Recovery Alliance Initiative: Proposed Principles and Stages of Care

Below is a document I've prepared at the request of the Recovery Alliance Initiative (RAI) leadership. It outlines some basic information that will be helpful for community-based leaders to better see the big picture of the RAI model, as it applies to helping the individual. Recovery Alliance Initiative:  Proposed Principles and Stages of Care Principle … Continue reading Recovery Alliance Initiative: Proposed Principles and Stages of Care

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”.

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