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Speaker 1: Brought to you by the Reinvented two thousand twelve cameray.

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Speaker 1: It's ready. Are you welcome to stuff mom never told you?

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Speaker 1: From how Stuff Works dot Com. Hello, and welcome to

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Speaker 1: the podcast. I'm Caroline and I'm Kristin Kristen. Last time,

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Speaker 1: as you might remember, we discussed addiction and how it

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Speaker 1: affects different genders. Differently, men and women have a different

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Speaker 1: experience with both addiction and recovering from addiction, and so

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Speaker 1: today we're going to talk about rehab and how that

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Speaker 1: is also different for people, but it's also changed over

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Speaker 1: time the way that people go to rehab, whether they

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Speaker 1: go to rehab, and nowadays we also have this whole

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Speaker 1: issue of celebrities and celebrity rehab. Yeah, just like I

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Speaker 1: would argue that addiction has become a lot more mainstreamed,

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Speaker 1: I would say that that rehab has also become more

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Speaker 1: of this main dream thing that that has a certain

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Speaker 1: cashe to it because of the celebrity. UM path of

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Speaker 1: um addiction and then heading off to a fancy rehab

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Speaker 1: facility in Malibu. UM. So let's talk about let's talk

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Speaker 1: about how everything got started in the US, which really

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Speaker 1: starts with women who led the temperance movement in the

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Speaker 1: nineteenth and early twentie centuries. Yeah, they're starting p t

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Speaker 1: A s here and people to rehab. What didn't they do? Uh,

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Speaker 1: drink alcohol, that's one thing they they did not do. Yeah.

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Speaker 1: The temperance movement of the nineteenth and early twentieth centuries

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Speaker 1: gave rise to sober houses. Which this is not to

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Speaker 1: be confused with the reality show Sober House, which I

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Speaker 1: had no idea existed, but apparently it is one of

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Speaker 1: the celebrity rehab shows. Um. And these were run by

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Speaker 1: religious groups like the y m c A, the y

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Speaker 1: w c A and Salvation Army. And these are basically

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Speaker 1: alcohol and free living environments run by landlords who had

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Speaker 1: strong personal convictions about sobriety. So there was no getting

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Speaker 1: drunk at these places, no boozing because with rehab, especially

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Speaker 1: when it comes to well drugs obviously as well, but

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Speaker 1: with alcohol to the main goal of it is total

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Speaker 1: abstinence from whatever substance landed you um in that facility.

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Speaker 1: And of course the temperance movement was pretty successful since

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Speaker 1: it coalesced in ninety with the passage of a prohibition.

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Speaker 1: I got everybody to just quit drinking or just to

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Speaker 1: speaking yes, And it lasted for thirteen bathtub jin soaked

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Speaker 1: years until if people were like, wait, we're still drinking. Yeah, oh, whoops,

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Speaker 1: we're still doing this. Yeah. In the early twentieth century,

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Speaker 1: Alcoholics Anonymous got its start. A A had its origins

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Speaker 1: in the Oxford Group, which was a religious movement that

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Speaker 1: emphasized self improvement, and so there's a lot of interesting

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Speaker 1: history behind that, and so that was one of the

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Speaker 1: very first sort of self help group therapy type rehab

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Speaker 1: scenarios and actual rehab clinics as we think of them,

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Speaker 1: started springing up as medical professionals got more involved in

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Speaker 1: the process. And two of the things that had a

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Speaker 1: lot to do with this were Nixon's War on Drugs,

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Speaker 1: which he declared in nineteen seventy one, and Nancy Reagan's

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Speaker 1: Just Say No campaign, which launched in nineteen eighty four. Yeah,

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Speaker 1: it wasn't really until the nineteen eighties that we had

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Speaker 1: a shift in perception of addiction from a moral failing

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Speaker 1: or weakness of will to an actual disease. Because if

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Speaker 1: you think about um a A which started up in

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Speaker 1: the early twentieth century, this was when doctors were first

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Speaker 1: starting to think that there was some kind of health

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Speaker 1: related cause, and actually, uh Dr William Silkworth, who treated

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Speaker 1: a A co founder, William Wilson, was the first doctor

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Speaker 1: to treat in alcoholics based on the idea, I kind

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Speaker 1: of an erroneous idea, but nevertheless the idea that they

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Speaker 1: suffered from an inbred allergy to alcohol. UM. So then

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Speaker 1: it took until the nineteen eighties for us to really

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Speaker 1: accept this um accept addiction as a as a health problem,

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Speaker 1: is a mental health problem and physical problem that needed

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Speaker 1: to be treated, not the lack of character right exactly.

