Philip Morris
Addictions What They Are - Why They Happen - How to Help
Fields
- Author
- Hodgkinson, L.
- Site
- N28
- Litigation
- Bcnj/Produced
- Master ID
- 2060436974/7347
- 2060436974 Comments of Brown & Williamson Tobacco Corporation Liggett Group Inc. Lorillard Tobacco Company Philip Morris Incorporated R.J. Reynolds Tobacco Company Tobacco Institute Inc. Appendix Volume III.F
- 2060436975-6976 Nicotine Dependence in A Population Based Sample
- 2060436977-6992 Effects of Nicotine and Tobacco Smoke on the Electrical Activity of the Cerebral Cortex and Olfactory Bulb
- 2060436993-6998 Nicotine or Tar Titration in Cigarette Smoking Behavior?
- 2060436999-7003 Blood Nicotine, Smoke Exposure and Tobacco Withdrawal Symptoms
- 2060437004 Electrocencephalographic Changes Related to Smoking
- 2060437005-7017 Effects of Smoking Upon Sustained Performance in A Simulated Driving Task
- 2060437018-7032 Stimulus Functions of Caffeine in Humans: Relation to Dependence Potential
- 2060437033-7034 Psychopharmacology the Fourth Generation of Progress
- 2060437035-7049 Pathophysiology of Tobacco Dependence
- 2060437050-7054 Is Nicotine More Addictive Than Cocaine?
- 2060437055-7067 Involvement of Tobacco in Alcoholism and Illicit Drug Use
- 2060437068-7079 Abuse Liability and Pharmacodynamic Characteristics of Intravenous and Inhaled Nicotine
- 2060437080 Pharmacology and Experimental Therapeutics
- 2060437081-7161 Behavioral Pharmacology of Cigarette Smoking
- 2060437162-7172 Pharmacologic Basis and Treatment of Cigarette Smoking
- 2060437173-7176 Cigarette Smokers Self-Administer Intravenous Nicotine
- 2060437177 Pharmacology Biochemistry and Behavior
- 2060437178-7181 Nicotine As A Reinforcer in Human Subjects and Laboratory Animals
- 2060437182 Pharmacology Biochemistry and Behavior
- 2060437183-7190 Expired Air Carbon Monoxide Accumulation and Elimination As A Function of Number of Cigarettes Smoked
- 2060437191-7204 'chocolate Addiction': A Preliminary Study of Its Description and Its Relationship to Problem Eating
- 2060437205-7209 Simulation of Gambling Responses on the Addiction Research Center Inventory
- 2060437210-7211 Smoking Habits After Laryngectomy
- 2060437212-7222 Smoking Cessation Methods: Recommendations for Health Professionals. Advisory Group of the European School of Oncology
- 2060437232-7242 Nicotine Yield As Determinant of Smoke Exposure Indicators and Puffing Behavior
- 2060437243-7248 Psychological Analysis of Establishment and Maintenance of the Smoking Habit
- 2060437249-7252 Appetitive Functions and Dysfunctions: Tobacco
- 2060437253-7286 Endorphins, Eating Disorders and Other Addictive Behaviors
- 2060437287-7297 Dsm - IV Source Book Volume 1 Nicotine Withdrawal, Dependence, and Abuse
- 2060437298-7307 Pharmacotherapy for Smoking Cessation: Unvalidated Assumptions, Anomalies, and Suggestions for Future Research
- 2060437308-7315 Risk-Benefit Assessment of Nicotine Preparations in Smoking Cessation
- 2060437316-7323 Should Caffeine Abuse, Dependence, or Withdrawal Be Added to Dsm-IV and Icd-10?
- 2060437324-7332 Tobacco Withdrawal in Self-Quitters
- 2060437333-7339 Caffeine Self-Administration, Withdrawal, and Adverse Effects Among Coffee Drinkers
- 2060437340-7347 Symptoms of Tobacco Withdrawal
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ADDICTIONS
I
t
What they are - Why they
happen- How to help
bv
LIZ HODGKINSON
THORSONS PUBLISHING GROUP
atellingborough, Norchampconshire
Rochester, Vermont
2Q6p4,3722;

FirSC "'uCilsf.eC ,9Y{7
eccnd !mprasion '.98'
1
= LIZ HODGKI`SOti 1986
.til nghrs resercrd. No parr of rhu book may be reproduced or ur:lized ;n
lns form or bvznr mearu. elecrronrc or mechatical, including
phorocop-rng, recording or by any rnformaaon srongc and reaties-jl
sssrem. wirhour permission in wnung from the Publ sher.
Btituh Libnrv Caralogutng in Pubfication Dan
Hodgkinson, Liz
Addicnons: what they are - whv thev
hzppen - how to help.
1. klcoholism 2. Drug abtues
l. Title
362.2'9 HV5035
I5B` 0-'2251246-5
Pruued and bound in Great Britain
2060437224

PART ONE
i.
1111I11
Thit mIlend nmy I'e
ywle,IeJ hY ayry"ghl
laa lhllC 11 U S. Code).
WHAT ARE ADD[CI'IONS?
Who Becomes an Addict?
