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”

Sober 21

I stumbled on Sober 21 this morning, which describes itself as "a compendium of essays by, and interviews with, sober musicians". The editor's introductory essay describes the project as follows: It’s a free resource for musicians who want to begin the journey, or are new to the path of getting clean and sober from drugs … Continue reading Sober 21

Legal drugs the #1 and #3 causes of preventable death

From the recently updated NIAAA fact sheet on alcohol and health: An estimated 95,000 people (approximately 68,000 men and 27,000 women) die from alcohol-related causes annually, making alcohol the third-leading preventable cause of death in the United States. The first is tobacco, and the second is poor diet and physical inactivity. Of course, there are … Continue reading Legal drugs the #1 and #3 causes of preventable death