Recent reporting on the consequences of PHARMA bad behavior

There were a couple of articles published this week about bad behavior from PHARMA. First, Vox looks into the roots of the overdose epidemic and Purdue Pharma's role in policy changes that set the stage for the explosion in opioid prescribing and addiction. (Of course, Purdue profited from these policy changes.) Andrew Kolodny and other public … Continue reading Recent reporting on the consequences of PHARMA bad behavior

Supporting Research for Psychosocial Treatments + Medication is “sparse”

Yesterday, I told you about the new White House budget proposal for $1,100,000,000 for addiction treatment that places very heavy emphasis on medication assisted treatment (MAT). A recently published study in Journal of Addiction Medicine, the official journal of the American Society of Addiction Medicine (ASAM), raises questions about the rationale for that budget. That budget and … Continue reading Supporting Research for Psychosocial Treatments + Medication is “sparse”

Dangerous Treatment and the Science of Safety

We are concerned about the dangers of addiction as never before. For good reason--the opioid epidemic has become an overdose epidemic. One undercurrent in the coverage of the issue is the implication that abstinence-based treatment contributes to overdose deaths. (There's no question maintenance drugs reduce overdose risk and short term abstinence-based treatment of opioid addiction … Continue reading Dangerous Treatment and the Science of Safety

Most popular posts of 2015 – #1 – Why so irrational about AA?

Gabrielle Glaser has gotten another AA bashing article published and it's getting a lot of attention. Of course she doesn't really offer a tangible alternative. I'm not going to write another piece rebutting it, but I'll point you to a few relevant posts. First, in New York magazine, Jesse Singal dismantles Glaser's arguments. As with any … Continue reading Most popular posts of 2015 – #1 – Why so irrational about AA?

Most popular posts of 2015 – #2 – We all wish love was enough

This article, claiming to have discovered the long suppressed cause of addiction, has been making the rounds and has been recommended by a lot of people. Like a lot of things, it contains some truth but is not the Truth. People generally bring up rat park and returning Vietnam vets to advance 2 arguments. That you … Continue reading Most popular posts of 2015 – #2 – We all wish love was enough

Most popular posts of 2015 – #3 – The treatment system is failing opiate addicts

Stories like this are getting a lot of attention lately: State Sen. Chris Eaton is planning to introduce legislation to encourage opiate treatment providers and doctors to break with an abstinence-based model and embrace evidence-based practices for treating addiction, the Minnesota Democrat told The Huffington Post. I want to make it clear that I know nothing … Continue reading Most popular posts of 2015 – #3 – The treatment system is failing opiate addicts

Most popular posts of 2015 – #4 – Hari and the truth

Johann Hari is getting a new wave of attention after a recent TED talk. I'm not surprised he's getting so much attention. He's a great story teller with a compelling narrative. However, while is narrative does contain some important truths, he's just plain wrong about the cause of addiction. Over the next few days I … Continue reading Most popular posts of 2015 – #4 – Hari and the truth

Most popular posts of 2015 – #5 – We should re-examine policies for opioid addicted physicians?

This is interesting. A physician posted a message to an ASAM discussion board about his dissonance related to working in a treatment facility that does not use opioid maintenance treatments. Specifically, buprenorphine. ASAM turned the message board post into a magazine article and summarizes responses to the message. There's a lot that one could respond to. However, … Continue reading Most popular posts of 2015 – #5 – We should re-examine policies for opioid addicted physicians?