Preaddiction as a Missing Concept in Articulating the Dynamics of Healing & Recovery

Earlier this month, Dr. Thomas McLellan, Dr George Koob, and Dr Nora Volkow published a viewpoint article at JAMA titled Preaddiction—A Missing Concept for Treating Substance Use Disorders.  It is an important piece. The concept of preaddiction could dramatically expand our intervention strategies and better help us address the horrific consequences of harmful substance use … Continue reading Preaddiction as a Missing Concept in Articulating the Dynamics of Healing & Recovery

Let’s talk critique- Part deux

Credit: knowledgeworks I received some interesting questions regarding my post on critique, so I figure it is time, as Paul Harvey says, to tell the rest of the story (while I have the time). Anyone who has studied politics and philosophy knows that for every argument there are counterarguments and alternative theories that come from … Continue reading Let’s talk critique- Part deux

The Recovery Alliance Initiative – System Change

So far in this series I've... covered the origin and early evolution of the Recovery Alliance Initiative; provided a description of the expansion and clarification of our model and methods; outlined a recipe we uncovered of general similarities among effective sectors; and shared a variety of our concrete practical perspectives. In the previous post I … Continue reading The Recovery Alliance Initiative – System Change

Addiction professionals? Substance use professionals? Recovery professionals?

For 28 years, an important part of my professional identity has been "addiction professional." Over that 28 years, addiction professionals have never been a very harmonious group. There have always been disagreements about things like policy, the best treatment models, credentialing, and many other controversies. Despite these disagreements, I never really questioned whether we all … Continue reading Addiction professionals? Substance use professionals? Recovery professionals?

The Recovery Alliance Initiative – Practical Perspectives

Earlier in this series I covered the origin and early evolution of the Recovery Alliance Initiative, provided a description of the expansion and clarification of our model and methods, and outlined a recipe we uncovered of general similarities among effective sectors.  I also described a stretch-goal for our field: attempting from the very start with … Continue reading The Recovery Alliance Initiative – Practical Perspectives

Are We Serving as Good Stewards in Our Collective Responsibility to the Recovery Community?

“Therein is the tragedy. Each man is locked into a system that compels him to increase his herd without limit -- in a world that is limited. Ruin is the destination toward which all men rush, each pursuing his own best interest in a society that believes in the freedom of the commons. Freedom in … Continue reading Are We Serving as Good Stewards in Our Collective Responsibility to the Recovery Community?

Addiction treatment mismatch: when what’s on offer isn’t always what’s wanted

“I never knew that rehab was available to guys like me”, he said to me just before he completed his rehab programme. He’d been in and out of` treatment for many years before he got to rehab. “Why did nobody tell me?” I was left struggling for an answer. This is one of the things … Continue reading Addiction treatment mismatch: when what’s on offer isn’t always what’s wanted