On Phillip Seymour Hoffman, Addiction, and Selfishness

This original blog was not included when this website was redesigned.  Many have asked where it went. Originally published on 2/5/14 on a previous version of this blog– now divided into two entries for its anniversary.

On February 2nd,  2014, I launched this blog, shortly after the publication of Leaving The Rest. I had not even considered that the next day was my former sobriety anniversary.  As I proudly posted the notices of my first blog entry on to Facebook, my heart sank to learn that Philip Seymour Hoffman had died of an apparent drug overdose.  He was not a personal friend, but I had met him in passing at a few parties.  But since I have no less than a dozen friends who did know him (or who had at least worked with him in some capacity), my timeline was full of the news and speculation.   Because of the date (Feb 3 had been my sobriety date for almost 21.5 years until I left the program and compiled Leaving The Rest), his tragic death, and the subsequent outpouring of shock, regret, and affection that always accompanies the unexpected loss of someone famous, somehow seemed magnified.  Perhaps this was because this particular celebrity and I shared a social degree of separation equivalent to about 1.1333 degrees.  The result for me was I would once again spend February 3rd pondering the nature of “Addiction.”   In the wake of PSH’s death, what struck me was the number of posts that pondered the suggestion that the nature of addiction is “selfish.” These lit up my social media timeline through out the one day I had willed for myself to be free of the topic.  

Learn about The Relentless Award in PSH's honor here..

Learn about The Relentless Award in PSH's honor here..

Many of these posts included links to scientific arguments, interesting videos about the biology and psychology of an addict.  And the biology studies are compelling.   There is real science that makes one want to believe that indeed, the addict lacks some from of self-control that others have.  The condition of addiction can also be mapped onto a chart proving recurrence rates are similar to diseases like Asthma, Lupus, Hep C, and other chronic conditions.   That these mathematically correlate in astounding ways is compelling.  But in other posts, people pondered why some “addicts” could get sober and stay sober while others could not.  This question is the foundation of the mystical elements of the twelve steps and other spiritual “recovery” methods, and one that I think is more easily answered than we want to believe. 

Psychologically there is a big difference between the addict, and those that suffer from other such chronic illnesses.  In people who suffer from addiction the rate of childhood abuse and/or neglect, in one from or another, is much, much higher.  And if we look at this in concert with addiction, instead of as separate issues, this brings up questions that make addiction such a tricky thing to treat.  In order to become an addict, the addict must be active in the process.  Addiction is learned.  It is also earned.  It is rarely something that happens to people who walk out the door of their well-adjusted home at age twenty-one, and have their first beer.  Those lucky people rarely fall into the throws of an addiction that makes the quality of their life unbearable.  Addiction treatment to date focus on the behavior first, and the issues that lie underneath second, or in many cases, never. Rarely do people first see abstinence as a form as self-treatment.

When we are young, we have no idea how to treat the wounds of abuse and neglect. And usually, the only people we have to help us are the people who are making (or at least contributing) to the wounds in the first place.  Eventually, addicts find chemicals ease the pain of these wounds.  The drug doesn’t heal the wound, but it makes it bearable.  The wound, to the addict, seems to have found a balancing agent.  And as we use that agent, repeatedly, our bodies grow and form around it.  The challenge of being in “recovery” is learning how to remove "sunstancs” and live with the damage it, and the wounds that sparked the behavior, have created.  And it seems so unfair that the thing that provided you an escape from the pain has caused this new scar. 

In other words, addiction often begins as a treatment for a wound, long before it become harmful.  The addict usually believes use to be a relief form the deeper psychological issues.  To make this more relate-able, let me use an analogy (and I apologize that it sounds so much like that Reagan-era inspired, “This is your brain on drugs,” PSA).   Imagine that the formation of your brain is like growing tree.   Now, imaging that pot is a small butter-knife.  Imagine that Crystal Meth is a giant serrated saw.  Depending on the substance you cut yourself with, each cut has a different depth, and creates a different kind of mark.  Each user and each substance forms a different groove, mark, or scar.  And between ages eighteen and twenty-five, depending on the consistency and frequency of use, these grooves, marks or scars are gradually becoming permanent, and un-repairable.  Our mind literally adapts in its growth and assumes the substance, much like this tree assumed this bike as it grew:

The tree assumed this bike as part of its natural growth.  Can it be removed without harming the tree?

The tree assumed this bike as part of its natural growth.  Can it be removed without harming the tree?

Imagine what removing the bike from this tree today would do to its health. Imagine the forming your own body and identity in a symbiosis like this.  How easy would it be to let go of the thing that was literally a part of you?  Whether you are formed this way around a drug, or the idea that you are an addict, how easy would it be to survive without either of those things?  Of course there is a way to remove the bike from the tree, but, its possible the tree will die and that’s a big risk.  Can you also imagine the tree might just prefer to have the bike left as it is?  Wouldn’t this tree miss the bike if it were suddenly gone?

