Anna David points us toward some positive press for AA. One of the articles focuses on a lecture by Marc Galanter Galanter said that AA uses many of the psychosocial features that operate in any charismatic membership group: social cohesion through attendance at regular meetings; a belief system embodied in the book Alcoholics Anonymous; a behavioral program … Continue reading Thanks for the evidence
Category: Policy
Solving the prescription opioid problem
I've posted several times recently on the problem of opioid over-prescription and overdose. Some might assume that I want some regulatory or statutory intervention to address the issue. Truth is, I've got more questions than answers and I would not support a response that forces us to choose between treating pain and preventing addiction and … Continue reading Solving the prescription opioid problem
Overprescription of opioids is bad medicine
Keith Humphreys points out that the problem with the explosion of prescriptions for opioids isn't just addiction and overdose. They are often just not good medicine. Opioids typically have a miraculous effect on acute pain, but this does not necessarily translate to chronic pain relief, particularly as tolerance sets in over time. Even more disturbing, … Continue reading Overprescription of opioids is bad medicine
What policy would minimize total damage?
Mark Kleiman responds to a WSJ column expressing concern about increases in marijuana use leading to increases in schizophrenia. Kleiman responds to the specific concerns and then steps back to frame the larger policy decisions. The author of the WSJ piece solemnly announces, “The claim that marijuana is medically harmless is false.” No sh*t, Sherlock! … Continue reading What policy would minimize total damage?
Sentences to ponder
...interestingly, the arguments that really move public opinion here are those that are almost conservative in nature: legalization saves money; legalization can forestall the need for property or income taxes (on middle Americans, implicitly); legalization frees up police resources for violent criminals. --Sean Trende
Not available?
Another study finds no benefit from cognitive behavioral therapy and contingency management with opiate replacement treatment. [CORRECTED: See below] Background and aims The Controlled Substances Act requires physicians in the United States to provide or refer to behavioral treatment when treating opioid-dependent individuals with buprenorphine; however no research has examined the combination of buprenorphine with … Continue reading Not available?
Black-lash
Points has a post on the history of black support for the war on drugs. When I began researching grassroots responses to crack-cocaine I found myself—albeit naively—both surprised and confused by heavy-handed, aggressive calls for more policing and harsher sentencing from working and middle class black urbanites. Was this unique to the period? Did this … Continue reading Black-lash
“Yes, we are Big Marijuana”
The Stranger covers the launch of the first national marijuana brand and stock promotion. It even included a former Mexican President! Flanked by lawyers, a state lawmaker, and former Mexico president Vicente Fox, Shively said he is a "couple weeks" from an initial $10 million milestone, and within three years, he fully expects to … Continue reading “Yes, we are Big Marijuana”
Rights, morality and drug policy
Mark Kleiman recently wrote a great post on morality in drug policy: Jonathan Rauch, who heads the Brookings side of the project, found that line of argument troubling. He asked me whether the interests of the responsible 80% should really have to yield to the interests of the irresponsible 20%. (Since the two … Continue reading Rights, morality and drug policy
How would we react to a CURE?
Howard Wetsman has been part of a workgroup challenging the dominance of pharmacological treatments and promoting psychosocial treatments. He's had some unsettling feelings and engaged in a thought experiment about what might happen if a real cure was developed. What we’re imagining is a complete cure. This is not a method for, let’s say, alcoholics … Continue reading How would we react to a CURE?
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