Ep 299: Addiction Through a Sociological Lens

Patricia Roos, author of Surviving Alex, explores the complexities of addiction, advocating for a shift from punitive measures to a public health approach and sharing deeply personal insights from her son's battle with substance use disorder and eventual overdose.


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Full Show Notes

Addiction is a complex and often misunderstood issue, frequently discussed in simplified terms that do little justice to those who struggle with it and their families. Many hold onto unhelpful myths about addiction, focusing on perceived moral failings or simplistic disease models. But what if these views miss the broader picture? What if we could better understand the root causes and contexts surrounding addiction, ultimately providing more effective support and interventions?

In this episode, we delve into the intricate dynamics of substance use and addiction, highlighting not just drug addiction but also related behaviors like anorexia, bulimia, and self-harm. We uncover how these issues are often deeply intertwined with individual psychology and broader societal factors.

Our guest today is Patricia Roos, Professor Emerita of Sociology at Rutgers University and author of Surviving Alex: A Mother's Story of Love Loss and Addiction. Patricia’s personal connection to this issue, through her son's battle with substance use disorder and his eventual overdose, lends a poignant and compelling perspective to her scholarly insights.


Understanding Addiction Beyond Myths

Patricia argues that prevailing models of addiction—the moral model and the disease model—fail to capture the full scope of this issue. She points out that a purely individualistic approach overlooks the critical role of societal and contextual factors. Instead, she proposes a more nuanced understanding that considers how context shapes individual choices. This shift in perspective opens up new avenues for addressing addiction in more empathetic and effective ways.


The Hidden Battles With Anxiety and Control

In recounting her son Alex's journey, Patricia reveals how his struggles began in adolescence with anorexia and later evolved into substance use. She emphasizes that these behaviors were coping mechanisms for underlying anxiety and a relentless drive for perfection—a theme that resonates with many adolescents today. Patricia offers insights into how parents might spot early warning signs of such struggles, encouraging a compassionate and proactive approach.


The Role of Treatment and Societal Stigma

Patricia sheds light on the stigmas associated with addiction within the medical community and the criminal justice system. She shares her advocacy for a paradigm shift towards treating addiction as a public health issue rather than a criminal offense. This change, she argues, could reduce the damaging impact of stigma and open up more supportive and effective treatment options.


Patient Trafficking and the Rehab System

In a particularly eye-opening segment, Patricia discusses the concept of patient trafficking within rehab systems, especially in areas like Florida. She describes how some rehab centers exploit patients for financial gain, pushing them into cycles of relapse and readmission without providing genuine support. This exploitation exemplifies the need for systemic change in how we handle addiction treatment, ensuring it is truly geared towards recovery.


In the Episode...

- How societal stigma and punitive measures exacerbate addiction.

- The connection between early anxiety, mental health issues, and later substance use.

- The need for a public health approach to replace the current criminal justice focus.

- The shady practices of patient trafficking within the rehab system and the importance of ethical treatment options.


Join us for a compelling discussion that seeks to unravel the complexities of addiction and offers a call to action for more compassionate and effective responses. Listen now to understand the broader contexts of addiction, equip yourself with knowledge to support your teen, and subscribe to Talking to Teens for more insightful episodes.


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