This is the kind of relationship an addict has to the substance that scars their life.  But, unlike the tree, these scars rarely started with the drug use. Instead drug use is often used in concert with scars from something more fundamental.  In many cases, drug addiction is the result of a person running a chemical knife across a pre-existing wound.  The wound may be from the abuse or neglect of a parent, the sexual liberties taken by a neighbor, or one of countless possible, nearly fatal blows to the developing self-esteem of a child or young adult.  Children and young adults can only comprehend so much.  The tree couldn’t know what that bike would do to it, and it couldn’t be held responsible because the bike didn’t get moved.  It just followed its growth and development in a way that seemed most natural.  And whether we like it or not, this is also true of most addicts.  They are following the most natural path of the lot they have been given.  They don’t know it, but they are growing around, and into, a bike. 

To make things more complicated, the American Medical Association has two diagnoses for substance abuse.  The first, “dependency,” is what we usually think of when we think of an addict.  This means the addict’s body relies on the chemical.  The bike has been completely absorbed by the tree.  The second, “abuse,” means someone uses a substance to their detriment, but they don’t physically need the chemical to function.  They rely on it emotionally, but not physically.  They have not yet become one with the bike.  Most people who really turn their lives around are those with less damage, the bike just scratches the surface once a week, but the pattern is stopped early enough for a new growth of bark to hide the wounds.  This would be the low end of the spectrum.  The high end is dependency; the bike and the tree are now one.   

It is natural to think, “It didn’t have to be this bad!”, but that’s an irrelevant point when it comes to the treatment of addiction.  The fundamental question is “What do we do now that it is that bad?”  And the next question should be, “What else is causing this? What other wounds are there?” Any doctor will tell you that symptoms can be tricky, and addiction is nothing but a spectrum of symptoms and possible causes.  Each position along that spectrum has a different set of causes and a different set of treatment needs.  Anyone in recovery knows the giant spectrum of addiction is as complex as the mathematical formulas that can be created using an addict’s age of first use, the length of use, the number of chemicals used, and the number of other underlying “original” wounds, all multiplied by a factor of later life PTSD.  

After the bike has been removed, we expect an addict to spend the balance of their life pretending not to have a hole that a bike fits into perfectly.  We tell them they must NEVER store the bike inside that hole again, or they are playing with their lives.  The fact that the loss of the bike might make the tree unstable and vulnerable must not matter.   For the tree, the desire to store the bike where it belongs, where it is a perfect fit, in the slot it and the bike made together, creates a kind of obsession.  The obsession is reduced to the question of whether to live with the bike, or to live with the bike-sized hole, as the damaged nature of an addict, and many of the message of 12-step programs makes them unsure the hole will ever fully heal. And in turn, an addict may wonder, if healing is not possible, what is the point of abstinence?

More common than you think

More common than you think

The tree becomes defined by the knowledge that they should never reunite the bike with the hole it left.  That tree will never be known for its leaves, or its bark, or its size.  It will be known because it used to have a bike in it.  And it must never have a bike in it again.  And that doesn’t feel natural, because it has always been a tree with a bike.  That’s what it is and that’s how it is known.  It must begin a practice of saying no its own desire for the bike— and that requires constant work.  Even if a period of living without the bike is achieved, the memory of the once perfect fit of the two is forever seductive.

It is not possible to live life this way.  If you have a wound, and that wound causes you pain, and there is a wound-sized bandage that covers it up, even temporarily, it is our nature to use that bandage.   And if we do that for a certain amount of time, between ages eighteen and twenty-five, our brain will forever tell us that the bandage exists for the wound.  This is the nature of addiction.

But what is missing from this discussion is something even more fundamental.  If someone with addictive behaviors stops young enough, early enough in the process, might they be able to learn the real nature and purpose of a bike?  Must they really be doomed to a lifetime of thinking the bike belongs inside of them as a balm for their scars?  Can they learn to ride the bike, and use it as intended?  Or will they always see the bike in a distorted way?

To deal with addiction we are taught that we must accept it as a part of who we are.  We are taught to believe that we cannot ever hope to ride a bike.  We are taught to believe that we will always have to wear the label of addict; that our view of a bike will always distort us.  To indulge in the thought that we might ever be cured, means we must deny something fundamental about who and what we are.  That leap means accepting the possibility that we might achieve a complete healing of the bike-sized hole.   But for that to happen we must first create and then carry that hole.  And it is the degree to which we have absorbed the bike into our biology that defines how hard a journey it is.  In more practical terms, the nature of a truly abused person must become optimistic.  And that is a tall, tall order. This is why a spiritual approach can work for many.  But does it really have to be the only way?