II n/me Ihal nnsl o( the people wlw have a gu al gam6lIrg, /x
wln tasle alcuhcA, will nerer becorne sn Irxiked Uul their vcry
hcahh and suwy k dunlcrrJ by Urctr dcpemkncy flul the uwh
Is atsu Ihar anyune can become an ar4Lei. MkYnk>w an, ard
dn, alfecy renple (mrn all sex'lal clauxs, of aU Ucgrees o(
kucl6genc'e, and a/ all pmleatMoul Inek- Rxby, a heniln aJcLcY
k0w as lilrly n annc fnm dr uqrcr ldrkwn o( Urc akuxnry
1s (nxn a xlum IcnrmcnM. An akuhulk may hc a hlµldyyuall/kd
pnr(cc.iixuJ pcrsr.r cr an uncmpkryahlc nrcnul JckcUVew lArc
ol Ux- sarkksl cases rr( ak'rrlxrUSm I have crwuumrreJ was In a
m.u whn IuJ bcen tlx- ireaUnuuer of a Ivgc amrprhcnslve
xixwd lhnxgh his arklkvun, hc cvcoually htt-arnc a kunrlcsa
Iranp In fxt, nuny u( Ihe tnmps rhal rwre sees sln/llkg alxrul
Ule surcns were e.re quitlc res{>n'dilc men
About clRMccn rrtlUk.r prna/ptkrrs ve wrklcn oul every year
in this cow>try kx IruxrylWars. 7Mne who take Urm may he
IkrMcwlvcs who ruwx cupe with a xrmkgly rnn.dngk:s
ariunrx ard whu havc iMlflcaky In AlsYrg Urcir ixxna, ur luglr
11yug "reer wrxncn who apprs p have evcrylhirg grirg hx
Ucm; rx /hry may Ix- mcn havMy l1oarc rmublc at wwk A
gunlrlkg adrYcy nuy hc someone who " Ihnwµh scvcral
Uxxcsyd prxmd+ a nlgM In May6k caskros. or an ukl lxly wlxr
uscs nculy all of hcr pcnskn 1111101" n go n hkypr Wlrrr an
xkllakn Ls c.mmoeQ Ihen-is no dlkrence bnwmr Ure nun
whu uiea kr Jairle hh rkde mcxry, ard Ure smxxxh clup In Ure
Urcy k>trpcr anJ uLLt wlxi Iwls largc swns rxr Ixxscs al fic ParyA
Enrklsu/c at AsaM.
In Its slrnpksl Icrms, arl aJJk7Wn scls In whcn, sunx-.vlxrc
aMxg Ur 4ne, we 6hn tu like a{nnk'uur x Ilvky rorxc Uon wc

Il AIIIInl111NS
wlMdd usually AI k-ie, we IKµin Iu like IIK cffccl il gives us In
au m/cuqM tu susuin dlal feeltng uf well IKiugI wr kcep taking
III like SIItY.Na1kY, lK (MIISllllll(ItK x1lVily IfrkNC I/M1K We IpVR
k.n KJ lu enjl ry Ilrrady, ln cnnK lu lklrnd nn, /he suK llf rui1M1
IIIII KMIIIS. IIKII, SWMICr or I]Kr, wI11M1111 LLS MMICiIg, we fi1M1
we x lually can'1 Ju widMlul 11.
kM aa slnukcrs lkMi I xtiuilly ILLe smlltilyf vrry much- IIKy lutc
.IworliuK nrMxy un cigarcttcs, hale /lle snctl, anJ Jicllkc tlKir
i+htnys being c.MUinuMdy (uM nf qwk. 71Ky aiw lulc dK
rk7KlM1[nty Ihal nnkrs IIIem teRlh[d 0(n111r11/grM11 nt /lp1[YIGS.
1 k/wner, the plcawles Jcr(vod wW W xYu.Jly kJuWgac unMg
rrll Mgh r//wcrn nK aA IIKSC unaelhctk x.IlnwekrMrK asfxtts
tinM Iklrg is 1urJ to glve up hcCMase rlinMkK tus both a scJalive
an/ a s/imulxing elfen an Ihe hraln. And Ilut eRttt ls aM /usl
IRSy/ lMlklgiral - kis filyslc.l as weU.
As we cunlinuc to snr Ikc~ Jrulll or lakc Jrugs, the llabit may
IKt'IMIK (Ver IrkMt tfCChly Ygl]klrll NI ihal, in Itlr crYf, II xYUally
IK1 iMIKS a fun Id nc arMl ana.qKCt IArMr pelslMUJky (Me reaW m
why slnukers a~ Poxl rtcnyws rl rctlrMlush their lullw su fukJul
is Ilw, after a IinK nIClMUK Wlualiy IKClmres fnn Id dKir
.IKmk'a1 makc up ard cnKls axry cell ul the MMIy, alKnlg its
clKmk ~I clMwruclkln TIK sxrK c~ln lulyren with a drug like
IKI/M11 This, nM1 sfprulk7rNly allcrs like (MMIys /1Knrical
rIMUIMMKnn xul wurkugs. arMl II IKcrMrKs an inlcKral pan of
dK syslem I lcnlln ic lunkularly Ilemk-kMls iKCxcx 1/ rclJx~cs
IIK IrIJy's lutunl palrrkilkrs When pe/Mlle take IKruin,
IMl1/ua IxMI llf UK.u rulurJl Inirlkilk:rs snh16 x1J Uris is like nuiN
IC15VM1 flM IIK aRl Mly 11f wi1lM11awJ1 II IIK 51111111y 11f tKnMll NI IIK
ahrulMly then rridrcr like ani/kial lunikdkr nor the mlural
luinkillrr is tiresrru in like hully
Alltwxylfl henlln lus a funladarly eLanulic elfect 1 Ml lhe tMn1y
in this way, all xkIMI11Mn work In a sinJlar fasllk>n. Thc hum.n
hlMly alhpls itself su that, kl the e.xl, il cxuwM wnrk pnqledy
wMlMwl tlK aYalsallsnrre 77LLs is nslly why atMlkls /cnun aryl/n
anll afpkl n their /l.. Aftcr a farly sMMt Ilmc actual xtlvc
rnHrylnent In the suhuxKC kssenc, lwr xWicls ceMUlnue tak4g
the stuff because they Jrexl wI1lMhawal symlwMra.
