A Short Alternative Medical DictionaryDefinitions courtesy of Dr Lemuel Pillmeister (also known as Lemmy)Addiction - When you can give up something any time, as long as it's next Tuesday.Cocaine - Peruvian Marching Powder. A stimulant that has the extraordinary effect that the more you do, the more you laugh out of context.Depression - When everything you laugh at is miserable and you can't seem to stop.Heroin - A drug that helps you to escape reality, while making it much harder to cope when you are recaptured.Psychosis - When everybody turns into tiny dolls and they have needles in their mouths and they hate you and you don't care because you have THE KNIFE! AHAHAHAHAHAHA!

To be or not to be tethered to the sordid, sickly, stinking, sappy apron strings of Hollywood and its endless fondness for fu**ing your sh** up. If Shakespeare were alive today, I bet he’d write a scintillating soliloquy about the Broken Brood of Big Shots. I bet he’d help you out, Micky Affias, ol’ Will the Bard would. Listen, we’ll come visit you. Okay? I’ll dress up as William Shakespeare, Lucent as Emily Dickinson, and beautiful ‘Ray’ as someone dashing and manly like Jules Verne or Ernest Hemingway, and we’ll write on your white-room walls. We’ll write you out of your supposed insanity. I love you, Micky Affias.-James (from "Descendants of the Eminent")

You know when you send a text message to someone and you don't get a response right away, you feel depressed? You send a text message to someone you really like and you get a response right away you feel happy? You feel happy, the body, it creates the chemical dopamine, the dopamine, it goes through your blood and you become addicted to that dopamine rush, and you associate that dopamine rush with the happy feeling of receiving the text, and that's why you got people sending 3,000 fucking text messages a day, right, we're not even paying attention to what we're saying anymore it's just like a, like a morphine drip, right, it's like a dopamine drip! HAPPY BUTTONS! HAPPY BUTTONS! HAPPY BUTTONS! TIME TO PLAY WITH THE HAPPY BUTTONS!

The hardcore drug addicts that I treat, are, without exception, people who have had extraordinarily difficult lives. The commonality is childhood abuse. These people all enter life under extremely adverse circumstances. Not only did they not get what they need for healthy development; they actually got negative circumstances of neglect. I don’t have a single female patient in the Downtown Eastside of Vancouver who wasn’t sexually abused, for example, as were many of the men, or abused, neglected and abandoned serially, over and over again. That’s what sets up the brain biology of addiction. In other words, the addiction is related both psychologically, in terms of emotional pain relief, and neurobiological development to early adversity.

Sitting on the train I watch the scenery speeding by, notice a cobweb in the top corner of the window, undulating with a gentle breeze I can’t feel. I lean back in my seat and take my book out of the carrier bag. Turning it over in my hand, it feels warm. It feels how I want to feel; full of knowledge, full of the future.The time I’ve spent staying in bed smoking dope I’ve been hibernating, recuperating and gaining strength. I’m weak socially, but being away from other drug users has made me resilient. It’s allowed my mind and body to heal and mend. As if the winter is over, I’ve come out stronger now. I’m on my own. I have the choice of what to do with my life.I’m going to stay clean. I’m going to be the woman I can be.

I smoked my first pipe with Seth. I knew the stuff was bad, but I was so tired of being the cop, begging and ragging at him, throwing Pampers in his face when he walked in the door. I wanted to be on the same side again. So I smoked with Seth one afternoon when the girls were napping, and oh my God, I can only think about this for a minute or every part of me will turn into a mouth wanting more: the sexiness of it, fucking Seth like wild for the first time in months, going on even when the girls started to whimper and bang on the door. Then looking out the window and seeing the world shake itself to life: the heavy trees, the sky. And I was back on top. We were going to make it, Seth and I. The voice in my head was back again, telling me stories, too many to write down or even tell one from another.

I'm not crying out for help, but I am sharing my experience in the hopes that readers will get something out of it. I'm not the one who gets to decide what that is, if anything. I'm just starting the "journey" if you will, so I can't possibly know yet what the "message" of my life really is. I only know what has happened so far, and how I've felt up until this moment. I agree that reading about the pain of others is concerning when they are still hurting and in the same situation as when they wrote about it. But what can you do? You can reach out, ask how you can help and be there to listen. You can't save someone who doesn't want to be saved. You can't love someone who doesn't love themselves enough to take care of themselves and stay out of bad situations. Believe me, I know this.

We are not consumers. For most of humanity’s existence, we were makers, not consumers: we made our clothes, shelter, and education, we hunted and gathered our food.We are not addicts. “I propose that most addictions come from our surrendering our real powers, that is, our powers of creativity.” We are not passive couch potatoes either. “It is not the essence of humans to be passive. We are players. We are actors on many stages…. We are curious, we are yearning to wonder, we are longing to be amazed… to be excited, to be enthusiastic, to be expressive. In short to be alive.” We are also not cogs in a machine. To be so would be to give up our personal freedoms so as to not upset The Machine, whatever that machine is. Creativity keeps us creating the life we wish to live and advancing humanity’s purpose as well.

as i discovered, the path to sobriety is a precarious, complex journey. you obviously want to purge yourself of something that has been so destructive and has had such a grip on you. but in the deep recesses of your mind, you wonder if you will mourn the loss of this old friend that has been by your side for years. i know this sounds sick, but you actually find yourself wondering if your life is going to become quite boring without this crutch. of course, the yearning for true health far outweighs everything else. you know things are going to be better for you, for your loved ones, and for everyone you encounter. you will no longer have to hide things and live a lie. yes, that initial high of drugs and booze can be very, very attractive, but it's not worth the wrecked and trashed feeling you have the next morning. nor is it worth the cumulative toll it exacts from you.

