Dr-Hilton-Breakout-UCAP-2014
Transcription
Dr-Hilton-Breakout-UCAP-2014
Pornography Addiction: Disordered Learning, Toxic Sexuality Donald L. Hilton Jr., MD Utah Coalition Against Pornography March 22, 2014 Why then, can one desire too much of a good thing? William Shakespeare, As You Like it Hotel California “…Prisoners of our own device..” ”…programmed to receive…you can never leave.” “It was really about the excesses of American culture….” Don Henley, London Daily Mail, November 9, 2007 Addiction is disordered desire Pornography is toxic sexuality Accumbens 1100 1000 900 800 700 600 500 400 300 200 100 0 AMPHETAMINE DA DOPAC HVA 200 Accumbens Caudate 150 100 0 0 1 2 3 hr Time After Nicotine COCAINE DA DOPAC HVA 200 100 0 5 hr NICOTINE Accumbens 300 % of Basal Release 250 1 2 3 4 Time After Amphetamine % of Basal Release 400 0 % of Basal Release % of Basal Release Effects of Drugs on Dopamine Release 250 0 1 2 3 4 Time After Cocaine Accumbens 5 hr MORPHINE Dose (mg/kg) 0.5 1.0 2.5 10 200 150 100 0 0 1 2 3 4 Time After Morphine 5hr Di Chiara and Imperato, PNAS, 1988 Natural Rewards Elevate Dopamine Levels 200 % of Basal DA Output NAc shell 150 100 Empty 50 Box Feeding SEX 200 150 100 15 10 5 0 0 0 60 120 Time (min) Di Chiara et al., Neuroscience, 1999. 180 Copulation Frequency DA Concentration (% Baseline) FOOD Female Present Sample Number 1 2 3 4 5 6 7 8 Fiorino and Phillips, J. Neuroscience, 1999. Mounts Intromissions Ejaculations Addiction: a ‘new’ normal • All addictions reset the hedonic set point • ASAM: addiction is a chronic disease of the brain affecting reward, motivation, and memory systems • ASAM: it now incorporates natural addictions such as to food, sex, and gambling, as well as substance addictions Natural or Process Addiction Sexuality Food Gambling Drug Addiction Cocaine Methamphetamine Opioids “Mr. Congressman, cigarettes and nicotine clearly do not meet the classic definition of addiction.” James Johnson, Chairman and CEO of RJ Renolds Tobacco Company Rep. Waxman’s Subcommittee on Health and the Environment April 14, 1994 “Addict-us” First English use of word “addict” by Frith in Antithesis, 1529 Latin: “assigned by decree, made over, bound, devoted Othello - Shakespeare First use of word “addiction” in English: “Each man to what sport and revels his addiction leads him.” JAMA 1906 “It matters little whether one speaks of the opium habit, the opium disease, or the opium addiction.” JAMA 1906 Addiction is… “…the continued use of mood-altering addicting substances or behaviors (e.g., gambling, compulsive sexual behaviors) despite adverse consequences.” Angres DH, Bettinardi-Angres K The Disease of Addiction: Origins, Treatment, and Recovery Dis Mon 2008: 54:696-721. “While much has been written and said about pornography being addictive, on par with drugs, booze and cigarettes, it's important to consider that this misinformation has been based upon questionable "science" and the opinions of anti-porn activists -- not upon any legitimate, unbiased research. Consider also the fact that "drugs, booze and cigarettes" are all physical, chemical agents that are ingested and can indeed have measurable, harmful, addictive effects. The mere viewing of any type of subject matter hardly falls into this category and, in fact, belittles the very real battles that addicts face over drugs, booze and cigarettes -- all of which can be lethal. No one ever died from looking at porn. While some compulsive types can be "addicted" to anything, such as watching a favorite television show, eating ice cream or going to the gym, nobody suggests that ice cream is akin to crack and should be regulated to protect…people from themselves.” Steven Yagielowitz, senior editor XBIZ Lady Gaga: Drugs Inspired Me "[Using drugs] I really figured out the art I wanted to make and was inspired," she said. "Some people find inspiration in dark places. I guess I'm one of them. What always made me different is that if I was doing drugs I was also making music. I wasn't just doing drugs. "Once you open those doors they're open for ever…” http://www.huffingtonpost.com/2010/08/27/lady-gaga-drugsinspired-_n_696842.html Miley prefers weed… "I think weed is the best drug on earth. One time I smoked a joint with peyote in it, and I saw a wolf howling at the moon,” "Hollywood is a coke town, but weed is so much better. And molly, too. Those are happy drugs— social drugs," she explains. "They make you want to be with friends. (as quoted from Rolling Stones interview) http://www.eonline.com/news/464064/miley-cyrus-in-rolling-stone-i-think-weed-is-thebest-drug-on-earth “I love weed…I just love getting stoned” Miley Cyrus, W magazine, 2014 How did we miss this?... “Our results suggest that long-term cannabis use is hazardous to white matter in the developing brain…. Disturbed brain connectivity in cannabis users (84-88%) may underlie cognitive impairment and vulnerability to psychosis, depression and anxiety disorders, all of which are significant public health concerns.” Zalesky A, Solowij N, Yücel M, Lubman DI, Takagi M, Harding IH, Lorenzetti V, Wang R, Searle K, Pantelis C, Seal M.