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Opioid abuse proclivity - female versus male
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SlickyBoy Offline
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Opioid abuse proclivity - female versus male
Found this interesting tool online after being given something similar at a doctor's office during a pre-surgery visit. The idea is to assess whether or not a patient is more or less likely to abuse opiates given their particular background.

Questions about drug and alcohol use, family addiction history, and other areas are given point scores to determine whether a patient may or may not have a greater risk of addiction if prescribed opiates. The higher the score, the more likelihood that person could become addicted to opiates. Though it is a self-reporting survey and perhaps of questionable value, what stood out is the highlighting the medical community assigns to particular areas, especially when it comes to the effects of sexual abuse on females versus males at young ages. If a female experienced pre-adolescent sexual abuse, there is a whopping three points more assigned versus none at all for the male.

At first, it wasn't a surprise that they recognize women would be more likely to become emotional wrecks after such an experience. They do not assign any "damage points" to a man who may have been abused at a young age. But there is a notable gap in coverage - the survey did not differentiate between hetero versus homosexual molestation cases.

I suspect if a pre-adolescent male were molested by an adult male, that would be at least as bad as a pre-adolescent female being molested by a male - perhaps even worse, since many grown men who later "discovered" they are gay were often molested by males, often relatives, when very young. In either case, these two classes of victims could just as easily turn into pill popping wrecks as adults.

I have to wonder - is the medical community so worried about offending homosexual males that they don't dare ask about molestation experiences? Or is it really solid science that if a pre-adolescent male is molested by either a male or female, there would be zero impact from either experience when it comes to him later developing an addictive personality?

Something seems amiss.

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01-11-2017 05:51 PM
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Tytalus Offline
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RE: Opioid abuse proclivity - female versus male
You gotta wonder.
01-11-2017 05:54 PM
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scotian Offline
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RE: Opioid abuse proclivity - female versus male
You should go ask some male junkies on your nearest skid row if their uncles ever fingered their butt hole.

If you can't handle me at my dog fuckin', then you don't deserve me at my given'er!
(This post was last modified: 01-11-2017 06:19 PM by scotian.)
01-11-2017 06:19 PM
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SlickyBoy Offline
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RE: Opioid abuse proclivity - female versus male
Damn, well, fuck it - researching strippers down at the bar is so much easier.

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01-11-2017 06:26 PM
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Delta Offline
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RE: Opioid abuse proclivity - female versus male
(01-11-2017 05:51 PM)SlickyBoy Wrote:  I have to wonder - is the medical community so worried about offending homosexual males that they don't dare ask about molestation experiences?

Not sure where you're coming from here because they're still posing the question, even if it has no impact on the patient's "score."

I don't think it's too far fetched that a correlation between sex abuse and drug addiction has only been found to exist for females. If you poke around the scholarly articles on the subject you'd probably find something.
01-11-2017 07:07 PM
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H1N1 Offline
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RE: Opioid abuse proclivity - female versus male
I spent several weeks on IV morphine as a child. When they took me off I had terrible withdrawls (vomiting, nausea, etc). I have a personality type that doesn't take well to substances and which loathes to be dependent on any kind of crutch. Opiates terrify me though, because they removed all of that, and all ability to resist whilst I was on them. It would be hard to understate just how powerful, and how wonderful, they really are. Being really fucked up on morphine is an incredible feeling - sincerely one of the greatest feelings I've ever experienced in my life. I have a good deal of sympathy for anyone who finds themselves hooked on opiates - I can't imagine trying to get clean without family and medical support, particularly if you're a down and out sort of chap.

I think the stigma around them is the thing that keeps most well adjusted people away from them. And thank god for that, because a lot of good lives being lived by well adjusted people would go down the drain in a matter of weeks if they ever really got started on that path. I don't think you need a history of abuse to love opiates or to become dependent on them, though I'm quite prepared to believe that those who've had shitty lives are less likely to feel they'd lose something by trying them. From there it's like stepping of a precipice. Really scary and wonderful stuff.
01-12-2017 08:26 AM
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scotian Offline
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RE: Opioid abuse proclivity - female versus male
I'm almost finished reading Dreamland, a book about the US's opiate crisis which basically began after doctors nationwide over prescribed opiate based medications such as Oxycontin and users gravitated to black tar heroin sold by cells of Mexicans nationwide. Its an eye opening book and major pharma companies have already settled law suits after marketing the drugs to doctors based on faulty science from the early 80s that claimed users only became addicted to opiate based narcotics in less than 1% of cases, I guess they never heard of (or willfully ignored) Chinese opium dens and the other stories of opiate addiction that have been around for about 5000 years.

