Diminished Capacity: a memoir about a girl consumed by her addictions

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Most helpful customer reviews on Amazon. Verified Purchase. Valley of the Dolls jumps forward 40 yrs, as Hansen tells the story of how she arrived in Hollywood all bright-eyed and bushy-tailed, and ended up foregoing a promising future writing and directing films and opting for the seedy underbelly Hansen is frank in telling her story, which is infused with wit and snarky humor. The circumstances may not be funny, but Hansen's not looking for tears or forgiveness, which is part of what makes the book so compelling. Anyone can write a book about how awful drugs are, how they ruin lives and lead to all sorts of madness.

Hansen dares to include the part where they're actually a lot of fun, at least at first Just as Wiseguy found me rooting for a mafia henchman, Diminished Capacity found me rooting, in spite of myself, for a drug-addicted identity thief. The bottom line is, she's likable and she tells a hell of a story. The book begs to be made into a movie - the movie about sex and drugs that no one's had the guts to make yet.

One person found this helpful. You will find yourself drawn into one woman's journey from promising filmmaker to drug-addicted criminal. You'll read with both horror and fascination at how easily a smart and talented person can sink into a life of casual crime and rampant addiction. Despite all this, you find yourself rooting for her to win, even with the terrible things she does in the course of losing herself in Tinseltown's seedy underbelly.

And in the end, that's she here to tell the story, is a win on its own merits. I could see this story making an incredible movie. Highly recommended. The first issue that will then require attention is at what point can the positive feedback loop that perpetuates addiction in the modern world best be interrupted. I cannot undertake that issue in this paper, but I have addressed it elsewhere at length. The concept that addiction is an adaptation to dislocation is partly based on extensive published clinical observations from decades of practice.

Many modern practitioners use ideas that are part of the Dislocation Theory in their clinical practice with addicted people. Dislocation theory is grounded in the evolutionary concept of adaptation. It could also be grounded in modern neuroscience although virtually all funding for neuroscience research on addiction now goes to scientists committed to the Official View.

There are many directions that neuroscience research on Dislocation Theory could take. It could be based on recent advances in analysing cortical hemisphericity, as conceptualized by Iain McGilchrist Lucy Brown has proposed that the neurological basis of addiction be an extension of the normal neurological roots of attachment, romantic love, and sex.

Current clinical treatment and harm reduction may be understood more fruitfully within a paradigm for understanding addiction that is founded on Dislocation Theory. For example, as the Official View has opened up to methadone maintenance, it has construed it as a pharmaceutical treatment for heroin addiction. Dislocation Theory does not envision dispensing drugs as treatment, but as a harm reduction measure. Drug addiction is neither a sin nor a disease, but a way of adapting to difficult circumstances that is socially unacceptable.

Harm reduction is a way or reducing the risks for people who are severely addicted, including by the provision of safe, affordable opiate drugs to opiate addicts. But the essence of harm reduction practice is not dispensing methadone, needles, condoms, or crack pipes. These tasks can be accomplished by specialized vending machines. The essence of harm reduction is establishing ongoing, respectful relationships between addicted people and caring service providers which increase the likelihood of an addicted person finding a more socially acceptable and productive way of living.

While recognizing the importance of treatment, harm reduction, and of compassionate forms of policing, Dislocation Theory of course puts the greatest emphasis on dislocation as a root cause of addiction and on fundamental social change as the most important means of bringing addiction under control. However, I think its implications are wider still. The Dislocation Theory of addiction is one of the windows through which we can view the widespread psychological malaise and the underlying structural problems of a tottering civilization. Viewed in this way, addiction is not only a scourge for modern humanity, but also a crucially important teacher.

Unfortunately, its lessons have been obscured by the stultifying presence of the Official View. I see no solution for this problem short of a genuine paradigm shift, which, I submit, is the scholarly equivalent of assassination of the Official View. In Roman law, for example, a servus addictus was a person legally given over as a bond slave to his creditor. However, the verb addicere could also be used outside of the judicial context to describe strong devotion, which could be either destructive or admirable.

The admirable sense of the word is illustrated in the phrases, senatus, cui me semper addixi, "the senate to which I am always devoted or addicted ", and agros omnes addixit deae, "he devoted addicted the fields entirely to the goddess" Lewis, C. Oxford: Oxford University Press, An enormous work, it required over half a century to assemble and publish. The original edition came out in separate "fascicules" that were published at different times in the late 19th century. The wording of the traditional definition of addiction is the same in all editions including the online edition launched in that was current until late in Quantitative analysis of culture using millions of digitized books.

