Is addiction caused by genetic or environmental factors?

I've been involved in some recent discussions about addiction as a disease and the role of experiences like trauma. A few years ago I had the pleasure of seeing Dr. Jehannine Austin discuss how she approaches genetic counseling around psychiatric disorders and addiction. She doesn't answer all the questions around the etiology of addiction (who … Continue reading Is addiction caused by genetic or environmental factors?

Reflections on the historic 2001 Recovery Summit in St. Paul, Minnesota, and the start of the New Recovery Advocacy Movement Article One – The Thoughts of Recovery Historian Bill White

Background: History is incredibly important to how we understand ourselves, where we came from, where we stand now and to assist us in determining our pathways forward. Few things are more important to me than understanding the New Recovery Advocacy Movement and to support efforts to move us towards an expanded recovery community across America.  … Continue reading Reflections on the historic 2001 Recovery Summit in St. Paul, Minnesota, and the start of the New Recovery Advocacy Movement Article One – The Thoughts of Recovery Historian Bill White

Revisiting recovery-oriented harm reduction (part 2)

I've been watching a really interesting twitter discussion about the conceptual boundaries of recovery. One branch of the discussion got into recovery as a process and as an outcome. It reminded me of this post from 2019. Yesterday, we began to revisit the concept of recovery-oriented harm reduction. Why recovery-oriented harm reduction and not just … Continue reading Revisiting recovery-oriented harm reduction (part 2)

Reflections on Current Debates Regarding Recovery Definitions

Science evolves through collaboration, debates, support, and refutations between scientists. This fact is no less true in the science of recovery. Recent discussions regarding new boundaries in the definition of "recovery" illuminate the mechanics of what scientists, clinicians, and people in recovery feel are essential characteristics of recovery. As one of the authors regarding the … Continue reading Reflections on Current Debates Regarding Recovery Definitions

Continuing “Very Heavy Drinking” and Also Meeting An Improved Definition of Recovery?

In their 2020 Commentary published in The Journal of Addiction Medicine (a journal of the American Society of Addiction Medicine aka ASAM), Kelly and Bergman state that: “Individuals with regular and increasing very heavy alcohol consumption cannot be considered as maintaining ‘recovery’ due to toxicity and intoxication-related risks”.  Why did they publish a commentary about … Continue reading Continuing “Very Heavy Drinking” and Also Meeting An Improved Definition of Recovery?