Hypoism



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Role of Dopamine in Addiction Causation


Theory of Addiction - Hypoism Hypothesis


Why drug use is unconscious and against one's willfulness - not volitional


Misuse of the word choice in addictions


THE INESCAPABLE LOGIC OF ANY VALID ADDICTION ETIOLOGICAL PARADIGM


WHAT OTHER DISEASE....?


What Am I Angry About? - Don't Ask Me This Again


Disease Concept - A Perspective


HYPOISM IN A NUT SHELL


Page Directory of this Site with Explanations and Links


The History of the Proof of Hypoism in the Wake of the P/R Paradigm page 1.


History page 2


Why Addiction Experts and Other People Are Ignoring Hypoism


Strange Brew


AIMING AT AN UNDERSTANDING OF ADDICTIONS


The Paradigm Vacuum in Addictions Today


THE ADDICTION PROBLEM AND THE SOLUTION


What Does An Addiction Expert Know?


The Hypoism Addiction Hypothesis - An Evolutionary Psychology Perspective


Addiction Questionnaire


Misconceptions of addictions and addicts


What's Hypoism? What's an Addiction?


WHY WE DON'T NEED HYPOISM.


Why We Need Hypoism: A Comparison of the Principles and Consequences between the two Paradigms


Entitled to Your Opinion? Not Anymore.


HYPOICMAN: A non-recovering, unimpressed Hypoic


The Field of Addictionology: A Golfing Analogy


NEW YEAR PREDICTIONS


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Hypoism Treatment Research



The Addiction Treatment Fraud Finally Exposed


Hypoism Treatment Research Proposal

N4A



I KEPT QUIET


The National Association for the Advancement and Advocacy of Addicts


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Addict Discrimination Documentation


Social Innovations Award 2000 for The N4A


Third Millennium N4A Conference Keynote Address on Hypoism - Pathophysiology in Addictions vs. Superstition


N4A Goes on the Offensive - Suggesting Real Action


The Verdict


Blind Faith?

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Addiction Genetics



Recent Genetic Studies on Various Addictions from a Large Twin Registry


Genetic Studies page 2.


Gateway theory finally disproven


Celera Discovers Millions of Tiny Genetic Differences in People

Interesting Addiction Science



Clinically Important Neurotransmitter Deficiencies

Hypoism Magazine-Articles by and for Hypoics



EMBRYONIC HYPOISM CIRCA 1968


#1 Hatred, #2 The Words: Opinion, Belief, and Knowledge, #3 Hate Addiction


#4 The Drug War War, #5 Evolution vs. Creationism Revisited for Addictions


#6 American Society for Addiction Medicine Statement for Recovering Physicians


#7 Issues Peculiar to the Disease of Addictions


#8 Critique of Alan Lechner's (NIH), "The Hijacked Brain Hypothesis."


#8a. Update!! Dr. Leshner recently makes a change


#9 MY STORY - The Doctor Drug War - Wrong and Wasteful p.1, 1/6/00


The Doctor Drug War p.2


Doctor Drug War p.3


Doctor Drug War p.4


Doctor Drug War p.5


Affidavit for judicial review of NYS Dept. of Ed.


#10 The Superstition Instinct 3/1/00


#11-Conflict of Interest in Addiction Research


#12 - Controlled Drinking Lands On Its Ass


#13 - The Kennedy Curse or Kennedy Hypoism?


#14 - The Lord's Prayer for Hypoics


#15 - Replacing Alan Leshner is the only way to end the Drug War


#16 - The Brain Addiction Mechanism and the COGA Study


#17 - Letter to the director of the National Academy of Medicine's Board on Neurobiology and Behavior Health on Addictions


#18 - Is Addiction Voluntary, A Choice, as Leshner and NIDA Insist?


#19 - Bush's Alcoholism and Lies


#20 - A P/R Paradigm Addict - "Cured?"


#21 - Congress Misled and Lied to by NIAAA


#22 - Special Letter to the Times on Addiction Genetics


#23 - JAMA Editor Publishes According to His Beliefs, Not Science


#24 - Smoking as Gateway Drug. I Don't Think So!


#24B - IS COCAINE ADDICTION CAUSED BY COCAINE?


#25 - One Less Heroin Addict. But At What Cost?


