In the Realm of Hungry Ghosts: Close Encounters with Addiction

by Gabor Maté

I admit I am ambivalent about the decriminalization of certain drugs, particularly crystal meth, and I understand why some people would resist even discussing the possibility. But if it seems bizarre to suggest that such a potentially brain-toxic drug be legally administered to addicts, consider that the street products currently available are full of impurities, mixed with noxious chemicals that magnify the damage from the stimulant itself. By bringing the crystal meth addict into a therapeutic interaction with the health care system, we would be fostering the possibility of use and gradual detoxification and withdrawal under relatively safe circumstances—relatively, because there is no safe way to use crystal meth. Above all, such an approach would create a basis for gently shepherding the addict toward rehabilitation. It would provide an opportunity to create a healing relationship with users who are currently relegated to streets and back alleys. Further, if many users no longer had to turn to illicit drug labs and dealers for their substance, the underground economy of crystal meth would be deprived of much of its profit and allure.