Social and ethical issues of drug abuse

Conflicting values in drug use

Modern industrialized societies are certainly not neutral with regard to the voluntary nonmedical use of psychotropic drugs. Whether one simply takes the position of American psychologist Erich Fromm, that people are brought up to desire and value the kinds of behavior required by their economic and social system, or whether one goes further and speaks of the Protestant ethic, in the sense that German sociologist Max Weber used it to delineate the industrialist’s quest for salvation through worldly work alone, it is simply judged not “right,” “good,” or “proper” for people to achieve pleasure or salvation chemically. It is accepted that the only legitimate earthly rewards are those that have been “earned” through striving, hard work, personal sacrifice, and an overriding sense of duty to one’s country, the existing social order, and family. This orientation is believed to be fairly coincident with the requirements of industrialization.

But the social and economic requirements of many modern societies have undergone radical change in the last few decades, even though traditional values are still felt. In some places, current drug controversies are a reflection of cultural lag, with the consequent conflict of values being a reflection of the absence of correspondence between traditional teachings and the view of the world as it is now being perceived by large numbers within society. Thus, modern societies in a state of rapid transition often experience periods of instability with regard to prevailing views on drugs and drug use.

Cultural transitions notwithstanding, the dominant social order has strong negative feelings about any nonsanctioned use of drugs that contradicts its existing value system. Can society succeed if individuals are allowed unrestrained self-indulgence? Is it right to dwell in one’s inner experience and glorify it at the expense of the necessary ordinary daily pursuits? Is it bad to rely on something so much that one cannot exist without it? Is it legitimate to take drugs if one is not sick? Does one have the right to decide for oneself what one needs? Does society have the right to punish someone who has done no harm to himself or herself or to others? These are difficult questions that do not admit to ready answers. One can guess what the answers would be to the nonsanctioned use of drugs. The traditional ethic dictates harsh responses to conduct that is “self-indulgent” or “abusive of pleasure.” But how does one account for the quantities of the drugs being manufactured and consumed today by the general public? It is one thing to talk of the “hard” narcotic users who are principally addicted to the opiates. One might still feel comfortable in disparaging the widespread illicit use of hallucinogenic substances. But the sedatives and stimulants are complications that trap the advocate in some glaring inconsistencies. It may be asked by partisans whether the cosmetic use of stimulants for weight control is any more legitimate than the use of stimulants to “get with it,” whether the conflict-ridden adult is any more entitled to relax chemically (alcohol, tranquilizers, sleeping aids, sedatives) than the conflict-ridden adolescent, and whether physical pain is any less bearable than mental pain or anguish.

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Billions of pills and capsules of a nonnarcotic type are manufactured and consumed yearly. Sedatives and tranquilizers account for somewhere around 12 to 20 percent of all doctor’s prescriptions. In addition there are many different sleeping aids that are available for sale without a prescription. The alcoholic beverage industry produces countless millions of gallons of wine and spirits and countless millions of barrels of beer each year. One might conclude that there is a whole drug culture; that the problem is not confined to the young, the poor, the disadvantaged, or even to the criminal; that existing attitudes are at least inconsistent, possibly hypocritical. One always justifies one’s own drug use, but one tends to view the other fellow who uses the same drugs as an abuser who is weak and undesirable. It must be recognized that the social consensus in regard to drug use and abuse is limited, conflict ridden, and often glaringly inconsistent. The problem is not one of insufficient facts but one of multiple objectives that at the present moment appear unreconcilable.

Youth and drugs

Young people seem to find great solace in the fact that adults often use drugs to cope with stress and other life factors. One cannot deny that many countries today are drug-oriented societies, but the implications of drug use are not necessarily the same for the adult as they are for the adolescent. The adult has already acquired some sense of identity and purpose in life. He or she has come to grips with the problems of love and sex, has some degree of economic and social skill, and has been integrated or at least assimilated into some dominant social order. Whereas the adult may turn to drugs and alcohol for many of the same reasons as the adolescent, drug use does not necessarily prevent the adult from remaining productive, discharging obligations, maintaining emotional and occupational ties, acknowledging the rights and authority of others, accepting restrictions, and planning for the future. The adolescent, in contrast, is apt to become ethnocentric and egocentric with drug usage. The individual withdraws within a narrow drug culture and within himself or herself. Drug usage for many adolescents represents a neglect of responsibilities at a time when more important developmental experiences are required. To quote one observer:

It all seemed really quite benign in an earlier time of more moderate drug use, except for the three percent who became crazy and the ten percent we described as socially disabled. Since then, however, more and more disturbed kids have been attracted to the drug world, resulting in more unhappy and dangerous behavior. Increasingly younger kids have come into the scene. Individuals who, in psychoanalytic terms, are simply lesser people, with less structure, less ego, less integration, and hence, are less likely to be able to cope with the drugs. Adolescents are at a crisis period in their lives, and when you intrude regularly at this point with powerful chemicals, the potential to solve these problems of growing up by living them through, working them out, is stopped.

Adults being drug users has important implications in terms of the expectations, roles, values, and rewards of the social order, but society as a whole does not accept drug use as an escape from responsibility, and this is a fact of fundamental importance in terms of youth. Drugs may be physiologically “safe,” but the drug experience can be very nonproductive and costly in terms of the individual’s chances of becoming a fully participating adult.