AJJk'tkMU uf aly kind un ha-Inrc sl l kgrailKd dul/etrMwky{
IIKmi.sra11Kr111te/CJnnRn(fahnll) In11nK,tfKyan'IMMSi/11111y
a sul>IIIM6 an xllunci. like a walkirg slkk or a fKarhg aW, hu/
IxalMnc lun IA like IMMIy itsclf, ccrMral to Qa/ly c.fwcrxr llul
ls like real.hrger nf alknvilg aJJlallve sutfsWlces xwl xktillive
I
I
WIIAT AqE AUIN(TMN15+ 11
furnu uf IKluvklur lo takr hold lricy hn1Mnc pan uf ylw, alxl
dKn you cxt nn kxgcr clMwsc rKM ul usr tlKrn-
( bK Ir<tIK big flnAlknts fxing IlMlsc wlM/ try ul iKlp xflLa Is
is Iful, it they are not a1lllktaYl thernselvcs, they c-An MJ it IurJ
lu ulxk'RIVMI both dK fllea.SURS a11111K IqlnS 1551M'IaK{f with
Ihe JclKnlency MW/cllvn behaviour dtKs nwM uwally seem
sensil>tc to like rMlk Mlker xul it can he Ieluplrg just ru nun u.r's
lul'k 1 MI IIMIiK unJrr IIK iNlucnce Buw 1Mrwe.er Ind an uklktkn
nuy 1K kM fynily arul lrfrrrls ul ufueM it Is always 6r wursc
knr IIK aJlLcl.
The rraslMr why alklkts lkr nc>t (ust plve up their addkYkMss
is Iiccaux they IrWy bclicvc they cui 1. 8a1kMUYy, a garobkr nuy
know /lul tu he ckpen/kn on Ihe turn o( a nlulnr whecl, r>r
tIK / Mucl Mlx uf a IkMSC rxc~ is ridicuklu.c It nn ruln 1ds Ilfc, aui
furn Iwn bw.a crimkul, a Uar xwta AKaI. Na1lrMully, akq a IKnlln
xllin krr/ws as well n anyMMly clse Ilnt IIK chnnld is bringing
a1Mlu1 at>`uluK Aclzsulk>tr in her IUc. flul this luwwk.lRe arMl
ulMkrstnxling is never as stnrg as the enrxlurd Jrlvr- rM like
plrysic.111qKnJcny An a1klk.y is aMwkwully ccMnprlkA rl seek
nMx UK suf.wnce or x7ivily heeause he cxlrnM hcip h. 11c is rul
kllgcr in clurge ut his life, .K whal he JIKS 'RK xkllcliun lus
uken IMrcr.
tilwnclMnv, an xklicl wW always get Mlkl of dle nxxKy lu
gandllc, drink In ukc 141y¢, even It he lu.c In sKal lo lkr II.
AlklN'IMMK 111hT fK'l jtle W 1IC31lr/aK IKt1aV i11ur, Illx c'arl t)C /urJ
kM IMnSk1e1S lu CIMtI(MrtKiltl. Sooner fN Iatcr, a crMillwiSive
pudlkr will hc trw1A.eJ wNh crlrne arwl rnaly end up /n prW Mr
III fx'1, a Si({Ilifk7lN IIRIfMMkNI nf all ttlll6e hel1i1N1 tqrS Le tIKR
Lraause n( a ry+nfiWlg IubN. IlcnMn, whkfi is Ilkfpl r/ sun willl,
IMilgs xklkls very quickly InocorKan with ntnllruh. In ssMnc
.vays: thls very kmpe o( like oaM.kkr' can be lnK of the Irss
ubvklus but seduc'tlve xtractk>rr uf the alkLnkm. Any kx.n of
caMryMdsive bcluriuur wW, sa.Kr ur WeR fMn the xkYci u1lsiJc
sockly
An xWklWn Is alsn vcry e=/KrWve. A caMrlllulslvc gamhkr
is Jrllned .by Gamblels AnonynMMU as s[MnctxMly wMl is
spclMWg nKlrc dun they al a1hMd rMt dK Iu11A T1MMqffi tKn141
is now relalLcly che.p W IM.y, xxl a Ox can be bouglu kM as
kllie asLS kn a new xklkl, ln IurK like Iu1Ht will cnsl hu1MLe.lc
W IxMUxk a week. As nwal xlJlau soon kKe tlKir Nllrs, wlKrc
arr they to OrM11fLLs kind nf nlu/Ky? llsually only by res.uung
k/ crlnK

1t AIN11171/1NS
The Cholcc of 'Pol.oo
W Iu11 ucJisfMncs a Ilcrs( m Yl.luu rc a Inrtkulu suhstarKr? Why
/k r u rnx Iarllrk like In gurJlk ard suulkc, while (tlxrs Ixconx
IMM)knl (rr Irenrin lu c(x'ainc? Why (k) s.Mric IxlMik take
IfJ(YIU~IITLR, whlk /dxls will wiklly lWerCJI?
Although nuuly addicts arc mulllpk alMUers, in that they will
snM rkc, (lrinll, takc Ixruln anJcoolne arYlµa,nhk, all allhesanx
wru: n(M alla(klksan-xklklntneverylhing. lnlixerul, a Ixrs(Mis
a'IMI/l'C /lf'IM ILV M~ -- Ihe alkllclfKlllhriftllfe Ihal haS I/x IMlwcf
Y r urqwn thcJcsircJ mkxl aMcrigatue-axlxsduwnYl anultr
of IxrslunlMR />,xuutuNly, avalh6Yltg flmrrms/xialiusYMn alxl
lifestyle I leru7n alkLc/kxl was uoknmmn Iwu hurxhed yrals agn
because Ihe substance ilkln't then ailsl. SYNlarly nobody was
xklkxd Y/ lcuxhdlliars in the 19311s, because they hulrl'I then
Ixrn kumulaleed In Victorian limes, paMde were addicted in
lau/lanum, c"um and chkxukwm. Substances and activities
a hangc accnrdinµ tu hslti(xr and to wlul is availahk.
