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O/T? How To Creat An Addict

Old 09-30-2011, 10:29 AM
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O/T? How To Creat An Addict

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How To Create An Addict

Trauma, abuse and chronic stress increase—massively—the risk of a child turning to drugs and alcohol. Warning to fans of "tough love" treatment like Dr. Drew: try a little tenderness.

Childhood emotional abuse is the most addiction-producing stress. photo via

By Maia Szalavitz

Is addiction caused by drugs alone? Or could chronic stress in childhood—AKA trauma—play the determining factor in predicting who will lose control once they start using drugs?

As we reckon with the consequences of 9/11 a full ten years on, the role of childhood trauma in addiction gains increasing scientific traction. Early life experience programs the brain and body for the environment it encounters: a calm, nurturing upbringing will orient a child to thrive in most conditions, while a stressful, barren one will predispose it to conditions of scarcity, anxiety and chaos. Not all stress is bad, however. Learning requires some stress, and coping with intermittent, mild doses builds the system up, like a muscle. Stress crosses into the hazard zone of trauma only when it comes in "doses" that are too large or too unpredictable or too sustained over which the person has little or no control. Paradoxically, early neglect—an absence of parenting—can be as traumatic as overt abuse.

One study of children who attended the 10 middle and high schools closest to ground zero where the Twin Towers stood found that the greater the number of trauma-inducing factors they experienced, the more likely the kids were to increase their use of alcohol and other drugs. These factors included knowing someone who died, being personally in fear for your life or that of your loved ones during the attacks and how close their school was to the towers. Compared to those with no exposure factors, teens with one were five times more likely to increase alcohol and other drug use and those with three or more factors were a stunning 19 times more likely to increase their alcohol or drug use. The youth who increased their use had more difficulty with their schoolwork, lower grades and more behavior problems, suggesting that they weren’t just using drugs but had developed drug abuse or even potential dependence.

This research confirms a whole body of literature showing that the more stressful your childhood experiences—and the more different your types of stress—the greater your odds of later life addiction. The Adverse Childhood Experiences (ACE) study, which includes some 17,000 participants in California’s Kaiser Permanente insurance program, found multiple, dose-dependent relationships between severe childhood stress and all types of addictions, including overeating. Adverse childhood experiences measured included emotional, physical and sexual abuse, neglect, having a mentally ill or addicted parent, losing a parent to death or divorce, living in a house with domestic violence and having an incarcerated parent.

Compared to a child with no ACEs, one with six or more is nearly three times more likely to be a smoker as an adult. A child with four or more is five times more likely to become an alcoholic and 60% more likely to become obese. And a boy with four or more ACEs is a whopping 46 times more likely to become an IV drug user later in life than one who has had no severe adverse childhood experiences.

“These are extraordinarily strong relationships,” says Dr. Vincent Felitti, a founder of the ACE study and the former chief of preventive medicine at Kaiser Permanente in San Diego. “You read the newspaper and the cancer scare of the week is about something that raises risk by 30%. Here, we’re talking thousands of percentage points.”

The type of adverse experience doesn’t make a large difference in the results, according to Felitti: what seems to matter most is the cumulative effect of multiple types of stress. For example, having been both physically abused and neglected is worse than having been physically abused alone.

One factor does stand out, however. “I would have assumed before we looked at it that probably the most destructive problem would be incest—but interestingly it was not, it was co-equal with the others,” says Felitti. Instead, he notes, “The one with the slight edge, by 15% over the others, was chronic recurrent humiliation, what we termed as emotional abuse,” citing examples like parents calling their children stupid and worthless. (The study did not look at bullying by peers, but other studies have found that such abuse can haver similarly negative health effects.)

Ironically, humiliation is a common theme in addiction treatment, where tough confrontation to “break” addicts remains a frequent practice, despite research showing its ineffectiveness and harmfulness. Some so-called therapeutic-community programs, for example, place people on a “hot seat,” where they are confronted about their personality flaws and other negative qualities, sometimes for hours on end. Other programs force people to wear humiliating signs or even diapers. Sexual humiliation, such as forcing men or teenage boys to wear drag or women pose as prostitutes, is not uncommon. Although mainstream programs like Phoenix House and Daytop have worked to eliminate such degrading practices, they persist in the industry, particularly—and tragically—with adolescents.

