnit. 

    Beat, you dump out the flakes of fish into the pot with your pasta, grind some pepper on top, and jab a fork into your dinner. Twirling a couple strands of spaghetti onto it, you bring it half to your mouth before, in one final attempt to stall your eating, you decide to clean up the mess you made. You place the pot back onto the still-warm burner, your makeshift tourniquet still intact, and push the cardboard pasta box back into the white-wood cupboard above your head, then reach for the empty tuna can still on the counter. Turning to the laundry room once more, you see the overflowing trash can sitting just inside the door.

    And as you stare at the garbage spilling onto your wood-paneled floor, irritated, exhausted, despaired, the heat of the stove still in the air and can still clutched in hand, you wonder if you’ll ever find steady ground.

    View the original article at thefix.com