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tweet by Johann Hari: The core of addiction is not wanting to be present in life, because pour life is too painful a place to be. This is why imposing more pain or punishment on a person with an addiction problem actually makes their addiction worse.
Those types are likely desperate to believe that they're living gods that are better than anyone else, and snorting cocaine on top of naked women supports that fantasy. So one could say they are escaping the painful reality that they are just another insecure selfish douche bag.
I mean... sometimes it's fun to do a rail off some big-ass tittays.
I support and agree with your considered thesis.