Monthly Archives: February 2020

Addiction: Women, Compulsive Behavior and the New Wine Mom

“Pride and ego are what keeps people locked into addiction”

  • Alcohol-related­ deaths for white women ages 35–54 have more than doubled.

We naturally want to feel good. But what happens when our favorite method of stress relief becomes destructive?

Serious addictions take an undeniable toll both physically and mentally. But according to Lisa Boucher, author of “Raising the Bottom: Making Mindful Choices in a Drinking Culture,” the 2017 winner of the Best Book Award for women’s health, people often overlook the true root of addictive behavior: a wounded spirit.

Addiction is a spiritual malady,” said Boucher, a registered nurse who has helped women overcome alcoholism for the past 28 years. “People are just trying to fill the hole of the soul.”

Most addiction counselors acknowledge the spiritual aspect of their clients’ compulsion. “The Big Book” of Alcoholics Anonymous (AA), for example, emphasizes a spiritual awakening as a necessary step in breaking free from alcohol’s grip.

But it’s a notoriously hard lesson to learn. A common theme among the hundreds of addicts Boucher has worked with is that they can take years or decades to even admit they have a problem.

“Pride and ego are what keeps people locked into addiction,” she said. “They don’t want to accept that they can’t control something.”

The New Alcoholic

We’re all prone to occasional indulgence, but we can be lax at judging when we’ve gone too far. Substance abuse can be even harder to accept when society supports it. Unlike heroin or cocaine, alcohol is a legal and socially encouraged drug. But Boucher says these features can make it even more insidious. She points to an increasingly common character: the wine mom.

“We have normalized alcoholism,” Boucher said. “The new alcoholic carries a diaper bag and wears designer pumps.”

While recreational drug use, in general, is at an all-time high, alcohol remains the most abused drug in the world after tobacco, and it’s hitting women especially hard. Alcohol-related­ deaths for white women ages 35–54 have more than doubled since 1999, according to an analysis of federal data by The Washington Post. Researchers studying the spike call it a public health crisis.

According to a 2013 study, the alcohol industry has increased ad spending almost 400 percent since 1971. Ads make a brief nod toward “drinking responsibly,” but the predominant message is that booze is a fun, sophisticated, and socially sanctioned excuse for letting go.

It’s an appealing proposal, especially for those trying to juggle a career and family. But Boucher believes women have become so conditioned to reach for a drink under stress, that they lose touch with their innate coping skills.

“People drink because they can’t handle the way they feel,” Boucher said. “If you’re trying to change the way you feel, you’re not coping with some deeper emotion.”

It’s not just alcohol; all of our most destructive drugs tend to be those that provide a temporary escape from misery. Such substances can be a short-term blessing for serious injuries and illness. But we lose an important part of ourselves when they become our primary coping method.

Chronic reliance on a substance for our sense of well-being can stunt our emotional and spiritual growth, says Boucher, because we never develop the strength of character that comes from facing life’s challenges with a clear mind. A prime example is Boucher’s sister, a successful career woman in her 50s who’s four years sober of a serious meth habit.

“This is a woman who never learned to cope with life,” Boucher said. “She has had to go back and relearn how to deal with conflict in an appropriate manner.”

Researchers point to genetic markers that may increase the risk for addiction, but role modeling may seal the deal. Boucher and her siblings grew up resentful of their alcoholic mother who was either in a Valium stupor or drunk for most of their childhood, yet they all followed a similar path.

“Our mother never taught us coping skills,” Boucher said.

Spiritual Disease

Why would anyone choose to waste money, destroy relationships, and ruin their health? Addiction doesn’t make any logical sense, but we can’t seem to stop the tide. Despite the government spending more than $1 trillion on the war on drugs over the past four decades, the rates of addiction and overdose deaths in the United States are now higher than ever before. Opioids get the most attention, but in some states, meth may soon claim the highest number of addicts and overdose deaths.

Addiction used to apply primarily to substances. Today, it is found with vices such as pornography, gambling, shopping, excessive smartphone use, and countless other compulsive pleasures.

Researchers believe they may soon uncover a physical fix to our addiction epidemic. Studies are underway to develop treatments that target the chemical imbalances and faulty wiring found in the brains of addicts.

But what if our addiction problem is more complex than any solution science can conjure?

Spirit is a concept that is often at odds with contemporary medicine, but it wasn’t always this way. People once looked for meaning in their suffering.

Of course, each addict has a unique backstory of trauma and pain.

