In Watermelon Sugar

21.3.10

Reality T.V. and Cannibal Holocaust



Cannibal Holocaust (1980)


The most disturbing movie, mock-umentary that you will ever witness. How a fictional cannibal society behaves is not that detached from our reality...

@40mins is my favorite scene...







Addiction and Freedom

Sally Satel

The Right (and Wrong) Answers
* March 15, 2010

...

Contingencies are the key to voluntariness. No amount of reinforcement or punishment can alter the course of an entirely autonomous biological condition. Imagine bribing an Alzheimer’s patient to keep her dementia from worsening, or threatening to impose a penalty on her if it did. This is where choice comes in: choosing an alternative to drug use. Heyman realizes how odd this might seem. How can otherwise rational people choose self-destruction unless they are diseased? This question was raised in colonial America. Dr. Benjamin Rush, also known as the father of American psychiatry, was among the first to promote the notion that alcoholism was a disease. And he did so not on the basis of medical evidence, Heyman reminds us, “but rather [upon] the assumption that voluntary behavior is not self-destructive.”

It may strike some as insensitive to insist that addiction is a disorder of choice. “I have never come across a single drug-addicted person who told me [he or she] wanted to be addicted," Nora Volkow, the current director of NIDA says. Exactly so. How many of us have ever come across a person who wanted to be fat? So many undesirable outcomes in life are achieved incrementally. In a choice model, full-blown addiction is the triumph of feel-good local decisions (“I’ll use today”) over punishing global anxieties (“I don’t want to be an addict tomorrow”). Let’s follow a typical trajectory. At the start of an episode of addiction, the drug increases in hedonic value while once-rewarding activities such as relationships, job, or family recede in value. Although the appeal of using starts to fade as consequences pile up—spending too much money, disappointing loved ones, attracting suspicion at work—the drug still retains value because it salves psychic pain, suppresses withdrawal symptoms, and douses intense craving...

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