#26 - An Open Letter to the Judge who Sentences Robert Downey, Jr.


#27 - Letter To Schools About The Pride Program Against Drugs


#28 - A Letter To Bill Moyers, Close To Home, and PBS


#29 - HYPOISM IS ACTUALLY A DISEASE OF THE "WILL"


#30 - Brookhaven Labs Provide More Evidence For Hypoism


#31 - Addiction Prevention Revisited


#32 - DRUG WAR EVALUATION BY THE NATIONAL ACADEMY OF SCIENCE


#33 - NIDA Is Close But No Cigar


#34 - Bush's Addict Discrimination and Hypocricy Begins


#35 - Maya Angelou's, "Still I Rise."


#36 - Leshner Lies To Congress


#37 - Addiction Combos


#38 Brain tumor proves Hypoism hypothesis


#39: So-called Availability Debunked as Contributor of Addictions


#40 - Hypoism Reproduced By A Pill


PIMMPAL Complex


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The Hypoism Blog - The Addiction Blog



The Addiction Blog 4/17/11 -


The Addiction Blog 9/14/10 - 4/16/11


The Addiction Blog 11/12/09 - 9/14/10


The Addiction Blog 7/23/09 - 11/09/09


The Addiction Blog 5/16/09 - 7/22/09


The Addiction Blog 3/3/09 - 5/13/09


The Addiction Blog 8/3/08 - 3/3/09


The Addiction Blog 4/1/07 - 8/3/08

old letters



My NY Times Letters to the Editor page 1.


My NY Times Letters to the Editor page 2.


My NY Times Letters to the Editor page 3.


My NY Times Letters to the Editor page 4.


My NY Times Letters to the Editor page 5.


My New York Times Letters to the Editor page 6.


My Letters to the editor of the NY Times page 7.


My Letters to the Editor of the NY Times page 8.


NY Times Letters Page 9.


New York Times Letters Page 10


My NYT Letters page 11


NY Times Letters page 12.


NY Times letters p. 13


Letters to the NY Times page 14.


Letters to Newsday


Letters To The Los Angeles Times


Creationism/Evolution Letter to BAM 11-25-05

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Committee for Physician Health Speech
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The Future of Addictions

Addict Discrimination in the News



Mandated Treatment for Welfare Recipients


Anorectic Murdered by Doctors out of Ignorance and "Desperation"(10/20/99)


Six Dead Heroin Addicts-Enough? 10/31/99


American Society of Addiction Medicine Discrimination


Darryl Strawberry Punished Again


South Carolina Forces Pregnant Women to Take Drug Tests


When it comes to drugs, the constitution doesn't apply


Parents of Overweight Girl Will Sue New Mexico


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Hypoics are born, not made.

Hypoism  
Dan F. Umanoff, M.D.  
941-926-5209  
8779 Misty Creek Dr.  
Sarasota, Florida 34241  

dan.umanoff.md@gmail.com  




Untitled

ADDICTIONS PREJUDICIALLY MISPERCEIVED BY JAMA EDITOR WITH (UN)INTENDED CONSEQUENCES FOR ADDICTS IGNORED

Last week I received an e-mail from The Journal of the American Medical Association (JAMA) informing me they were considering publishing a letter to the editor I had submitted. They asked me to call if I had questions, so I did. I spoke to an assistant editor about some of my concerns which were redirected to an editor, Dr. Richard Glass, who was busy but would return my call.

When he called me back, I began to express my concerns with two of their published articles1, one by Alan Leshner, 10/99, and one funded by his department at the NIDA, 11/00 on smoking causing agoraphobia. I have discussed both of these articles on this web site in other articles so I won't repeat the discussions.

I expressed my opinion to this editor that both articles were invalid scientifically, should never have been published and in that they were published, they would lead to (un)intended negative consequences for addicts, a major concern of mine. He asked me to hold on while he got copies of the articles. When he returned he asked me for my specific complaints about the articles.

I began with Leshner's article about the science based treatment of addictions in office medical practice. First, I noted Leshner wasn't a physician, just a psychologist, so how could he teach physicians about treatment of addictions, and secondly, his paradigm of drug addictions was wrong, so his treatment recommendations were consequently wrong and misleading as well? Glass wasn't bothered by this and casually asked, "Which part of his paradigm was wrong?"

