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Are Americans addicted to addiction?

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Another season of Vh1's "Celebrity Rehab" premiered this week, reminding us all yet again that a little boozing, pill popping and pot smoking can quickly spiral out of control.

But while drug abuse and addiction is a big deal on today's reality TV, it's also an integral part of our history. Americans were getting high long before the trippy 1960s, and we were jumping on the teetotaler bandwagon generations before Nancy Reagan said, "Just Say No."

Medicinal cures helped introduce hardcore opiates to the general public as early as the mid-1800s, says Sue Rusche, co-director of the Addiction Studies Program, sponsored by Wake Forest University's College of Medicine and National Families in Action.

Fat creams, syrups and cough drops containing addictive heroin, cocaine and morphine were sold unlabeled. And those "cure-alls" hooked unsuspecting men and women, even children, she says.

"Many of these medications contained addicting drugs, particularly opiates, and addiction spread," she says.

The negative impact of addiction has always had a big influence on American politics, says David Courtwright, a University of North Florida history professor and author of "Forces of Habit: Drugs and the Making of the Modern World" ($23, Harvard University Press).

Prohibition in the 1920s and drunk-driving campaigns in the 1980s were spearheaded in part by mothers, ministers and others who saw how abuse could destroy lives. Tobacco, alcohol and other drugs are vilified when children are involved, Courtwright says.

Still, those drugs are legal and widely popular in American society. Even marijuana -- the most commonly abused illicit drug in the United States, according to the National Institute on Drug Abuse -- is legal for medicinal use in 15 states today. And prescription opiates are used in record numbers, despite a rash of related overdoses nationwide.

Popular shows about addiction, such as A&E's gritty "Intervention" or celebrity tell-alls, won't change that, Rusche says. At least not for the better. She's concerned people at risk for addiction might get the wrong message from this moment in history.

"Their underlying message is that addiction is OK," she says.

"People think, "Oh, I'll just go to rehab."

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