To be sure, addicts typically suffer impaired control. But substance misuse doesn't involve tropisms and reflexes. The addict believes, and believes correctly, that there are ways, often requiring help and support, to regain and leverage the power of self-control, and to act and be different in the future than they are now.
"This is a song to God, to Oshun, the patron saint of Cuba. It's a song that asks the greatest thing that exists to show us how to escape this nightmare and be able to have a country."