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Speaker 1: And one person who brought a lot of attention to

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Speaker 1: this was Betty Ford, former First Lady. She had struggled

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Speaker 1: with addictions to alcohol and prescription painkillers, and in nineteen

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Speaker 1: eighty two she opened the Betty Ford Center in California,

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Speaker 1: and half of their space is dedicated to women and

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Speaker 1: half two men, because they really do focus on the

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Speaker 1: idea that men and women have different experiences with addiction

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Speaker 1: and with recovery and rehab. And so there's been a

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Speaker 1: lot of writing about her contribution because you know, not

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Speaker 1: only did the fact that she opened this clinic help people,

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Speaker 1: but the fact that she was willing at such a

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Speaker 1: public figure, was willing to be open with her own

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Speaker 1: experiences sort of paved the way for other people to

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Speaker 1: come forward and seek help. Well, if you read interviews

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Speaker 1: with Betty Ford about UM, her her addiction, she had,

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Speaker 1: you know, for a while she was sort of tricking

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Speaker 1: herself by saying, you know, I'm getting up in the morning,

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Speaker 1: I'm showering, I look nice, I'm not on the street.

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Speaker 1: My life is not falling apart. And finally it took

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Speaker 1: a family intervention because from outside appearances she you know,

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Speaker 1: she was not a drunkard or a dipsomaniac as alcoholics

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Speaker 1: used to be referred to in year old days. UM.

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Speaker 1: And and so it really did change, um the culture

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Speaker 1: of how we think about addiction and what addiction looks like.

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Speaker 1: And Dr Michael Brodsky, who's the medical director of Bridges

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Speaker 1: to Recovery in a psychiatry faculty member at u c

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Speaker 1: l A, read an editorial for Internal Medicine News about

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Speaker 1: Betty Ford and her contributions to this field. And and

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Speaker 1: one thing that he points out is that it really

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Speaker 1: changed some perceptions. And he said that the stream of

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Speaker 1: Hollywood celebrities seeking treatment at the Betty Ford Center further

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Speaker 1: legitimized the disease model of drug abuse and the need

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Speaker 1: for humane, respectful treatment settings. So now we have more people,

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Speaker 1: more famous people starting to come forward, and there's this

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Speaker 1: talk of this disease model. Well, and on the one hand,

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Speaker 1: you could see that as a positive thing because it

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Speaker 1: takes um It seems like it took famous names for

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Speaker 1: us to to to kind of get away from the

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Speaker 1: shame of seeking treatment and help when you really need it.

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Speaker 1: But now it seems like we've gone to the other

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Speaker 1: side of it, where it's sort of a festering problem,

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Speaker 1: only promoting addiction and recovery, and so much to the

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Speaker 1: point that we enjoy watching people experience withdrawal on shows

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Speaker 1: like reality shows like a Sober House and uh dr Drew. Yeah,

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Speaker 1: my roommate watches Intervene and all the time. Yeah, I

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Speaker 1: can't do it. I don't want to, I don't want

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Speaker 1: to watch it. I feel I feel like, I don't know.

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Speaker 1: I don't know why this is part of the public

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Speaker 1: I don't know. TV show watching habits well, maybe because it, uh,

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Speaker 1: you know, because it establishes that what is it the

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Speaker 1: fourth wall between the viewer and whatever is on screen,

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Speaker 1: and maybe it creates some kind of distance between you

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Speaker 1: and someone else's terrible problem. Maybe by comparison makes things

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Speaker 1: seem better in your life. I don't like yeah, because,

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Speaker 1: like we talked about in the last podcast, I mean

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Speaker 1: my addictions of eating hair and collecting troll dolls, Yes,

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Speaker 1: seem same, and compares in the Heroine still require they

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Speaker 1: don't require methodone. Um. But we've talked a lot about this,

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Speaker 1: this idea of cultural perceptions changing, and psychologists and addiction experts.

