Like almost every other writer on the topic of addiction, you write as if we are living in a free country as far as scientific research is concerned and that we can therefore draw adequate generalizations from the status quo. To the contrary, we live under a drug-war sharia that strictly outlaws almost all research of psychoactive drugs, many of which could work wonders with alcoholics and other addicts. Although you don't mention this, Bill Wilson himself had great initial success in treating alcoholics with LSD. It was not science that stopped such treatment, but rather politics, when Richard Nixon decided to launch a war on Timothy Leary and hippies by outlawing their drugs of choice, namely psychedelics. And US-inspired drug law remains as anti-patient as ever, as therapist Gabor Mate was recently forced to stop his promising treatment of Canadian alcoholics with the entheogenic concoction known as ayahuasca.
So if AA is ineffective -- as I would definitely agree - it is as much the Drug War's fault as it is that of Bill Wilson and his theories.
Given the existence of the unscientifically motivated Drug War, it may well be true that Naltrexone is a relative godsend for alcoholics. That said, this is a huge "given." We should remember that we are choosing from a starkly limited pharmacopeia when we make that choice. There are thousands of potential psychoactive godsends out there that we are forbidden from studying, notwithstanding our pretensions at being a scientific country. By failing to acknowledge this outrage, we may be giving far more kudos to Naltrexone than it deserves. How good is it, you ask? How can we know until we compare it to the thousands of other potential therapies that we have chosen to ignore? It may well be the best thing currently "going" for alcoholics, and for that I yield to the experts - while yet pointing out that {^there really are no experts on addiction treatment per se since the Drug War has essentially placed all the potentially valuable therapeutic substances off-limits, not merely to individuals but to addiction researchers as well. No surprise there. We'd have just as few aviation experts today if the only legally available planes were gliders.}{
Also there is a real irony in the use of Naltrexone to block the action of opiates, at least when used in a Drug Warrior country such as the USA. By waging drug-war colonialism, we have sent our military abroad to destroy opium crops that have been used in moderation in the east for millennia, forcing other countries to turn to the western drug called alcohol to achieve, in general, a far uglier form of self-transcendence and relaxation than that supplied by the judicious poppy user. {^Not content to destroy the poppy in the East (always against the will of the local people, who have no say in the matter), we now seek out a drug that will obviate the poppy's effects, thus ensuring the prosperity of American Big Liquor for centuries to come. This is fundamentally a racist and anti-scientific war on the poppy, one which dogmatically recognizes only evil in the plant, failing to acknowledge its role in providing human transcendence over the ages}{ - a viewpoint that keeps Anheuser Busch heirs smiling on their way to the bank (just as they were no doubt smiling when the DEA stomped onto Monticello in 1987 to steal Thomas Jefferson's poppy plants).
This brings me to the other problem with the Naltrexone approach, namely that is all stick and no carrot. Yes, the substance helps to destroy the addiction but it also gets rid of the transcendence which the addict was seeking in the first place. Psychedelics, on the other hand, work by actually providing the sought-after transcendent experience and it is that very transcendent experience from which the psychedelic user often emerges with new insights into their earthly condition and a new mental flexibility in dealing with their drinking problem.
One other bone to pick: I would ask you to question your apparently strong faith in science, at least as practiced in the States.
It is the alleged "scientific" approach to psychiatry that has led to the great but unacknowledged addiction of the American people, in which 1 in 8 Americans are now chemically dependent on antidepressants, all under the discredited theory (promulgated by a full-court media press by academic talking heads under the pay of Big Pharma) that these substances fix a chemical imbalance. As Robert Whitaker demonstrates, however (in "Anatomy of an Epidemic"), this is pseudoscience, not science. These antidepressants (SSRIs and SNRIs) have been shown to CAUSE the imbalances that they purport to fix. They certainly don't work for me after decades of use, and I am now forced to take Effexor the rest of my life against my will - Effexor, a drug that has a relapse rate just as high as heroin.
But I've yet to hear of one single addiction "specialist" wringing their hands on my behalf, or on behalf of the tens of thousands of unacknowledged antidepressant addicts actively cursing modern psychiatry online even as I speak - cursing it for one's loss of empowerment, one's unsought-for life-time role as an "eternal patient," having to apply to a doctor for their monthly fixes. (Part of the professional silence is based on the convenient myth that there's a meaningful difference between addiction and chemical dependency. Tell that to an Effexor addict after he or she has gone cold turkey for three days.)
Since psychiatry has no problem with thus addicting users like myself -- and to ineffective medicines at that - they have no leg to stand on in warning me that I might become chemically dependent upon, say, opium, should I be given the same legal access to that drug that I would have had in 1913, and they have even less standing in remonstrating against my use of totally non-addictive psychedelics. If such drugs are not even considered for treating alcoholism it is thus merely for political reasons, not scientific ones. So let's not write so as to imply that these therapies have somehow been tried and found wanting, when in reality such therapies remain unthinkable to Western researchers under the thrall of Drug War propaganda.
