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  • - So I started studying drugs

  • because I got hoodwinked like everybody else.

  • I thought that drugs were the source of the problems

  • that we were seeing in our community.

  • - 'All of us agree that the gravest domestic threat

  • facing our nation today is drugs.'

  • - But it turns out, I was wrong.

  • Sometimes people ask,

  • "When was the precise moment when you had this epiphany

  • that, 'Oh, it's not the neurobiology of somebody,

  • but instead it's the social context

  • under which they operate?'"

  • There wasn't a magical moment.

  • There was a gradual change over many years of studying.

  • I learned that the vast majority of people

  • who use drugs like crack cocaine

  • or heroin did not become addicted.

  • And these people behaved in ways that were so responsible,

  • in ways so inconsistent based on anecdote,

  • based on media reports.

  • So this dissident caused me to start to shift my thinking.

  • And then gradually over time,

  • I realized much of what I had been told

  • about drugs is pure nonsense.

  • Between 1990 and 2000,

  • that is deemed the 'Decade of the Brain.'

  • There was a lot of money

  • into studying brain illnesses, brain disease.

  • There was a lot of money

  • in terms of learning about the brain.

  • And during that time,

  • we are looking for some neural footprint of addiction.

  • And we thought that once cocaine interacted

  • with these dopamine neurons,

  • it just had this almost magical power

  • over the person's behavior.

  • We've learned that that's not necessarily the case.

  • In fact, it's a lot more complicated than that,

  • and it has a lot more to do

  • with the psychosocial environment

  • under which the individual is operating-

  • like lack of opportunity, lack of education,

  • lack of healthcare.

  • All of these issues are with us today,

  • as they were in the 1980s and 1990s

  • when I thought that drugs were the source of the problem.

  • Turns out not only was I wrong,

  • society was wrong.

  • One of the ways that we studied the brain

  • of drug users is through neuroimaging techniques:

  • so, we bring people into a laboratory

  • and then we take pictures of their brains.

  • And if they are, for example, drug addicts,

  • we would put them in one category

  • and then we would compare their brains

  • to people who've never used a drug.

  • And your pictures, you can say,

  • "Well, if you look in this area of someone who uses drugs,

  • you can see that it's not lighting up quite as much

  • as the same area in someone who doesn't use a drug."

  • And so therefore, that's evidence

  • of neuropathology, neuro-damage.

  • It's a wild oversimplification

  • because all you're doing is taking a snapshot

  • of somebody's brain in one moment in time.

  • And secondly, what we are seeing is

  • people's brain structures being within the normal range

  • of human variability.

  • We have now mischaracterized people as being brain-damaged-

  • and that's wrong.

  • So when we think of drug addiction,

  • it's important for the lay audience to keep the focus

  • on the person's behavior, and not on the person's brain.

  • The person's behavior will tell you

  • everything you need to know.

  • Are they not showing up for work?

  • Are they not meeting their obligations at home?

  • Are they not meeting their obligations in school?

  • Has the person had multiple unsuccessful attempts

  • at cutting down or scaling back or quitting their drug use?

  • All of these sort of signs are important indicators

  • of whether someone is drug addicted or not.

  • And notice, I didn't look at anyone's brain,

  • I'm really looking at the person's behavior.

- So I started studying drugs

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