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?

Gathering Ideas From Outside the Field:  Lessons from Jackson Pollock 

Note:  nothing in this post should be considered clinically instructive or supervisory.  Rather, I wanted to simply share an inspiration and my thoughts about it with others in our field. Back in the early 2000’s, the organization where I worked joined the Network for the Improvement of Addiction Treatment (NIATx).  For those that might not … Continue reading Gathering Ideas From Outside the Field:  Lessons from Jackson Pollock 

The Concepts of Psychological Dependence and Physical Dependence Are Being Lost

I have been thinking about “psychological dependence” and "physical dependence” a lot lately. It seems to me our field is losing these concepts. Psychological Dependence Back in the late 1980’s counselors and patients alike would bring up “psychological dependence” from time to time.  But over the last 20 years this concept seems to have slowly … Continue reading The Concepts of Psychological Dependence and Physical Dependence Are Being Lost

Choice in addiction treatment: A little more. Recovery-Oriented Methadone Maintenance?

A few days ago David McCartney posted an interesting piece titled "Choice in addiction treatment." That post got me recollecting about clinical practices in our outpatient methadone maintenance program that I thought I would briefly share - in case this historical information is somehow helpful or interesting to someone. Our methadone maintenance program began operation … Continue reading Choice in addiction treatment: A little more. Recovery-Oriented Methadone Maintenance?

We All Need to Learn “Prevention”

Prevention of substance use is probably more important than ever.  And the relevance of prevention across the lifespan (including among those who have already initiated use) has probably never been more important.  Why would I say that?  The purity and potency of substances have increased so much that preventing even a one-time use of certain … Continue reading We All Need to Learn “Prevention”

What should be the gold standard for addiction treatment: A little more.

Earlier today Jason Schwartz posted about the active ingredients and basic framework of a multi-year clinical and recovery support model.  The information he shared included elements from Robert DuPont, MD and William White, MA.  Jason included a statement Dr. DuPont made about the short length of even our longest treatments (such as outpatient methadone or … Continue reading What should be the gold standard for addiction treatment: A little more.