Yesterday I posted about a recent NY Times column arguing for a rational model of addictive drug use: “When they were given an alternative to crack, they made rational economic decisions.” … When methamphetamine replaced crack as the great drug scourge in the United States, Dr. Hart brought meth addicts into his laboratory for similar … Continue reading If it wasn’t rational, cont’d
Category: Research
If it wasn’t rational, they wouldn’t be doing it
Ugh. The NY Times has another column promoting a rational addiction model. "When they were given an alternative to crack, they made rational economic decisions.” ... When methamphetamine replaced crack as the great drug scourge in the United States, Dr. Hart brought meth addicts into his laboratory for similar experiments — and the results showed … Continue reading If it wasn’t rational, they wouldn’t be doing it
Recover from ==> Recovery to
Commenter Web Servant responded to the a recent "Sentence to Ponder" from Bill White about the need to expand the scope of treatment and recovery services that create pathways to natural community supports and adopt a wellness model. His comments seem worthy of a post of their own. The place of treatment in recovery is … Continue reading Recover from ==> Recovery to
Happy Labor Day!
The video's got nothing to do with recovery, but it's a great song and is apropos for Labor Day. While we're on the subject of labor, Bill White had a post a while back on the subject: In 2011, Dieter Henkel of the Institute for Addiction Research at the University of Applied Sciences in Frankfurt, … Continue reading Happy Labor Day!
Suboxone diversion?
A recent study looking at diversion of buprenorphine finds that: While 9% reported recent street-obtained buprenorphine use, only a small minority reported using buprenorphine to get high, with the majority reporting use to manage withdrawal symptoms. The use of street-obtained buprenorphine primarily to avoid withdrawal fits with Dawn Farm's experience, though the percentage would be … Continue reading Suboxone diversion?
Quality of life and death
A study out of Australia looks at death rates among opioid addicts receiving opioid substitution treatment (OST, for short. It's methadone.) in New South Wales between 1985-2005. It's a HUGE sample--43,789 people. If fact, the paper says: This cohort is likely to represent the majority of opioid dependent people in that State during this period, … Continue reading Quality of life and death
Sentences to Ponder
...conducting an RCT (randomized controlled trial) comparing two medical treatments (depot naltrexone and methadone.) misses the critical issue—that cure of addiction is not through medical interventions. People need social roles that provide identity other than being an addict and provide alternative rewards to drug use, in order to recover from addiction. Medical treatment cannot provide … Continue reading Sentences to Ponder
Known unknowns and unknown unknowns
John Horgan challenges scientism embraced by Stephen Pinker. He explains what Pinker said and where they agree: Pinker faults Humists for accusing scientists of “scientism,” which could be defined as excessive trust in science. Attempting rhetorical jujitsu, Pinker suggests that science, because it is such a uniquely self-critical and successful generator of knowledge, deserves all … Continue reading Known unknowns and unknown unknowns
a “selfish” and “untrusted” professional attitude*
Bankole Johnson, who was featured in HBO's Addiction documentary touting the use of Topiramate and wrote an anti-treatment screed years ago (my response here), has left his post after losing a whistleblower lawsuit. A University of Virginia department chairman nationally known for his addiction research has resigned less than 10 months after a subordinate won an $820,000 whistleblower lawsuit filed … Continue reading a “selfish” and “untrusted” professional attitude*
Buprenorphine compliance rates
The following abstract popped up today. The purpose of the study was to look at factors associated with completion of the 6 month, primary care based program. What struck me was the completion rate--35.7%. For all the crowing about ORT, this seems really low. (And, they said this completion rate is consistent with prior studies.) … Continue reading Buprenorphine compliance rates
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