(2012). Effect of long-term cannabis use on axonal fibre connectivity. Brain. 135(Pt 7):2245-55. Just ask them… “…we conclude that the overall findings suggest that many young Danish adults believe that pornography has had primarily a positive effect on various aspects of their lives.” Hald GM, Malamuth NM. (2008) Self-percieved effects of pornography consumption. Archives of Sexual Behavior. 37(4):614-25 “Outlet” Sex – The world as a masturbatory object… “Release” is the goal [C]onsidering the physiology of sexual response and the mammalian backgrounds of human behavior, it is not so difficult to explain why a human animal does a particular thing sexually. It is more difficult to explain why each and every individual is not involved in every type of sexual activity. (Kinsey, Sexual Response in the Human Female, 1953, p.451) “[W]e suggest that sexuality, in its basic biologic origins, is a capacity to respond to any sufficient stimulus. It is simply a picture of physiologic response and psychologic conditioning in terms that are known to the biologist and psychologist. This is the picture of sexual response in the child and in most other younger mammals.. For a few uninhibited adults, sex continues to remain sex, however they have it.” (Kinsey, Pomeroy, Martin, Gephard, in Psychosocial Development in Health and Disease, [Grune and Stratton],1949, p.27.) From “Sexual Behavior in the Human Male,” Alfred Kinsey, 1948 Paul Gephard, Kinsey co-author Muir: “So, do pedophiles normally go around with stopwatches?” Gebhard: “Ah, they do if we tell them we’re interested in it!” Taped transcript, phone conversation between Gephard and J. Gordon Muir, about table 34 in the 1948 ‘Male’ book. Walter Pomeroy, Kinsey co-author • “… having sex with the male animal,… whether it is a dog, horse, bull or some other species, may provide considerable erotic excitement for the boy…Psychically, animal relations may become of considerable significance to the boy who is having regular experience…[ and] in no point basically different from those that are involved in erotic responses to human situations…” Boys and Sex • “We find many beautiful and mutually satisfying [sexual] relationships between fathers and daughters. These may be transient or ongoing, but they have no harmful effects … Incest between adults and younger children can also prove to be a satisfying and enriching experience … When there is a mutual and unselfish concern for the other person, rather than a feeling of possessiveness and a selfish concern with one’s own sexual gratification, then incestuous relationships can and do work out well. Incest can be a satisfying, non-threatening, and even an enriching emotional experience, as I said earlier.” Variations magazine Pornography Apologism in Academia Courtesy Dr. Judith Reisman The Neuroscience of Attachment Vasopression Oxytocin Attachment neuropeptides and human bonding • Oxytocin and vasopressin are produced by the hypothalmus and stored in the posterior pituitary gland. • Oxytocin causes uterine contractions and facilitates lactation (in females), and facilitates ejaculation (in males). • Vasopressin is essential in controlling fluid physiology in humans, and erection in males. • We now know that both are integral in human emotional bonding! • Kinsey’s ‘outlet sex’ dogma didn’t take into account the effect of attachment neuropeptides. For perspective on attachment neuropeptides, read: Elizabeth A.D Hammock and Larry J. Young (2006). Oxytocin, vasopressin and pair bonding: implications for autism. Philosophical Transactions of the Royal Society B: Biological Sciences, 361(1476):2187-2198. Neuropeptides and bonding to computers? “Overall, OT and AVP had sexually differentiated effects on both behavior and brain activity. In women, AVP increased conciliatory behavior, and both OT and AVP caused women to treat computer partners more like humans. In men, AVP selectively increased reciprocation of cooperation from both human and computer partners.” Rilling J.K., et al. (2014). Sex differences in the neural and behavioral response to intranasal oxytocin and vasopressin during human social interaction. Psychoneuroendocrinology, Vol 39, 237-248. Yet more, if emotion be eliminated, what difference is there, I say not