debate dominated by two bad options

Amidst a flurry of cannabis op-eds, Kleiman offers more common sense: David Brooks and Ruth Marcus both have anti-cannabis legalization essays up. Brooks doesn’t mention 650,000 arrests a year, 40,000 people behind bars at any one time, or $35 billion in annual illicit income. Brooks does mention the issue of personal liberty, but immediately bats it away: apparently … Continue reading debate dominated by two bad options

Sentences to ponder

Mark Kleiman shares typically thoughtful and serious thoughts about legalizing cannabis. Too bad thoughtful and serious is so rare where cannabis policy is concerned. 2. Everything has advantages and disadvantages. Cannabis legalization will reduce criminal revenue, intrusive enforcement, arrest, incarceration, and disorder around illicit markets, and enhance personal liberty, consumer choice, and respect for the … Continue reading Sentences to ponder

“narrative truth”

This reminded me of something from Bill White. At the heart of Perry’s argument — in line with neurologist Oliver Sacks’s recent meditation on memory and how “narrative truth,” rather than “historical truth,” shapes our impression of the world — is the recognition that stories make us human and learning to reframe our interpretations of reality is key to our experience … Continue reading “narrative truth”

“The only thing we heard was . . . that medication is the answer”

I recently posted on the potential harms of overtreating ADHD and its overdiagnosis. Now, the NY Times reports on problems with a study that provided the foundation for the explosion on stimulant treatment for ADHD. Twenty years ago, more than a dozen leaders in child psychiatry received $11 million from the National Institute of Mental Health … Continue reading “The only thing we heard was . . . that medication is the answer”

Personal Failure or System Failure?

Bill White explaining why inadequate treatment may be worse than no treatment: What we know from primary medicine is that ineffective treatments (via placebo effects) or an inadequate dose of a potentially effective treatment (e.g., as in antibiotic treatment of bacterial infections) may temporarily suppress symptoms.  Such treatments create the illusion of resumed health, but … Continue reading Personal Failure or System Failure?

Tribes of the Recovering Community

SMART Recovery® describes itself this way: SMART Recovery's 4-Point Program® helps people recover from all types of addictive behaviors, including: alcoholism, drug abuse, substance abuse, drug addiction, alcohol abuse, gambling addiction, cocaine addiction, and addiction to other substances and activities. SMART Recovery® (Self-Management And Recovery Training) is not a 12-step group, like Alcoholics Anonymous (AA) or … Continue reading Tribes of the Recovering Community

The Unintended Consequences Of Medical “Maximalism”

The Health Affairs blog questions the American Heart Association's maximalist approach with the use of statins. The issues sound familiar. The policy implications of these guidelines are staggering. Estimates show that if these recommendations are fully implemented, close to a third of all Americans will be placed on a statin. But these developments beg the … Continue reading The Unintended Consequences Of Medical “Maximalism”

What are teens hoping to feel when they self-harm?

  This isn't about addiction, but self-harm is not unusual in the addicts we serve.   A common motivation teenagers give is that non-suicidal self-harm provides a way to escape unpleasant thoughts and emotions. Another motive, little explored before now, is that self-harm is a way to deliberately provoke a particular desired feeling or sensation. … Continue reading What are teens hoping to feel when they self-harm?