Archive for the ‘overdose’ Tag

An acceptable overdose

Tuesday, February 4th, 2014

Another prominent drugs death, that of Philip Seymour Hoffman, has again exposed society’s moral judgements about drug users. Reports of the ‘tragedy’ of his death portray Hoffman as a victim, a tortured soul, an artist battling inner demons. I feel for the poor guy, even more so for his three kids – but I am also left questioning the discrepancy in reporting between his death and the reports in my local paper about comparable situations. I wonder why the kid who spent his childhood watching his dad kick his mum’s head in, being raped by his uncle, then living an adult life of deprivation and misery before overdosing in a skip, only gets three lines on page 15.

You could say it is because the local lad never made a dint on the world. He didn’t offer art, beauty and insight to the masses. The difference in media representation reflects the size of the social impact each man had.

You could also say it is a class issue – a rich death is mourned, whilst a poor death is ignored. Maybe human value is just measured in wealth.

But why is it that Philip Seymour Hoffman, a man of considerable intelligence and opportunity, is considered a victim? Where is his agency in this situation?

It goes back to the same moral position I recognised in myself many months ago, this presumption so unwittingly common, that using drugs is bad. And, as with all immoral activity, for those who we choose not to perceive as bad – possibly because we relate to them, or respect them, and struggle to look at them without also seeing a reflection of ourself – we must instead formulate them as either mad or sad. So they become ‘tortured’, a victim of their ailment, circumstance or art. With such brilliance, it could happen to anyone.

Of course, your average die-in-an-alley heroin user does not evoke this sense of admiration. He would have lacked eloquence, instead conveying his pain through aggressive expletives, and probably smelled a bit. We would have tried our best not to identify with him – to imagine how we would have coped with the hand life had dealt him, how he might feel as door after door shut in his face, his options reduced to their basest – to live or to die.

And yet whose death really is tragic? A man whose life embodied success and choice, whose demise resulted from an informed choice?

It is sad, as almost every death is. I do not feel, however, that Hoffman deserves our pity. He made his choices. And when he chose to inject himself, he had a number of other options available to him that day, chances most only ever dream of.

For those who stand in Daily Mail judgement of the drug users in their community – not the professionals who have the odd line or the students using MCat, I mean the drug users who with pasty, clammy skin and homemade tattoos – I recommend you watch “Stuart – a life backwards”. I had no idea it was possible to fit twelve years of drugs work into one film. And, as with many of my clients, the main character is mad, sad and bad all at the same time – as well as being a man worthy of admiration and bloody hilarious.

I just wonder, without presupposed moral judgements about drug users, how much more we would learn about the human experience. Hoffman must have had reasons for choosing to take the risks he did, not because he wanted the deification his death seems to have provoked. But no doubt any realism of his motivations will be media-ised into a preformed box to prove he was mad or sad. Whilst the local lad will be remembered for his convictions.

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America, Land of the Brown

Wednesday, August 21st, 2013

I warned about a resurgence of heroin use, following this year’s bumper opium crop in Afghanistan, in Smacktastic Britain, and unfortunately this may be already starting to come true, with reports of presentations of new heroin users at services (too young to remember the stigma of the last wave) and increased purity levels of the drug. But, given that there has been an international drought for the last three years, I guess this could just be business getting back to normal. And it will be another few months, possibly into early next year, before that crop reaches our shores and heroin use becomes a tempting prospect again – and people like the drug so much they start dying all over the place.

There has, however, been somewhat more of a significant increase in America. Fox News report that heroin use is “on the rise: cheap, available and out of control”, and the Wall Street Journal state that “heroin use in the U.S. is soaring, especially in rural areas”.

Fox’s Dr Manny Alvarez makes the claim that this increase is due to the last decade of prescription drug abuse, as painkillers such as Vicodin and oxycodone have been dished out like sweets and created large numbers of opiate addicts. The report also spells heroin with an ‘e’ on the end, claims that it causes miscarriage, and demands that America starts another War On Drugs – so I’m guessing we can take its contents with a pinch of salt – but it remains however an interesting suggestion that America’s increase is heroin use may be self-created. This claim is supported by other reports, which claim that OxyContin (the market name for oxycodone) has been refomulated to make it less abusable (by making it harder to crush and pastey, so that snorting or injecting is more difficult), and that, compared to the price of buying prescription meds, heroin is by far the cheaper option for those who find themselves dependent.

The Wall Street Journal, who also support the idea of a vast shift from prescribed opiates to painkillers, give some insightful and scary facts on the country’s growing heroin problem – seizures from the Mexico border have quadrupled between 2008 and 2012, and overdoses are going through the roof. Some of the rural communities are heroin-naive, most of them have no service provision, and heroin purity is at its highest in years, making overdose an inevitable consequence. Even more headline-grabbing – these medicated kids are white and middle-class.

So maybe we haven’t got as much to worry about in the UK as we first thought. The US market is prepped, desperate, and think that heroin is a bargain. If I was a drugs baron, I know where I’d be taking my bumper crop. Something tells me that the horrendous US drug overdose death rate of someone every nineteen minutes might be about to get a lot, lot worse…

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