“full recovery or amplified recovery” — toward typologies of recovery?

A version of this post was originally published in April 2019. Recently proposed definitions of recovery could be characterized as defining it downward (or expanding the boundaries outward). I've expressed concern that these proposed boundaries are so broad that most people who currently self-identify as in recovery will not feel a shared identity with the … Continue reading “full recovery or amplified recovery” — toward typologies of recovery?

What we miss when we focus on opioid treatment and recovery

A version of this post was originally published in September 2019. Fortunately, there's been growing concern that advocates, policymakers, and media have too narrowly focused on the opioid crisis. Up to this point, it hasn't reached the level of media coverage. USA Today is one of the first to publish an article that explores the … Continue reading What we miss when we focus on opioid treatment and recovery

Does morality have a place in discussions of addiction recovery?

A version of this post was originally published in June 2020. A question has been on my mind for a while--what is the place of morality or moralizing language in addiction and recovery? Not moral? Bill White has been one of the most influential recovery advocates of the last quarter-century. One could argue that, over … Continue reading Does morality have a place in discussions of addiction recovery?

Love and Addiction Counseling (Bill White and Jason Schwartz)

A version of this post was originally published in January 2018. [Cross-posted at williamwhitepapers.com] Addiction counseling has become an increasingly professional and pristine affair, and service relationships reflect a more detached process than in years gone by. And yet one worries about the loss of something precious in our current fixation on the technical mastery … Continue reading Love and Addiction Counseling (Bill White and Jason Schwartz)

Follow the science . . .

A version of this post was originally published in June 2020. I've been thinking a lot about the convergence of several cultural trends: historically unprecedented access to information;the atomization of media and information sources;the tribalization of media and information sources;scientism as a cultural force that:lacks epistemic humility;is often dismissive of experiential knowledge;is often dismissive of … Continue reading Follow the science . . .

Unethical care, shoddy care, and the “poverty industry”

As someone who spent 25 years working for a nonprofit providing long-term residential addiction treatment, I'm of two minds about the state of residential treatment in the US. On the one hand, our agency struggled mightily to maintain high-quality, ethical, evidence-based care that kept patients engaged and supported them through the treacherous first 1-2 years … Continue reading Unethical care, shoddy care, and the “poverty industry”