336 karma · joined January 2, 2013
I think journalism has to go this way because of what it competes with.
I wanted to comment on one of your last sentences - that "natural recovery" doesn't warrant attention. I think there's a certain bias here given your own experience. If you go twelve step meetings, you'll find people who's lives were on the brink of ruin and who have pulled themselves back by living the steps. But I think even NA/AA would acknowledge that the percentage of people who walk into an meeting once who get sober and continue to attend meetings is small (if I had to proffer a guess, it'd be less than 10%, but I don't have a good basis for that). So the question is really "what happens to the other 90%"? Some will certainly die from their addictions, destroying themselves and the lives of their loved ones in the process. Others are going to "grow out" of their addictions. It may be that the percentage who grow out of their addictions is actually higher than the AA percentage (and that seems to be what the article implies). That actually _does_ merit attention (and I think we'll find that in most cases the growth mirrors some of the steps that you'd see in AA, just without AA).
Of course, those that _don't_ grow out of their addictions would be far better served working a program, and we don't have a good way to distinguish which group any addict is in, so that puts us back to where we are, which is in not knowing the best way to treat addiction. :(
(Personal note: I was clearly an addict and alcoholic in my late teens and twenties, and this period of time involved multiple trips to rehab, as well as AA/NA meetings. None of that "worked" for me, but what worked was the development of some additional maturity (late 20's) that was able to see a life that I wanted which was incompatible with my behavior. As an adult in my 40's, nobody would define me as an alcoholic or an addict. I'll occasionally drink, but drinking to excess really just doesn't fit into my life anymore.)
The article is essentially asserting that of the people who clinically qualify as addicts earlier in their lives, about half of those people don't by the time they are in their 30's, and that the pursuit of treatment doesn't necessarily correlate to that outcome.
That isn't to say that there are people who absolutely need to treat addiction as a disease, and that viewing the next drink as an existential threat isn't an important part to their recovery.
When I was a teenager and in my 20's, my drinking and drug use was out of control, and I did enter treatment including 12 step programs. Those weren't particularly effective at keeping me sober in part because of the mantra that "hey, you have a disease, and you don't have control". That's sort of a self-fulfilling prophecy to a younger brain.
What ultimately happened to me was that the life I wanted wasn't compatible with drug and alcohol abuse, and I moved on in my mid-20's.
I do occasionally drink now (in my 40's), but there's no fathomable way that I could see myself going back to what I did when I was young, and no clinician would diagnose me as an addict or alcoholic today.
So yes, the article is dangerous if you are part of the subset to which it doesn't apply. The question is whether we should be treating all addicts in the same way. One answer might be "use the disease model on all addicts because it may apply". Another might be to try to treat this as a leaning disorder.
Right now, we don't know the answer, so I agree with much of your practical advice: if you need help, it's out there, in the form of free communities of 12 step programs, as well as medical treatment programs.
(Actually that's a _really_ close approximation and very helpful in reasoning about special relativity).
If cost is an issue, go to a community college BEFORE going to a 4-year engineering school. Community colleges are a fraction of the price of a university.
Any EE degree is going to require a significant investment in calculus, some diff eq, linear algebra, chemistry, physics, and likely some humanities.
With some clever coursework you can do ~2 years of full time EE coursework at a community college.
College degrees have different values - an engineering degree has a very different value than a history degree. Since the tuition at four year schools for both degrees is (largely) the same but the financial value after graduation is different, I would argue that one of those degrees is a luxury degree while the other is not.
If you're arguing "the middle class should be able to afford college tuition without debt", that's a slightly different argument, but I'm not sure it has any merit (given the above that students make _choices_ about what degree to seek and that some degrees are luxury degrees).
Courts have established that you can write negative reviews and that they fall well within rights to freedom of speech. She isn't being sued for giving the guy a one-star review and saying "This place sucks". There's one sentence she wrote that has cost her $20k:
"I suspect that this doctor gives unnecessary procedure to a lot of people and then charges the insurance sky high prices and no one knows the difference."
I'd also argue that a game like cargo-bot (which is effectively a game-ified assembly language) is very much programming, even though you do nothing but drag some boxes around.