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Speaker 1: Stanton peel Um wrote more about this in depth in

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Speaker 1: the Annals of the New York Academy of Sciences is

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Speaker 1: In he talks about the evolution of the modern idea

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Speaker 1: of addiction as an uncontrollable disease UM, which first appeared

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Speaker 1: in relation to alcohol. Yeah. It had originally been seen

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Speaker 1: as a vice or a lack of self control. Basically,

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Speaker 1: you're not good at being a person, um, And it

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Speaker 1: has evolved into this idea that it's not your fault,

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Speaker 1: you're you're kind of prone to having this problem. UM,

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Speaker 1: that it is a disease to fight and so he

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Speaker 1: he does. He talks about the evolution of all of

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Speaker 1: that and the idea that, like Kristen mentioned earlier, uh,

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Speaker 1: if you if you want to quit something, alcohol, drugs, whatever,

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Speaker 1: you have to completely abstain. And he sort of discusses

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Speaker 1: the idea that well, maybe not, I mean, maybe you

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Speaker 1: could still have success with someone if they just moderately drink,

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Speaker 1: or if if it's not He argues that if it's

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Speaker 1: not interfering with their life, if they're still able to

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Speaker 1: be a functional human being on all levels, maybe it's

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Speaker 1: better to have someone drink modern or use heroin, for example,

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Speaker 1: once a month instead of totally cutting them off and

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Speaker 1: having them possibly relapse. Wait, you just recommended maybe using

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Speaker 1: heroin once a month. Okay, no disclaimer, I do not

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Speaker 1: think anyone should use heroin. But yeah, I mean, but

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Speaker 1: in terms of the moderate drinking versus abstaining, if we're

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Speaker 1: talking just about alcohol, that is one reason why not

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Speaker 1: everybody is on board with alcoholics Anonymous twelve steps system,

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Speaker 1: because it's twelve steps towards complete abstinence rather than moderation.

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Speaker 1: And with that, there are still some of those strands

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Speaker 1: of viewing alcohol and alcoholism as a vice and sort

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Speaker 1: of an internal failing. You know, That's one reason why

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Speaker 1: the serenity prayer comes up in that starts off with Lord,

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Speaker 1: grant me to serenity, to accept the things that I

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Speaker 1: cannot change, and it's you're you're acknowledging the fact that

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Speaker 1: you are too weak willed um. But not everyone agrees

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Speaker 1: with with that kind of model, which is why there

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Speaker 1: are multiple models of recovery. Yeah, and the CDC talks

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Speaker 1: about different types of treatment that people can seek for addiction.

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Speaker 1: Those include detox programs, which are an essential first step

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Speaker 1: that helps wean drug users off of their immediate physical dependence.

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Speaker 1: We have residential treatment, which can be long or short

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Speaker 1: term therapeutic communities, which are highly structured, peer based residential

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Speaker 1: treatment programs that can last sixty eighteen months and are

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Speaker 1: designed to help people basically alter and relearn behaviors. There's

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Speaker 1: outpatient treatment, which is one of the most common treatments

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Speaker 1: and is uh the least restrictive form and it it

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Speaker 1: really works best for people who already have a strong

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Speaker 1: social or family network. And then there's medication assisted treatment

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Speaker 1: for patients who receive medications to block the effects of

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Speaker 1: whatever substance they are using, such as Method one for heroin.

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Speaker 1: And there are a lot of people in the United

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Speaker 1: States who take advantage of all of these treatments. According

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Speaker 1: to the CDC, about three million people per year in

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Speaker 1: the US received alcohol or substance abuse treatment, but that

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Speaker 1: is not the entire population that needs servicing, because they

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Speaker 1: estimate that thirteen to sixteen million people compared to just

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Speaker 1: the three million people who are getting the service, could

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Speaker 1: benefit from that. The two thousand seven National Survey on

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Speaker 1: Drug Use and Health, sponsored by the Substance Abuse and

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Speaker 1: Mental Health Administration, estimated that twenty three point two million people,

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Speaker 1: or nine point four percent of the US population ages

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Speaker 1: twelve or older, needed treatment for drug or alcohol use problems. Mhmm.

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Speaker 1: It is a lot of people. Um, But you know,

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Speaker 1: it does seem like there's a there's a gap between

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Speaker 1: the services provided and those being taken advantage of, either

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Speaker 1: because of access or um barriers such as income. Um. Right, Yeah,

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Speaker 1: there are are. There are several barriers that a lot

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Speaker 1: of these articles talk about. This is from the American

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Speaker 1: Journal of Drug and Alcohol Abuse in two thousand three,

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Speaker 1: which talked about barriers that people faith, particularly women, to

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Speaker 1: seeking help, and a lot of that is social stigma,

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Speaker 1: which we talked about in our last podcast. On addiction

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Speaker 1: that that there is a different perception of women who

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Speaker 1: were addicted to either alcohol or drugs, um labeling, and guilt.