between a man and a brute, but between a man and a rock, or the trunk of a tree, or any inanimate object? Cicero, On Friendship “I never wanted to be out beating the drum against pornography. In the beginning of my career, if anyone had suggested I’d be here now, I’d have laughed at them. But from my own clients, my research, and my personal experience, I’ve come to the conclusion that pornography is moving from an individual and couples problem to a public health problem, capable of deeply harming the emotional, sexual, and relationship wellbeing of millions of men, women, and children. As a sex therapist, I’m amazed that what I once saw as a liberating sexual experience and a therapeutic option for improving sex with an intimate partner has evolved into something that can easily hijack and harm people’s sexuality.” Wendy Maltz, LCSW, DST http://www.therapytoday.net/article/show/1665/ ‘large lucrative treatment industry’ $100,000,000,000 Large, lucrative exploitation industry? Steve Hirch, Founder and CEO, Vivid Enertainment Hirsch is in front of that class of business students at USC. He spends more than an hour outlining the details of running a business in the skin trade. Students scribble notes as Hirsch talks about vertical integration, buy rates, production value. There is one term he refuses to utter--the P word. "Pornography has always been a bad word and we're not about bad words," Hirsch would explain later. "We're about making money." As he finishes his lecture, the students applaud politely. His presentation was impressive, says Brian Francis Linhart, a business administration major. "I never knew porn could be so cool.” LA Times, Jan. 6, 2002, “The Actress, The Producer, and Their Revolution.” Purveyors AT&T and General Motors (DIRECTV with 40 million porn streams per month) reap 80 % of all porn dollars spent by consumers. Worldwide porn profits of 100 billion a year – more than the revenues of Microsoft, Google, Amazon, eBay, Yahoo!, Apple, Netflix and Earthlink combined. Largest uses of Internet porn are between 12-17 years old. From Empire of Illusion: The End of Literacy and the Triumph of Spectacle, Chris Hedges “I’m not a weirdo or a pervert, it’s not my deal. I’ve got kids and a family. But if I can see as an underwriter going out and making bucks on people being weird, hey, dollars are dollars. I’m not selling drugs. It’s Wall Street.” Brendon I. Koerner, A Lust for Profits, U.S. News & World Report, March 27,2000, p44 Hirsch says ‘no’ to LA condom law for pornography performers “We will fight for our right to express ourselves as we please.” Hirsch goes on to say, “Overturning this law is something I feel very passionate about. I believe the industry’s current testing system works well.” Porn Stars Kayden Kross And Logan Pierce Along With Vivid Entertainment Sue To Block ‘Measure B’ Condom Requirement http://www.theglobaldispatch.com/porn-stars-kayden-kross-and-logan-pierce-along-with-vividentertainment-sue-to-block-measure-b-condom-requirement-32786/ HIV-Infected porn actors call for condom use Cameron Bay, HIV-infected porn actress "Condoms in porn is not really that crazy a thing," said Rod Daily, who said he discovered he was infected last month. "If they do care that much about the performers, they would use condoms." Industry officials have said when they tried using condoms after an HIV outbreak nine years ago, the $7 billion-a-year business saw revenue decline as much as 30 percent as audiences made it clear they don't want them. "Ultimately it's just a big industry, and their main concern is money," said Daily, who was among six current and former porn actors to speak on the subject. http://www.foxnews.com/health/2013/09/19/hiv-infected-porn-actors-call-for-condomuse/?intcmp=latestnews Steve Hirch, Founder and CEO, Vivid Enertainment "Ten years ago I don't think I would have been asked to speak in front of that class," Hirsch says in an interview later, adding that none of the 23 undergraduates questioned the content he sells. "We're already past the acceptance stage, and at this point we're just talking about a business as a business. We are nothing more than widget makers.” LA Times, Jan. 6, 2002, “The Actress, The Producer, and Their Revolution.” “Now they are nineteen. They are hookers. They don’t care. They are a throwaway commodity in a throwaway world.” Jim Powers, pornographer As quoted in Empire of Illusion: The end of Literacy and the Triumph of Spectacle by Chris Hedges “Many actresses admit they've experienced sexual abuse, physical abuse, verbal abuse and neglect by parents. Some were raped by relatives and molested by neighbors…So we were taught at a young age that sex made us