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Heroin

Extract from Paul Little's Arrested Development: The Aaron Cohen Story

Heroin has never improved the life of anyone who has used it.

Humans have always used drugs. Whether for religious purposes, health reasons (`Purely medicinal, y' understand') or as social bonding agents. `Have a drink?' `Like a fag?' `Wanna score?' These are all important functions but because we are built to survive, we have for most─although not all─of our history recognised the dangers of irresponsible drug use and surrounded consumption with rituals and customers to ensure it is done safely.

Drugs are among the things─like laughing and art and foreknowledge of death─that separate us from animals. When one takes alcohol and nicotine into account, the number of people who never use recreational drugs is a minority in Western cultures.

In the beginning there was opium, a native of India. Remnants of stored seeds and pods have been found in Swiss archaeological sites of the fourth millennium BC. By the second millennium─1000 years before the Bible was composed─it was known throughout Europe, the Middle East and Africa.

In the 19th century in England opium was a widely available panacea for everything from women's problems to infants' complaints. It came in many forms of patent medicine and the eventual restriction of its supply to licenced pharmacists was more a political move than a moral or health measure.

Morphine─the good bit in opium, which when isolated is ten times the strength of the poppy─was identified in the early 19th century when it was welcomed for its superior ability to ease pain and marketed as a cure for opium addiction.

Heroin, several times stronger again than morphine, was synthesised in the late 19th century, when it was welcomed for its superior ability to ease pain and marketed as a cure for morphine addiction.

It was named heroin because of its heroic properties. Nothing was stronger than this. Mighty heroin, vanquisher of pain and suffering, bringer of a bliss nothing could disturb.

Few drugs are more potent or more addictive.

One smoke, one shot of heroin will not make anyone an addict. Nor two. Nor three. But it is estimated that daily use for two weeks will do the trick. And what an addiction.

For heroin brings with it its own mean paradoxes. While it gives pleasure and removes pain, it also lowers an individual's pain threshold so that increasing doses are necessary to have any effect. This is, perversely, called tolerance. After a certain period of regular use─it differs between individuals─in order not to feel sick, an addict will need a dose of heroin that would kill a first-time user. And a person who has been an addict for, say, 10 years, has probably not experienced the heroin high that first made them fall in love with the drug for the last eight of those years. They have been purchasing and consuming it merely to feel `normal'.

Why bother?

Heroin was formulated to alleviate chronic physical pain. It also relieves, with a wonderful and complete finality, psychological pain. Many people sample it, few become addicts. Its appeal is primarily to those who crave oblivion. Most heroin addicts started using it seriously to blot out some great pain blighting their hearts and souls. Abuse, bereavement, failure, loss─the mainstays of the emotion industry are the real raw materials of the heroin trade. The hard sorrows which a better equipped person, a whole person, could deal with in less life-threatening ways, the potential addict can only deal with in chemical fashion.

No drug is more prized nor more feared. There are more dangerous substances people can ingest to alter their reality, but they tend, like angel dust, to have properties which do not permit an addiction to develop. The recreational dabbler sees heroin as the end of the road. It is the ultimate drug of choice because it takes away the ability to make choices.

Yet heroin is a very boring drug. It does not make anymore more interesting. It is not a drug one consumes in order to do things. It is a drug one consumes in order not to do anything.

Strangely, all of this contributes to its status as the ultimate drug. Its mystique and the stigma surrounding it are two sides of the same coin. That which makes us fear it─its strength─ makes it attractive. That which makes it attractive makes us fear it.

Another reason for the black mystique is the intermediary between the drug and its user─the needle, a potent symbol which can represent both the promise of health in the form of life-saving medical treatment or the lethal injection that ends a life. Most drugs are taken directly into the body as pills, powders, liquids. Many heroin users smoke or sniff the drug. But the image of the tying-off, jacking-up junkie fumbling in pain for a vein─ stabbing himself─remains, and is less than appealing.

Also, heroin kills people.

Or does it?

Most deaths by overdose (and many people overdose without dying) are caused by two factors─unwitting consumption of more (purer, stronger, less cut) heroin that one's system can tolerate, or use of heroin in combination with alcohol or barbiturates. It is rare if not impossible for someone who knows what they are doing─and exactly what they are consuming─to die as a result of using heroin with no other factors involved.

How much of the harm done by heroin is a result of its illicit status is also an open question. Its illegality makes it more profitable for the producers, whose prices are subject only to a very pure form of supply and demand. The illegal drug industry is enormous. So is the anti-drug industry─the US spends US$30 billion a year on its war against drugs.

Some of the worst problems associated with heroin─HIV contracted by sharing hard-to-obtain needles, crime as a way of life to support an

expensive habit─would not exist if it were legal and its sale controlled. But legalisation would do nothing to solve the problems that make individuals' prospects for addiction in the first place.

This is the final, deadly paradox of heroin: in the process of stopping pain it stops feeling, acting, thinking, caring and everything else that makes a human a human. It is more than good for nothing. It is fantastic for nothing.

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