Under the Influence

Under the Influence

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Drawing on two centuries of important literary and historical writings, Rebecca Shannonhouse has shaped a remarkable collection of works that are, in turn, tragic, compelling, hilarious, and enlightening. Together, these selections comprise a profound and truthful portrait of the life experience known as addiction.

Under the Influence offers classic selections from fiction, memoirs, and essays by authors such as Tolstoy, Cheever, Parker, and Poe. Also included are topical gems by writers who illuminate the causes, dangers, pleasures, and public perceptions surrounding people consumed by excessive use of drugs, alcohol, and tobacco. Recent provocative works by Abraham Verghese, the Barthelme brothers, Margaret Bullitt-Jonas, and others expand and modernize the definition of addiction to include sex, gambling, and food. Together, these incomparable writings give shape and meaning to the raw experience of uncontrollable urges.

Shannonhouse’s recent anthology, Out of Her Mind: Women Writing on Madness, is also available as a Modern Library Paperback.“In the end, we simply can’t stand in icy judgment of those who sought Paradise and found Hell. . . . If the stories in this book have a collective statement to make, it is a simple one: I, too, was human.” —Pete HamillRebecca Shannonhouse is a freelance writer and editor. Her writing has appeared in The New York Times, The San Francisco Chronicle, USA Today, and other publications. She lives in New York City.

1. How do you define addictions? How does the portrayal of addiction found in "The Pathology of Sex" by Abraham Verghese compare with that presented by Thomas De Quincey in Confessions of an English Opium-Eater?

2. Has the definition of addiction changed over time? How does Leo Tolstoy’s understanding of addiction, as presented in his 1891 essay "The Ethics of Wine-Drinking and Tobacco Smoking," compare with Kate Braverman’s contemporary understanding in "They Take a Photograph of You When You First Get Here"?

3. What commonalities and/or differences can be found in the various types of addiction described in this book? Is the "addiction" described in Double Down: Reflections of Gambling and Loss by Frederick and Steven Barthelme comparable to that found in Holy Hunger: A Memoir of Desire by Margaret Bullitt-Jonas?

4. Do you believe that societal attitudes about addiction have changed over time? If so, how? Are the attitudes presented in "How Children Are Made Drunkards" by William Lee Howard accurate today?

5. "The Sorrows of Gin" by John Cheever paints a fictional portrait of the effects of addiction on a family member. Do you think it’s accurate? If so, how? Are there other selections in this book that further illuminate these effects?

6. What constitutes recovery from addiction? Which selections portray this most clearly?

7. Have these writings changed your understanding of addiction? If so, how?

Under the Influence

from Confessions of an English Opium-Eater
Thomas De Quincey 1821

At the age of nineteen, the English author Thomas De Quincey tried opium for the first time. Writing in frank, unsentimental language, he recorded his experiences with the drug in London Magazine. Though his chronicle of opium use eventually secured his career as a respected writer, De Quincey continued to suffer long periods of loneliness and depression. Confessions of an English Opium-Eater details both the pleasures and the pain of one man’s formidable drug habit.

It is so long since I first took opium, that if it had been a trifling incident in my life, I might have forgotten its date: but cardinal events are not to be forgotten; and from circumstances connected with it, I remember that it must be referred to the autumn of 1804. During that season I was in London, having come thither for the first time since my entrance at college. And my introduction to opium arose in the following way. From an early age I had been accustomed to wash my head in cold water at least once a day: being suddenly seized with toothache, I attributed it to some relaxation caused by an accidental intermission of that practice, jumped out of bed, plunged my head into a basin of cold water, and with hair thus wetted went to sleep. The next morning, as I need hardly say, I awoke with excruciating rheumatic pains of the head and face, from which I had hardly any respite for about twenty days. On the twenty-first day, I think it was, and on a Sunday, that I went out into the streets; rather to run away, if possible, from my torments, than with any distinct purpose. By accident I met a college acquaintance who recommended opium. Opium! dread agent of unimaginable pleasure and pain! I had heard of it as I had of manna or of ambrosia, but no further: how unmeaning a sound was it at that time! what solemn chords does it now strike upon my heart! what heart-quaking vibrations of sad and happy remembrances! Reverting for a moment to these, I feel a mystic importance attached to the minutest circumstances connected with the place and the time, and the man (if man he was) that first laid open to me the Paradise of Opium-eaters. It was a Sunday afternoon, wet and cheerless: and a duller spectacle this earth of ours has not to show than a rainy Sunday in London. My road homewards lay through Oxford-street; and near “the stately Pantheon” (as Mr. Wordsworth has obligingly called it), I saw a druggist’s shop. The druggist, unconscious minister of celestial pleasures!—as if in sympathy with the rainy Sunday, looked dull and stupid, just as any mortal druggist might be expected to look on a Sunday: and, when I asked for the tincture of opium, he gave it to me as any other man might do: and furthermore, out of my shilling, returned me what seemed to be real copper halfpence, taken out of a real wooden drawer. Nevertheless, in spite of such indications of humanity, he has ever since existed in my mind as the beatific vision of an immortal druggist, sent down to earth on a special mission to myself. And it confirms me in this way of considering him, that, when I next came up to London, I sought him near the stately Pantheon, and found him not: and thus to me, who knew not his name (if indeed he had one) he seemed rather to have vanished from Oxford-street than to have removed in any bodily fashion. The reader may choose to think of him as, possibly, no more than a sublunary druggist: it may be so: but my faith is better: I believe him to have evanesced, or evaporated. So unwillingly would I connect any mortal remembrances with that hour, and place, and creature, that first brought me acquainted with the celestial drug.

