I just listened to a Radiolab episode focusing on people's attempts to control their future selves—to prevent themselves from doing something that they don't want to do. Here's a video that, focusing on procrastination, illuminates the concept of your present self trying to control your future self. (It's from a book called, You Are Not … Continue reading Help!
Category: Treatment
Addiction diagnoses to rise
I've posted before about problems with the proposed approach to addiction in the DSM-5. These changes were intended to clear up language problems, specifically the conflation of dependence and addiction leading to "false positives" for addiction. Looks like the DSM-5 is causing its own language problems before it's even adopted. [emphasis mine] Many scholars believe … Continue reading Addiction diagnoses to rise
Human rights and coerced treatment
A recent article looks at the ethics and effectiveness of coerced treatment: It has been argued that quasi-compulsory treatment (QCT) may be considered ethical (under some specific conditions) for drug dependent offenders who have committed criminal offences for whom the usual penal sanction would be more restrictive of liberty than the forms of treatment … Continue reading Human rights and coerced treatment
Smoking cessation in treatment
Looks like we still have a lot to learn about helping alcoholics and drug addicts quit smoking, but intensive smoking cessation interventions do not appear to do harm: The intensive smoking cessation intervention yielded a higher short-term smoking quit rate without jeopardizing sobriety.
Group treatment has long term benefits
From the journal, Alcoholism: Clinical and Experimental Research: Background: Group psychotherapy (PT) is one of the most common interventions used to treat alcohol dependence (AD), and it is assumed to be effective. Despite its common clinical use, long-term trials that have been conducted to examine the efficacy of group PT in the treatment of outpatients with AD … Continue reading Group treatment has long term benefits
Youth Recovery Contexts
Another study brings good news about adolescents and 12 step recovery: Results The proportion attending 12-step meetings was relatively low across follow-up (24 to 29%), but more frequent attendance was independently associated with greater abstinence in concurrent and, to a lesser extent, lagged models. An 8-item composite measure of 12-step involvement did not enhance outcomes … Continue reading Youth Recovery Contexts
ADHD overdiagnosed
A recent study look at diagnostic reliability of ADHD: RESULTS: Many mental health practitioners seem to proceed heuristically and base their decisions on unclear rules of thumb. The respondents more readily diagnosed ADHD when the case involved a male patient and presented prototypical symptoms, such as impulsiveness, motoric restlessness, and lack of concentration. They were, … Continue reading ADHD overdiagnosed
Racial disparities in antidepressant prescriptions
A study on racial disparities in antidepressant prescribing: A research group at the University of Michigan and Indiana University concluded that physicians were 1.52 times more likely to prescribe antidepressants to Caucasians than to Hispanics for the same major depressive disorders. ... The researchers also found that whites were more likely to be prescribed newer, … Continue reading Racial disparities in antidepressant prescriptions
Sentences to ponder
What lessons does this have to offer addiction and psychiatric treatment? Last year 41 million colds were erroneously treated with antibiotics because doctors were unwilling to confront patients who demanded drugs. Patients show up with a cold, don’t like to be told that their illness will just have to run its course, demand antibiotics, and … Continue reading Sentences to ponder
Harsh enforcement has failed
This Foreign Policy article provides a concise snapshot of the failure of the "harsh enforcement" approach to drug policy: As a domestic policy, a harsh enforcement approach has done little to control drug use, but has done a lot to lock up a growing portion of the U.S. population. Cocaine and opiate prices are about half … Continue reading Harsh enforcement has failed
Recovery Review 