valuable. The same horrible violations we experienced then, we re-live…in front of the camera. And we hate every minute of it.” Shelly Lubben, former pornography actress, now anti-pornography activist Kimberly Halsey, aka porn star “Houston” “My porn-ness ruined my life at times. It’s been tough. It continues to be tough… “I wanted out of porn. I still want out of porn. I can’t get out of porn because I can’t make the kind of money I can in the adult industry,” she said. “I hate it. I freaking hate it.” Porn stars warn celebs with sex tapes: Get out of adult industry while you still can. http://www.foxnews.com/entertainment/2013/11/18/porn-stars-warn-celebs-with-sex-tapes-get-out-porn-while-stillcan/ “What does it say about our culture that cruelty is so easy to market?...We accept a culture flooded with images of women who are sexual commodities. Increasingly, women in pornography are not people having sex but bodies upon which sexual activities of increasing cruelty are played out. And many men – maybe a majority of men – like it.” Robert Jenson, in Empire of Illusion: The End of Literacy and the Triumph of Spectacle, Chris Hedges Putting out fire with fuel ? D’Amato - “Pornography has reduced social violence” Diamond - "I don't think they should use kids to make child porn. They can do it artificially and if that reduces child sex crimes, I think that is a plus.” http://www.kitv.com/Hawaii-Researcher-Studies-Effects-Of-Child-Pornography/-/8906042/5357746/-/9li4twz/-/index.html D’Amato, A. Porn Up, Rape Down. (2006) Northwestern Public Law Research Paper No. 913-13 Diamond M., Uchimyama A., (1999). Pornography, Rape, and Sex Crimes in Japan, International Journal of Law and Psychiatry 22(1): 1-22. Diamond M. et al. (2010). Pornography and sex crimes in the Czech Republic. Archives of Sexual Behavior. DOI10.1007/s10508-010-9696-y Sexual Exploitation in the Czech Republic “Czech Republic ranked as Europe’s third worst slavery haven” Jan Richter, Radio Praha, 10/23/13 “There are a number of types of slavery that are a problem but it’s particularly human trafficking for sex trade that is a problem in the Czech Republic…” http://www.radio.cz/en/section/marketplace/czech-republic-ranked-as-europes-third-worst-slavery-haven#0 Porn and Aggression: Fueling the Fire “College men’s exposure to pornography is nearly universal, with growing viewing rates nationwide. Substantial research documents the harmful effects of mainstream, sadomasochistic, and rape pornography on men’s attitudes and behavior related to sexual assault. The present study surveyed 62% of the fraternity population at a Midwestern public university on their pornography viewing habits, bystander efficacy, and bystander willingness to help in po- Results showed that men who view pornography are significantly less likely to intervene as a bystander, report an increased behavioral intent to rape, and are more likely to believe rape myths.” tential rape situations. Foubert, et.al., Sexual Addiction & Compulsivity , 2011 Porn and Aggression: Fueling the Fire A meta-analysis was conducted to determine whether nonexperimental studies revealed an association between men's pornography consumption and their attitudes supporting violence against women…In contrast to the earlier meta-analysis, the current results showed an overall significant positive association between pornography use and attitudes supporting violence against women, even‘nonviolent’ pornography …This finding has important implications for the overall literature on pornography and aggression. Hald GM, Malmuth NM, Yuen C., Pornography and Attitudes Supporting Violence Against Women: Revisiting the Relationship in Nonexperimental Studies. Aggression and Behavior 2010 Jan-Feb;36(1):14-20. Sex Week at Yale “Hirsch grips both sides of the podium as he moves into the stirring, rags-to-riches part of the narrative… “We went after our dream,’ he declares. I now begin to realize that I am standing before the Horatio Alger of pornography. This man isn’t promoting the exploitation of women for profit; he’s promoting the American Dream.” “Hirsch is a smooth spokesperson for what he euphemistically refers to as the ‘business.’” My head sinks into my hands. And I think the world can get no more absurd. I have to keep reminding myself: I am at Yale. I am at Yale. But, actually, I think I have died and been reborn into some freakish world where this kind of banality passes for Yale-worthy education. Steven Hirsch has become my professor. And there is actually a bleached blond porn star sitting a few rows in front of me. I pinch myself. No, it’s real.” Sex and God at Yale: Porn, Political Correctness, and a Good Education Gone