The best outcomes that are seen for therapy intervention and for other psychological interventions is where the therapist really connects and the person really feels understood. That matters often even more than the technique.
Maia SzalavitzThere's traditionally been two different ways of seeing addiction. Either it's a sin and you're a horrible bad person and you are just choosing to be hedonist or it's a chronic progressive disease. And while I certainly believe addiction is a medical problem that should be dealt with by the health system, the way we've conceptualized addiction as a disease is not actually accurate, and it has unfortunately become stigmatizing and it's also created a lot of hopelessness in a lot of people.
Maia SzalavitzAddiction is when you fall in love with a drug instead of a child or a lover and the learning that takes part in that part of the brain is designed by evolution to get us to persist despite negative consequences to do what we need to do - because I don't know anybody who could survive a relationship or parenting if not for the ability to persist despite negative consequences. The problem is when that gets misdirected to a drug and then you can find yourself in some very negative and potentially deadly situations.
Maia SzalavitzI know that sounds really extreme, but if you just look at the history, you will find Harry Anslinger [first U.S. commissioner of the Bureau of Narcotics] going on about satanic swing and how reefer will make black people think they're as good as white people - which to him, obviously, was a very horrible outcome. This is the basis of our drug laws.
Maia SzalavitzIn a criminal justice setting, it's very hard to create a therapeutic environment where people do feel safe, but the real important thing to do is to do your best to do that.
Maia SzalavitzI don't think there's a single child who's ever benefitted from being arrested for marijuana or for underage drinking; this does not solve the problem. It makes worse problems because a) it puts them into the system, and b) it gives them a potential criminal record to have to deal with and it can have consequences for school.
Maia Szalavitz