Indeed, people traumatized as children can actually be re-traumatized by this form of treatment, exacerbating both post-traumatic stress disorder and addiction.

Felitti insists that we look at addiction with empathy and compassion. “I would argue that the person using [drugs] is not using to have a problem, they’re using to have solution,” he says. Although some addicts have no apparent childhood trauma, at least half have suffered at least one form of severe childhood stress and many have had multiple exposures. Among people with the most severe addictions, trauma histories are ubiquitous. And emotional sensitivity, which varies widely with genetics, may make experiences that would not be traumatic for most children intensely traumatic for some. Though all addiction is certainly not caused by trauma, it is becoming increasingly clear that it can be a big part of the disorder.

Fortunately, the same key factor that provokes resilience in children coping with chronic stress also spurs recovery in from addiction. That’s social support: whether it comes from a 12-step program like AA, from family members, a loving spouse, friends, other support groups or civic and religious organizations. Safe, familiar people buffer us against stress: the physiology of our stress systems is designed to calm down with a nurturing word or touch from someone we trust. If we want to prevent addiction and promote recovery, we need to love more and stress less.

Maia Szalavitz is a columnist at The Fix. She also is a health reporter at Time magazine online, and co-author, with Bruce Perry, of Born for Love: Why Empathy Is Essential—and Endangered (Morrow, 2010), and author of Help at Any Cost: How the Troubled-Teen Industry Cons Parents and Hurts Kids (Riverhead, 2006).
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Old 09-30-2011, 05:49 PM
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If we want to prevent addiction and promote recovery, we need to love more and stress less.

Hhhhmmm...I thought this was a good philosophy to follow, and maybe in other circumstances it may work well, but when you have a crazy alcoholic ripping you apart, it sure is hard to conjure up any love.
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Old 09-30-2011, 07:19 PM
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Speaking only for myself, the reason I _started_ drinking was pretty close to what is mentioned in that article. However, the reason I _continued_ to drink is because I _loved_ how it made me feel. Even though I had seen most of the adults in my family destroy their lives thru drinking.

The reason I quit drinking is because as a child I saw a handful of adults have healthy, productive lives. None of them every tried to "save" me, or change me. They were just wonderful examples of a life lived well. They showed me that it was _possible_ to have a good life. When the opportunity came for me to sober up it was those examples that gave me hope.

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Old 09-30-2011, 08:03 PM
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Mike, why is it raining/snowing on you?
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Old 10-01-2011, 06:44 AM
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Hello GerryP

Originally Posted by gerryP View Post
Mike, why is it raining/snowing on you?
I am being teased I have lived my entire life in Los Angeles and Las Vegas. My employer transfered me to the NorthEast coast a few months ago, where I have never even visited. I find that it is absolutely beautiful out here, with vegetation in amazing abundance. But the weather !! OMG I am having culture shock with this weather. I didn't even own an umbrella when I got here, and the first three I purchased I broke while I figured out that you are supposed to keep them pointing _towards_ the wind.

So a very talented friend is teasing me by making that silly avatar of me being grumpy in the rain.

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Old 10-02-2011, 07:05 AM
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Ahhhh, LOL.

I too hate the rain, I would rather snow. In fact, I love the snow. You just have to dress for cold weather by layering and layering and enjoy being outside. The rain? I get soaked and sometimes an umbrella doesn't even cut it. My dog loves "weather" he doesn't care what it's doing outside, he just wants to be out there. Everyday is a new day for my little treasure. He teaches me alot. It's just hard for me to learn that sometimes when it's raining sideways.
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Old 10-02-2011, 08:22 AM
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^^was wondering the same thing...should come to good ole Niagara Falls for the wicked weather change.....lol
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Old 10-02-2011, 09:33 AM
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This article is a perfect description of my home life as well as my AH. And, what my home was beginning to become as well... until I said, "Enough."

The cycle needs to stop.
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