h ic lussihk krheamcatklkred lo a Ev w/du rngraf aafvitics
tlnn many pe/qk realla. 71Ymgh hcrnin ard akrdinl abuse are
mua h in IIM- news, dcere are tiulsc who an-cyuatly addicted to
nMrr.nik' rwwclc, kniuhg, cn>,tqwlnS /N MrJ watching Nlw all
a/klx IkMLS aT Gllually lfa(1Jter11US, INII no I kkd l)( (II1RL'CSklrl can
Ix .IULSWcrcJ a good Ihing
'I lxlr ace ccnain imlrNfun sn aliffcrcnrs in uklklilus Far
Inluc mcn Ihall w.rnen are alunlwlsive Ipmbkrs and Ilrinkrrs,
aYlurugh dx kwaM:cs of kmaks sulrumitig Yr luuh is rlwys
rapally 'ILIs is panly because, in dx Ina al 6c", nxn lull µrnY-r
11111MM1Un11yYtKa1t111kan11/IrY1ka11(11YrMM.SkkllxhlMl.K M(Me
wlMncn arc rxwv mnurg lu dxse bcc ~luc, kt slunc .vays, w(unen
runv lovc llkslyks, slresses uxl anulctks which in the pau werc
traditionally nule Addictions always take Mihl wlxn a Ixrsun
is urukr grcat sn6s - a rxm-sucsuJ irulivklual, whalcvcr their
sn, will ncxr ixaxrr alkYcrd lTc dryxn(Icrxy scrvcc Y( bY M
cwl the pnccplbn nf slNne Jccply kk pain and the choice 11f
suhsnncc u11rn c(rncs.knvo to what nuy be ncar at lurd when
a IMUp b needed Cigarettes and alcohol arr cuily ava4able, a/xl
IMMh aR legal, sn nuny pc.qde will turn In dxsc 1 kn dn ls nu Mc
Jillkvh to itbnir, ard Ilkgal, therefore it is stW s1y{hlly f+rcr
IAN a(dclkxs Jn ruw .kvck>n ILSI bcraucc the suhawxe is
nxrc Anybody who has a(lfellseale1111ee11 I1111kM (MII LMix
huxr angutsh will pruJ s.mlcthkg Iful Jnes tix uick Rwcnyslrirkcn yuurylslcrs may turn lu s(Avcros,
whhh ate cheap arul
r11AT ARE AIIp1(TION9 If
casily avalhbk: the nun.caming IxMnewik nuy f{u In Ixr Jlcllx
- kr 1>;Ils which can be prescribed lur nal to rxnhkg; and highcalnirg fYrn slars may, ssniff apnWvc
axa4rc.
Iv nYne w.unal dun rncn bcrc>,nc huoked on InnyulWncrs
. and skqdng pUk. This hay.lufns for a number ut masurn One
. is that w(rncn go to their Jucnnrs inore than rncn alrywray, and
k has Ixen shown in varkx.s studies that mak ckrlon an: likcly
wµlvcc-AnJngpillslolhdrfrntakpwknLS.llxathcrnnlnroscrl
ls Ihal tranlrylllians an- a passlvc, non-asscnlve way of dealing
with pain and ditsalisFirtkxr A nrarl is nuom liable to be arypy
at his fmstratbn with tifc, and also to lird hk own.rry of cupkg,
. rather Ihan rclying on a ckxtur
More mala Ihan knlaks bcc/wne Iu-n>In akycv, anll by 6r
the grrn nnµxky of krruk addicts are hnnuluctd to /1x hab4
hy drcir buyhkrYls, or snmc .dxr oldcr nuk who Is alrcally
Inrg hcmin As a vcry, .cry bnndgnxnYnikn, c4dlk uf nurry
aurplMlr~, N smtcs Ihal lncn are nuxe llkdy Y) duMase oulguug,
apµrccsivc, exlnwcn xUvllics, anJ wawnen mluc IIaDk Y. gn kx
die ryssiM sccrclive lylxs nf a(1Jlctiun. It h wrrnen, rather than
mcn, who twercal wikl/y, who arc alklklal to sweet tlWyq, to
nwnarnk ncwcls, slqt.teras.IN even locYUrqrdslve IkYrxss arul
ckadirxss. WMrxn tend Y) choose a(klktklru Ihal arc kss
IAwkms, and whkfi nuMxly need know alxmt.
Men arc mmurae Iiabk to ba.YUrx wurkalu,t" and sper/l kctks,
while w(uncn rnay hccnnre ck>thcsalrolks'. (hcrspc.ulers
Anunymnus, which is kn IxrIgle who can't sY>n dxntselvcs
slY")irg for cknlxs alxf.ncCr Itemc dm they (Ju nut need ald
wi4 rxvrr uve, has a largc kmalc mcmtxrship in Amcr" Mcn
nuy lum irri cvxnpact addkts - M k farc r) cau.r al.nlss wurlxn
wlur ax unable to ry Ihoreelva away fnnn high Ittit malirkcs
- while w/mrn eroy beonnr obrca/.c knllrn acrnboklerers.
Tyxn-i.s always a dWkxl cfagcr thal any aJ(11cUon, curn an
alkit'INI(1 to work and fNOd1lLYivky, will take over pr.r life In
sua h a.vay Ihat cvcnluilly thcrr Y no roan kfl for anylhing clx
M7.cn In a Ptc.on AdOM.tedt
llsldly, we can say Ilut an aJ(Iktkm hu well avd truly sn in
wlrn the c1lenJcW lolarxc af Ilr Mdy has Ixxlmlc slgNlk Luiy
akcrell as a reslJi, and when Ilx adJkyl.c sul>.wxe hu txarulx
yl kYLvlJlul'Slxst, anJ kxkell ludy, frxnll. All xSllklk M.c al4Y 1
IuMly rrllcts.us. Sulpr alllYctk ln aIIntc Ilx M(ud, uiarca:Jka ts
1he Maln; anllakliMd and IxnMn Jcpnxs the central ncrvlMu

II. A11111/71UNS
syslrm, it, hnng alxxn, iu the SIxMI uMrlll al Irisl, a krliug Ilf
/clmliun a1Ml IleaCC hn1y,S }Inh a1 t 1xa11K a1MI a/11i11MUlllille
luvc dM ulqxnnc cllrcl, as tlMy slMrd up 1MMldy rtxluMts anA
.Inuulalr Ihc ccnlnl ncrwMr,s systsn lu bring alxxn a lecling ul
cRh11JnIMM1 a1M1 cMilrnKnl
l umMillp anJ ta.a Arivhqt Send ctMninual ntshcs tlf aJlclulin
Ihn Mlgh dr sysrln. E.cn trrv.kt tylxs t A IlcluvkMlr. vr h ss Iruyl
atkktTCJ lu alytcr or depression, can keep the huJy's JNkatc
I IM'mk-al lula/Wc sulxly ahclctl. AWunlph the body may have
wrkt1111cJ Itte a11cn-J trdartcr a16/st, alttt Iakr axrle lo JrpenJ
tMl il, in lilnc the systcm Surlt 40 ritlrl alxl SerkMU itlnrss can
Ix-1hc restlk. A kMqt term addkdon uxt--naes a scrkxts assauh
IMI bodily tnnllkMls alxt can CVelyuatly I, al/ 11/ Ihe lYMt111kK
brraktbwn of internal atparts.