Science, , The Life of King Henry the Fifth. The secret leprosy of modern days: Narcotic addiction and the cultural crisis in the United States, It is sometimes argued that the idea of addiction was a new social construction or even a "fetish" that grew out of the economic tensions of the 19th century See Levine, H.

Journal of Studies on Alcohol 39, ; Reith, G. British Journal of Sociology, 55, However, some instances of the use of the word "addiction" in accordance with traditional usage to describe destructive lifestyles centered on alcohol can be found much earlier than the 19th century Warner, J.

Journal of Studies on Alcohol, 55, London, UK: Allan Lane. London, UK: Allan Lane, pp.

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Along with clear definitions of these problems came accepted causal theories and effective means of control. Starr, P. New York: Basic Books. See also Berridge, V. London, UK: Allan Lane, chaps. Addiction as accomplishment: The discursive construction of disease. Addiction Research and Theory, 13, Discovering addiction: The science and politics of substance abuse research.

Slaying the Dragon: The history of alcoholism treatment and recovery in America. At first, the temperance movement regarded wine and beer as acceptable alternatives to spirits, but this changed over the decades. For a description of the degraded existence of some 19th century alcoholics, see Charles Dickens, writing as a reporter under the pseudonym Boz, see Dickens, C. Slater Ed. London, UK: J. Jessica Warner has described the alcohol consumption of the British Gin Craze, which began in the 18th century.

See Warner, J. Craze: Gin and Debauchery in an Age of Reason. See, for example, Crozier, L. Addicted: Notes from the Belly of the Beast. Vancouver, BC: Greystone Books. Moore and D. Gerstein Eds. London, UK: Allan Lane, p. The Dope Chronicles: — The Black Candle. Toronto, ON: Coles. Original work published The Globe and Mail, pp. A1, A7; Smith, G. A1, A7, A8; Hawthorn, T. S1, S3; Sheff, D. Boston, MA: Mariner Books. The selling of oxycontin. Retrieved 14 Nov. This definition is reworded in the 3rd edition of the OED, but its essential features remain the same.

Dealing with Addiction

A form of it does appear in the Supplement. London, UK: Allan Lane, chap. Slaying the dragon: The history of addiction treatment and recovery in America. Budney, A. Therapy Manuals for Drug Abuse, Manual 2. Journal of Drug Issues, 28, ; Russell, C. Journal of Substance Abuse Treatment, 40, See especially discussion section. New York, NY: Rodale. New York, NY: Rodale, pp. See Hoffman, J. NIH Pub. Neurological substrates for the dark side of compulsivity in addiction. Neuropharmacology, 56, 18—31; Sinha, R. Psychopharmacology, , 69—82; Marhe, R.

The clinical relevance of neurocognitive measures in addiction. Frontiers in Psychiatry, 4 Article , ; The editors of nature. February 5 Nature, Retrieved April 1 fromwww. From addict to advocate. Lifespan Learning Institute. Toronto mayor Rob Ford admits to drug and alcohol abuse — video. Retrieved July 3 from www. Addiction is not a brain disease and it matters. Frontiers in Psychiatry, 4 article 24 , ; Hart, C. Addiction and the brain-disease fallacy. Frontiers in Psychiatry, 4. Addiction is a brain disease and it matters. Science, , ; Hoffman, J. Boston, MA: Mariner Books, pp.

Tweak: Growing Up on Amphetamines. Addiction: A Disorder of Choice. These scholars include C. Biosocieties, 5, BioSocieties, 5, Contemporary Drug Problems, 21, Confessions R. Warner, Trans. New York: New American Library. Original work published AD Book 8, chap. Oxford, UK: Oxford Univ. Original Work published about BC , Book 7, chaps. Neuropharmacology, 56, 18— Robinson, T. Philosophical Transactions of the Royal Society B, , Science, , ; S. New York: Rodale, , pp. New York, NY: Rodale, p. This idea is repeated on many pages throughout the book. NIDA Notes, 13, no. Drew Talks Sex Addiction on Oprah.

London, UK: Piatkus. The Globe and Mail, p. New York Times. Recent progress in reseaerch on the neurophysiologic basis of morhine addiction. American Journal of Psychiatry, , Heroin addiction and the role of methadone in its treatment. Archives of General Psychiatry, 26, ; Goldstein, A. Heroin maintenance: A medical view: A conversation between a physician and a politician. Journal of Drug Issues, 9, Role of endorphins in addiction.