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Speaker 1: Women have a responsibility for children most of the time,

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Speaker 1: and they found that co ed treatment options, when men

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Speaker 1: and women are both either in the same facility or

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Speaker 1: in therapy together, those options are less able to attract

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Speaker 1: and retain vulnerable groups of women, such as lesbians, women

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Speaker 1: with a history of abuse, and those who have worked

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Speaker 1: as prostitutes. They found that these people are more likely

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Speaker 1: to be not necessarily ostracized from their therapy groups, but

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Speaker 1: just not receiving the type of attention and treatment they need,

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Speaker 1: and there could be um barriers at the outset to

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Speaker 1: finding treatment UM. According to research from Carla A. Green,

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Speaker 1: who is a senior investigator at the Center for Health

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Speaker 1: Research with Kaiser Permanente Northwest, she found that some of

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Speaker 1: the barriers that women encounter to seeking treatment is that

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Speaker 1: they tend to go directly for mental health or primary

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Speaker 1: care facilities rather than heading into specialized rehab programs, which

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Speaker 1: might have something to do with the kind of stigma

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Speaker 1: that you're talking about. But the thing is when they

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Speaker 1: do get into the kind of specified care that they need.

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Speaker 1: Women do tend to recover with higher success rates than men,

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Speaker 1: according to this one's study. Because there have been other

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Speaker 1: studies looking at the gender differences of recovery rates and

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Speaker 1: some say that there is no statistical notice statistically significant

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Speaker 1: UM difference in how men and women respond to rehab,

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Speaker 1: and others say women do better, men do better. Yeah,

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Speaker 1: And in that two thousand three study, Caroline, that you

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Speaker 1: just mentioned, UM, the researchers identified six components that can

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Speaker 1: make a bigger difference to help guarantee that women's needs

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Speaker 1: for drug and alcohol abuse recovery are met. Right. The

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Speaker 1: researchers reviewed thirty eight separate studies and found positive associations

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Speaker 1: between these six components and basically the success that women

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Speaker 1: had in rehab programs. And those components are childcare, prenatal care,

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Speaker 1: women only programs like we just touched on, UH, supplemental

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Speaker 1: services and workshops that addressed women that address women focused topics,

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Speaker 1: mental health programming, and comprehensive programming. So they found that

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Speaker 1: when those things were involved in women's recovery, they were

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Speaker 1: more successful. And we've mentioned this in the last episode

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Speaker 1: as well. The Harvard Mental Health letter also suggests that

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Speaker 1: cognitive behavioral therapy is especially helpful for women overcoming addiction UM,

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Speaker 1: since we are more provoked to abuse substances due to

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Speaker 1: environmental cues and stressors, and that kind of cognitive behavioral

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Speaker 1: therapy can teach us how to or manage those those impulses, right,

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Speaker 1: and this enhanced therapy as an idea that's talked about

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Speaker 1: In a study in the journal Addiction. They compared standard

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Speaker 1: outpatient groups of people who were going through therapy with

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Speaker 1: enhanced groups, and that included UH pre contracted medical screenings,

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Speaker 1: housing assistance, parenting classes, and employment services. And not surprisingly,

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Speaker 1: patients in these enhanced groups showed significantly less substance abuse,

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Speaker 1: fewer physical and mental health problems, and better social function

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Speaker 1: at six months than the people in the control groups.

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Speaker 1: But then again there's the question that comes up of

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Speaker 1: actually getting those populations into treatment, and again this is

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Speaker 1: UM possibly more challenging for women with substance abuse problems.