t hle yucslkMt uhcn a.skcJ is: it yuu arr atkLckJJ to a mhxl-
aAer.y{ suttsO/we w anivily, wtlkfi is Ihc'real' ynuT Arc we saring
ItK' rtal IxrstMl wlrcn IM: is Arwlk, or when hc is soherT lhc
Ixylulal sayinp in vbxt tc'rius hllplics dul lhnxytlttkink Ihe Ime
IxISlwl is rrvcakJ IWI the drink alxsc charity Ala:@P'1', whk'h
now hrlits wilh IMtlcl atWicrkxts as well, is kt n/akMltx asxl Utc
an.wt'1 'Ihc rr.l, Rcnnine IIe1GMl is the SnIKr, IM Irl aakka"IC1t tMK
Ilrink,IM.Lugs,hrilylnullydyatahcprrsln Adtlirtsdlcntsclvrs
uuy krl llul /lxy an 11k cr, nx Mc Inxmnr, k Ivktµ <M carity{ Ixv yie
wIM'n u/xh'r Ihc intluenc4 but Ihal is rarely IIK inItMCSSkM1111a1
txlM'Id Itakl.
AIk1M~ts Ic/tJ In hc people who canmx seem M/ achicvc the
sule tll mind a/xl lcls.xulily Ilul they desire hy 1 MJkury nlt:uls,
MIIIMyatkqMananitx'ialuAnikMl Ak'tAMllt'an,kt/hcveryslMln
Icmt, nukc pcutlk a{qxvr to be nMMC willy, INIIRniIIK a1MI
ratnwcrt. tlm Ihts elkcl Jucslil la.a a1M1 il slMxl mnts Ilun
IIIxIKkJIMIn. Which 6 IMM a11rA'l1vG 11 K a larl 11121 a I><r}IM15
ihalxtcr can rrvcr he altcreJ kM Ihc tlrltcr by the pursualx'e
t A nJrdakrrYly sut..ulxts INx r ihn, tcry Jcfuulcly, lx.IuqlrJ
kn the u.nse - alxl lful ls ,Ir Inr prrnkkx>,sltcss td xk1l.Uvc
ull.cplco. 8tenlually, lllcy wmil lttc tlclslMUlky antllxky{ atx MM
scll hak lack u1scU .<ylni, and can arn>(Iltltiy J~wny a Irrsnni
n I/llklrnre.
Mldklkxtt an- so vcry rylwcrlul Ihal nxw people who have
been (Wghl In Ihcir grip hul nuluKc lu sc1 Ihcn.ulves t/cc kel
/lul, tMr-c Ilx link with Ilx'thrakJ sulunrM'c has Ixrn INnkcn,
life nluu In tulun be lived without even Illc nrresl lauc Id It
agaln. Thus, ctMntxllslvc Kamblcrs wlM/ ancnJ f:andlkrs
WIIAT ARE AI)INCfnINS> 17
AIMMIy/1MML5 nlccMings are kIW tlxy must ncvrr cvcn buy a
' prrmlum IkMx1 as I/le habit, tMwc It has nkcn IMAJ, nuy ctMllc
txu atpin. Ihltr an adllicl, always an akYcl, dxy hclkvc.
71x varknas Alxwryrrx Mts' cMg;utinikltts, all tlf whidl txiRhulnl
in Itx IlnltcJ tiuks, believe Ilul atklk.tbrts rlcvcr gu aw.y a1Ml
.-anM M hc n11cJ 7Lcy can, however, be pcmunaMly carnJkd,
aldxM>fth loaner aJJlcls will knd ut Ircxl on a knife edge all dru
IIve3_ 1'tMnKr akt]IMIh[S IlluSt IMM eVe11 IIaY! (MIe Ilny lhUl) 1>t
shaluy, (M ccklx'ate a wcckling with an akoMHic Jrklk. E.snMlkas nMaa rwl nie the mcncsl pIH2ga44
alxswlsc the Mxly,
which ha'ane so used ut a Irpllar htnke, cuuld Icmembcr Ihc
srlualkln arxl cnvc k agahl. MtW help agent'ks kx Ix-ruln
'- atklirlkln believe 11124 tlx-lc is rMt.vay mcn/uy an txcask.MUl udlt
IM sixMl- It ynu ctNnc nlt Ihc tkug, yv/u cnme oll h catylktcly
anJ ulua nl'vcr ultnh it agtkl
NanYMks AnlrrynMxs, ltr scU Ixipasslx.trkln kx cingnkYtts,
gu even tunhcr They bclkve a kvmcr addict muse. In futurt,
succulnh lu rm mirM1 altcrirqt sul.wuccs whatcwcr llrcre Is lil lk
pIkM,11My say. ln slnydy rqtlacingonc adliclkMl with atn>11M'r
A clas.sk' a1x11raRir example td Ihls kind is Ihc story of lhc lak
)im FixM. Ilc MMdc up jtllglfinp when hc was a sllanlbling,
Irvcrwciglu. sNCs.s ItnMtc IMlsillccsnun. 71tc c.xnptllslve ol/ng,
Jrlnkilyl alxl wtxkulg stopped, Iwt hc Ix-c~ntc so acklh'tcJ xl
nuMYl>R Ihat in Ilr end it killed h/m a dtc carly agc td IINy Iwu
Ik ran IN gain Ihat uxryttn ahcr 'runnct's high: tiul wrµc of
aJn'tuWl wlw h axnscs Ihnxyth the vckn dlrkg uretMMlus spMl
ingging may seem less hanntul 111an uncontrolled th/nkily{ nr
Ipnll>Wyl, Mw the akLnlve aspccf crl bcc.rllc /Iw as rcrnkknts.
