OK, so, first off, thank you for this very detailed and eloquent response. It’s really insightful and provides a lot of perspective I hadn’t thought about. There’s a lot in here. I do want to very firmly put out there that the goal of transformative justice is to find solutions to communal problems which never involve the police, prisons, or incarceration of any kind, ever. That is the entire point of it. I’m not familiar with your use of the word “bust” and I couldn’t find a definition online. If it means rat someone out to the police or otherwise force rehab on them, then that is counter to transformative justice and absolutely outside of what I’m suggesting. Sometimes, I forget that the principals of transformative justice are not a given in everything I am writing, even if I tag it “transformative justice” (which not everyone will see.) Marginalized communities are small lifeboats, and everything outside of community is the ocean. My goal in everything is to find ways to keep everyone in the boat; and if someone is leaving the boat (ideally, by choice), to ensure that there is another boat they are getting onto, and not that they are getting pushed overboard into the ocean. If people in the boat feel that someone is a danger to the boat, I want to come up with as many possible things we can try to improve the situation before we allow anyone to even suggest pushing them overboard. This, I hope, should be the fundamental basis of everything I write. There are only so many of us in the boat, people are finite and irreplaceable. We cannot afford to keep throwing people overboard if it can possibly be avoided
I also have another piece of worldview which I think is getting lost in how people read what I am writing. It’s a way of viewing things that I learned when I was in an intensive dialectical behavior therapy program for a highly stigmatized psychiatric diagnosis. We are not, not any of us, 100% in conscious control, ever. We are driven by external and internal factors. Our conscious efforts are one ingredient which contributes to the equation, but so is hunger, sleep schedule, environment, stress, etc. Extreme emotions require radical acceptance, mindfulness, and intentional acts of regulating emotions through affecting the ingredients, the contributing factors. When I say alcohol is a contributing factor to emotional dysregulation, I place it alongside sleep deprivation, stress, hunger, thirst, trauma, etc. Let’s say every person has a 1 in 1000 chance of losing control and doing something harmful. Their trauma gets triggered, and that brings it to 1 in 650; and they’re drunk too, and now they’re at 1 in 450, and they’re sleep deprived, bringing them to 1 in 250, and they’re hungry, and now they’re at 1 in 150, and work was super stressful that day and so now they’re at 1 in 100, and so forth until it becomes increasingly likely they’ll act out in a way that they don’t want. In DBT, what I learned was to be mindful of these contributing factors. Obviously, I cannot avoid experiencing hunger, or avoid ever experiencing negative emotions. But I can be mindful, when I am experiencing extreme emotions, of these contributing factors; and I can also be mindful to avoid carrying too many of them at once. It helps, when I am experiencing extreme emotions, to remind myself that I am sleep deprived, or high, or both. My call to action is not “Beware! Watch out!” it’s “Be aware, contemplate it, be mindful, keep it in your peripheral view.”
So if there is a community where drug use is so integral to their communal fabric, then the call to action is to be responsible and mindful of how that affects their own emotional regulation. Drugs are not the unique reason. They are just the focus of this essay, because I don’t think we talk openly enough about them as a contributing factor to emotional dysregulation. A community where everyone is high, depending on what they are high on, is necessarily one where that contributing factor is always present to everyone’s behavior. If everyone in that community uses responsibly, is mindful of how the drugs affect their brains, and so forth; then they could certainly be less hampered than the kind of community I am discussing where everyone binge-drinks and nobody is willing to talk about if that’s healthy or how that impacts people.
A lot of people are high all the time; some people's drugs are just legal, and so we don't call them high.
So, I disagree with this, or maybe just disagree with its relevance. Alcohol is legal, and so is cannabis in many jurisdictions. That’s the two substances I talk about in my essay. SSRIs and mood stabilizers do not cause/contribute to emotional dysregulation. Amphetamines do, so they are prescribed in limited doses and people who take them generally are monitored and instructed to be mindful of how it can affect their mood. (At least, that’s what a responsible psychiatrist would do.) Benzodiazepines don’t cause emotional dysregulation but they do have other adverse effects you have to be mindful of. I am grateful that with my psych meds I only have to be mindful of dry mouth and not missing doses. I think someone who takes Adderall and someone who uses Meth are equally responsible to be mindful of how their substance use affects their mood when navigating interpersonal and communal conflicts. Anshel still needed to be mindful of how coming down from a psych med was affecting their mood.
