Dr. Alexander Goumeniouk: Addiction, Trauma, Salience, and Recovery

The interesting observation I've made about addiction is that while the popular data says that 80% of people who end up in rehab centres have trauma from childhood or otherwise, my experience is that 100% of our patients do. Sometimes it stares you in the face like PTSD, and sometimes it doesn't. But there is always an adverse childhood event. A brilliant neuroscientist, Helen Mayberg, can look at a PET scan of a 45-year-old woman and tell you whether she's had sexual abuse as a child or not, and I think that's just remarkable. Charlie Nemeroff, who's the head of the University of Miami's Behavioural Science and Psychiatry, has done a lot of work on looking at the input of adverse early childhood events on outcome, and it's clearly there.

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In Conversation with Poverty & Addiction Reporter, Photographer Chris Arnade

The Guardian columnist, photographer, and former physicist-turned-Wall Street trader, Chris Arnade speaks on the friendships he's made during his 6-year long Faces of Addiction project. Touching on the flaws within the criminal justice system and the alienation of many Americans by 'civil society', he details the reasons behind the revolving doors of Rikers Correctional and Hunts Point in The Bronx, NYC.

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