Wnhrumilp, lhe 11401' i LtstsuNy klra slxln Ilnlca/xl Ilxn you
luvr w/ mn a/pin m hriuu, tullit the tcclklg of well bellqt Ahcr
atrrkxl, N1u may .varw 1'npcrknrc llul'high' alllhc Iknc a1Ml
IMM have IIM' 'knV Ihal kx. iWlly x'axtylunks h 7tlls is 1 rne ut
all allkls.- thcy waru dle traeaslt/e'a, but cari t M-ar the lullts
ut wrldnwal 7111s h what scrxY aAdkis In scarch tl/ c.cr hlµhcr
d6.tc's of Ihclr fr., so Ihat Ille pakl wIY nc.ncr mum-
i1e rle}ave of Addk7lon.
Nobody wlMlkl ll[fl Nlte alhlk(e(1 kl anylh/n(t It I IMy I1a111M M, at
s.xnc snRc, dcrivnl cttnskkrahk bcncllu a1M1 pkzsu/c tn un Ilr
sulwaxx AI 14st hcn>tn cunvcys a kcllry{ utJcetl llc.cc, wllk h
IlrakYulhcnwa/MSylcalx'I1r/Mren.qtssly 11M'nulnpkiune
alhcJedvcJ/nnlanuklM~fvcsulxwlMClslfulilluslhrlxrv,rr

le Alll)111NINS
Iu unvry iutlaru xalisfutkm ~Illcrc is rn wailing
11 yin gu un a slimming llicl, Iw a cnursc ul study. il may he
Illany rMNr111s hrfnrC resuhS SrJn 111 SIM)w . TIMIC LS IM) inGGllt
nw'arJ hN nting kzc - you dl>ti 1 hccnrnc sylldl like in a day
Suni4rly. If ylxl are kaming a rrcw language, yiw d/xi t hccumc
gucnt twcrnigtu tlul with a clgarcuc, an aku/xllk drink, rw a
,urcluk; You gain Ille resuhs at unce. TMxce wln Inlccl rx srwNt
lx'nMn rlYYive it.S sen.SatkxtS lhrrally seclxxfi I:IKr Ml6t d(inkerC,
ull rmcrkyl a Ilub, order rhek (illv01yMe 1111(de and dnwn k in an
insnnl sayilyl, 'TIIaI's bcncr'
Ag ttle whwrK-ec thal tan cause aekYclkrrs have I>rrvxrlr muki-
mdlkn pxxxl irldustrie.s, the Illegal as well as thc legal lncs, kw
Ihia very rczsl m. they deliver saLLsfar'tkul a rxxr Aklklklltc an-,
kw dw.sc Jcd'u)g in sulsvarx'es which canse tkpenJerxy, very
hig Inuinccs ilxkeJ. Mxl kN nurry uf dle adJklivc wl).ualxrs,
eRlCl)1 I)[Jlafki ftlr he11M11, tllele is WxhN)h/edly a glailMnMLS,
lksld>4 skle IGcctuses are skrk,llnlxifiJ allinnk, wunh nlrly
dulusand% llf rynlrk; rigas arxl clgarr'ttcs curne altraclively
Irx kagcJ, uxl thcre is ceroildy mur'h plcasurc in ctnl siryl arxl
drinking finc wincs. 1Frr all tlrsc are Ixunuully adllkvvc, and
rAn cause serkxss dcpcnJrnly pmhktns.
lllc nnin pn A)km h thal a siglufiraru and gnwving pmry nkn
uf Ilclhilc are uluhk, flu a varicty Id rensnru, w keep dwir
1)k-icures, and dr ilxlulgaxr In these sulnurx'as, Lcuknal.
1'Ix`re is always dlc danger with any nf them that they nuy take
uver a perwn's lifr: avelxually dcstmying u
The Pain of Addfctlon.
Pain fnwn addkIkuaS resulls wlxn dw cnving hac hrt'lwlc su
rk<I>ty emberlJcJ Unt there is Mnh physical and psychlAllµical
drfRndflKy In Nxllf srlCre 175C5IIM' IXNfy t'ar11M N hnll'Ik n ally
nxue without a rcgular supply of the addktirr suhstarxe Thrn
Iik hcaxtrs rnc kuyl aglny, rclicvcd only whcn the suhcnrxr
nucls dw body IWI ap.n hln) drqrly alfccting hcahh, alw.ys
In W detrknent, alkLctkxLs have an adverse clkct ln an
irrtivklual's rcrs/xulily as wcll-
llr xklirt - wlutcvcr the r~se uf the artdilliun - lyl a lnle
nI sultcr fnrrrl .rry scvrrc rcnlnalny JrkaLC rKx c Ulc allJiitkn
his ukcn Mll.l ticif n~lcct, scll cstccm arxl xll arnlidclxe are
knl ac alkln'ts hcgin tu krrl they are rxNhing Uut dxy du ruM
raisr, widM>tn dlcir 6x- Thc classic pah fur addkls is Ihal,
sunxwhrrc akxyl lhc hrlS Uxy snn k I flac Illcmtclvcs, awl Jlry
I
. W IIAT AWC A[M/Ir.T()N57 IY
pecrnle hideously uxnlented by the hold their addkakn has
FVinell Aher a tlme rrlnst addicts tndy do waru to klc k the luhk
that has enslavanl them Iwt, by ttLLs tirrlr; they cui t- 1My rv)
/u/ kMy{er alercise flee wiU in rlx mauer &xh thelr mhxk anJ
dKir bodies have cumc w depend on the substance fur Jaily
fUMYitnklg.
An a"tkm can be so.ery pnwcrful dlat It can actlnlly rum
slrncanc into a yuitc dYkrcru. and not very llhc2blr; pnxx).