I don’t think it’s useful to stigmatize or criminalize any drug use, legal or illegal. I think everyone is responsible to be mindful of how it affects them and their treatment of other people, and to not deny that it might affect their treatment of other people.
I struggle, however, to imagine a world in which a whispering campaign behind someone's back discussing how frequently and appropriately they use substances will make things less dramatic.
I don’t believe in whisper campaigns, and I am not proposing a whisper campaign. I believe in transformative justice processes, which necessarily are a conversation which involves Mordecai. I don’t think we should jump immediately to saying that Mordecai is an alcoholic; but I think too often people stop at “welp, it seems like Mordecai is a fundamentally disruptive person and needs to be pushed off the boat.” When Mordecai is constantly rolling the dice to see what he does, we should look at what’s making his dice rolls keep landing on “flip out at everyone.” We can talk to him and say “you need to stop flipping out” but if that doesn’t go anywhere, then what? Then we need to change the dice rolls. Often, people just say “go to therapy” but like, that can often be an impasse or inaccessible. But being able to identify something specific like, “Modercai, I’ve noticed you drink a lot when you get aggro on your friends, maybe let’s talk about that.” That gives us something to work with, to try.
when you label someone with an illness, it is not unlike labelling them as unhinged or insane in that any resistance against those labels is seen as further proof of pathology. There is no conceivable world in which someone says "charles, you have a drinking problem" and my theoretical reply of "no, i don't, i can quit any time i want" is a convincing rebuttal.
Good point! I don’t have a solution. I don’t think just not talking about it is a solution either.
even in writing this, there's the temptation to provide some personal clarification—do i drink? am i in chronic pain, do i do other drugs, &c. &c.—because if i admit use but no problem, i am the above; if i admit use and a problem, then i'm not allowed to speak on this; and if i admit no use, likewise
This is the problem with viewpoint epistemology. I don’t want to be highly public about my highly stigmatized psychiatric diagnoses, but I will still speak to mental illness. I don’t think telling anyone “you are not allowed to speak on this” is ever productive. We should not make people feel like they have to spill their guts in order to participate in a conversation
this i think takes us to the other nerve touched here: dependence is not always a problem, and a problem is not always dependence.
many people are dependent on medications whether for life or quality of life. some people get these drugs from their doctors, some people get them elsewhere.
It’s true that I am dependent on my mood stabilizers, in that without them I have undesirable symptoms. However, I mean a dependency in the medical sense, where it by-definition is causing problems for you. You do not diagnose things that are not causing you any problems. If you take oxy every day and it’s not interfering with your life, then whether you get it legally or not, you by-definition do not have a problem. If you’re being responsible and taking care of yourself, then you’re already doing the thing I’m saying we need to do. A community like this is not the ones I am discussing. I’m talking about communities where people are not being mindful about their use or being responsible about it.
the privileging of institutionalized medical knowledge is fundamentally patronizing and against the core tenets of harm reduction because (and i mean this in the least conspiratorial way possible) you cannot trust institutionalized medical knowledge if you are a person who uses drugs.
Unfortunately, I don’t have a way to reconcile this with the fact that I believe in science and the scientific method. I think the best thing to do is to try to keep up with the latest research and hold it in dialectics with folk knowledge. Science often follows folk knowledge, where folk knowledge originates a hypothesis and then science later proves it. Reading the methods section also can help lend a critical eye to whether a particular study has validity. There are times when pre-theoretical assumptions corrupt data collection and its analysis, but we can read a paper and identify those flaws.
i don't think telling people to tell their friends, "hey, i think you have a drug problem" is a way to achieve that, in the same way i would never, never advise someone to diagnose their friends with any other health problem.
"i think you have a drug problem" is equal parts accusation of illness, insanity, and the inability to care for oneself; it's pathologizing and infantalizing. it's the start of an intervention. and while i agree, obviously, that conflict is not abuse, pathologizing others definitely is.
