|
There are OCCASIONAL nods to the fact that addiction can happen where you wouldn't expect it, generally when EMS brings a fresh transplant from the suburbs with a college ID and such. But then the moment passes.
|
#
?
Jan 24, 2018 15:32
|
|
|
|
| # ? May 15, 2024 02:26 |
|
|
As far as I know, people who professionally work with "difficult" people often get a cynical attitude and burn out.
|
|
#
?
Jan 24, 2018 15:36
|
|
|
Yeah, I suppose that's the other side of the hill. A psychiatrist friend complains about the "worried well" he deals with now but it's not an accident that he got out of the "addicts with comorbid mental illness" scene.
|
|
#
?
Jan 24, 2018 15:59
|
|
|
Safe injection sites should be as small as possible and extremely widespread, to avoid as much of the effect of concentrating drug addicts in one place as possible. Obviously vulnerable populations like addicts and the homeless need services provided to them, but putting all those services in one place is a terrible idea. These people are part of our community -- instead of concentrating them into skid row, which separates them from their support structures and creates what ends up being an environment full of negative reinforcement, we need to treat them as part of our communities.
|
|
#
?
Jan 24, 2018 16:11
|
|
|
BarbarianElephant posted:As far as I know, people who professionally work with "difficult" people often get a cynical attitude and burn out. Part of that is how overtaxed and over burdened they tend to be. People who go into helping addicts and the severely damaged tend to do it because they want to help. Then they see how woefully inadequate the resources are, the stigma attached to the people, and how the prognosis often isn't good and become cynical in general. Our society is not kind to these people and look badly on those that just want to help.
|
|
#
?
Jan 24, 2018 16:12
|
|
|
PT6A posted:Safe injection sites should be as small as possible and extremely widespread, to avoid as much of the effect of concentrating drug addicts in one place as possible. I mean, what's as small as possible? Don't think it would do much good to shrink them much beyond the size of like a strip mall/business street retail slot. No point making them excessively cramped.
|
|
#
?
Jan 24, 2018 22:26
|
|
|
BarbarianElephant posted:As far as I know, people who professionally work with "difficult" people often get a cynical attitude and burn out. All of us suffer some degree of burnout. There are some folks -- more than you'd care to know -- who are off the meaty portion of the bell curve when it comes to maliciousness and callousness.
|
|
#
?
Jan 24, 2018 22:31
|
|
|
tetrapyloctomy posted:"Mixed" is a polite way to describe how many Philadelphians are responding. My nurses, who should know by now that this is a GOOD thibg, just grouse about "enabling," blah blah blah, as though we don't have enough evidence that addicts will use no matter what the circumstances. Same with a lot of EM docs on our closed group, many of whom have actually stated that banning naloxone and post-overdose resuscitation (!!!) "would fix it all anyway." And they fight ED initiation of buprenorphine/naloxone with quick referral to rehab because they don't think it's their job -- "How is that an emergency?" The medical profession has a long history of being complicit in war crimes so this doesn't surprise.
|
|
#
?
Jan 24, 2018 22:41
|
|
|
KingEup posted:The medical profession has a long history of being complicit in war crimes so this doesn't surprise. The medical profession, or doctors who should be condemned by their peers and convicted by the courts? If the latter, sure. If the former, tell me more.
|
|
#
?
Jan 24, 2018 23:00
|
|
|
Kellyanne Conway has taken control of the Federal government's drug policy office and is personally going to make sure we don't do poo poo about the opioid crisis. A lot of people are going to die because of this. quote:President Donald Trump’s war on opioids is beginning to look more like a war on his drug policy office. I'm in loving shock at how stupid and evil this is. gently caress Donald Trump.
|
|
#
?
Feb 6, 2018 21:47
|
|
|
I feel like if you can describe it as a "just say no campaign" then maybe that's a testament to whether we've tried one of those and whether it works?
|
|
#
?