Medicating Addiction

Since people usually do drugs to feel better, there’s a prevailing notion that substance abuse is merely a symptom of depression. But Boucher believes that’s a backward idea.

“You can’t diagnose depression when they’re smoking pot every day, drinking alcohol, using meth, smoking crack, taking opioids, or whatever that person’s drug of choice is,” she said. “How do you know what that person’s baseline is?”

Alcohol, for example, is a depressant. So, if a heavy drinker complains of depression, they may be guzzling the root cause.

Boucher is sympathetic to legitimate cases of depression, but she believes that in order to properly diagnose it, sobriety should come first. In her experience, those who go clean for three to six months often eliminate their need for drug treatment.

“In 90 percent of the cases that I’ve worked with, these women were able to get off their antidepressants,” she said.

Beyond Willpower

Few people can drop their bad habits cold turkey. But for many addicts, connecting to something larger than themselves helps them work toward recovery. However, adopting this mindset can be a difficult leap, especially since those who turn to drugs often do so because their faith in God or man has been shattered.

For those resistant to talk of a higher power, Heller suggests more deity-neutral language.

“One could say that the person needs to be able to expand their consciousness to incorporate new ideas,” she said, “but in order for anyone to engage in a process of healing and self-exploration, they have to be able to surrender to something greater than their own will.”

Some insist willpower is the key to recovery—if we’re determined to deny our cravings for long enough, we can be whole again. But according to Kimberly Hershenson, a New York-based therapist specializing in substance abuse, willpower will always fall short.

“If you’re looking at this from a disease model, you are as powerless over addiction as you are with cancer,” Hershenson said. “No matter what you try to do, your brain is going to crave more. And it’s really about accepting that.”

Our addictive impulses are connected to the survival and pleasure centers of our brain, so they react faster and with greater force than the part of our brain responsible for reasoning. This means that cravings surge long before thoughts of consequence kick in. Beating back urges can be a losing battle even for the strongest of wills.

“An addict cannot force themselves into a place of health by soldiering through life,” Heller said. “This is about being willing, not being willful.”

If addiction is a spiritual disease, then the cure has to come from within. There are tools to address the physical aspects of addiction, but experts say we must also cultivate positive behaviors, such as humility, accountability, a sense of purpose, and healthy coping mechanisms.

Life can be cruel, the world can seem crazy, but how we handle it makes all the difference. Boucher urges us to step back, be thankful for what we have, and reconnect with what is essential to our souls.

“We are human beings. We need quiet. We need to reflect. We need to nurture the whole person,” she said.

BY CONAN MILNER

FACTS ABOUT OPIOID CRISIS: China Is Using Fentanyl as ‘Chemical Warfare’

FACTS ABOUT OPIOID CRISIS: China Is Using Fentanyl as ‘Chemical Warfare’

Behind the deadly opioid epidemic ravaging communities across the United States lies a carefully planned strategy by a hostile foreign power that experts describe as a “form of chemical warfare.”

It involves the production and trafficking of fentanyl, a synthetic opioid that caused the deaths of more than 32,000 Americans in 2018 alone, and fentanyl-related substances.

China is the “largest source” of illicit fentanyl in the United States, a November 2018 report by the U.S.-China Economic and Security Review Commission stated. That same commission said that since its 2017 report, they found no “substantive curtailment” of fentanyl flows from China to the United States. They also noted that in “large part, these flows persist due to weak regulations governing pharmaceutical and chemical production in China.”

President Donald Trump has continued to increase his crackdown on fentanyl—he recently ordered all U.S. carriers to “search for and refuse” international mail deliveries of the synthetic opioid pain reliever. Trump specifically named FedEx, Amazon, UPS, and the U.S. Postal Service (USPS).

Jeff Nyquist, an author and researcher of Chinese and Russian strategy, said China is using fentanyl as a “very effective tool.”

“You could call it a form of chemical warfare,” Nyquist told The Epoch Times. “It opens up a number of opportunities for the penetration of the country, both in terms of laundering money and in terms of blackmail against those who participate in the trade and become corrupt like law enforcement, intelligence, and government officials.” 

China also uses the money generated by the importing of fentanyl to effectively “influence political parties,” according to Nyquist. 

“It opens doors for Chinese influence operations, Chinese People’s Liberation Army, and intelligence services, so that they can get control of certain parts of the U.S.,” he said. 

In August, Trump called out Chinese leader Xi Jinping, accusing him of not doing enough to stop the flow of fentanyl, which enters the United States mostly via international mail.