Arrived at my lodgings, it may be supposed that I lost not a moment in taking the quantity prescribed. I was necessarily ignorant of the whole art and mystery of opium-taking: and, what I took, I took under every disadvantage. But I took it:—and in an hour, oh! heavens! what a revulsion! what an upheaving, from its lowest depths, of the inner spirit! what an apocalypse of the world within me! That my pains had vanished, was now a trifle in my eyes:—this negative effect was swallowed up in the immensity of those positive effects which had opened before me—in the abyss of divine enjoyment thus suddenly revealed. Here was a panacea . . . for all human woes: here was the secret of happiness, about which philosophers had disputed for so many ages, at once discovered: happiness might now be bought for a penny, and carried in the waistcoat pocket: portable ecstasies might be had corked up in a pint bottle: and peace of mind could be sent down in gallons by the mail coach. But, if I talk in this way, the reader will think I am laughing: and I can assure him, that nobody will laugh long who deals much with opium: its pleasures even are of a grave and solemn complexion; and in his happiest state, the opium-eater cannot present himself in the character of l’Allegro: even then, he speaks and thinks as becomes Il Penseroso. Nevertheless, I have a very reprehensible way of jesting at times in the midst of my own misery: and, unless when I am checked by some more powerful feelings, I am afraid I shall be guilty of this indecent practice even in these annals of suffering or enjoyment. The reader must allow a little to my infirm nature in this respect: and with a few indulgences of that sort, I shall endeavour to be as grave, if not drowsy, as fits a theme like opium, so antimercurial as it really is, and so drowsy as it is falsely reputed.

And, first, one word with respect to its bodily effects: for upon all that has been hitherto written on the subject of opium, whether by travellers in Turkey (who may plead their privilege of lying as an old immemorial right), or by professors of medicine, writing ex cathedrá,—I have but one emphatic criticism to pronounce—Lies! lies! lies! I remember once, in passing a bookstall, to have caught these words from a page of some satiric author:—“By this time I became convinced that the London newspapers spoke truth at least twice a week, viz., on Tuesday and Saturday, and might safely be depended upon for——the list of bankrupts.” In like manner, I do by no means deny that some truths have been delivered to the world in regard to opium: thus it has been repeatedly affirmed by the learned, that opium is a dusky brown in colour; and this, take notice, I grant: secondly, that it is rather dear; which also I grant: for in my time, East-India opium has been three guineas a pound, and Turkey eight: and, thirdly, that if you eat a good deal of it, most probably you must—do what is particularly disagreeable to any man of regular habits, viz. die.1 These weighty propositions are, all and singular, true: I cannot gainsay them: and truth ever was, and will be, commendable. But in these three theorems, I believe we have exhausted the stock of knowledge as yet accumulated by man on the subject of opium. And therefore, worthy doctors, as there seems to be room for further discoveries, stand aside, and allow me to come forward and lecture on this matter.

First, then, it is not so much affirmed as taken for granted, by all who ever mention opium, formally or incidentally, that it does, or can produce intoxication. Now, reader, assure yourself, meo periculo, that no quantity of opium ever did, or could intoxicate. As to the tincture of opium (commonly called laudanum) that might certainly intoxicate if a man could bear to take enough of it; but why? because it contains so much proof spirit, and not because it contains so much opium. But crude opium, I affirm peremptorily, is incapable of producing any state of body at all resembling that which is produced by alcohol: and not in degree only incapable, but even in kind: it is not in the quantity of its effects merely, but in the quality, that it differs altogether. The pleasure given by wine is always mounting, and tending to a crisis, after which it declines: that from opium, when once generated, is stationary for eight or ten hours: the first, to borrow a technical distinction from medicine, is a case of acute—the second, of chronic pleasure: the one is a flame, the other a steady and equable glow. But the main distinction lies in this, that whereas wine disorders the mental faculties, opium, on the contrary (if taken in a proper manner), introduces amongst them the most exquisite order, legislation, and harmony. Wine robs a man of his self-possession: opium greatly invigorates it. Wine unsettles and clouds the judgment, and gives a preternatural brightness, and a vivid exaltation to the contempts and the admirations, the loves and the hatreds, of the drinker: opium, on the contrary, communicates serenity and equipoise to all the faculties, active or passive: and with respect to the temper and moral feelings in general,