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01-12-2017 08:58 AM
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The Beast1 Offline
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RE: Opioid abuse proclivity - female versus male
(01-12-2017 08:26 AM)H1N1 Wrote:  I spent several weeks on IV morphine as a child. When they took me off I had terrible withdrawls (vomiting, nausea, etc). I have a personality type that doesn't take well to substances and which loathes to be dependent on any kind of crutch. Opiates terrify me though, because they removed all of that, and all ability to resist whilst I was on them. It would be hard to understate just how powerful, and how wonderful, they really are. Being really fucked up on morphine is an incredible feeling - sincerely one of the greatest feelings I've ever experienced in my life. I have a good deal of sympathy for anyone who finds themselves hooked on opiates - I can't imagine trying to get clean without family and medical support, particularly if you're a down and out sort of chap.

I think the stigma around them is the thing that keeps most well adjusted people away from them. And thank god for that, because a lot of good lives being lived by well adjusted people would go down the drain in a matter of weeks if they ever really got started on that path. I don't think you need a history of abuse to love opiates or to become dependent on them, though I'm quite prepared to believe that those who've had shitty lives are less likely to feel they'd lose something by trying them. From there it's like stepping of a precipice. Really scary and wonderful stuff.

The irony to all of this is, it's astoundingly easy and cheap to make smokable opium from poppies grown in one's back yard. Heck just buy poppy seeds and skip the growing part. If I had an opium addiction this is how I would feed it.

But then I guess thinking like this is probably why I am not an opiate addict. Opium and cannabis are astoundingly simple to grow.
(This post was last modified: 01-12-2017 09:44 AM by The Beast1.)
01-12-2017 09:43 AM
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heavy Offline
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RE: Opioid abuse proclivity - female versus male
Only men commit sexual abuse for the most part.

Seems like chicks sexually abused at a young age would increase the risk because their value is taken away against their will and they separate sex and relationship.

Seems like dudes sexually abused at a young age would increase the risk because the normal awkward shame boys experience as they go through puberty is exacerbated so much knowing they were violated (by a man).

To quote Spotlight: "And guys like Geoghan go after boys not cause they prefer them, but cause they’re more ashamed, less likely to talk."

Point is, it does seem weird at first glance not to treat them equally.

Realologist any input here?

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(This post was last modified: 01-12-2017 09:44 AM by heavy.)
01-12-2017 09:43 AM
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SlickyBoy Offline
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RE: Opioid abuse proclivity - female versus male
(01-12-2017 09:43 AM)heavy Wrote:  Only men commit sexual abuse for the most part.


Nope - definitely not only men who do it. Most of the cases in the US school system involve females and young boys.

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02-21-2017 11:25 AM
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Number one bummer Offline
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RE: Opioid abuse proclivity - female versus male
Women are more likely to justify their addiction due to physical abuse. Women addicts are more strongly link to mental disorders. Men are more linked to socially/family factors.

From my own experience with addicts this holds true. Men always talk about falling in with wrong crowd. Women argue self medication or abuse. A interesting anecdotal point I've observed is men are more likely to be socially functioning addicts in jobs such as contracting. I've never seen a woman addict with a job besides stealing from stores.
02-21-2017 03:59 PM
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realologist Offline
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RE: Opioid abuse proclivity - female versus male
It is interesting and not something I've thought about before. Most sexual abusers of both men and women are men. Women and men just react differently to the sexual abuse.

Men are more likely to become sexual abusers as opposed to drug addicts. They get abused so they in turn become abusers. Not always but this is very likely.

Women are more likely to directly develop a mental disorder from the incidents of abuse. BPD, depression, anxiety, schizophrenia, etc. All those happen to have a lot of overlap and cormobidity with substance abuse.

That's most likely the extra points for substance abuse for the women but I bet that sexual abuse offers a lot of points for both men and women.

Most opiod abuse in general is a result of some trauma(whether real or perceived)that happened in the individuals past. Opiates are a hell of a way to escape and they work for that period of time where they are high. Depression and anxiety are extremely high in our society. Opiates remove those feelings. Highest opiate use in decades makes a lot of sense.
02-21-2017 05:54 PM
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