The Politicization of Harm Reduction

(Credit: Fred Murphy) A friend shared this interview with Susan Stellin and Graham MacIndoe with me yesterday. Susan and Graham do a lot of public education about addiction and drug problems, including their traveling exhibition Reframing Recovery. It's rare to hear a lengthy discussion that communicates such sincere respect for both recovery and harm reduction. … Continue reading The Politicization of Harm Reduction

Follow the science . . .

Zeynep Tufecki's analysis of the damage to public trust from misleading public health messaging during the pandemic reminded me of this post. She describes problems of omission, misrepresentation of confidence levels in information, a desire to be a counterforce to misinformation, and hubris leading officials into squandering public trust and, in some cases, becoming a … Continue reading Follow the science . . .

12-Step Facilitation is the eighth most frequently used therapeutic approach in treatment facilities

There are a lot of problems in addiction treatment, but 12-step hegemony is not the problem that advocates and media coverage would lead one to believe. There's a widely held belief that 12-step culture exerts a smothering pro-abstinence stranglehold on public health and policy responses to substance use. It's a strange phenomenon when one considers … Continue reading 12-Step Facilitation is the eighth most frequently used therapeutic approach in treatment facilities

Multiple pathways as a disruptor: from what to what?

"Multiple pathways to recovery" has been popularized by the new recovery advocacy movement (NRAM) and Recovery Oriented Systems of Care (ROSC), but the concept has been around since at least 1944. The September 1944 issue of Alcoholics Anonymous' Grapevine published an article by Philip Wylie, describing his solo recovery supported by psychologists and reading. Bill … Continue reading Multiple pathways as a disruptor: from what to what?

Am I in recovery?

A recent paper on collegiate recovery experiences highlights an important dynamic in recovery advocacy, recovery science, and recovery policy. I've commented a lot on the conceptual boundaries of recovery in the blog -- the relationship between addiction (or SUD or other compulsive behaviors) and recovery; whether recovery is a process, a direction, or an outcome; … Continue reading Am I in recovery?

Partnering in pursuit of truth and recovery

Bill Stauffer recently shared Bill White's keynote from this week's Consortium on Addiction Recovery Science. It's a great speech and there's a lot to absorb. I'm sure more will be said about it on this blog. White frames recovery research as emerging from a gaping hole in professional/clinical and scientific/research knowledge related to recovery. To … Continue reading Partnering in pursuit of truth and recovery

“these things take courage, and they encourage each other”

Read Spotted Newt book shop, Hazard, KY When Bill White called for an overhaul of our treatment models (Recovery Management) and our treatment systems (Recovery Oriented Systems of Care), there was an emphasis on community organization and "hope-based interventions" to reduce stigma by making recovery more visible and voluntarily attract more people into treatment and … Continue reading “these things take courage, and they encourage each other”