“What we
see is a society that literally makes people sick. 50% of North American adults
have a chronic illness: diabetes, high blood pressure, heart disease, cancer or
any number of auto-immune illnesses. According to the strict medical model,
that is too bad, these people are just unfortunate, because what the medical
model does, whether with mental illness or physical illness, it makes two
separations:
1) It
separates the mind from the body, so that what happens emotionally is not seen
to have an impact on our physical health;
2) It
separates individuals from their environment, so that we try to understand
individuals in separation from their actual lives.
Those
separations are socially imposed, they’re culturally defined and scientifically
they are completely invalid. (…)
The justice
system is criminal. It’s based on the very idea that people are making choices
when they become addicts. If they are not making choices, why punish them for
it? Another idea is that it is genetics. And a third idea, of course, is that
drugs are addictive, which is inherently nonsense. If it was true then anybody
who tried a drug should become addicted. But most people who try most drugs
don’t become addicted. Most people who try cigarettes don’t become nicotine
addicts. Most people who have a drink don’t become alcoholics.
Ex:
If you look
at the aboriginal population of North America, these people actually had
potentially addictive substances available to them. Not only were they
available, they used them. If the substances in themselves had been addictive,
and if these people are genetically predisposed, they should have been
addicted. But there was no history of addiction prior to the coming of the
caucasians. As a matter of fact, the natives used these plants, but what did
they use them for? They used them in spiritual ways. They used them to elevate
their level of consciousness, whereas the very essence of addiction is to
obstruct your level of consciousness, because you don’t want to be aware. So,
addiction is an escape from awareness whereas the spiritual use of these
substances is the enhancement of awareness.
Now if
choice and genetics don’t explain it, all we have to do is look at history.
We’d have to actually ask what happened to the native people in this part of
the world that drove them into addiction. Now alcohol has been known in the
Western world for thousands of years, and there was plenty of drunkenness, even
in ancient times, but there is no alcoholism for the most part. Alcoholism came
around in the 18th century with the rise of capitalism. You can make a
very good case that one of the medical outcomes or one of the health outcomes
of capitalism is addiction. In other words, you can’t understand people in
isolation from the system in which they live.
First of
all, because the biology of human beings is shaped by the psychological and
social environment in which they live. I can give you one example. Asthma.
It’s well known now, not controversial, that children whose parents are
stressed, are more likely to have asthma. Now, ask the average physician what’s
the connection and they’d have no idea. And yet, if you ask the physician “how do
you treat the asthma?”: with stress hormones — with adrenaline and cortisol, or
copies of it. I’m not going to go into the reasons why, but shouldn’t the very
fact that we are treating this condition with stress hormones cause us to ask
if stress has something to do with it? The emotional levels of stress in the
parents disorganize the stress response mechanisms of the child. And when women
are stressed during pregnancy, their children have abnormal stress hormone
levels and are more likely to use addictive substances to soothe their
stresses.
Now, if you
look at the parameters of stress, what it is that stresses people? The
research shows that what is the most stressful in people is
1) uncertainty,
lack of information, loss of control, and
2) lack
of opportunity to express yourself.
When Karl
Marx talked about freedom, he talked about freedom in 4 senses of the word.
Freedom, for him, was:
1) freedom
from economic necessities,
2) freedom
from the threat to life,
3) freedom
from interference of other people, and
4) freedom
to express yourself — to be yourself.
That’s
freedom. Now what freedom is there in
this “free society”, you know, in the free world, the freest society in
history? What freedom is there when people are not free of economic worry,
where there is tremendous uncertainty and fear lack of control? When people
lack control over their lives, they have no freedom. And they’re
physiologically stressed. And when they’re physiologically stressed, that’s
going to manifest in the form of illness.
Ex:
The California-based
“Adverse Childhood Experience Studies” looked at 18,000 people: 80% Caucasian,
10 Hispanic, 10 Afro-American. They looked at what happened to them in
childhood and what the adult outcomes were. An adverse childhood experience could
be something like physical, sexual, or emotional abuse, the loss of a parent
due to a death, being jailed, or rancorous divorce, violence in the family,
addiction in the family; for each of these adverse childhood experiences the
risk of addiction went up by 2 to 4 fold. So, by the time a male child
had had 6 of these experiences, his risk of becoming an injection using
substance addict was 4600 greater than that of a male child that had had no
such experiences. (…)
Stress
is not just an abstract psycho social event. When you’re stressed, your whole body -
homeostasis or the internal balanc - is perturbed and fundamentally you have:
disturbances in the nervous system; increase in heart-rate, blood pressure, and
in the stress hormones cortisol and adrenaline - which play their job in
helping you escape, or to fight back in the face of an acute threat. But if
you’re chronically stressed they actually create stress, thin your bones,
suppress your immune system, give you heart disease, high blood pressure,
diabetes– a whole range of heart conditions.
When it
comes to addiction, I never had a single female patient who had not been
sexually abused as a child. As were many of the men. The heart of
addiction is always emotional loss. And the obvious ones were those losses
incurred by those adverse childhood experiences identified in this California study. But there is another side to
it as well, because if you look at what is happening with this burgeoning
number of children being diagnosed with this or that disorder — not all of them
were abused, many of them were not, but what is going on?
As D.W.
Winnicott, the great British child psychiatrist pointed out, there are two
things that can go wrong in childhood:
1) When
things happen that shouldn’t happen: that’s the abuse and the trauma, and
2) When
things don’t happen that should happen: that’s the presence of non-stressed,
non depressed, emotionally attuned available caregivers.
That’s not
available in a country with average maternity leave with 6 and a half weeks.
That’s not available where kids spend most of the time away from the nurturing
adults in their lives and in company of other kids. So that they are forced to
look to each other as their attachment figures - the desperation of the kids to
always connect. (…)
A study out
of Notre Dame University showed that the healthiest
environment for child rearing is the hunter gatherer society, hunter
gatherer village. Why? Because in the HG village, 3 things happen to the kids
that does not happen in our culture anymore for many kids:
1) The kids
are always with their parents.
2) When
the kids cry, they get picked up. Imagine picking up a kid when he is
crying! We tell people when the kid is five or six months old, “don’t pick up,
you want them to become independent”. We are missing a point. The way to
promote independence is to invite dependence, because people go independent
when they feel secure in the world. So you promote independence by inviting
dependence.
3) Children
are brought up in the context of nurturing adults but not just parents -
not just the father, not just the mother, but a clan, a tribe, a community.”
On the indigenous
family
Extract
from “An intimate history of humanity”, by Theodore Zeldin.