Liu Yuejin, vice commissioner of the China National Narcotics Control Commission, disputed Trump’s criticism, telling reporters on Sept. 3 that they had started going after illicit fentanyl production, according to state-controlled media. China also denies that most of the illicit fentanyl entering the United States originates in China.

“President Xi said this would stop—it didn’t,” Trump said on Twitter on Aug. 23.

Overdose deaths from synthetic opioids such as fentanyl surged from around 29,000 in 2017 to more than 32,000 in 2018, according to data from the Centers for Disease Control and Prevention (CDC).

Not all opioid-related deaths in the United States can be blamed on China’s fentanyl export policies, as some come from prescription overdoses, according to Dr. Robert J. Bunker, an adjunct research professor at the U.S. Army War College Strategic Studies Institute.

But Bunker told The Epoch Times that China is still “greatly contributing” to America’s opioid epidemic. Bunker described how Beijing is using the trafficking of dangerous drugs to achieve its greater Communist Party goals.

“Contributing to a major health crisis in the U.S., while simultaneously profiting from it would in my mind give long-term CCP plans to establish an authoritarian Chinese global system as a challenge to Western liberal democracy,” he said via email.

“[It’s] a win-win situation for the regime,” he continued. “In fact producing and sending fentanyl to the U.S., which could be considered a low-risk policy of ‘drug warfare,’ is very much in line with the means and methods advocated in the 1999 work ‘Unrestricted Warfare.’”

The book mentioned by Bunker is authored by two of China’s air force colonels, Qiao Liang, and Wang Xiangsui, and published by the People’s Liberation Army.

Local police, fire department, and deputy sheriffs help a man
Local police, fire department, and deputy sheriffs help a man who is overdosing in the Drexel neighborhood of Dayton, Ohio, on Aug. 3, 2017. It’s unclear what he overdosed on. (Benjamin Chasteen/The Epoch Times)

Recent cases of fentanyl-related overdose and deaths are linked to “illegally made fentanyl,” the CDC has said. Fentanyl is 50 times more potent than heroin and 100 times more potent than morphine.

Fentanyl has been approved for treating severe pain for conditions such as late-stage cancer. It is prescribed by doctors typically through transdermal patches or lozenges. Fentanyl should only be prescribed by doctors who are experienced in treating pain in cancer patients, according to Medline Plus, an online site by the United States National Library of Medicine. It may become addictive, especially with prolonged use.

A USPS spokesman told The Epoch Times they are “aggressively working” to add in provisions from the STOP Act. The Synthetics Trafficking and Overdose Prevention legislation, signed in 2018 by Trump, aims to curb the flow of opioids sent through the mail while increasing coordination between USPS and the U.S. Customs and Border Protection (CBP).

USPS has notified China’s postal operations that if any of their shipments don’t contain Advance Electronic Data (AED), they “may be returned at any time,” the spokesman said via email. CBP is also notifying air and ocean carriers to confirm that 100 percent of their postal shipment containers have AED before loading them onto their conveyance.

Recent Seizures

In August, law enforcement seized 30 kilograms (around 66 pounds) of fentanyl, among other narcotics as part of a major arrest operation over the course of three days. As a result, officers arrested 35 suspects for “conspiracy to distribute and possess with intent to distribute large amounts of heroin, fentanyl, cocaine, and cocaine base.”

G. Zachary Terwilliger, U.S. Attorney for the Eastern District of Virginia, said in a statement that the amount of fentanyl seized was enough to “kill over 14 million people.” One of the suspects in Virginia had ordered the fentanyl from a vendor in Shanghai and was receiving it at his residence through USPS, according to the indictment.

“The last thing we want is for the U.S. Postal Service to become the nation’s largest drug dealer, and there are people way above my pay grade working on that, but absolutely, it’s about putting pressure on the Chinese,” Terwilliger said.

CBP Enforcement Statistics reveal that fiscal year seizures of illicit fentanyl spiked from about one kilogram (2.2 pounds) in 2013 to nearly 1,000 kilograms (2,200 pounds) in 2018. The number of law enforcement fentanyl seizures in the United States also vaulted from about 1,000 in 2013 to more than 59,000 in 2017.

Also, in August, the Mexican navy found 52,000 pounds of fentanyl powder in a container from a Danish ship that was coming from Shanghai. The navy intercepted the unloaded 40-foot container on Aug. 24, at the Port of Cardenas.

