Addiction — the Democratic Killer

Amy Winehouse

By Bob Gaydos

Last week, fellow Zest columnist Michael Kaufman posed some questions about the death of Amy Winehouse — in sum, why was it “allowed to happen” — and suggested that, since I also write a published column on addiction and recovery, perhaps I might have some thoughts on the subject.

Which, of course, I do. They are not based on any special insight into the psychological makeup of the singer, nor any knowledge of her medical history or even a hint of the kind of environment in which she grew up. To some extent, all of this unique information may matter in trying to determine why Amy Winehouse died so tragically at age 27 (the precise cause has not been announced). On the other hand, hers has all the earmarks of a typical alcohol and drug-related death. Her celebrity made it newsworthy, but don’t for a minute think that the parents of other, less-talented young men and women who succumb to addiction do not understand and share the profound sorrow of Amy’s parents.

Addiction is a remarkably democratic disease, an indiscriminate killer. Could Amy’s death have been avoided? Possibly. There is always the chance with addiction that a person can be “saved” from himself or herself. Most of the time, this hope rests with the family and friends of the addict, the ones who bear the brunt of the pain of the addictive behavior. For her part, Winehouse seems to have bought into the stereotyped alcohol-and-drug-filled life of the tragic, young musician early on. Now she will live forever as the dark flip side of the sex, drugs and rock ’n roll theory of life.

She has company there, of course. In the immediate aftermath of her death, the internet was full of observers welcoming her to the infamous “27 Club.” These are talented, immensely popular young performers who died at age 27, all of whom led self-destructive lives fueled by alcohol and drug abuse. The most prominent other members are Jimi Hendrix, who choked on his vomit after combining sleeping pills with wine, Janis Joplin, who overdosed on heroin while drinking, Jim Morrison, whose cause of death was listed as “heart failure,” and Kurt Cobain, who committed suicide.

Addiction is obviously not fussy about the manner in which it kills. But truth be told, while thousands die each year from some cause related to excessive use of alcohol or drugs, many more simply live out their lives with untreated alcoholism or drug dependency. A lot of it is not pretty. Much of it is avoidable.

Most public discussion of addiction focuses on the behavioral symptoms of the disease. Most people still think of it as a cultural, social or criminal matter, rather than a health issue. Society for the most part treats it that way. We never ask why someone suffering from heart disease or cancer who refuses treatment can’t be “committed” for their own good. It’s their choice. Is a person in the grip of addiction capable of making a rational decision on receiving treatment? Maybe not, seeing as denial is a primary symptom of the disease. But there is no way to legally require an addict to get treatment, even if a crime has been committed. We tried committing alcoholics to mental wards for many years only to learn that it didn’t work.

What does work? Or, more specifically, what might have worked for Amy? Here’s where knowing her medical and family history could help, since science has established a genetic predisposition to addiction as well as identifying the likely center for this activity in the brain. But people without a family history of alcoholism or brains hard-wired to require more pleasure receptors also become addicts.

What science is also telling us now is that it is important to begin when children are young to establish a lifestyle that does not encourage the indiscriminate use of alcohol or drugs to “feel good.” One that does not glamorize or demonize alcohol, but rather offers an honest perspective on it. Kids’ brains are malleable. They mimic their elders and have little concept of their own mortality.

Amy’s parents may well have done this, but the key is to keep doing it even when the child resists. There’s no such thing as caring too much, of giving too much information. But the singer also had the burden of tremendous success, with the pressure to keep performing. The stress on young people in this situation is unimaginable to most of us. If she was inclined to use alcohol and drugs to deal with stress to begin with (and her music suggests as much), the inescapable presence of alcohol and drugs in the pop music industry could have been enough to drown out any voices of reason coming from loved ones. Amy Winehouse, while young, talented and vulnerable, was also a tremendously profitable business. Money talks. Business associates can be persuasive enablers. (Even Charlie Sheen has been offered a new TV sitcom.)

This is my personal opinion. I would say, given her history, Winehouse needed a lot of time away from performing and professional help in detoxing herself from alcohol and drugs — neither of which she got. She may well have rejected both. But if her music family had combined with her biological family and persisted in their efforts, if, say, they made performing impossible for her until she had received professional help in treating her addiction, Amy Winehouse might still be with us. People in recovery tell those who are still struggling not to give up before the miracle happens, because you never know when that miracle — the death of denial –may happen.

And as for her fans, rather than memorializing Amy Winehouse as the latest member of a foolishly glamorized group of talented dead addicts, how refreshing it would be for them to start honoring a different group — all the talented, clean and sober performers living in recovery. Talk about your miracles.

Bob@zestoforange.com

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3 Responses to “Addiction — the Democratic Killer”

  1. Anne Says:

    Bob – This article has been very informative and was an excellent response to last weeks column by Michael Kaufman. As a parent of a heroin addicted child who will celebrate 2 years being clean this weekend, I can relate to all the points you made. As you have pointed out addiction is a disease. While the loved one is addicted to alcohol/drugs, the family becomes addicted to the loved one. The family has to learn to be strong in order to help the addict. The alcoholic has AA – there is Al-Anon for the family. I also belong to a group called ADAPT in Milford PA that meets on the first & third Thursday of the month that was started by the mothers of addicted children, which has helped me tremendously. If I can leave the contact info, please call Sharon at 570-296-7443 or Martha at 570-296-2304 for more information. You are not alone, and miracles can happen.

  2. Michael Kaufman Says:

    Thanks, Bob. As Anne said, this piece is “very informative….an excellent response.” I would add “beautifully written” as well.

  3. Jim Gilbert Says:

    Thanks Bob for another excellent artical and an underscore for Michael Kaufman’s response – “beautifully written”. I would like to add a couple of comments. First, although addiction is definately a democratic illness (included among its victims are American first ladies, British prime ministers,geniuses,and people from virtually every human catagory), pathways to addiction and treatment for addiction is anything but democratic. For all intents and purposes, most young white drug offenders go to rehab and most young black drug offenders go to jail. This has led to the establishment of a permanent underclass governed by a resurrected Jim Crow system (see Michelle Alexander, “The New Jim Crow”). Furthemore, a substantial body of research has established that racism is a causal element among addiction in inner-city communities. Apparently, alienation rather than character pathology is a principal ingredient in pathways to addiction among inner-city residents while alienation has historicly been observed as a result of racial discrimination. However,regardless of causal eliments, addiction is a very treatable illness but treatment has to be available in order for it to be effective.You make an excellent point about treatment as the avoidability of people living out a life of untreated addiction (especially since life expectancy among addicts is considerably shorter than the rest of the population).Second,I would like to mention that although the professional community has advanced light years in its understanding and treatment of addiction, Alcoholics Anonymous and its 12th step deritives is still the best game in town. Starting about seventy-five years ago, it grew from a membership of two to a significantly diverse society that has impacted on the lives of tens of millions of people throughout the world. No other form of treatment for addiction comes close to these numbers.
    Jim

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