Feb 6, 2018 22:01
|
|
|
“Well poo poo, I might get locked up. I’ve seen the error of my ways and won’t use.”*- every addict *this is the same phenomenon that ended drunk driving
|
|
#
?
Feb 6, 2018 23:03
|
|
|
pangstrom posted:Aside but: my best friend in high school became a real alcoholic and the response among ~5 mutual friends (all intelligent, reasonably informed, mostly progressive) could be pretty well summarized by "dude he needs to stop being a weak dick" even after talking about it for an hour. The willpower/character thing is very much the default position. I really hate this part. If someone is, say, LGBT, there's a large portion of society that will look down on them and treat them like poo poo, but at least it's relatively easy to predict who will treat you normally and won't be bigoted towards you. Someone who is pretty liberal/progressive politically is likely to at least not have any sort of hostility or negative reaction to you if that's the case, and certain groups can be relied upon to treat you very positively. But it is extremely difficult to predict someone's views of addiction. Progressive liberals are almost as likely as conservatives to condemn and ostracize someone for being an addict, and even if they show some degree of sympathy they'll probably still think less of you as a person. Unless someone has specifically talked about their feelings about addiction, it's always a risk. To be honest, it's hard not to feel bitter about it, and it really reveals just how skin-deep their empathy is. edit: I want to be clear that I'm certainly not saying addicts are treated worse on average than LGBT people, or comparing the two situations otherwise. I'm just referring to the fact that it's very difficult to predict how someone will treat you based off of their politics, etc. pangstrom posted:People who think it's a willpower/character monocausal thing really hate stuff like this. It reads as indulging people who are already self-indulging. And you almost need some parts of the city "lost" to homeless drug addicts (or otherwise completely vacant, or completely disenfranchised) to put the sites in so residents don't go nuts. People just don't understand. For one thing, your average person is quite literally incapable of comprehending just how terrible opiate withdrawal can be (and this also applies to a lot of people with weaker/newer opioid addictions, who like to contribute their opinions about how "yeah it's pretty bad but not so terrible it's impossible to deal with*") It's just out of the scope of what humans will normally experience, and the whole "knowingly subjecting yourself to it when you quit" angle adds an extra layer of difficulty. It is very accurate to compare the whole detox process (including PAWS for long-term/serious addicts) with someone voluntarily subjecting themselves to torture. It's sometimes possible, but it requires either a special kind of person or circumstances where someone literally can't use for whatever reason. I use the torture analogy because it breaks people out of the whole "isn't it common sense to quit if it's the only way to have a decent life?" thought process. Misunderstandings usually seem to involve people projecting their own experiences dealing with normal/"mundane" challenges and difficulties onto the experiences of the addict. * Fast forward a couple years of them continuing to use because they thought withdrawals were tolerable, until they finally reach the point where they're no longer quite so tolerable. Ytlaya fucked around with this message at 23:53 on Feb 6, 2018 |
|
#
?
Feb 6, 2018 23:50
|
|
|
Another complicating factor wrt withdrawal is the fact that most people simply can't put life (job, family, school, etc) on pause for the first phase of withdrawal. Especially if one has the sort of addiction that consumes virtually all of one's disposable income (and then chips-away at things most sober folks see as 'necessities').
|
|
#
?
Feb 7, 2018 19:18
|
|
|
Work requirements are going to kill people. Medicaid is how you pay for medications. Technically you can get on disability for addiction but good luck going through that process if you’re actively addicted to drugs or alcohol.
|
|
#
?
Feb 7, 2018 20:37
|
|
|
Lote posted:Work requirements are going to kill people. Medicaid is how you pay for medications. From what I was told during one rehab stint, one has a higher likliehood of success using a comorbid psychiatric diagnosis. While I might benefit from filing for disability, it's much easier to exist in shame, blaming my addiction rather than admitting my brain is broken.
|
|
#
?