“There is clear evidence that fentanyl or fentanyl precursors, chemicals used to make fentanyl is coming from China,” Dr. Andrew Kolodny, co-director of Opioid Policy Research at the Heller School for Social Policy and Management, told The Epoch Times.

Epoch Times Photo
A fatal dose of fentanyl displayed next to a penny. (DEA)

Two commonly used fentanyl precursors are chemicals called NPP and 4-ANPP. In early 2017, journalist Ben Westhoff started researching the chemicals, finding many advertisements for them all over the internet from different companies. He later determined a majority of those companies were under a Chinese chemical company called Yuancheng, according to an excerpt from his upcoming book “Fentanyl, Inc.: How Rogue Chemists Are Creating the Deadliest Wave of the Opioid Epidemic,” an excerpt of which was published in The Atlantic.

Fentanyl Analogs

One of the concerns related to the production of illicit opioids is the creation of fentanyl analogs, products that are similar to fentanyl and also simple to make.

“You can very easily manipulate the molecule and create a new fentanyl-like product that hasn’t been banned, that’s not technically illegal,” Kolodny told The Epoch Times. “Some of the manufacturers, the folks creating the drugs, are aware of that.”

“We saw this with other synthetic drugs that are abused in the U.S., when law enforcement make the drug illegal or when they ban the molecule,” he said. “In some cases, fentanyl analogs are even stronger than fentanyl. There’s an analog called carfentanil, which is even more potent than fentanyl.” 

Carfentanil has a quantitative potency “approximately 10,000 times that of morphine and 100 times that of fentanyl,” according to the National Center for Biotechnology Information.

Just one microgram is needed for carfentanil to affect a human. The drug is “one of the most potent opioids known” and is marketed under the trade name Wildnil “as a general anesthetic agent for large animals.”

“Sometimes, it’s hard for law enforcement to keep up with the chemist,” Kolodny added. 

A bill dubbed the SOFA Act or the “Stopping Overdoses of Fentanyl Analogues Act,” has yet to pass Congress. The act was introduced in May by Republican senators and would give law enforcement “enhanced tools to combat the opioid epidemic and close a loophole in current law that makes it difficult to prosecute crimes involving some synthetic opioids.”

Kolodny said pharmaceutical industries have been lobbying to stop any legislation meant to restrict fentanyl analogs “because these are products they are trying to bring to market.” 

In August, an Oklahoma judge ordered Johnson & Johnson to pay $572.1 million to the state for deceitfully marketing addictive opioids. The sum was less than what investors had expected, according to Reuters, which resulted in shares of the multinational corporation rising in value.

“We should be doing everything we can to keep fentanyl out of the country,” Kolodny said. “We should be doing everything we can to ban fentanyl analogs.” 

Billion-Dollar Grants

As part of the Trump administration’s latest efforts to combat the opioid crisis, the U.S. Department of Health and Human Services (HHS) on Sept. 4 announced nearly $2 billion in funding to states.

The funding would expand access to treatment and also support near-real-time data on the drug overdose crisis, according to a release.

In announcing the move, White House counsel Kellyanne Conway told reporters in a conference call that their administration is trying to interject the word “fentanyl” into the “everyday lexicon” as part of their efforts to increase awareness.

Data suggests that of the approximately 2 million Americans suffering from opioid use disorder, approximately 1.27 million of them are now receiving medication-assisted treatment, according to the HHS.

“Central to our effort to stop the flood of fentanyl and other illicit drugs is our unprecedented support for law enforcement and their interdiction efforts,” she said.

Conway then brought up the DHS seizures of fentanyl in 2018, which totaled an equivalent of 1.2 billion lethal doses.

“Ladies and gentlemen, that is enough to have killed every American four times,” she told reporters.

Just weeks ago, the White House released a series of private-sector advisories aimed to help businesses protect themselves and their supply chains from inadvertently trafficking fentanyl and synthetic opioids.

The four advisories aim to stem the production and sale of illicit fentanyl, fentanyl analogs, and other synthetic opioids. The advisories focus on the manufacturing, marketing, movement, and monetary aspects of illicit fentanyl.

In March 2018, the Interior Department created a task force aimed to specifically combat the crisis on tribal lands. Since then, the department has arrested more than 422 individuals and seized 4,000 pounds of illegal drugs worth $12 million on the street, including more than 35,000 fentanyl pills.

Conway, on the conference call, described the epidemic of pain relievers as an “opioid and fentanyl crisis.”

BY BOWEN XIAO