Original subtitles

What causes, say, heroin addiction?

This is a really stupid question, right?

It's obvious; we all know it;

heroin causes heroin addiction.

Here's how it works:

if you use heroin for 20 days, by day 21,

your body would physically crave the drug ferociously

because there are chemical hooks in the drug.

That's what addiction means.

But there's a catch.

Almost everything we think we know about addiction is wrong.

If you, for example, break your hip, you'll be taken to a hospital

and you'll be given loads of diamorphine for weeks or even months.

Diamorphine is heroin.

It's, in fact, much stronger heroin than any addict can get on the street

because it's not contaminated by all the stuff drug dealers dilute it with.

There are people near you being given

loads of deluxe heroin in hospitals right now.

So at least some of them should become addicts?

But this has been closely studied; it doesn't happen.

Your grandmother wasn't turned into a junkie by her hip replacement.

Why is that?

Our current theory of addiction comes in part from a series of experiments

that were carried out earlier in the 20th century.

The experiment is simple:

you take a rat and put it in a cage with two water bottles.

One is just water, the other is water laced with heroin or cocaine.

Almost every time you run this experiment,

the rat will become obsessed with the drugged water

and keep coming back for more and more, until it kills itself.

But in the 1970s, Bruce Alexander, a professor of psychology,

noticed something odd about this experiment:

the rat is put in the cage all alone.

It has nothing to do but take the drugs.

What would happen, he wondered, if we tried this differently?

So he built Rat Park, which is basically heaven for rats;

it's a lush cage where the rats would have colored balls, tunnels to scamper down,

plenty of friends to play with, and they could have loads of sex—

everything a rat about town could want.

And they would have the drugged water and the normal water bottles.

But here's the fascinating thing:

in Rat Park, rats hardly ever use the drugged water;

none of them ever use it compulsively; none of them ever overdose.

But maybe this is a quirk of rats, right?

Well, helpfully, there was a human experiment along the same lines:

the Vietnam War.

20% of American troops in Vietnam were using a lot of heroin.

People back home were really panicked,

because they thought there would be hundreds of thousands of junkies

on the streets of the United States when the war was over.

But a study followed the soliders home and found something striking:

they didn't go to rehab; they didn't even go into withdrawal;

95% of them just stopped after they got home.

If you believe the old theory of addiction, that makes no sense.

But if you believe Prof. Alexander's theory, it makes perfect sense,

because if you're put into a horrific jungle in a foreign country

where you don't want to be, and you could be forced to kill or die at any moment,

doing heroin is a great way to spend your time;

but if you go back to your nice home with your friends and your family,

it's the equivalent of being taken out of that first cage

and put into a human Rat Park;

it's not the chemicals, it's your cage.

We need to think about addiction differently.

Human beings have an innate need to bond and connect.

When we are happy and healthy, we will bond with the people around us.

But when we can't,

because we're traumatized, isolated, or beaten down by life,

we will bond with something that gives us some sense of relief.

It might be endlessly checking a smartphone;

it might be pornography, video games, reddit, gambling, or it might be cocaine.

But we will bond with something, because that is our human nature.

The path out of unhealthy bonds is to form healthy bonds,

to be connected to people you want to be present with.

Addiction is just one symptom of the crisis of disconnection

that's happening all around us.

We all feel it.

Since the 1950s, the average number of close friends an American has

has been steadily declining.

At the same time, the amount of floor space in their homes

has been steadily increasing.

To choose floor space over friends, to choose stuff over connection.

The War on Drugs we've been fighting for almost a century now

has made everything worse.

Instead of helping people heal and getting their life together,

we have cast them out from society,

we have made it harder for them to get jobs and become stable,

we take benefits and support away from them if we catch them with drugs,

we throw them in prison cells, which are literally cages,

we put people who are not well

in a situation which makes them feel worse and hate them for not recovering.

For too long, we've talked only about individual recovery from addiction.

But we need now to talk about social recovery.

Because something has gone wrong with us as a group.

We have to build a society that looks a lot more like Rat Park

and a lot less like those isolated cages.

We are going to have to change the unnatural way we live

and rediscover each other.

The opposite of addiction is not sobriety; the opposite of addiction is connection.

This video is a collaboration with Johann Hari,

the author of the book

“Chasing the Scream: The First and Last Days of the War on Drugs”.

He was very kind to work with us on this video to spread the word.

We recommend that you give the book a try.

Our videos are made thanks to your support on Patreon.com.

If you want to help us make more of them, we really appreciate your support.

We made an interactive version of this video together with some friends.

See the link in the description.