CONCLUSION: I believe we have no right to opine on the relative insolubility of addiction problems until we have re-legalized Mother Nature's medicines. Until then, any conclusions we reach on this topic should be followed by a huge footnote, both for the patient's benefit and by way of protest, stating that the addiction problem, for aught we know, could turn out to be far more soluble than we currently suppose, once the United States finally renounces its anti-patient Drug War, along with its efforts to enforce that war worldwide by way of the financial blackmail of its friends and foes alike.
Open Letters
Check out the conversations that I have had so far with the movers and shakers in the drug-war game -- or rather that I have TRIED to have. Actually, most of these people have failed to respond to my calls to parlay, but that need not stop you from reading MY side of these would-be chats.
I used to be surprised at this reticence on the part of modern drug-war pundits, until I realized that most of them are materialists. That is, most of them believe in (or claim to believe in) the psychiatric pill mill. If they happen to praise psychedelic drugs as a godsend for the depressed, they will yet tell us that such substances are only for those whose finicky body chemistries fail to respond appropriately to SSRIs and SNRIs. The fact is, however, there are thousands of medicines out there that can help with psychological issues -- and this is based on simple psychological common sense. But materialist scientists ignore common sense. That's why Dr. Robert Glatter wrote an article in Forbes magazine wondering if laughing gas could help the depressed.
As a lifelong depressive, I am embarrassed for Robert, that he has to even ask such a question. Of course laughing gas could help. Not only is laughter "the best medicine," as Readers Digest has told us for years, but looking forward to laughing is beneficial too. But materialist scientists ignore anecdote and history and tell us that THEY will be the judge of psychoactive medicines, thank you very much. And they will NOT judge such medicines by asking folks like myself if they work but rather by looking under a microscope to see if they work in the biochemical way that materialists expect.
There are times when it is clearly WRONG to deny kids drugs (whatever the law may say). If your child is obsessed with school massacres, he or she is an excellent candidate for using empathogenic meds ASAP -- or do we prefer even school shootings to drug use???
Oregon has decided to go back to the braindead plan of treating substance use as a police matter. Might as well arrest people at home since America has already spread their drug-hating Christian Science religion all over the world.
The drug war encourages us to judge people based on what they use and in what context. Even if the couch potato had no conscious health goals, their use of MJ is very possibly shielding them from health problems, like headaches, sleeplessness, and overreliance on alcohol.
NOW is the time for entheogens -- not (as Strassman and Pollan seem to think) at some future date when materialists have finally wrapped their minds around the potential usefulness of drugs that experientially teach compassion.
That's so "drug war" of Rick: If a psychoactive substance has a bad use at some dose, for somebody, then it must not be used at any dose by anybody. It's hard to imagine a less scientific proposition, or one more likely to lead to unnecessary suffering.
I can think of no greater intrusion than to deny a person autonomy over how they think and feel in life. It is sort of a meta-intrusion, the mother of all anti-democratic intrusions.
In the 19th century, poets got together to use opium "in a series of magnificent quarterly carouses" (as per author Richard Middleton). When we outlaw drugs, we outlaw free expression.
The problem for alcoholics is that alcohol decreases rationality in proportion as it provides the desired self-transcendence. Outlawed drugs can provide self-transcendence with INCREASED rationality and be far more likely to keep the problem drinker off booze than abstinence.
What are drug dealers doing, after all? Only selling substances that people want and have always had a right to, until racist politicians came along and decided government had the right to ration out pain relief and mystical experience.
I hope that scientists will eventually find the prohibition gene so that we can eradicate this superstitious way of thinking from humankind. "Ug! Drugs bad! Drugs not good for anyone, anywhere, at any dose, for any reason, ever! Ug!"
Buy the Drug War Comic Book by the Drug War Philosopher Brian Quass, featuring 150 hilarious op-ed pics about America's disgraceful war on Americans
You have been reading an article entitled, Open Letter to Gabrielle Glaser: author of 'The Irrationality of Alcoholics Anonymous', published on March 3, 2020 on AbolishTheDEA.com. For more information about America's disgraceful drug war, which is anti-patient, anti-minority, anti-scientific, anti-mother nature, imperialistic, the establishment of the Christian Science religion, a violation of the natural law upon which America was founded, and a childish and counterproductive way of looking at the world, one which causes all of the problems that it purports to solve, and then some, visit the drug war philosopher, at abolishTheDEA.com. (philosopher's bio; go to top of this page)
You have been reading an article entitled, Open Letter to Gabrielle Glaser: author of 'The Irrationality of Alcoholics Anonymous', published on March 3, 2020 on AbolishTheDEA.com. For more information about America's disgraceful drug war, which is anti-patient, anti-minority, anti-scientific, anti-mother nature, imperialistic, the establishment of the Christian Science religion, a violation of the natural law upon which America was founded, and a childish and counterproductive way of looking at the world, one which causes all of the problems that it purports to solve, and then some, visit the drug war philosopher, at abolishTheDEA.com. (philosopher's bio; go to top of this page)