Maia Szalavitz Quotes & Sayings

There is often a struggle, and sometimes, even more interestingly, a collusion between the powers of pathology and creation. - OLIVER SACKS — Maia Szalavitz

However, repeating the experiments and expanding on them led the researchers to a different conclusion. While dopamine is involved in motivation or the pleasures of the hunt, that's not the only way we can feel good. Dopamine is not necessary, it seems, for enjoying sweetness, comfort, satiation, and calmness - research suggests that these pleasures are more strongly linked to the brain's natural opioids, or heroin-like chemicals, instead of to dopamine. And this has implications for the broader understanding of addiction. — Maia Szalavitz

Indeed, today, more people than ever before see themselves as addicted or recovering from substance addiction: 1 in 10 American adults - more than 23 million people - said they'd kicked some type of drug or alcohol addiction in their lifetime, in a large national survey conducted in 2012. At least another 23 million currently suffer from some type of substance use disorder. That doesn't even count the millions who consider themselves addicted to or recovering from behaviors like sex, gambling, or online activities - nor does it include food-related disorders. With the 2013 declaration by the American Medical Association that obesity, like addiction, is a disease, up to one in three Americans may now qualify due to their body weight. — Maia Szalavitz

Being bold and adventurous and being sad and cautious seem like opposite personality types. However, these two paths to addiction are actually not mutually exclusive. The third way involves having both kinds of traits, where people alternatively fear and desire novelty and behavior swings from being impulsive and rash to being compulsive, fear driven, and stuck in rigid patterns. This is where some of the contradictions that have long confounded the study of addiction come into play - namely, some aspects seem precisely planned out, while others are obviously related to lack of restraint. My own story spirals around this paradoxical situation: I was driven enough to excel academically and fundamentally scared of change and of other people - yet I was also reckless enough to sell cocaine and shoot heroin. — Maia Szalavitz

Because of the war on drugs, pain patients are treated with skepticism and pain doctors live in fear of being prosecuted for overprescribing. The end result is that addicts still get their opioids without much trouble, while genuine patients often can't find treatment. Those who do must typically be tracked in a database and must schedule frequent, expensive doctor visits for surveillance like urine testing. — Maia Szalavitz

I felt utterly stripped of safety and love. And so, what tormented me most as I shook through August of 1988 wasn't the nausea and chills but the recurring fear that I'd never have lasting comfort or joy again. — Maia Szalavitz

But since President Obama allowed Colorado and Washington to legalize recreational use and sales of marijuana following initiatives in 2012, the United Stets itself is probably now violating international law. (Because we have traditional been the ones who interpret and enforce these laws, it's hard to know exactly; of course, we say we are not.) And with even federal drug control officials slowly embracing harm reduction officially, we have remained silent on New Zealand's law. — Maia Szalavitz

Our brains are embodied - much of the problem with the debate over addiction and psychiatry more generally is a refusal to accept this and our ongoing need to see "physical," "neurological," and "psychological" as completely distinct. — Maia Szalavitz

There is a safe, nontoxic drug called naloxone that can instantly reverse opioid overdose and prevent most of these deaths. But the drug war interferes with saving overdose victims in two ways: first, because witnesses to overdose fear prosecution, they often don't call for help until it's too late. Second, because the drug war supports the belief that making naloxone available over-the-counter or with opioid prescriptions would encourage drug use, the antidote is available only through harm reduction programs like needle exchanges or in some state programs aimed at drug users. — Maia Szalavitz

Drug warriors' staunch opposition to needle exchanges to prevent the spread of HIV in addicts delayed the programs' widespread introduction in most states for years. A federal ban on funding for these programs wasn't lifted until 2009. Contrast this with what happened in the U.K. At the peak of the AIDS epidemic in the mid-1990s, the HIV infection rate in IV drug users in the U.K. was about 1%. In New York City, the American epicenter, that figure was 50%. The British had introduced widespread needle exchange in 1986. That country had no heterosexual AIDS epidemic. — Maia Szalavitz

good decisions aren't always made for healthy reasons. — Maia Szalavitz

When President Nixon declared war on drugs on June 17, 1971, about 110 people per 100,000 in the population were incarcerated. Today, we have 2-3 million prisoners: 743 people per 100,000 in the population. The U.S. has 5% of the world's population, but 25% of its prisoners. As Senator Jim Webb once put it, Either we are home to the most evil people on earth or we are doing something different and vastly counterproductive. — Maia Szalavitz