The NY Times has a story on a jail terminating methadone maintenance for inmates. There have been a lot of stories like this over the years. Nothing new. What grated me about the article was this line: Recovery advocates and community members argue that cutting people off from methadone is too dangerous, akin to taking … Continue reading Recovery advocates argue…
Category: Controversies
Scotland’s ORT Outcomes
Scotland invests a very large portion of their treatment resources into ORT and recently released a report on their outcomes. Pretty underwhelming. ... the Report on People in Treatment study reveals that more than two out of every three users who go into treatment admit continuing to use illegal drugs after three months. ... Where … Continue reading Scotland’s ORT Outcomes
2012’s most popular posts #10 – Almost Alcoholic
This article demonstrates a big problem in understanding addiction and the a big problem in the current diagnostic categories. ...when we think about alcohol abuse or alcoholism, our thoughts often go to situations like this where someone is at a stage where they are doing immediate damage to themselves or others, but what about the stage … Continue reading 2012’s most popular posts #10 – Almost Alcoholic
Anonymity Hurts More Than It Helps???
This video came to my attention through this op-ed. I like the video and agree that making recovery more visible is important in reducing stigma. Last year I wrote: Am I the only one who is really underwhelmed with these recent pieces on whether anonymity in AA has been rendered quaint? To me, they seem to fundamentally misunderstand AA’s anonymity. There’s … Continue reading Anonymity Hurts More Than It Helps???
Intellectual conflicts of interest
Allen Frances, Chair of the DSM-IV Task Force lets loose on the DSM-5. He acknowledges the noxious effects of professional interests on research and practice in a way that is rarely seen from leaders of his stature. [emphasis mine] This is the saddest moment in my 45 year career of studying, practicing, and teaching psychiatry. The Board of … Continue reading Intellectual conflicts of interest
The DSM-5 is coming
Change is coming, but is it good? At its December meeting today, APA’s Board of Trustees approved the final diagnostic categories and criteria for the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5). The trustees’ action marks the end of the manual’s comprehensive revision process, which has spanned over a decade and included … Continue reading The DSM-5 is coming
Lines are being drawn
A major treatment provider, Caron, weighs in on Hazelden's adoption of buprenorphine maintenance treatment: We use buprenorphine (Suboxone) to assist with the detoxification process from opioids and the length of time can vary depending on the patient’s progress and additional medical issues, such as chronic pain. However, unlike Hazelden’s goal as stated in … Continue reading Lines are being drawn
Response to Why Addiction is NOT a Brain Disease
In a thoughtful post, Marc Lewis questions the disease model of addiction. He doesn't dismiss it out of hand. He seems to look for ways in which it's right and useful. It’s accurate in some ways. It accounts for the neurobiology of addiction better than the “choice” model and other contenders. It explains the helplessness … Continue reading Response to Why Addiction is NOT a Brain Disease
WTH?!?!? (What the heck)
I'm not, in any way, against efforts to develop pharmaceutical treatments for addiction. However, I'm of the opinion that there is a culture problem among researchers and some members of their universe. Does any serious, knowledgeable person with an eye toward practice believe that a stimulant drug is going to be an effective treatment for alcoholism? Yet, … Continue reading WTH?!?!? (What the heck)
Suboxone Strategy: Protecting Patients Or Profits?
I'm a little late on posting this one, but it still seems worth sharing. Reckitt Benckiser has decided to pull Suboxone tablets from the market. Why? It's an evidence-based decision and an expression of their desire to be a good corporate citizen and their concern for children. Late last month, Reckitt Benckiser created a stir … Continue reading Suboxone Strategy: Protecting Patients Or Profits?
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