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True, but the idea that physiological addiction is more real than psychological addiction is certainly outdated.



Physiological addiction is more real in that your body forms a physical dependency on something that can kill you if you don't have it. This is CRUCIAL to understanding why we need stuff like Methadone or Kratom to help ween people off of Heroin/opioids.

Mental addiction is treated entirely differently and is far less severe.


> Physiological addiction is more real

No it isn’t.

> in that your body forms a physical dependency on something that can kill you if you don't have it.

Yes, sometimes it can kill to withdraw without support. But that isn’t what makes something real or not.

> Mental addiction is treated entirely differently and is far less severe.

Is it? Can you support that claim? I’ve seen pot addicts ruin their lives and die. That doesn’t seem ‘far less severe’ to me.


Both are real? Of course. However: Psychological addiction can drive you to kill yourself but except in the most extreme of corner cases can I imagine how you could involuntarily die. Physiological addiction can straight up execute you (see alcohol or benzo withdrawal).


Most people who stop drinking alcohol are not ‘straight up executed’, so that seems like that’s a corner case too.


"Most" seems like a high bar. Corner case I guess is unfair wording because it's totally undefinable. The DTs does choose to execute some people, especially if they can't reach treatment. I guess psychological stress can as well in rare events, although for an otherwise healthy person I would always pick the most crushing psychological stress over suffering untreated DT.


Why does it have to be untreated? That seems like a bizarre criterion. It’s much easier to treat DTs than it is to treat a psychological addiction.


Well for one because alcohol and alcoholics are virtually all over the world and it isn't clear to me that the majority of alcoholics in the world both know about the risks of DT and have access to treatment. But it is my understanding even with EARLY appropriate treatment there is an expectation 1+% of those suffering DT will die.


How many alcoholics suffer DT? Clearly not most. Most people just go to a support group and try to abstain, and they do not die.

If deaths from DT were more than a corner case, then AA would be be considered to be a suicide pact.


AA specifically works with health care workers specifically because of this and other problems. If "most" is your bar then death is only a corner case of attempted suicide. Although I thought I admitted that "corner case" was just a poor choice of undefinable wording on my part.

~%5% odds of getting DTs and then 25% of death untreated and 1-5% chance treated don't sound great to me. Treated death of all alcoholics rate looks somewhere between flu and covid death rate and untreated death rate is much worse than covid death rate in populaton. People seem worried about covid death and not considering that a corner case.


Sure, but you’re forgetting the point of this.

You are trying to claim that psychological addiction isn’t as real as physiological addiction, not just for alcohol.

It’s clear that you care a lot about alcoholics with DT’s.

What isn’t clear is why you want to deny the difficulties of people who have psychological addictions to any kind of drug.

Is it just a numbers game for you?


>You are trying to claim that psychological addiction isn’t as real as physiological addiction, not just for alcohol.

I never said such a thing and this is just a malevolent and calculated lie.

>What isn’t clear is why you want to deny the difficulties of people who have psychological addictions to any kind of drug.

It's not clear because no such denial exists, and it's only alleged as part of a malevolent and calculated lie.

My original comment said they were both real. I'm saying regarding being straight up executed, the numbers game is that psychological addiction doesn't look nearly as likely to straight up execute you. I've said nothing to say psychologist addiction isn't a difficult for some people.

I don't know about you, but I think it's extremely important, ESPECIALLY FOR PEOPLE WITH EXPERIENCE IN PSYCHOLOGICALLY ADDICTIVE SUBSTANCES who have perhaps had insanely hard struggles with things like opiates to understand that no amount of willpower will spare them from the very real chance of involuntary death from benzo or alcohol withdrawal.

You've built a straw man as tall as the wall of china is wide.


> https://news.ycombinator.com/item?id=29800156

This is the comment you were arguing against.


I thought it was clear that I said both were real, but I understand maybe it was not interpreted by you that way. I wasn't saying your comment was wrong, I was speaking with thought in mind of some inferences that might be made based on your statement.


What inferences? It sounds like you were responding to something other than what I wrote.


I was responding to what you wrote.

I was worried it could be inferred the flat out execution would be the same level of "real" for psychological as it is for the physiological. I was worried someone who has gone through insanely torturous psychological opiate withdrawal for instance would think that if they're both just as real, that means their odds of involuntary death from psychological withdrawal and physiological withdraw looks the same and they can just mentally power through physiological addiction like some strong-willed people may be able to with psychological addiction.

Of course this is wrong. You can't willpower your way out of delerium tremens. You can be executed, no matter what conscious decision you make.

I do not believe this is what you wrote. I was adding to the conversation. Do you believe it is ok to add to the conversation? Not every comment is meant to literally attempt to disprove the person above them. I was not disproving your statement.




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