I said, "The very first sentence of his paradigm, 'the first use of the drug is voluntary,' is wrong and unproven by any science, yet is the key to his whole incorrect paradigm and all mistakes and faulty conclusions and recommendations that follow from it. Where was your peer review? And, how did they allow that unproven remark to pass their scrutiny?"

He replied, "Really? But I agree with it. We keep the peer review secret by the way."

I was taken aback by that remark, but realized it was true and that he believed that as an editor for a medical science journal, his personal beliefs and those of his peer reviewers were seen as tantamount to proven science and that my queries about this review process was seen as disrespectful and discourteous.

So, I asked him again, "How has that stipulation, that the first use of the drug is voluntary, been proven scientifically? What difference does it make if you agree with it? Your agreeing with it doesn't make it correct or proven. What if it is wrong? Couldn't that possibly lead to doctors treating addicts and public policies about addicts and addictions to be wrong and hurtful?"

He replied, "How could it be otherwise? How could it be involuntary?"

I said, "You didn't answer my question."

Whereupon he replied, "No, because it's not wrong." Of course, he still didn't tell me where and how it was proven right.

We then got into a conversation about other human behaviors where volition is questionable even when it may only seem to be volitional (misperceived as volitional) such as homosexuality, heterosexuality, various eating behaviors, normal and distorted, and even something as simple as breathing. "Aren't there gradations of volition among these behaviors from total volition to total nonvolition depending on various factors from environmental stimuli to availability to neurobiology and unconscious biological forces?" "No," he replied, "not at all. They're all volitional."

"You can't conceive of any behaviors in these groups of behaviors that could possibly be involuntary, caused by unconscious and uncontrollable neurobiological forces?" I queried. "How about a eunuch's lack of sexuality? Is that voluntary, a choice? Isn't it possible that in some people, people with particular in-born neurobiology that inexorably leads to genetic addiction to drugs, the first use of the drug is involuntary? How is it possible for addictions to be so highly genetic and voluntary at the same time? Isn't it possible for some underlying neurobiology to be as powerful a motivator as that of the eunuchs in determining behavior? And besides, if his complete hypothesis, the Hijacked Brain Hypothesis, is correct, as you say, why doesn't everyone who uses addictive drugs get addicted. And, how does this hypothesis explain the behavioral addictions where there is no drug ingested to hijack someone's brain as a cause of the addiction?"

At that point, and without answering, he got short with me and said he had another phone call waiting and that he had to go. When I asked him to call me back to continue the conversation, he said, "I don't think that would be productive," and hung up abruptly.

The point here isn't whether or not this editor believes something, but when publishing it in his journal he sees to it that it is peer reviewed objectively and when questionable remarks are made in an article, the article isn't published under the trusted approval of his journal's reputation. His job, obligation, and responsibility is to ensure the integrity of this process because the readers don't all have the expertise and skills necessary to differentiate truth from lies, valid from invalid.

One of the reasons the field of addictionology is such a mess is that instead of science and the scientific method being the criteria for publication of articles, it is rather the personal biases of the editors and their opinions of where these articles originate that are used to make these decisions. Dr. Glass believes he understands addictions and makes his publication decisions based on this belief rather than the validity of the articles. I can't think of another area of real medicine, discounting most of psychiatry from this categorization, where bias and personal opinion has overruled scientific validity the decision-making on journal publications than in addictionology. Thus, addictionology is a disgrace and a sham that needs to be publicly exposed so the public can know it has been intentionally and prejudicially scammed and to ensure valid addictionology science in the future and reevaluate past invalid addictionology as a much needed corrective measure. If and when this happens will determine when we arrive at a valid paradigm on addictions that can begin to help the victims of the disease rather than the treaters and the controllers of these victims.

  1. Science-Based Views of Drug Addiction and Its Treatment. Alan I. Leshner; JAMA; Vol. 282 No. 14, October 13, 1999, and, Association Between Cigarette Smoking and Anxiety Disorders During Adolescence and Early Adulthood. Jeffrey G. Johnson; Patricia Cohen; Daniel S. Pine; Donald F. Klein; Stephanie Kasen; Judith S. Brook; JAMA. 2000;284:2348-2351









You can take the addiction out of the hypoic, but you can't take the Hypoism out of the addict.




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