I disagree that pathology is abuse. Abuse is to trap someone in a dynamic of power and control. You can certainly use pathology to justify abuse, but it is not in itself abuse. Being diagnosed was the second best thing to happen to me because it got me into the DBT program which was certainly the best thing to happen to me. If you think your friend has an infection, you tell them to go to the doctor. You say “that looks like it could be an infection, you should see a doctor” and if they don’t have health insurance you help them find a free clinic to get it checked out or offer to help cover costs. Maybe this is a Jewish thing, to be so involved in each other’s business, but absolutely it is normal to tell your loved ones they need to eat, to tell them to see a doctor, and so forth. If I am not removing someone’s agency over the decision, then it is not abuse. It is not abuse to make a suggestion, even an unwanted one. Forcing someone to be locked in a psych ward and taking away their agency because of a psychiatric diagnosis is absolutely abuse. I am against all incarceration. Any ethical inpatient psychiatric facility is one that you can walk out of at any time. But telling someone that I am concerned about them is not abuse. And, again, the primary focus is not on confronting the 9% who have a dependency for being bad people for it, it’s on getting the 89% to be more mindful of how their behavior is affected by weed and alcohol; which also allows us to see if there are community members who need more support. The story of Anshel and Avigdor wasn’t about alcoholism, it was about someone without a dependency who became aware of how heavy drinking was affecting their behavior and realizing being more mindful and careful could have positive outcomes.
there are other paths forwards. "hey, i wanted to ask you about how you use weed" is fair; so is "i really need to talk to you about the way i feel when you're drunk around me or others."
This is what I suggest in the essay. I phrased it as “I think you might have a problem.” You’re using somewhat more gentle and non-judgmental phrasing. I see this as the same conversation. Perhaps de-centering language that connects to substance abuse as a framework can be more productive as a rhetorical method? I still see it as the same conversation. You are acting in a way that is causing problems, and I’m wondering if the way you use substances is related to it.
As I mentioned, I do not know what busting means and I couldn’t find a definition online. It sounds bad? My goal is to never involve police or any kind of incarceration. I want to keep everyone in the boat.
the presumption they're operating under is that everyone both needs and wants to get sober, and that they will inevitably happier in so doing
Well, one of the studies I linked was titled “Reduction in cannabis use improves depression, anxiety, and sleep quality; but not quality of life.” My first therapist in the DBT program once told me “don’t worry, therapy won’t make you happy, but hopefully we can make things less painful.” If you don’t want to be sober, fine, don’t be sober. I’m not straight-edge. But sobriety does remove a contributing factor to emotional instability. If you’re going to choose not to be sober, then the responsible thing to do is to maintain a mindfulness for what that means in terms of your behavior To maintain a mindfulness of how you might be quicker to anger, or quicker to paranoia. Everyone is responsible for that, whether it be due to trauma or due to alcohol. We talk about trauma, we don’t talk about alcohol. At least not in the spaces I’ve been in where it’s a problem
if you want people to have open and honest conversations about drug use, their attached (furry) communities, and how to best get people the help they want and need, i think you'll get furthest by asking people what would let them talk about these things openly rather than preaching sobriety or pathology.
I’m not really sure how one would do this. “I’ve noticed there’s a lot of tsuris in our community, and also that there is a lot of heavy drinking. What would make you more comfortable talking about this?” It feels somewhat accusatory, like “I know you know we need to talk about this so why aren’t you.” I think you’re operating on the assumption that people are already aware of the situation and just don’t want to talk about it. I think a lot of people aren’t even being mindful to it; it’s outside of their vision.
Even though my reply is mostly disagreeing, I am still really grateful for your comment. It gives me a lot to think about and I’ll stew on this more later. A lot of my thoughts come down to "I don't have an answer to this" or "I don't know how to reconcile this" so I'm going to keep thinking about those and might change my mind about some the ways I've disagreed here. I also didn’t really have much to say about the stuff I agreed with; and this reply is approximately five 8.5x11 pages long already, so it ended up getting less focus. There is definitely a way to reconcile the transformative justice frameworks, DBT frameworks, and harm reduction frameworks; but I'm going to have to think about it a lot and do some reading. My experiences with harm reduction in the past were primarily an attitude of "people are going to use one way or the other, so it might as well not be a criminal offense and we might as well make Narcan available." That's always how we talk about it at work during our Narcan trainings and distribution programs. It seems like there's an additional philosophical layer that doesn't make it to libraryland.