Bad, Nathan Harden Sexual assault on campus: Yale tries to clarify 'consent' When Yale released its latest semi-annual report on sexual misconduct this summer it faced criticism for the phrase 'nonconsensual sex' and for punishments seen as too light. “A 2007 federally funded survey of more than 5,000 undergraduate women found that 28.5 percent had experienced attempted or actual sexual assault before or during their college years. The majority assaulted on campus did not report the incident to either campus officials or the police…Many universities, including Yale, have also entered into settlements in response to Title IX complaints.” Students Against Sexual Violence at Yale (SASVY) Christian Science Monitor, Sept 12, 2013 Stacy Teicher Khadaroo Pornography actress Jenna Jameson returns to pornography after vowing to quit forever – ‘And to be honest, I made a promise to my children when they were in my tummy that there is no way I would ever, ever, ever go back.' ‘Five years after publicly announcing her retirement from porn, Jenna Jameson is returning to the world of adult film for the sake of her family…’ http://www.businessinsider.com/retired-jenna-jameson-returns-to-porn-amid-financial-woes-2013-11 ‘After a slurred television interview on Monday, Jenna Jameson has reportedly cancelled all television appearances promoting her new novel….’ http://www.dailymail.co.uk/tvshowbiz/article-2477371/Jenna-Jameson-cancels-remaining-TVinterviews-promoting-new-book-string-slurred-interviews-causes-negative-attention.html Steve Hirsch Would he want his infant daughter, Alexis, to become a Vivid star? He smiles and leans back in his overstuffed leather chair. "I would tell her to really think that through," he says. "I would respect whatever decision she would make. And then I would send her to medical school.” LA Times, Jan. 6, 2002, “The Actress, The Producer, and Their Revolution.” “We suggest that… the mirror-neuron system prompts the observers to resonate with the motivational state of other individuals appearing in visual depictions of sexual interactions.” Mouras, et al., Neuroimage, 2008 “I’d like to really show what I believe the men want to see: violence against women. I firmly believe that we serve a purpose by showing that. The most violent we can get is [names an explicit sexual act]. Men get off on that, because they get even with the women they can’t have. We try to inundate the world with [names the same explicit act].” Bill Margold, pornography performer Gail Dynes, Pornland: How Porn Has Hijacked our Sexuality. Beacon Press, Boston 2010, pg xxvi 813 students from six colleges 87% of the young men and 31% of young women view pornography 48.4% of young men view at least weekly 20% view daily or every other day Carroll JS, Padilla-Walker LM, Nelson LJ, Olson CD, McNamara Barry C, Madsen SD: Generation XXX, Pornography Acceptance and Use Among Emerging Adults. Journal of Adolescent Research, 23(1) January 2008, p6-30 Nicholas Tinbergen • Supranormal Stimulus • Birds and Eggs • Butterflies Breast Augmentation: A human supranormal stimulus? “The findings are introduced using the ethological concept of supernormal stimuli and the behaviorist/neuroaestheticprinciple, the peak shift effect, applied to secondary sexual characteristics (i.e., waist/hip ratios and breasts) and it is concluded that augmented breasts, though deceptive signals of fertility, are supernormal stimuli.” Doyle J.F., Pazhoohi J., (2012). Natural and Augmented Breasts: Is What is Not Natural Most Attractive? Human Ethology Bulletin, Vol 27, Number 4. Pornography – Fueling an explosion in sexualizing breast and genital cosmetic surgery Breast Augmentation is the top cosmetic surgery procedure in 2012 with 286,274 procedures in the United States. http://plasticsurgery.about.com/od/Plastic_Surgery_Statistics/a/2012-Top-FiveCosmetic-Surgical-Procedures.htm "We haven't completed the research, but there is suspicion that this is related to much greater access to porn, so it is easier for women to compare themselves to actresses who may have had it done. This is to do with the increasing sexualization of society – it's the last part of the body to be changed.” Dr. David Veale, psychiatrist, King’s University, commenting on current research on skyrocketing female genital cosmetic surgery rates "Now women shave…Now they see porn. Now they're more aware of appearance." Gary Alter, MD Plastic Surgeon specializing in cosmetic labiaplasty, As quoted in The New York Times, Fashion & Style, The Most Private of Makeovers “For the first time in human history, the images’ power and allure have supplanted that of real…women. Today, real…women are just bad porn.” Naomi Wolf, The