Modern Problems in Psychopharmacology, 17, Science, , ; Wise, R. The neurobiology of craving: Implications for the understanding and treatment of addiction. Journal of Abnormal Psychology, 97, American Journal of Psychiatry, , ; Robinson, T. Neuropharmacology, 56, 18—31; Nature Editorial Board , 6 February. Animal Farm. Nature, Issue , 5. For a review of the critical literature beyond that cited in this paper, see the references cited in chap. See also Heyman, Hart, and the new Peele book. Love and addiction. Polk, S. Retrieved January 19 from www. How Oreos Act Like Cocaine. Davis, C. Current Obesity Reports, 2, ; Davis, C.

Nature Reviews: Neuroscience, 8, ; Frascella, J. Shared brain vulnerabilities open the way for nonsubstance addictions: Carving addiction at a new joint. See also Alexander, B. A history of psychology in western civilization. Cambridge, UK: Cambridge Univ. Press, pp. Low levels of netative health and social outcomes among non-treatment heroin users in Glasgow Scotland : evidence for controlled heroin use?

The rational choices of crack addicts. The effect of housing and gender on morphine self-administration in rats. Psychopharmacology, 58, ; Solinas, M. Neuropsychopharmacology, 34, — Guardian UK , , p.

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The End of Civilization, vol. Tweak: Growing up on Methamphetamine. London, UK: Routledge. Adaptation to Life. Boston, MA: Little, Brown. Childress, A. Trends in Cognitive Sciences, 13, Toronto, ON: Knopf Canada, chap. See also H. An evaluation of the concept of innateness. Thinking outside the brain: Testing predictors of drug addiction anticipated by dislocation theory. Unpublished M. See also Hammer, R. Addiction: Current criticism of the brain disease paradigm. AJOB Neuroscience, 4 3 , pg. What is a disease?

Disease, disability, and their definitions. Courtwright, D. Einstein, S. Substance Use r Intervention Failure. Toward a Cultural Biology of Addiction. Biosciences, 5, Validation crisis in animal models of drug addiction: Beyond Non-disordered drug use toward drug addiction. Neuroscience and Biobehavioral Reviews, 35, BioSocieties, 5, —; Acker, C.

BioSocieties, 5, ;Pignarre, P. New York Times, p. B3; See also Campbell, N. Toward a Critical Neuroscience of Addiction. Campbell has pointed out that if a specific physiological basis for addiction can be discovered, it will then become a "molecular target" at which pharmaceutical companies can aim highly profitable magic bullets. The Structure of Scientific Revolutions, 2nd ed. L'histoire des sciences n'est pas un long fleuve tranquille. Le Monde diplomatique, p. Augustine in the 4th century and its influence on the Official View via Alcoholic Anonymous is outlined by Alexander, B.

Slaying the Dragon: The history of addiction treatment and recovery in America. For an evaluation of the influence of older knowledge on the supposed new paradigm of NIDA scientists, see Campbell, N. For a study of the powerful influence of moral panics of the American post-Vietnam era on the directon of breakthroughs in the scientific study of addiction see Vrecko, S. Birth of a brain disease: science, the state and addiction neuropolitics. History of the Human Sciences, 23 4 , pg. How Did Economists Get it so Wrong? Journal of Studies on Alcohol, 59, ; Lo, C.

Hell and Back

Marmorstein, N. Psychology of Addictive Behaviors, 20, ; Sartor, C. Journal of Studies on Alcohol and Drugs, 69, Addictive Behaviors, 27, ; Messina, N. Nature, , My life without drugs. The Guardian. These pages will show that Locke also provided the roots for a moralistic analysis of addiction. A new perspective on the health of Canadians: A working document. Mental health and homelessness.

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Ottawa, ON: Government of Canada. The history of psychology in western civilization. Journal of Substance Abuse Treatment, 40, Biopsychosocial Plus: a practical approach to addiction and recovery. Herie and W. Skinner Eds. Fundamentals of addiction: A practical guide for counselors. Toronto, ON, Knopf, Canada. Canadian Journal of Psychology, 29, ; Sussman, S. Lisha, N. Prevalence of the addictions: A problem of the minority or of the majority?

Is depression an adaptation? Retrieve June 4 from www. New York, NY: Doubleday. See especially chaps. The great transformation: The political and economic origins of our times. Boston, MA: Beacon. The war on bugs. Methland: The death and life of an American small town. New York, NY: Bloomsbury. January 1. December 1. October 1. August 1. July 1. April 2. March 2. February 2.

November 1. March 1.

The Shame of Addiction

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