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Speaker 1: According to study from the National Institute on Alcohol Abuse

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Speaker 1: and Alcoholism, which found that men are more often referred

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Speaker 1: to treatment by employers, through the criminal justice system and

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Speaker 1: by their families and actually UH women obviously less likely

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Speaker 1: to be referred through the criminal justice system. But when

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Speaker 1: you take out the men, the male admissions from the

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Speaker 1: criminal justice system, the number of men and women who

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Speaker 1: are referred are about the same um when when that

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Speaker 1: is taken into account. So, once people overcome these barriers

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Speaker 1: to treatment and get involved with something like a twelve

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Speaker 1: step program or an inpatient or an outpatient community, does

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Speaker 1: rehab work And the answer is yes, with a combination

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Speaker 1: of treatments, especially and when the goal is abstinence, complete abstinence, uh,

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Speaker 1: the rates of success are higher, probably because you eliminate

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Speaker 1: temptation for abuse. If you are abstaining completely from alcohol,

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Speaker 1: then there's not the chance, for instance, that that one

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Speaker 1: beer could turn into an entire bottle of whiskey. So um.

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Speaker 1: For an idea of of how well rehab works, there

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Speaker 1: was it's a little bit dated, but study called the

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Speaker 1: Target Cities Project which showed that people who had completed

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Speaker 1: a drug dependency treatment program attended a twelve step program

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Speaker 1: once a week such as a A or had counseling

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Speaker 1: session once a week had an eight seven percent chance

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Speaker 1: of abstinence six months after complete completement of treatment. Completement

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Speaker 1: of treatment rhymes too um. And there was another study

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Speaker 1: that found that someone who attended UH four or more

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Speaker 1: twelve step sessions and one more individual counseling session per

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Speaker 1: month compared to a person who was not doing those

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Speaker 1: things hastent less chance of relapse. So all these kinds

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Speaker 1: of check ins with different people holding UM yourself accountable

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Speaker 1: certainly has an impact on whether or not you're going

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Speaker 1: to relapse and UM when it comes to actually going

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Speaker 1: to a rehab facility, like we see a lot of

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Speaker 1: times with celebrities, three months is the minimum recommended stay there? Mhm,

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Speaker 1: what do we know what the average day is? If

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Speaker 1: three months, I wonder how I wonder how long people

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Speaker 1: typically stay, especially if your celebrity. I feel like I

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Speaker 1: never stayed that long. Well, and especially if you're in

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Speaker 1: a place like Crossroads in Antigual, West Indies, which was

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Speaker 1: founded by Eric Clapton and costs fifteen thousand dollars a month, Well,

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Speaker 1: then I would have the opposite problem, because then I

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Speaker 1: would just never leave. I mean, I wouldn't be able

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Speaker 1: to well, this is very instantive to say, but I

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Speaker 1: wouldn't be able to drink anymore. But I'd be in

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Speaker 1: the Bahamas or wherever. Well. See, that's the interesting thing

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Speaker 1: if we look at this history of rehab and you know,

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Speaker 1: an American culture, it starts out as this tirade against

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Speaker 1: drunkard's on the street, a sort of this like low

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Speaker 1: class thing and all these people who have this moral failing.

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Speaker 1: And now today we associate it with tropical getaways hosted

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Speaker 1: by Eric Clapton. That sounds that sounds pretty cool. Actually,

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Speaker 1: I know not to say that, you know, riding the

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Speaker 1: Heroin train is the best way to get to the

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Speaker 1: West Indies, but I do. But it does seem but

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Speaker 1: it does seem strange that we've come and we now see,

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Speaker 1: uh see rehab is as something associated with I don't know,

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Speaker 1: wealthier people. Well, uh Tony Bivaqua, who is a life

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Speaker 1: coach at Summit Malibu Drug Rehab, he kind of points

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Speaker 1: to this whole thing of watch out when your patients

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Speaker 1: really identify with celebrities, because they're going to think that

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Speaker 1: they should go on a tropical island rehab vacation as well.

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Speaker 1: He wrote a column for Addiction Professional Magazine in two

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Speaker 1: thousand nine and said that the hype that surrounds celebrity

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Speaker 1: addiction is a burden for addiction professionals such as him.

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Speaker 1: He said that celebrity addiction culture fosters the illusion that

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Speaker 1: bad behavior is acceptable if done by talented, creative people.

