Beautiful Boy

Beautiful Boy: A Father's Journey Through His Son's Meth Addiction
by David Sheff (Author)

A father's description of his son's battle with drug addiction. It is so well written that it is a page-turning narrative even if you are not involved, personally or professionally, with drug addiction. It is moving and insightful and will be helpful to many.
I feel bad about making any reservations about such a magnificent book, and I wouldn't want to be construed as advocating legalization or minimizing the problems addressed but some comments are in order.

Beautiful Boy's the introduction includes poignant stories of parents whose children have lost their lives to drugs. The lethality, the danger of death, does vary with different drugs. (Naltrexone is not mentioned). In most cases this is a chronic rather than an acutely life-threatening disease. There is some disconnect between the danger to life and the adverse effects on behavior and character. Nick's drug of choice was methamphetamine but he was a multiple user, including shooting heroin.

Detox regimes for different drugs differ markedly. There are accepted medical detox regimes for alcohol and heroin, whereas with cocaine and crystal meth and club drugs the withdrawal is just cold turkey. Paradoxically we have a lot of scientific knowledge about the action of these drugs but little in the way of treatment has come out of the neuroscience.
The book places some emphasis on marihuana as a gateway drug. No mention is made of the use of amphetamines (disguised as Ritalin, Cnncerta, Focalin, Adderall etc) to treat ADHD.

As regards the moral issue, I think Sally Satin's logic is impeccable; the brain imaging studies show results not causes. On the other hand there is clinical evidence for a disease concept. Some people get jittery and have an unpleasant sensation if they take amphetamines; some get nauseated and cannot even tolerate taking Percocet for a toothache. Such people are not likely to become addicts, but that seems to be due to some chemical factor, perhaps inherited, not because they are nicer or wiser than anyone else.