Abstract
Addictions always originate in unhappiness, even if hidden. They are emotional anesthetics; they numb
pain. The first question -- always -- is not "Why the addiction?" but "Why the pain?" The answer, ever the
same, is scrawled with crude eloquence on the wall of my patient Anna's room at the Portland Hotel in the
heart of Vancouver's Downtown Eastside: "Any place I went to, I wasn't wanted. And that bites large."
Addictions always originate in unhappiness, even if hidden. They are emotional anesthetics; they numb
pain. The first question -- always -- is not "Why the addiction?" but "Why the pain?" The answer, ever the
same, is scrawled with crude eloquence on the wall of my patient Anna's room at the Portland Hotel in the
heart of Vancouver's Downtown Eastside: "Any place I went to, I wasn't wanted. And that bites large."
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