Porn Myth, New York Magazine Philip Zimbardo, PhD Emeritus Professor of Psychology Stanford University “The Demise of Guys” Boys 30% more likely than girls to drop out of school Girls outperform boys now at every level, from elementary school to graduate programs 10% differential between getting BA’s and all graduate programs, with boys behind girls 66% of students in special ed remedial programs are boys Boys are 5 times more likely to be labeled as having attention deficit disorder, and being placed on Ritalin Zimbardo - Why? • • • • Excessive Internet use in general Excessive new access to pornography and video games “Arousal Addiction” “Boys brains are being digitally rewired in a new way for change, novelty, excitement and constant arousal; that means they are totally out of sync in traditional classes which are analog, static, interactively passive…and in romantic relationships, which build gradually and subtly.” “The male either becomes confused and doesn’t know which direction to turn for the female, or he becomes desensitized to the lower levels of pheromones naturally given out by the female and has no incentive to mate with her.” ABC Science Online, Oct 16, 2000 Will Durant on the fall of Rome “Biological factors were more fundamental. A serious decline of population appears in the West after Hadrian…Aurleius, to replenish his army, enrolled slaves, gladiators, policemen, criminals…So many farms had been abandoned…that Pertinax offered them gratis to anyone who would till them. A law of Septimius Serverus speaks of …a shortage of men. Bishop Dionysius said the population had halved during his time, and mourned to “see the human race diminishing and constantly wasting away.” Only the barbarians and the Orientals were increasing, outside the Empire and within.” Will Durant, The Story of Civilization, Caesar and Christ, Volume 3, Simon and Shuster, Inc., 1944, 665-666. Will Durant on the fall of Rome (Continued) “What had caused this fall in population? Above all, family limitation. Practiced first by the educated classes, it had now seeped down to a proletariat named for its fertility: by AD 100 it had reached the agricultural classes …Sexual excesses may have reduced human fertility: the avoidance or deferment of marriage had a like effect…Moral decay contributed to the dissolution…men had now, in the middle and upper classes, the means to yield to temptation…Moral and esthetic standards were lowered by the magnetism of the mass: and sex ran riot in freedom while political liberty decayed. (emphasis added)” Will Durant, The Story of Civilization, Caesar and Christ, Volume 3, Simon and Shuster, Inc., 1944, 665-666. “The bigger pornography gets, the lower the birthrate becomes.” Tom Wolfe We cannot be free of nagging desires through suppression. This is like trying to keep a rubber boat beneath the water. But we remove compulsive desires altogether by understanding their nature. Vernon Howard, quoted in Treasury of Spiritual Wisdom “Refrain tonight, and that shall lend a hand of easiness to the next abstinence; the next more easy; for use almost can change the stamp of nature…”” William Shakespeare Hamlet, Act 3, Scene 4 Recovery visualized on neuroimaging: Positive Neuroplasicity Atrophy in gray matter areas associated with reward in methamphetamine addiction recover and increase to more normal volumes with recovery (Kim et.al., Int Jour NeuPsyPhar 2005) Enlargement of gray matter after mindfulness therapy (Holzel et. al. (Psychiatry Research: Neuroimaging 2011) – “The adult nervous system has the capacity for plasticity, and the structure of the brain can change in response to training.” Another characteristic of this growth stage (2-3 years into strong recovery) is a deep abhorrence of one’s old behavior. Once people in recovery have enough distance from their old problematic behaviors, they often have extremely visceral reactions when they think about them. Many say they look back almost in disbelief at some of the things they’ve done. By the time recovery reaches the growth stage, it no longer involves false starts. Consciousness of sobriety and of richer relationships has brought the person to a new level of being. And it’s at this stage that people in recovery often talk about the compulsion of addictive behavior as a gift. They have experienced a depth of humanity that many people never achieve. Their compulsive or addictive behaviors and subsequent recovery have given them a greater perception, compassion, and presence. Not only do they serve as models for other recovering people who follow them, but they are literally helping our whole society heal. Patrick Carnes, PhD, In the Shadows of the Net, pg 142