It’s strange how what drives us may abandon us midstream, how what tickles our ears with lies one moment may tell us truths that knock us on our emotional ass the next. After all, it is an unbelievably real world, with Darwin scribbling his thoughts into books and telling us what monkeys we are. Each of us explores possibility, hungry for sustaining adoration, yet we know enough to render ourselves helpless. We strive and strain, bellow and believe, we learn, and everything we learn tells us the same thing: life is one great meaningful experience in a meaningless world. Brilliance has many parts, yet each part is incomplete. We live, heal and attempt to piece together a picture worth the price of our very lives. The picture I saw presented demonic executioners, who crippled those daring to look and consumed souls without defense. They’re everywhere. Some are people we know. Others are the great fears and addictions of our lives.

Black-and-white thinking is the addict's mentality, which can be a bar to recovery when one is still active. But an addict who finds the willingness can then rely on the same trait to stay clean: "Just don't drink," they say in AA. How's that going to work for an addicted eater? Food addicts have to take the tiger out of the cage three times a day. I've read that some drinkers have tried "controlled drinking," and it hasn't been very successful. Eaters don't just have to try it; they must practice it to survive. Having a food plan is an attempt to address that, and having clear boundaries is a key to its working. But the comfort of all or nothing is just out of reach.... I'm saying that food addicts, unlike alcoholics and may others, have both to try for perfection and to accept that perfection is unattainable, and that the only tool left is a wholesome discipline. The problem is, if we had any clue about wholesome discipline, we wouldn't be addicts.

The psyche cannot tolerate a vacuum of love. In the severely abused or deprived child, pain, dis-ease, and violance rush in to fill the void. In the average person in our culture, who has been only "normally" deprived of touch, anxiety and an insatiable hunger for posessions replace the missing eros. The child lacking a sense of welcome, joyous belonging, gratuitous security, will learn to hoard the limited supply of affection. According to the law of psychic compensation, not being held leads to holding on, grasping, addiction, posessiveness. Gradually, things replace people as a source of pleasure and security. When the gift of belonging with is denied, the child learns that love means belongin to. To the degree we are arrested at this stage of development, the needy child will dominate our motivations. Other people and things (and there is fundamentally no difference) will be seen as existing solely for the purpose of "my" survival and satisfaction. "Mine" will become the most important word.

We who were not so pathologically far out on the spectrum of self-involvement, we dwellers of the visible spectrum who could imagine how it felt to go beyond violet but were not ourselves beyond it, could see that David was wrong not to believe in his lovability and could imagine the pain of not believing in it. How easy and natural love is if you are well! And how gruesomely difficult--what a philosophically daunting contraption of self-interest and self-delusion love appears to be--if you are not! And yet ... the difference between well and not well is in more respects a difference of degree than of kind. Even though David laughed at my much milder addictions and liked to tell me that I couldn't even conceive of how moderate I was, I can still extrapolate from these addictions, and from the secretiveness and solipsism and radical isolation and raw animal craving that accompany them, to the extremity of his. I can imagine the sick mental pathways by which suicide comes to seem like the one consciousness-quenching substance that nobody can take away from you.

Have you ever known DEATH? Its creatures crawl amidst the lost soul you live wondering if ever they will survive off the bloodthirsty desires of your midnight screams. Shuuush. Can you hear the voices in your head? I listen as I hear them calling you. I sneak a peak up the stairs with just a mere candle gently lit @ the far off end to the hallway … are you there? I hear foot prints … perhaps the logs making witches cackling is all it is? There is no comfort to the lost. No settling to the fire ignited through their veins. Have you not rejoiced in the victory from your burning haunts? Sadness prevails and I loathe sadness. It eats at your bones like a sick little parasite. Stop the madness I plead. Cut its very existence out like the heart of a filthy swine. DEATH be to this demon madness. DEATH I say. Sleep sweetly for the addiction to aliveness comforts your weakened brokenness. [the torturous journey one plays in the outside lines of addiction … as if experienced in the type of rock thrown down for it’s victory. HOP SCOTCH. have we erased the sidewalk chalk?]

He was lovable the way a child is lovable, and he was capable of returning love with a childlike purity. If love is nevertheless excluded from his work, it's because he never quite felt that he deserved to receive it. He was a lifelong prisoner on the island of himself. What looked like gentle contours from a distance were in fact sheer cliffs. Sometimes only a little of him was crazy, sometimes nearly all of him, but, as an adult, he was never entirely not crazy. What he'd seen of his id while trying to escape his island prison by way of drugs and alcohol, only to find himself even more imprisoned by addiction, seems never to have ceased to be corrosive of his belief in his lovability. Even after he got clean, even decades after his late-adolescent suicide attempt, even after his slow and heroic construction of a life for himself, he felt undeserving. And this feeling was intertwined, ultimately to the point of indistinguishability, with the thought of suicide, which was the one sure way out of his imprisonment; surer than addiction, surer than fiction, and surer, finally, than love.