The American Journal of Medicine has an interesting commentary examining parallels between the AIDS epidemic and the opioid epidemic. While the early history of government inaction, public fear, and stigmatization of HIV/AIDS is a shameful stain on this country's conscience, 30 years later we have achieved tremendous victories, and the disease has transitioned from … Continue reading Learning from the AIDS epidemic
Author: Jason Schwartz
ADHD and Addiction
Howard Wetsman reacts to a study linking ADHD to tobacco addiction, suggesting that ADHD is a risk factor for tobacco addiction. What if ADHD, a disorder of low midbrain dopamine tone, wasn’t ADHD? What if it was a disorder in which a person with lowered dopamine tone and the accompanying symptoms (poor attention, poor motivation, … Continue reading ADHD and Addiction
Professional Knows Best
That harm reduction post from a few days ago? DJ Mac blogged on the same article and did a much better job discussing the questions involved, particularly around client preferences, expectations and professional pessimism. However, when we, the professionals working with them, have not met significant numbers of recovering people, when we have not been to … Continue reading Professional Knows Best
New Recovery: Acid and Alcohol Don’t Mix – TBS
For this week's Throwback Sunday Post, ignore the reference to acid. I selected it because it speaks to the dangers of a couple of recent developments: the spectrum approach to substance use disorders the recurring references to 23 million Americans being in recovery The danger of these developments is that they blur the lines between those … Continue reading New Recovery: Acid and Alcohol Don’t Mix – TBS
Back to the Future – Volunteer Edition
Bill White, on the lost story of the more than 14,000 volunteers counted in a 1976 addiction workforce survey. What that story would reveal if it were fully told would be six striking facts. First, volunteers made up a significant portion (nearly a quarter) of the addiction treatment workforce of the early 1970s. Second, many … Continue reading Back to the Future – Volunteer Edition
Harm reduction is the goal – not a step along the road to recovery
Drug and Alcohol Findings asks the big question about harm reduction and exposes the fault lines. What is a harm reduction service for? Just one issue for you to ponder, but a (the?) big one, because surely the first thing any organisation should be clear about, is what it is there to achieve. The answer … Continue reading Harm reduction is the goal – not a step along the road to recovery
Social Connection, Wellness and Recovery
DJ Mac posted some research on the relationships between social connection and wellness and recovery. When Julianne Holt-Lunstad and colleagues published their gargantuan meta-analysis of mortality risks in 2010 they found a ’50% increased likelihood of survival for participants with stronger social relationships.’ In this paper it looked like this was a stronger predictor of long healthy life than stopping … Continue reading Social Connection, Wellness and Recovery
Opioid treatment medications roundup
The New England Journal of Medicine posted an opinion piece calling for expanding use of medications to treat opioid addiction These alarming trends led the Department of Health and Human Services (HHS) to deem prescription-opioid overdose deaths an epidemic and prompted multiple federal, state, and local actions.2 The HHS efforts aim to simultaneously reduce opioid abuse … Continue reading Opioid treatment medications roundup
Sentences to ponder
"The average person, understandably, doesn’t realize how careful scientific research has virtually wiped out skepticism of AA and twelve-step facilitation counseling among researchers. Many scientists — including me — were skeptical of AA 25 years ago, but a series of rigorous outcome studies supporting AA’s effectiveness changed our minds. Unlike in much of popular debate, … Continue reading Sentences to ponder
Free will and moral responsibility
Yesterday, I was nerding out with this podcast on free will and found it to be very relevant to our arguments about the disease model. The podcast argued that most arguments about free will are not really arguments about free will, rather they are arguments about moral responsibility. If we sacrifice the notion of free … Continue reading Free will and moral responsibility