Whereas hckxe an ImLvilksal may have been ImeWgax, wluy,
nr wise, once In the grip nf a dcpcrdcnty, tllls sanle pcrson will
he Mlstik resent(ul, secrellvr, self pitying: in shun, they display
alllhe least aurxtive rrgat/ve qualilies.
'Illc t ndy way tu rcgain unck kumer personality Is by karNng
ur Ixeak dw hold of Ihe alklictwn. In fx't, all addicts eventually
hccvime Iuxl Itl¢ rxle arntllee Nody all rru)oJaBer4lgdlemk~fs,
whether k)wld in drink or Jnlgs, nr marxlhcnurcd Irucmally as
Ihe re.sult of g,arnlAing, bring about the same elxl resup In 1hl>se
drpendcnt on them. Whatever Indivldual personality
rllarar'I[f14M.5 a(KRnr1 may have possessed at /nK tkne, tI1e3C
hcclrne klal as thc adJktbrr takes an ever-stmngcr hukl.
Must atkfk+s end up as sclf kxithcn. Whcn as prevkxuly they
nuy have dfdikcJ suxnc aspctit of dlcrrlsclvcs, and srwgM w
uveraxne this by takLtg in a chertl", exroe tlxy ae caMlkrly
under the klfk)crux Ury bmme a stttt W Ignlass af hauad agaYm
themulves. This is why so many addicts aunnpt. aruf rruny
surceed. in crxrnW W Ig wkkle
O.ercoolot AddlcUnrr
As adJiclkns sttrn ru hatc hccrxrle rrKUe c(xrmxx', nw)y
agenrks have gowvn up In help peapk rkt Uxnuelvcs of Ihelc
dcpclxknry These vary faun sdf hdpnr(Wllntk)ns w dlx'kNS,
slw ial wnrkcrs. Inych/atrWs andotha pmkssbrnlt. All fight an
uphill IAltle, as the difficulty h w flCtllOd[ dw aJJkY, or fIN the
alhk.t w pcrsuxk hknsclf. Ulat tllere ls a hettcr lik out drrc
withlwt the anllkial sulst.ulce
T11c gr}nlps fiat have Izctm mtut succesnk)i kl hrlpky{ f>nqlk
rwercurrle their adNUbrls are thuse that ntange to sucss the
positive asftcrts, hutcal ullrylry{ to erlcrnuagc pc.>fuc simply
ul give up olcy wrxk on helping tl)cm ul dc.ckhr srntrµlcc kx
Ilvklg that will 11c nl/xc rc.rangng N is rcrtalnly ru N cuy, as u)y
alMlkt cVn)cs tn rcly on his /i. Ir) help IIin1 a-lhK with tlk and
whenever a crfsls klnnu he will be tempcJ w fall lrx k ln dw

i
111 AINLI'lllmti
casyxdulNxr-tlKfix IltusvdvcJnunyltnAtkmslxhxc.'Ihc
luncrru ul hctuviumr will luvc hcuMnc very rkoply hqpahrctl.
AIIslkcesslUldrild uulJruµainrscaµcncksulxkrsrarrllhu
rululc aldhas a vacuum, antl lhal any adlkikxr will be ukiuµ
ullakwofl/rcaJJkl'sti.neanJlh..µhl. Wwcuuxrjuurnmwc
il. Invmµ rw rhinµ in iu placc 11 afsr. tus k/ he urwkrsnxul, InHn
the uulscl, that nu aJdcrkul c-An cvcn ce twercrmr uNess the
atkfk'r acllul/y wants ro charW panihes awl fricnds canmq
Ihetnselvcs pawWe the Irmllrrlnti aNMmµh they r.n be vcry
hwrumcnul iii ®vkrg the oorra.t type u( supqwn at the right
limc Ihnrwramtxmltr/lhteau,plomiresnrhrNxswiNrnakelhc
slightest rtifkrencc lu allyboJy who does rlul rca4y .rux kl µivc
up their adI1c111N1.
II is truc that noadliLClkm ran hc culqmNcd unless the atWkt
cumcs lo IHlsacss the lusshakcabk cunvktkn that life can bc
ilnnlrasruably iny>rtwcd wNMtul the rleperrkncy. This /s a tar
fnmi simple matter Many hcrnin aAdicts, kr kwarpoce, go ku
rkluxificalkn cures and come uut .q Ihclr rchabiµutkm Iutrs
sul>(x.scJly hccJ.dllr luhil Uuw whcn Ihcy µct oncc mtwr kwu
Ihc uulsiak wnr W, with all il.s challnyfcs, ltlcy may flntl h a cukl,
lu.slik and unfrknrLy (lacc Maybe they carurM finA wrrk.
Irrhaln tlry an-urubk kr kKm prrhter ¢lalkuships with alher
pctqrk 'lllcy can then inuµine that lik on hcmin isn't su bad
after all - al /rasl il blurs tnrt thc miscrics of Ihc real wurkl, and
savcs prtMle (nmt havkyl kr rmkc Jiflk'ull tkclskwts alww Mnv
n I crnrlun thcir ksas. In a vcry slrrn /imc aratkkts t~rl hc usiryl
hcniin again, and nuny arc.
MIlfl [xhens wlMl wlMk wnh adhl'Li kYl Ihal, IMNT SIanLYMn'
has hccn ad/icyctl, thcrc is always the possibility that the Jesirc
In tlrink, take Jngs rK µau>f>k will rclurN. II is asy kr kecp dtc
1n)11 urrkr coruml kN a sirnl lirtlic, bul I( nrrlvalkm weakcns
II may wcll rtum.
