A Metapsychology of Addiction, Addiction Recovery, and Human Beings

It seems to me that addiction:  is dynamic has a form  consumes energy and manages affects is influenced by genes and is also developmental  has substructures that are simultaneously independent and interdependent  adapts to reality. Let me expound each of those points in turn.  Addiction is fluid, not static. Once in place it undulates within, … Continue reading A Metapsychology of Addiction, Addiction Recovery, and Human Beings

The Concept of “Mental Relapse” Is Being Lost

During my first two and a half decades working in addiction treatment, I was surrounded by the term mental relapse. Let’s talk about that term. What is mental relapse? How is it defined? For starters, mental relapse frames relapse as a process, not an event. It’s the process that begins before using resumes. To be clear, mental … Continue reading The Concept of “Mental Relapse” Is Being Lost

You may have heard of “urge surfing”. Let’s add “recovery surfing”.

Some years ago, it dawned on me that we lacked a concept that seemed important. And that we also lacked a term for it. Or we at least lacked a concrete awareness of this idea with a shared language for it. My solution was to coin the term "recovery surfing" as the name for the … Continue reading You may have heard of “urge surfing”. Let’s add “recovery surfing”.

The Behavioral Health Recovery Management Statement of Principles

As the years go on the importance of this document looms larger and larger to me. I urge everyone to read it. It's only a couple of pages long. BHRM Statement of PrinciplesDownload We used these principles in a very focused way during the ten-year BHRM project. We would look at and study a program … Continue reading The Behavioral Health Recovery Management Statement of Principles

A brief overview of quality-related methodologies

Clinicians in our work are seldom, if ever, provided high-quality education or training by their own organizations on topics related to organizational leadership or administrative management. And most organizations also fail to provide training about how to lead or manage organizational change, even during or in preparation for a change project. So that's two problems … Continue reading A brief overview of quality-related methodologies

2025’s Top Posts – #2 – 6-methyl nicotine is here

Over the next several days, we’ll be sharing 2025’s posts with the most views. Today is #2. Did you know that a synthetic analog of nicotine has been developed and is on the market? It’s called 6-methyl nicotine (6-MN). Before we get into some of the more recent findings about 6-MN, it’s important to understand … Continue reading 2025’s Top Posts – #2 – 6-methyl nicotine is here

2025’s Top Posts – #10 – Addiction Treatment Except for Tobacco and Nicotine: A Call for Change

Over the next several days, we’ll be sharing 2025’s posts with the most views. Today is #10. (I incorrectly posted #11 as #10 yesterday.) I've completed a monograph that calls for change in the addiction treatment arena. It focuses on our need to modify our settings and services to a tobacco-free and smoke-free model of … Continue reading 2025’s Top Posts – #10 – Addiction Treatment Except for Tobacco and Nicotine: A Call for Change

A List of Some Addiction-Related Mutual Aid Groups

I built a list of some addiction-related mutual-aid groups to use as an easy reference. I wanted it to reflect variety across a number of domains: primary substance(s), abstinence, moderation, medication status, the presence of co-occurring mental disorders, gender, cultures, agnosticism/atheism, family members, etc. And I wanted it to be a start, rather than try … Continue reading A List of Some Addiction-Related Mutual Aid Groups