The Lancet and drug harms: missing the bigger picture – TBS

A Throw Back Sunday post from 2007 on values and evaluating drug harms. ============ The Transform Drug Policy Foundation offers a response to the recent Lancet article that ranked drugs by harm. The writer suggest that the article is flawed in two important ways. First he argues that it fails to consider harms caused by … Continue reading The Lancet and drug harms: missing the bigger picture – TBS

Home at Last

Getting back to the Throw Back Sunday posts after a little break. This one was originally posted in February 2007. ===================== PBS's series NOW had a segment on a housing first approach with a man named Footie who is chronically homeless and an alcoholic. He's clearly a late stage alcoholic, frequently has seizures and may … Continue reading Home at Last

Readiness for change and drug use outcomes after treatment

This week's Throwback Sunday is a post about a study on the Transtheoretical Stages of Change (TSOC). It's relevant due to the ongoing and recent media love for Motivational Interviewing (MI), which is fairly closely tied to the TSOC. (This is disputed, but the motivational interviewing website as 12 pages of search results for "stages of … Continue reading Readiness for change and drug use outcomes after treatment

Radical Recovery

This week's Throwback Sunday is Bill White's description of radical recovery. ================== For MLK day, here's an article by Bill White on "radical recovery." He describes a convergence of social activism and addiction recovery. The article offers a model that goes well beyond the the interests of recovering people themselves and encourages advocacy in larger … Continue reading Radical Recovery

Throwback Sunday – Pessimistic Paternalism

I'm doubling up this week with two posts on harm reduction from December 2006. I've written often about the subtle bigotry of low expectations, these two posts illustrate that concern. (I like my reference to "pessimistic paternalism disguised as compassionate pragmatism.") ======================== Debate on abstinence A horrifying excerpt from a debate in a British treatment provider magazine. … Continue reading Throwback Sunday – Pessimistic Paternalism

Recovering Alcoholics With Poor Sleep Perceptions Will Likely Relapse

This post from 2006 shares findings that distress over sleep problems is a better predictor of relapse than sleep problems themselves. That post title is awful and misleading. Sorry. Looks like I took it straight from the press release. ================= A study from local researchers. The headline overstates the findings from this 18 subject study. … Continue reading Recovering Alcoholics With Poor Sleep Perceptions Will Likely Relapse

Drugs: why we should medicalise, not criminalise – TBS

Here's a Throwback Sunday post from 2006 on a call for more drug maintenance and my take on some problematic underlying assumptions. ======================= This sounds so rational. When you read the whole column (originlly published in the Sunday Times), it's also wrapped in the language of social justice. However, her arguments are so flawed that it's … Continue reading Drugs: why we should medicalise, not criminalise – TBS

Choice and Free Will: Beyond the Disease Model of Addiction – TBS

This Throw Back Sunday (we'll settle on that name for these posts) post was originally posted in 2006. I appreciate the author's attempt to shift the conversation away from false dichotomies. ==============     Interesting commentary on choice and stigma: ...of course what's meant by personal weakness and bad choices, when stigmatizing addicts, is that … Continue reading Choice and Free Will: Beyond the Disease Model of Addiction – TBS