ClMmtarN vlgYanCe is rerlulreJ, rMN least by IIK xhllel. II i.s
usuaYy nttrieary ru break ulf all kmncr links with the rrcvkMrs
lik, csraMbh a new scr tr( frknds antl mtwe k/ a Jifkrcn
nclghbaulrxrl Anything that serves kr rclnirxl a kurner user
of his dependency axw be slrkylently avoided Rn some ccµamhkrs, wakhhyl harurx'llyl un lekvlskrt
.vuukl lrc crrwylh
kr set Ihc old desires In modm agaln. lluluµh physk-d
Jclrtrknty al be reversed f.irly quickly, cacn wkh Jngs sutfi
as hcmin, il b a hr rrwrc d/yKu11 m:uWr wl Iclrlacc the
fxyclutkrgical adGclbn, Ihc pcrxruµry pr.Atkm Ilut cnuhkvl
WIIAT ARE ANONTWN51 11
ItK xklkYkxl IU take hold ir the lirsr placc
d is Nµkvll hx rxm athlk'IS 10 see the aitracthwl arxl lu
uMkrsryul how anytule amkl kt an artlfkial chcnJ" ur any
anlvNy hauc such a hokl un U1cIr I1k. A rrm atklktcA pnxa nray
y~ a man su hooked on ak'uhr>t Iha he has knt his horrx, /trh
. hmily and frk/xk. lk lus klrr cvcryltWtg, hut stW hc aaukwcs
tt.Wdt. Whyy the mina141kY may wunkr, cai t he kick the IubN7
tan / he sce what il is Juing to him? fan'1 he acc that N Y kNWlg
Wm7
7hc adlkl canrwM see sutsc htt'ause~ by Ilrls tkn4 hY brain
hat become so deeply a1Fcc'ICV1 by the dlnk (or wharnc.) tlnt
N is sinytiy n'w M>.ItYg h the same way as dul of a oonodlk'rcA
pervxt. It has hea>tnc a klg, thnxgh which he rn no kxgu
scc rtrarty thc msulrs nf hls aaluls A0 he c.crruallY ru><krsrawb
is Ihal, stnrclwm, he must alumhk torvad anpher tN4.k.
Gamblers are alacriy the same In Ihh laµca: the pmccsser by
which dhcrs Ihink antl ac1 have ha'omc lort m Iheln bccIPlnc
of Ihek atlJlnkn.
llus is why the nntt Inck an be so kwyl ardpakdul, aulcrcn
knprssibk It. Attp down. the atkYcl tkxs nol wvw to break the
hapil anJ take his tx her place hock In the world u( reality
llrtse helping addicts, or wlwl five with therrl, nuW rolix
Ilul any habil. I( pursued with rowough +kdorbn, and u.er a
kmg enough perknf of ItrrK can cvemually be a pcMCrN .r.y r>t
pclmylcnlly aherkyf the colncit.wlw. An aklk.'Ikm is a way
ticqwlµ with ptrbkns It Is not a very salkhcrlry vvry. frrful>6,
bul N is a sdulkln u( a kLrd& lak bcc'tunrs vcry sluyt{c fur an
adhcl, as his whole Nk 6 conccmed unly luotwhl nrnc of the
Hx Thc habll canrn he avcrcnrnc urrY IrLVc tewr.nlNlgsdulkxu
, can he dfu'twercd.
All the iUnnynnlu' txµardnNbru auc xlf help µnwps kt that
Ihcy arc nm by furmrr users uf Urc wtlrrtarrM ratlrcr Itun hy
durtnsur ulher plvksskxnh The It1n h ttni kunrer atkNcls art
Ihc t)csl pc't>tie lo uruk'rsan1a11rraAdka brn N is aW t true Ihal
hd{Wlµutlrrs in Nsdf arwMrNrs ramdcrr therapy ArrYfxxty wlrl
fs rrykr{ lo welc'ume an adLcdtn oNUr bc helped lu lead a Ilk
which lhcy wW carts4kr uscful aldsalWykiµ lb a hrmcr atklkt,
Iherc Is 4hen no at.Uvky more rnvanYng Itun hclpky{ uthcrs w1w/
renoln IrtxlM.al 11 must be saNl, txrwwavcr, that Ihe sell hclp
. aµprcwdrAt,rsrrMwrxkkucveryMnly llrcrearclht*cwhoarc
rxM, or wM)dorrut hc'amle. slnNlµclNMlµL un cwlp Ihcnuclvcs,
and these arc the ancs who nrcJ uperl. Irnrksskrul twc.

ces :: ;cr: :
:r.e c:odecs cf aA :^ese :cdicted. As z;m ;: :ac =ncs .;
_s% ~ encugr, :to oevelop an addacuon. ^ut ess rsv :o :etc~
`'ost t.`.a:.nele agenc:es are ur.deninded : rsar.t:v >nerr
iaff. and ";ve .^ore :.:ents dt.an ttuv can resllv h:r.e:e ia _
-.a:n wzs af csercon::r.g add:cuctu will be descnCed n.:--
.n 'Z.u boou. 'he answe: s to fuid the cne c:at oest su:ts ;
ndtvtdual.
Those wh0 live w;th an addict .`.a~e to DCar in Rund :~t CI
own behavtour can either help or ninder. St2nv puents of her
addicts. for eomple. rnar make et:e.r child-= s r~;ibtt Qon;e stm
b not undetscndmg the proolem. or by alung the atutuce
how could vou do this to me?
Manv wives of alcoholic husbands ac:uallv do drive d
husbands to dnnk bv d:eu own disapprovu-,g and aega
benavtouc Thox involved wuh an addict hu~ve to know ;iut t
cannot hope to change the addia s behaviour. thev an only:
their own. lf thev irnprove then the user mac stut to :mpr
ss well. Thu is a.etv hard lesson to leam. and it secau verv ur
but cersm help agencies. such ssACCEPT and Fun
.A,noncmous, for the telauves of drug addicts, now conceee
on helping relauves to come to terms wuh thetr own atua
fin;t. as a prclimuury step to aiding tne addict.
Many have found that thu, in ttsetf, c.n tnggeroff a welo
upaird sptrnl. The very wont Uung that anv relative of an ac
can do is to wntee oR' the unfomu arc penon irnplvuig or te
them outnght that they are no good and not worth helptng,
wtll onlv serve to drne the addia further tnto gloom and de
and will deepen the dependencv.
However bad the addictton auy be it is alarns posstble tc
oneself from it. so long as the candtuons, the mouvauen
the nght sort of help. are there
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