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
Month: July 2022
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
When rehab is not right
I saw an exchange on Twitter the other day that on first reading raised my eyebrows and created empathetic frustration. An individual was apparently being refused rehab because “he continued to use drugs”. Surely that’s the best reason for going to rehab. We don’t refuse treatment to diabetics because their diets are problematic, or because … Continue reading When rehab is not right
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
Let’s Talk About Critique
Credit: The Virtual Instructor I've been working on a paper on recovery that is sort of a philosophical treatise on what it means to be critical regarding science, practices, and system design in relation to substance use disorders, care, and treatment. As Jason had noted in one of his earlier posts, there is plenty of … Continue reading Let’s Talk About Critique
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
Sentences to Ponder
Photo by Pixabay on Pexels.com The common name addiction is reserved for severe SUD, defined by 6 or more symptoms and found in approximately 4% to 5% of adults. Those with mild to moderate SUD (ie, 2-5 symptoms) comprise a much larger proportion of the adult population (13%) and thus account for far more substance … Continue reading Sentences to Ponder