Feb 7, 2018 21:36
|
|
|
The_Book_Of_Harry posted:From what I was told during one rehab stint, one has a higher likliehood of success using a comorbid psychiatric diagnosis. The Americans With Disabilities Act designates addiction as a disability, and theoretically a documented addiction would entitle one to benefits, including a monthly check from Social Security and Medicare coverage. But good luck getting approved, even with a talented lawyer helping you. You wouldn't believe the hurdles the SSA put in my path when I filed for rheumatoid arthritis, degenerative osteoarthritis, and fibromyalgia. I had documentation in the form of medical charts and test results going back several years, but the process was unbelievably slow. Without a lawyer, I'd probably never have gotten approved. But you have nothing to lose by applying, and you'd be no worse off if they denied your case. And there's always the possibility you'd be approved. When I finally got mine, I received retroactive benefits going back to the day of my initial application. It's not every day $14k shows up in your mailbox. 
King Possum III fucked around with this message at 22:29 on Feb 7, 2018 |
|
#
?
Feb 7, 2018 22:26
|
|
|
The President with stirring words on tackling the opiate crisis:http://reason.com/blog/2018/02/06/trump-have-to-get-really-really-tough-re posted:My take is you have to get really, really tough, really mean with the drug pushers and the drug dealers. We can do all the blue ribbon committees we want, we have to get a lot tougher than we are.
|
|
#
?
Feb 7, 2018 23:47
|
|
|
I look forward to the upcoming nationalization of the pharmaceutical industry. In all seriousness though, Trump wants to go full Duterte.
|
|
#
?
Feb 8, 2018 00:26
|
|
|
How many illicit substance has Trump used “just for fun” and how many congressmen are binge drinkers with a side opoid habit? Probably a a lot, but thank god these american heroes are confronting real issues
|
|
#
?
Feb 8, 2018 00:33
|
|
|
Edgar Allen Ho posted:How many illicit substance has Trump used “just for fun” and how many congressmen are binge drinkers with a side opoid habit? Probably a a lot, but thank god these american heroes are confronting real issues It doesn't count as an addiction if you have a prescription, buddy.
|
|
#
?
Feb 8, 2018 00:35
|
|
|
Edgar Allen Ho posted:How many illicit substance has Trump used “just for fun” and how many congressmen are binge drinkers with a side opoid habit? Probably a a lot, but thank god these american heroes are confronting real issues Other than his impotence-inducing hair restoration pills, and whatever the doctors have him on for senile dementia, I suspect Trump's main poison of choice was the mountains of blow he clearly went through back in the 80s.
|
|
#
?
Feb 8, 2018 00:35
|
|
|
Trump is a notorious teetotaler who treats drinkers and drug users with a very sincere contempt. I do not believe he uses any substances other than Diet Coke. His coke-binge personality is sui generis.
|
|
#
?
Feb 8, 2018 00:42
|
|
|
the black husserl posted:Trump is a notorious teetotaler who treats drinkers and drug users with a very sincere contempt. I do not believe he uses any substances other than Diet Coke. So, pill-popper.
|
|
#
?
Feb 8, 2018 13:05
|
|
|
the black husserl posted:Trump is a notorious teetotaler who treats drinkers and drug users with a very sincere contempt. I do not believe he uses any substances other than Diet Coke. He is a huge hypocrite in all sorts of ways so he might be a user of every substance APART from booze and still think of himself as teetotal. But isn’t it more alarming that his natural personality is that of a drunk person on a coke binge?
|
|
#
?
Feb 8, 2018 14:27
|
|
|
BarbarianElephant posted:He is a huge hypocrite in all sorts of ways so he might be a user of every substance APART from booze and still think of himself as teetotal. Also, he may be an occasional drinker who just lies about it, because he's a giant loving liar who lies about literally everything.
|
|
#
?
