“Who is missing from our meetings?”

Recently, I came across the 2026 Conference Agenda Report from the World Service Conference of Narcotics Anonymous. A recent post on Narcotics Anonymous sparked a lot of online discussion. It focused on professionals' lack of cognitive empathy and condescension toward NA. . . . they frame the ~250,000 Narcotics Anonymous members who are lay people, gathering in … Continue reading “Who is missing from our meetings?”

What does care for substance use problems look like?

What does care for substance use problems in the US look like? I don't really know. We hear a lot about substance use problem care dominated by an abstinence orientation. Is it? What form does most substance use care take? I don't really know. When these statements are made, they are often focused on specialty … Continue reading What does care for substance use problems look like?

Involuntary compassionate intervention?

Source: wikipedia This blog has had several posts on drug use, addiction, liberty, and involuntary treatment. I've used the expression, borrowed from Keith Humphreys, of choosing between "hands on" and "hands off" approaches. A recent article focuses on the use of involuntary Substance Use Disorder treatment under limited circumstances. This is toward the far end … Continue reading Involuntary compassionate intervention?

Why Sharing Stories in Recovery Matters: The Hero’s Journey and the Identified Patient

Guest post by Melissa McGill [photo credit: Joshua Eghelshi] Why Do We Share Our Stories? The first time someone stands up in a recovery group and says, “This is what happened to me,” the room changes. Silence turns into nods, shame into recognition. Stories in recovery aren’t small talk—they’re lifelines. They are how we find … Continue reading Why Sharing Stories in Recovery Matters: The Hero’s Journey and the Identified Patient

A steady march toward the deconstruction of addiction and recovery

photo credit: Bart Everson I want to add one thought to Brian's recent post about the study of a residential SUD program integrating the use of cannabis as part of their care. For me, this is representative of a steady march toward the deconstruction of addiction and recovery. If addiction is a social construction and … Continue reading A steady march toward the deconstruction of addiction and recovery