Bill White introduces a new concept, precovery: Precovery involves several simultaneous processes: physical depletion of the drug's once esteemed value, cognitive disillusionment with the using lifestyle (a "crystallization of discontent" resulting from a pro/con analysis of "the life"), growing emotional distress and self-repugnance, spiritual hunger for greater meaning and purpose in life, breakthroughs in perception … Continue reading Precovery
Category: Treatment
Recovery capital and capital
From the UK Advisory Council on the Misuse of Drugs second report of the recovery committee [emphasis mine]: ...our optimism about recovery should be tempered. Evidence suggests that different groups are more or less likely to achieve recovery outcomes. For some people, with high levels of recovery capital (e.g. good education, secure positive relationships, a job), recovery … Continue reading Recovery capital and capital
NY Times / Suboxone redux
I thought I was done, but here are a couple more smart takes. Both support maintenance but appreciate the article raising awareness of important problems. From The Institute Blog: And as the articles (and the comment section) demonstrate, the use of buprenorphine to treat addiction and prevent substance use-related harms is messy. Interlacing text and video, … Continue reading NY Times / Suboxone redux
What makes treatment effective?
This will be my post in response to the NY Times' series on Suboxone. This post originally ran on 7/19/13 and addressed a lot of our concerns. * * * I've been catching a lot of heat recently for posts about Suboxone and methadone. (For the sake of this post, lets refer to … Continue reading What makes treatment effective?
no hint of opinion here
To me, the most important line in the NY Times Suboxone series was this one, "[Dr. Sullivan] considered opioid addiction "a hopeless disease'". We believe that maintenance approaches are rooted in the belief that most opiate addicts are not capable of recovering in the same manner that doctors recover. Most of the arguments for maintenance treatments … Continue reading no hint of opinion here
NYT Reax
This blog has a point of view. We're not fans of maintenance. (Though we still think Suboxone can be a very useful detox tool.) If you want to read defenses of Suboxone, you can find a couple here: The Media Needs to Stop Stigmatizing Our Best Weapon Against Heroin Addiction - "tainted, to bourgeois eyes" New York … Continue reading NYT Reax
“a hopeless disease”
The NY Times has another article in its series on Suboxone. Buprenorphine was developed as a safer alternative to methadone for treating heroin and painkiller addiction, a take-home medication that could be prescribed by doctors in offices rather than dispensed daily in clinics. But in some areas a de facto clinic scene, unregulated, … Continue reading “a hopeless disease”
Addiction Treatment With a Dark Side
The NY Times has a new piece on Suboxone. First, on its blockbuster status: Suboxone is the blockbuster drug most people have never heard of. Surpassing well-known medications like Viagra and Adderall, it generated $1.55 billion in United States sales last year, its success fueled by an exploding opioid abuse epidemic and the embrace of federal officials … Continue reading Addiction Treatment With a Dark Side
Who’s guarding the hen house?
From the NY Times: Addiction experts protested loudly when the Food and Drug Administration approved a powerful new opioid painkiller last month, saying that it would set off a wave of abuse much as OxyContin did when it first appeared. An F.D.A. panel had earlier voted, 11 to 2, against approval of the drug, Zohydro, … Continue reading Who’s guarding the hen house?
a spectrum of apples, oranges, lemons, plums?
Howard Wetsman picks apart the spectrum approach of the DSM5 Making a spectrum out of the illnesses that have been put in the substance use category of DSM IV is like making a spectrum out of an apple, an orange, a lemon, a lime, a blue fruit (if there was one) and a plum. You’d … Continue reading a spectrum of apples, oranges, lemons, plums?
Recovery Review 