Feb 8, 2018 14:33
|
|
|
The argument is hard to make definitively, but based on the low ambient media he's generated for decades and what others have said about him over the years, I think Trump really is a teetotaler/straight edge/whatever. My take is that he basically thinks he is too golden a boy for substances, and that they make other guys easier to beat and women easier to sleep with.
|
|
#
?
Feb 8, 2018 14:59
|
|
|
Did you just conveniently forget all the cases where he gets really bad cases of the sniffles before huge media events?
|
|
#
?
Feb 8, 2018 15:06
|
|
|
I think it was just a cold. It's just one thing he and others have been consistent on throughout the years. Nobody gave a poo poo about rich NYC people using cocaine and if anything most people probably thought less of him for braying about not doing it. If I have to argue against myself, I could definitely see him having been on "diet pills" or something at some point. Not saying that with any confidence, just there was a time when lots of esp. celebrities were and Trump is obsessed with how he looks and there was this illusion among lots of people that they weren't really drugs.
|
|
#
?
Feb 8, 2018 15:28
|
|
|
pangstrom posted:I think it was just a cold. It's just one thing he and others have been consistent on throughout the years. Nobody gave a poo poo about rich NYC people using cocaine and if anything most people probably thought less of him for braying about not doing it. One look at his body would show that your diet pills theory is bullshit
|
|
#
?
Feb 8, 2018 15:31
|
|
|
OXBALLS DOT COM posted:One look at his body would show that your diet pills theory is bullshit "Diet pills" are legal stimulants, not necessarily actually functional as diet aids.
|
|
#
?
Feb 8, 2018 15:58
|
|
|
PT6A posted:Also, he may be an occasional drinker who just lies about it, because he's a giant loving liar who lies about literally everything. His brother basically drank himself to death I think. I hate Trump's guts but I doubt he is lying about not drinking. Pretty sure that if his doctor said 'here take these pills' he would be cool with that though.
|
|
#
?
Feb 8, 2018 16:49
|
|
|
pangstrom posted:The argument is hard to make definitively, but based on the low ambient media he's generated for decades and what others have said about him over the years, I think Trump really is a teetotaler/straight edge/whatever. My take is that he basically thinks he is too golden a boy for substances, and that they make other guys easier to beat and women easier to sleep with. His brother was an alcoholic and died from it. He has a very personal reason for hating alcohol. Knowledge is fun Fried Watermelon posted:Did you just conveniently forget all the cases where he gets really bad cases of the sniffles before huge media events? Come on, do you seriously think this means this is proof of a coke problem? Has Daily Mail style tabloid thinking just taken over everyone's brains? 
|
|
#
?
Feb 8, 2018 16:57
|
|
|
Yeah you really know a politician is on coke when they sit in the chamber and stare at the opposition benches like they're the most amazing thing in the world.
|
|
#
?
Feb 8, 2018 17:05
|
|
|
the black husserl posted:Has Daily Mail style tabloid thinking just taken over everyone's brains? Yes.
|
|
#
?
Feb 8, 2018 18:10
|
|
|
the black husserl posted:His brother was an alcoholic and died from it. He has a very personal reason for hating alcohol.
|
|
#
?
Feb 8, 2018 18:12
|
|
|
Doesn't being an addict who is destroying their life rightfully make you a loser?
|
|
#
?
Feb 8, 2018 18:15
|
|
|
Depends on how good you are at simultaneously believing that addiction is both a thing capable of independently destroying you whether you want it to or not while also being a conscious moral failing.
|
|
#
?
Feb 8, 2018 18:18
|
|
|
It depends how you define 'loser' too. Is it a term that carries a moral judgement, or just an observation of the facts of someone's current life situation?
|
|
#
?
Feb 8, 2018 18:30
|
|
|
|
| # ? May 15, 2024 02:26 |
|
|
pangstrom posted:Just to suggest a reframe: I would bet money that (while Freddy was alive) Donald thought he was a loser, and so did their dad. Isn't that exactly why he became teetotal?
|
|
#
?
Feb 8, 2018 18:43
|
|