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Speaker 1: He it equates addiction treatment with what celebrities receive, this

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Speaker 1: whole idea that you know, I'm I'm worshiping this celebrity,

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Speaker 1: They're going to rehab. How ad can it be? How

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Speaker 1: bad can the whole experience be? So this whole like

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Speaker 1: promises Malibu type thing is it's definitely far cry from

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Speaker 1: residential programming that most average people would receive. And it

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Speaker 1: really highlights the disease model of addiction and ignores the

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Speaker 1: psychology of these famous people, which he says is different

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Speaker 1: from you and I. What's underlying all of the the

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Speaker 1: drug or alcohol abuse? Right? Um? Well, and also you

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Speaker 1: know I should point out to that while yes, if

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Speaker 1: you get head off to two Crossroads in Antigua and

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Speaker 1: that's that's that you're gonna have to shell out a

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Speaker 1: lot of money. But for outpatient, non methodone treatment, for

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Speaker 1: say you or I, Caroline, the costs really are much

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Speaker 1: lower um usually around twenty five to thirty dollars per

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Speaker 1: visit um. But again there's just that that that huge

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Speaker 1: gap between the public perception of what it is as

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Speaker 1: some like hugely expensive, almost exotic thing, you know, versus

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Speaker 1: the reality for most of those. What was the number

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Speaker 1: thirteen million Americans in the US according to the CDC

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Speaker 1: that could use some kind of rehab treatment and Christine Rosen,

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Speaker 1: writing in Humanities Magazine in February two thousand eleven, um

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Speaker 1: kind of points out how, on the one hand, Um,

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Speaker 1: it's great that addiction and recovery has been destigmatized in

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Speaker 1: a lot of ways, Um, but there are also some

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Speaker 1: problems that have come up with that. She says that

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Speaker 1: recovery from addiction is today viewed less as an embarrassing

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Speaker 1: common problem in an individual journey, in part because of

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Speaker 1: a a success and destigmatizing alcoholism. Recovery from addiction is

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Speaker 1: so acceptable that it has become a cultural commodity that

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Speaker 1: can be parlayed into an equally addictive kind of pseudo

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Speaker 1: celebrity on television and in print. So we're getting a

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Speaker 1: fix off of the cycle of addiction and recovery that

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Speaker 1: some celebrities are going through, such as Lindsay Lohan or

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Speaker 1: Charlie Sheen watching those kind of meltdowns. Yeah, Well, and

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Speaker 1: he parlayed his into a tour. Absolutely not everybody, not

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Speaker 1: everybody is that successful with their addiction. But yeah, we're

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Speaker 1: this whole TV culture of addiction that we're so obsessed

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Speaker 1: with it. Really it's it's building an expectation, and that

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Speaker 1: is we're expecting, you know, the dramatic fall. And then

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Speaker 1: they admit to their problems and they ask for forgiveness,

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Speaker 1: they seek help, and they get better and in some

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Speaker 1: cases that keeps going up and down. But um, yeah,

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Speaker 1: people like David D. Kovney and Tiger Woods who not

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Speaker 1: drug addiction but sex addiction. For these folks, you know,

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Speaker 1: it's like we feel now that we have a right

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Speaker 1: to not only be involved in their problems, but to

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Speaker 1: be apologized to. Yeah. Yeah, and and once the thing

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Speaker 1: is too we expect an apology. And I say we

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Speaker 1: as you know, we as the speaking of the general public.

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Speaker 1: It seems like people yes, enjoy and want some kind

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Speaker 1: of apology if only just see them in that moment

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Speaker 1: of ultimate humility, but also in her more humiliation than

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Speaker 1: humility perhaps, but also once they are on the road

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Speaker 1: to recovery, we get bored. We don't want to see that,

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Speaker 1: we don't I mean, is clean living house with no problems.

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Speaker 1: A hit reality show. I think it's called h G

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Speaker 1: t V is like I enjoy going to the farmers

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Speaker 1: Market on Monday afternoons after yoga a reality show because

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Speaker 1: that's what I did. That's your life, that's your reality show.

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Speaker 1: Kit's done, and don't you feel bad about it? But

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Speaker 1: my e erotion at the Fix dot com. Uh, he

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Speaker 1: was talking about this whole celebrity rehab culture thing, and

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Speaker 1: he was saying that you know, when when some celebrities

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Speaker 1: struggle with issues health issues, it actually brings beneficial attention,

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Speaker 1: such as he cites Michael J. Fox suffering from Parkinson's

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Speaker 1: and how that brought so much attention, and then Magic

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Speaker 1: Johnson suffering from HIV his battle with that disease that

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Speaker 1: brings positive attention to some of these issues. But he

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Speaker 1: he says that it's this whole drug and alcohol culture

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Speaker 1: is bringing sort of maybe a bad change in perception.

