“Is drug abuse self-destructive or is it a desperate attempt at self-healing? This is important because if the answer is self-healing, primary prevention is far more difficult than anticipated — possibly because incomplete understanding of the benefits of so-called health risk behaviors causes these behaviors to be viewed as irrational acts that have only negative consequences. Does this incomplete view of drug abuse leave us mouthing cautionary platitudes instead of understanding the cause of our intractable health problems?
— Dr. Vincent Felitti

https://en.wikipedia.org/wiki/Adverse_Childhood_Experiences_Study

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