1. Of this, however, the learned appear latterly to have doubted: for in a pirated edition of Buchan’s Domestic Medicine, which I once saw in the hands of a farmer’s wife who was studying it for the benefit of her health, the doctor was made to say—“Be particularly careful never to take above five-and-twenty ounces of laudanum at once”; the true reading being probably five-and-twenty drops, which are held equal to about one grain of crude opium.

it gives simply that sort of vital warmth which is approved by the judgment, and which would probably always accompany a bodily constitution of primeval or antediluvian health. Thus, for instance, opium, like wine, gives an expansion to the heart and the benevolent affections: but then, with this remarkable difference, that in the sudden development of kindheartedness which accompanies inebriation, there is always more or less of a maudlin character, which exposes it to the contempt of the bystander. Men shake hands, swear eternal friendship, and shed tears—no mortal knows why: and the sensual creature is clearly uppermost. But the expansion of the benigner feelings, incident to opium, is no febrile access, but a healthy restoration to that state which the mind would naturally recover upon the removal of any deep-seated irritation of pain that had disturbed and quarrelled with the impulses of a heart originally just and good. True it is, that even wine, up to a certain point, and with certain men, rather tends to exalt and to steady the intellect: I myself, who have never been a great wine-drinker, used to find that half a dozen glasses of wine advantageously affected the faculties—brightened and intensified the consciousness—and gave to the mind a feeling of being “ponderibus librata suis”: and certainly it is most absurdly said, in popular language, of any man, that he is disguised in liquor: for, on the contrary, most men are disguised by sobriety; and it is when they are drinking (as some old gentleman says in Athenæus), that men ‹antoÁ8 #m0anˆzoyin o;tin38 3;sˆn—display themselves in their true complexion of character; which surely is not disguising themselves. But still, wine constantly leads a man to the brink of absurdity and extravagance; and, beyond a certain point, it is sure to volatilize and to disperse the intellectual energies: whereas opium always seems to compose what had been agitated, and to concentrate what had been distracted. In short, to sum up all in one word, a man who is inebriated, or tending to inebriation, is, and feels that he is, in a condition which calls up into supremacy the merely human, too often the brutal, part of his nature: but the opium-eater (I speak of him who is not suffering from any disease, or other remote effects of opium) feels that the diviner part of his nature is paramount; that is, the moral affections are in a state of cloudless serenity; and over all is the great light of the majestic intellect.

This is the doctrine of the true church on the subject of opium: of which church I acknowledge myself to be the only member—the alpha and the omega: but then it is to be recollected, that I speak from the ground of a large and profound personal experience: whereas most of the unscientific authors who have at all treated of opium, and even of those who have written expressly on the materia medica, make it evident, from the horror they express of it, that their experimental knowledge of its action is none at all. I will, however, candidly acknowledge that I have met with one person who bore evidence to its intoxicating power, such as staggered my own incredulity: for he was a surgeon, and had himself taken opium largely. I happened to say to him, that his enemies (as I had heard) charged him with talking nonsense on politics, and that his friends apologized for him, by suggesting that he was constantly in a state of intoxication from opium. Now the accusation, said I, is not primâ facie, and of necessity, an absurd one: but the defence is. To my surprise, however, he insisted that both his enemies and his friends were in the right: “I will maintain,” said he, “that I do talk nonsense; and, secondly, I will maintain that I do not talk nonsense upon principle, or with any view to profit, but solely and simply, said he, solely and simply,—solely and simply (repeating it three times over), because I am drunk with opium; and that daily.” I replied that, as to the allegation of his enemies, as it seemed to be established upon such respectable testimony, seeing that the three parties concerned all agreed in it, it did not become me to question it; but the defence set up I must demur to. He proceeded to discuss the matter, and to lay down his reasons; but it seemed to me so impolite to pursue an argument which must have presumed a man mistaken in a point belonging to his own profession, that I did not press him even when his course of argument seemed open to objection: not to mention that a man who talks nonsense, even though “with no view to profit,” is not altogether the most agreeable partner in a dispute, whether as opponent or respondent. I confess, however, that the authority of a surgeon, and one who was reputed a good one, may seem a weighty one to my prejudice: but still I must plead my experience, which was greater than his greatest by 7000 drops a day; and, though it was not possible to suppose a medical man unacquainted with the characteristic symptoms of vinous intoxication, it yet struck me that he might proceed on a logical error of using the word intoxication with too great latitude, and extending it generically to all modes of nervous excitement, instead of restricting it as the expression for a specific sort of excitement, connected with certain diagnostics. Some people have maintained, in my hearing, that they had been drunk upon green tea: and a medical student in London, for whose knowledge in his profession I have reason to feel great respect, assured me, the other day, that a patient, in recovering from an illness, had got drunk on a beef-steak.US

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Weight 9.4896 oz
Dimensions 0.7300 × 5.2200 × 7.9200 in
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