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Speaker 1: And he really criticizes the reporters who were focusing on

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Speaker 1: Whitney Houston stuff, for instance, because instead of focusing their

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Speaker 1: attention on pharmaceutical companies or addiction issues, we're just writing

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Speaker 1: about Whitney Houston and other celebrities, Like I mean we're

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Speaker 1: just focusing on the drama and the gory details of

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Speaker 1: their death instead of the actual problems that she Whitney

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Speaker 1: Houston and millions of regular people faith. Well, you could

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Speaker 1: bring up, by comparison, the whole trial of Michael Jackson's

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Speaker 1: doctor and how that just turned into, you know, another

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Speaker 1: another spectacle that I don't know that people really learned

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Speaker 1: from in terms of the dangers of abusing pharmaceuticals. So

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Speaker 1: we could go on and on, UM. But but the

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Speaker 1: history of rehab is some interesting stuff. And if we

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Speaker 1: move away from celebrity culture into the day to day

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Speaker 1: types of treatments that people all around us are deal

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Speaker 1: ng with UM, I think it's it's good that this

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Speaker 1: de stigmatise, de stigmatization that is a tricky word to say.

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Speaker 1: Sometimes the de stigmatization has happened and those resources are

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Speaker 1: more available and the community is paying more attention to

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Speaker 1: specific needs that UM women have and how to treat

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Speaker 1: that UM. And I just I wish that we could

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Speaker 1: we could move away from this voyeuristic obsession with the

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Speaker 1: downfall really of celebrities UM and and focus more on

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Speaker 1: what what Betty Ford would have wanted, you know, which

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Speaker 1: is actually helping people recover. Right, So w W b

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Speaker 1: f D put that on a bracelet? Yeah? What what

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Speaker 1: would what would all bets do? So send us your

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Speaker 1: thoughts on rehab addiction? What do you what do you?

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Speaker 1: I mean? Do you watch Intervention? Does it make your

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Speaker 1: skin crawl? Sober house? These kinds of reality shows? Uh?

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Speaker 1: Do you think that they are helpful? Or and possibly

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Speaker 1: offering scare tactics to younger people watching them? To not

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Speaker 1: say no to drugs? Two? I mean say no to drugs,

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00:26:10,720 --> 00:26:15,040
Speaker 1: not not say no to drugs. Send us an email

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Speaker 1: that will hopefully be more eloquent than what I just

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Speaker 1: said there, Moms, stuff at Discovery is where you can

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Speaker 1: address it. And we've got an email here from Adriana

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Speaker 1: on our episode about sex Ed, and she's running about

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00:26:29,600 --> 00:26:33,840
Speaker 1: sex education for homosexual teens. She writes, h growing up,

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00:26:34,000 --> 00:26:36,720
Speaker 1: my sex education in both school and home was quite thorough.

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00:26:37,040 --> 00:26:39,480
Speaker 1: Abstinence was the main focus, but we were also taught

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00:26:39,480 --> 00:26:42,000
Speaker 1: how to use and obtain all sorts of birth control

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00:26:42,040 --> 00:26:46,680
Speaker 1: and STD protection. Not once, though, was homosexuality mentioned. Ever.

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00:26:47,240 --> 00:26:49,560
Speaker 1: Imagine my embarrassment when it came time to talk about

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00:26:49,560 --> 00:26:52,040
Speaker 1: sex with my long term partner and neither of us

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00:26:52,080 --> 00:26:54,320
Speaker 1: really know the first thing about what gay sex is

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00:26:54,400 --> 00:26:56,679
Speaker 1: like or how to use protection. We had to resort

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00:26:56,720 --> 00:26:59,760
Speaker 1: to less savory research methods. All hail the Internet and

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00:26:59,760 --> 00:27:02,280
Speaker 1: our still figuring it out despite being in our mid twenties.

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00:27:02,520 --> 00:27:05,160
Speaker 1: I just hope that someday our education system will become

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00:27:05,200 --> 00:27:09,480
Speaker 1: less homophobic and work harder to educate all sexualities, you

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00:27:09,680 --> 00:27:15,080
Speaker 1: and me both, Adriana. This email is from Sarah. It's

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00:27:15,119 --> 00:27:18,080
Speaker 1: the subject line is the talk when your mom is

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00:27:18,119 --> 00:27:22,400
Speaker 1: a teacher? Yeah, let's roll, uh, she says. My mom

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00:27:22,480 --> 00:27:24,520
Speaker 1: is a teacher and taught preschool from the time I

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00:27:24,560 --> 00:27:27,400
Speaker 1: was a baby until I was into my teenage years.

