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Content Warning: The source material contains references to addiction, substance use, sexual violence, rape, physical abuse, suicidal ideation, and self-harm.
A poem describes a conversation between a young man and an old man. The young man says he has broken something into “a million little pieces” (1). The old man responds that it is “broken beyond repair” (1).
Twenty-three-year-old James wakes on a flight to Chicago with facial injuries and four missing teeth. He has no idea how he got there. At the airport, James is greeted by his concerned parents, Lynne and Bob Frey, who live in Japan. They explain that James’s friend called them, revealing their son had fallen down a fire escape and needed help to recover from his addictions.
Lynne and Bob pay for their son to attend an addiction treatment facility in Minnesota. When James checks in, he learns the clinic’s most important rules: patients cannot use drugs or alcohol, and male residents cannot interact with female residents.
James tells the medical staff that he uses alcohol, cocaine, and several other addictive substances. When asked about the quantities he consumes, he replies “As much as I can” (10).
James quickly experiences withdrawal symptoms. He shivers, sweats, and hallucinates that bugs are crawling over his body and biting him.
When James wakes up in the night, a nurse gives him a sedative and takes him to the lounge. As he stares at the TV, an angry man claims that James is sitting in his chair. The sedative takes effect, and James is powerless to fight back when the man drags him to the corner of the room and reclaims his chair.
The next morning, James meets Doctor Baker, who closes James’s facial wounds with 41 stitches and then breaks and resets his damaged nose. Waiting at the dispensary for antibiotics and detoxification drugs, James speaks to a young woman named Lilly.
James wakes in pain in the middle of the night. He crawls to the bathroom and vomits, banging his head against the wall when the pain does not subside. Getting in the shower, he turns up the temperature until the water burns his skin.
James learns that Lilly is 22 and addicted to crack cocaine. Lilly’s mother, who was a sex worker and addicted to heroin, first gave her daughter drugs at the age of 10. By the time Lilly was 13, her mother had forced her into sex work. When she was 17, Lilly ran away to live with her grandmother in Chicago.
James and Lilly are interrupted by a patient named Roy, who takes James to his unit. Roy reminds James that talking to women is prohibited. He explains that all patients must attend three lectures a day and complete an assigned job each morning.
James meets his roommates, Larry, Warren, and John. John states that his father sexually abused him from the age of five and that he became addicted to cocaine and anal sex while in prison.
James tells the Unit Recovery Counselor, Ken, that his substance abuse began at the age of 10. He experiences vomiting and blackouts every day and has considered suicide. James also reveals that he has been arrested on numerous occasions, has skipped bail, and has outstanding charges in Michigan, Ohio, and North Carolina. Ken explains that patients are encouraged to “deal with” outstanding legal matters during their program. When he asks if James is prepared to “do whatever it takes” (36) to become sober, James replies he doesn’t know.
The author’s depiction of The Nature of Addiction begins as he wakes up on a plane with no recollection of how he got there. The moment conveys the disorienting effects of blackouts and memory loss—regular side effects of his substance use. This loss of control over his life is later echoed when he is dragged across the floor of the TV lounge by another patient. His inability to fight back reflects the powerlessness that accompanies addiction.
Frey’s emotional deterioration is mirrored in the detailed descriptions of his ravaged physical state. In addition to the severe facial injuries sustained when falling down a fire escape, he states that “I’m thin and my muscles sag. I look worn, beaten, old, dead” (24). While only 23, Frey’s use of adjectives associated with old age conveys how addiction has ravaged his health and appearance. The author’s depiction of physical pain, from constant vomiting to the difficulty of eating with his facial injuries, is both graphic and vividly sensory. For example, as the doctor rebreaks his nose, he states that “Cold white light shoots through my eyes and through my spine and into my feet and back again” (19). Emphasizing how the pain feels and all the places he feels it, Frey places the reader in the uncomfortable position of vicariously sharing this experience, introducing the text’s thematic engagement with Pain and Confrontation as Integral to Healing. The author also hints at his feelings of self-loathing as he deliberately inflicts additional pain on himself, such as banging his head against the wall and taking a scalding hot shower. These forms of self-punishment suggest feelings of worthlessness. The novel’s title and its epigraph reflect his belief that addiction has broken him beyond repair.
These chapters also introduce Frey’s thematic interest in The Role of Authority in Therapeutic Relationships by exploring the tension between regulation and support. His disregard for authority is established when he immediately breaks one of the clinic’s cardinal rules by engaging in conversation with Lilly. His interactions with Ken quickly become confrontational. Refusing to promise that he will “do whatever it takes” (36) to get sober, Frey describes how he glares back when Ken “stares at [him], angry [he] won’t give him the answers he wants to hear” (36). The author portrays himself as a rebellious, anti-authoritarian figure, at odds with the restrictive regulations and processes of the clinic. His frequent use of profanity underscores this persona.
Frey’s depiction of himself as a maverick is echoed in his literary style, which rebels against the constraints of traditional grammatical rules. Throughout the memoir, the author dispenses with quotation marks to denote speech, capitalizes common nouns, and frequently constructs syndetic sentences using conjunctions rather than commas. For example, recounting his experience of withdrawal, he states, “I start shaking. Shaking shaking shaking. My entire body is shaking and my heart is racing and I can see it pounding through my chest and I’m sweating and it stings” (13). This stream of consciousness technique mimics the continuous flow of Frey’s raw thoughts and feelings as he undergoes overwhelmingly unpleasant sensations of withdrawal. The use of anaphora, in the repetition of “shaking,” emphasizes his loss of bodily control. These literary techniques effectively trap the reader within Frey’s experience of addiction. The effect is also disorienting as the prose lacks the syntactical conventions that help to guide readers through a sentence and extract its meaning. Juxtaposed with these streams of consciousness are passages that utilize terse, deadpan language to describe the clinic. For example, Fre states, “He shows me to a Room. It has a bed and a desk and a chair and a closet and a window. Everything is white” (9). Here, the lack of any emotive or descriptive adjectives suggests the soulless nature of the clinical environment from his perspective. The author’s capitalization of the common noun “Room” conveys the sense of authoritarianism he associates with this setting.



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