Thursday, November 07, 2013

Rob Ford's substance abuse problem

People love to quibble over "addiction." It's a term that suggests a medical condition with specific symptoms (for example, you start to shake if the substance is withdrawn) and specific treatments (methadone, AA meetings).

That's why I much prefer talking about drug and alcohol problems. A problem is something an outsider can determine without knowing the biochemistry, thoughts and feelings of the person in question. A problem doesn't presume to know what's going on inside a person, only how the person is doing in the world.

Toronto mayor Rob Ford has said again and again that he's not an addict--it's something he's entitled to say. It could be true. But his addiction or non-addiction is irrelevant. That's why councillors need to focus on his drug and alcohol problem--Ford undeniably has one.

Ford might not crave a drink or a fix. Ford might use only occasionally. But if drugs or alcohol (or drugs and alcohol, as seems to be the case) harms his work and personal relationships, it's a problem. It may not be a problem for Ford himself--I've known some users who have had a great time drunk or high--but it is is for the people around him who have to respond to his doped up behaviour. Those who are affected decide if there's a problem, not the user.

It's a problem if someone's missing time at work. It's a problem if it hurts performance. It's a problem if someone become belligerent and abusive. It's a problem if the lies needed to continue using drugs and alcohol create headaches and heartaches for the people around the user. Falling asleep on the job, spending chunks of the workday meeting up with  an alleged drug dealer friend, showing up at public events drunk--all problems, regardless of whether Rob Ford is an addict or alcoholic or not.

The salacious drama of the crack video--the video! the video! the video!--has distracted people from the central issue. Yes, it's shocking that the mayor of Toronto has smoked crack, that he was in such a drunken stupor that his memories of the experience are vague. I'm sure the video, if we ever get to see it, will be both hilarious and troubling.

But I'm more interested in the problems created by what Rob Ford did in that seedy room. Where should he have been? Conducting city business? Spending time with his kids? How did he get home afterwards? What actions did he take, if any, to obtain and/or destroy the video or punish its owners? How much trouble has six months of his lying about the video caused for his friends, family, co-workers and the citizens of Toronto? How much trust has been destroyed?

It doesn't really matter if it was crack or meth or pot or tobacco in Rob Ford's pipe if troublesome things came of his smoking it.

Ford's opponents like to throw everything they don't like about Ford into a big bag, shake it and offer it up as evidence toward removing him from office. That includes his policies (the man ripped up bike lanes!), his sleazy populist tactics, his slovenly appearance, his crassness, his violation of council rules, his negative attitudes toward LGBT people and other minorities, as well as his substance abuse problem. For these opponents, the crack video is just another embarrassing, frustrating thing, like the "subways, subways, subways" mantra.

This "He's awful and needs to go" generalization confuses the issue. It distracts as much as Rob Ford's own "I am not an addict" shtick.

No matter what you think about the direction Rob Ford has taken the city in, his competence in doing so or his personal style, these are things for voters to decide. We are allowed to vote for incompetent people, even addicts, for that matter. But it is clear from all kinds of evidence, not just the video and the expansive police files, that the man has a substance abuse problem that needs to be addressed. And it needs to be addressed by the people around him who are most affected. His family, his staff and, on behalf of the citizens of Toronto, his fellow councillors.

Toronto councillors can't force Rob Ford into treatment, but they can refuse to stop cleaning up his mess.

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