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00:27:27,400 --> 00:27:29,520
Speaker 1: Her students would always come to her with questions, and

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00:27:29,560 --> 00:27:31,359
Speaker 1: she made sure that I always knew the answers to

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00:27:31,400 --> 00:27:33,960
Speaker 1: the questions her kids were asking. As a result, I

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00:27:33,960 --> 00:27:36,399
Speaker 1: had a series of talks starting when I was maybe

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00:27:36,520 --> 00:27:40,400
Speaker 1: three years old. The first was the Penises and Vagina's talk,

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00:27:40,480 --> 00:27:43,560
Speaker 1: which then slowly progressed into explaining the mechanics of sex.

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00:27:44,080 --> 00:27:46,240
Speaker 1: I had a pretty good working knowledge of how babies

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00:27:46,240 --> 00:27:48,840
Speaker 1: were made by the time I was five or six. However,

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00:27:48,880 --> 00:27:51,880
Speaker 1: she never covered issues of consent or birth control, probably

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00:27:51,880 --> 00:27:53,840
Speaker 1: because her students were too young to even have a

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00:27:53,920 --> 00:27:56,879
Speaker 1: concept of these things. I did learn about condoms in

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00:27:56,920 --> 00:27:59,199
Speaker 1: the like though, thanks to my older sisters stash of

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00:27:59,280 --> 00:28:03,080
Speaker 1: teen magazine games. The best was the now defunct y M.

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00:28:03,160 --> 00:28:05,120
Speaker 1: They had a regular sex column that was not only

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00:28:05,160 --> 00:28:08,720
Speaker 1: sex positive, but covered issues of defining consent, what works

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00:28:08,760 --> 00:28:10,879
Speaker 1: as birth control. Apparently a lot of teens in the

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00:28:10,960 --> 00:28:13,760
Speaker 1: late nineties thought that underwear was good birth control, who

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00:28:13,840 --> 00:28:18,399
Speaker 1: knew masturbation, and even the occasional question about homosexuality. It

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00:28:18,520 --> 00:28:20,680
Speaker 1: was a great resource and gave me way more information

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00:28:20,720 --> 00:28:23,800
Speaker 1: than school sex ad ever did. For anyone looking to

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00:28:23,840 --> 00:28:26,359
Speaker 1: have the talk, I would highly recommend Lacey Green and

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00:28:26,359 --> 00:28:30,040
Speaker 1: her YouTube show Sex Plus That's a plus line. She's

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00:28:30,040 --> 00:28:32,720
Speaker 1: a professional sex educator and focuses a lot on myths

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00:28:32,760 --> 00:28:36,640
Speaker 1: about sexuality. Her videos are short, funny, and incredibly informative.

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00:28:36,680 --> 00:28:39,360
Speaker 1: Even though at twenty three, I'm older than her target audience,

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00:28:39,400 --> 00:28:41,760
Speaker 1: I still watch her weekly updates and learn something new

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00:28:41,920 --> 00:28:45,600
Speaker 1: each time. So thanks Sarah Yes, and thanks to everyone

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00:28:45,640 --> 00:28:49,360
Speaker 1: who's written in Mom's Stuff. A discovery dot com is

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00:28:49,400 --> 00:28:51,640
Speaker 1: where you can send your letters. You can also find

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00:28:51,720 --> 00:28:54,320
Speaker 1: us on Facebook and follow us on Twitter at Mom's

479
00:28:54,320 --> 00:28:57,920
Speaker 1: Stuff podcast and If you'd like to learn more about rehab,

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00:28:57,960 --> 00:29:02,040
Speaker 1: I highly recommend you read How Rehab Works, by the

481
00:29:02,080 --> 00:29:05,240
Speaker 1: famous Josh Clark of Stuff you Should Know, and you

482
00:29:05,240 --> 00:29:11,280
Speaker 1: can find it over at how stuff Works dot com.

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00:29:11,280 --> 00:29:13,720
Speaker 1: For more on this and thousands of other topics, is

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00:29:13,760 --> 00:29:20,640
Speaker 1: it how stuff works dot Com brought to you by

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