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Culture War Roundup for the week of April 22, 2024

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There's addiction and there's addiction. I know plenty of patients who were addicted to drugs and no longer are, in the sense that they have no more physiological and psychological cravings.

There are, of course, many different kinds of drugs. Getting over a hankering for coffee or nicotine is a whole different kettle of fish compared to meth or strong opioids, or benzos.

I think the difference is before there is addiction, someone might be able to have 3 servings of alcohol a week (or whatever the recommended amount is), without much temptation to binge. But after someone has had an addiction to alcohol and recovered, they cannot have any serving of alcohol without a strong temptation to binge. There are alcoholics who are able to avoid alcohol entirely, but not many who are able to go from alcoholic to having a healthy moderate relationship to alcohol.