Comments On the Practical Use of Spiritual Care

Disclaimer:  nothing in this post should be taken or held as clinical instruction, clinical supervision, or advisory concerning patient care.  Spiritual care is a clinical discipline. Spiritual care can be a clinical team member in the separate settings for physical health problems, psychiatric problems, or substance use disorders. And spiritual care can be a member of … Continue reading Comments On the Practical Use of Spiritual Care

A Fresh Look at “The Big 5” Substance Use Disorder Criteria

Recently here on Recovery Review Jason Schwartz has been posting some fairly interesting new material, as well as re-posting older material, about the idea of addiction as a disease.  The material he has shared has grown interesting enough and produced enough thoughtful conversation on various platforms, that I wanted to share a version of my very first … Continue reading A Fresh Look at “The Big 5” Substance Use Disorder Criteria

Top ten of 2021 #9 – 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 Top ten of 2021 #9 – Continuing “Very Heavy Drinking” and Also Meeting An Improved Definition of Recovery?

Study Betel Nut Before You Finalize Your Public Health or Harm Reduction Policy

In the most recent 10 years especially, I’ve been noticing some activity in our field concerning advancement of public health measures (e.g. cigarettes) and harm reduction strategies (e.g. opioids).  Some of these efforts seem to include the notion that widespread harms would be reduced, and widespread health would be advanced, if use of drugs was: … Continue reading Study Betel Nut Before You Finalize Your Public Health or Harm Reduction Policy

What Biases Do You Observe Among Many of the Scientific and Medical Experts in the Field?

In a recent conversation, a colleague in the field told me they are attempting to “Catalog the biases at work among many of the scientific and medical experts in the field.” And they said to me, “I'd like to hear what biases you observe.” This blog post serves as my attempt to respond to that … Continue reading What Biases Do You Observe Among Many of the Scientific and Medical Experts in the Field?