What is this work, and why have I undertaken it? It’s a series of essays that reflect some of my thoughts at this stage of my career. My hope is someone finds something here that is instructive, inspiring, challenging, or helpful. The essays are an attempt to work things out. Sometimes I say what … Continue reading Essays on Addiction Counseling
Occam’s Razor and the Industries of Addiction
Addiction is immensely profitable for purveyors of drugs and their related businesses, both in the illicit and legitimate markets. As I wrote about last year, in Portraying Abstinence Recovery as Puritanical Is in the Interest of Those Who Sell Addictive Drugs, industries selling addictive drugs have long targeted high-risk groups including youth and people in … Continue reading Occam’s Razor and the Industries of Addiction
Novel semi-synthetic 7-hydroxymitragnine products are here
A newly published full-text open access letter covers this important topic. Here are a few of the key points made by the authors. Mitragyna speciose, known as “Kratom” has a major alkaloid, mitragynine, and the metabolite 7-hydroxymitragynine. In leaf products (powders, etc.) these are typically 1-2% of the total content. Properties of 7-hydroxymitragynine include that … Continue reading Novel semi-synthetic 7-hydroxymitragnine products are here
An Interview with Maryanne Frangules of the Massachusetts Organization for Addiction Recovery (MOAR)
“Faces that are visible, voices who are vocal, will prove that recovery is valuable, and that is how we will be victorious!” - Maryanne Frangules of MOAR Maryanne Frangules has decades of experience as a recovery community advocate and community recovery capital builder. I have long thought about doing an interview with Maryanne Frangules. I … Continue reading An Interview with Maryanne Frangules of the Massachusetts Organization for Addiction Recovery (MOAR)
Unpopular opinion: Attention to recovery advocacy and ROSC has come at the expense of Recovery Management, harming treatment patients
This post isn't meant to suggest that ROSC or recovery advocacy are bad in any way. Rather, it is meant to suggest that Recovery Management has been underdeveloped while energy and enthusiasm have been focused on recovery advocacy and ROSC. It also isn't meant to assign blame, I'm just sharing an observation. Recovery Management (RM) … Continue reading Unpopular opinion: Attention to recovery advocacy and ROSC has come at the expense of Recovery Management, harming treatment patients
Experience is the best teacher. What’s the lesson?
(source) From a 1995 study: As recently as 1988, researchers in New York City suggested the adoption of crack smoking, in lieu of intravenous cocaine use, as a mechanism of AIDS risk reduction (Des Jarlais and Friedman, 1988). However, recent studies indicate that when compared with intravenous drug users, crack smokers may be at equal … Continue reading Experience is the best teacher. What’s the lesson?
Sentences to Ponder (1940)
Consider these sentences from a journal article published in 1940: Etiology of alcohol addiction. It has been generally recognized for many years that alcoholics do not form a homogeneous population but are heterogeneous relative to etiology, reaction, and course of disease. Definite criteria and relevant classification are therefore essential for the discussion of the phenomenology … Continue reading Sentences to Ponder (1940)
The Recovery Alliance Initiative: History, Methods, and Purpose
In the summer of 2022 I wrote a 6-part series describing the Recovery Alliance Initiative (RAI). A full monograph of that material is at the bottom of this post. The Alliance, as we call it, is a set of principles and practices that identifies and involves various sectors in the community that serve or touch … Continue reading The Recovery Alliance Initiative: History, Methods, and Purpose
John McKnight: A Voice for Vital Community – November 22, 1931 – November 2, 2024
“The associational world is the vital center of citizen production that is the foundation of our democracy — powered by trust.” – John L. McKnight I never met John McKnight, but in recent years I read two of his books after running across a reference to him in the writings of William White, I believe … Continue reading John McKnight: A Voice for Vital Community – November 22, 1931 – November 2, 2024
Screening and Assessment of Substance Use Disorders
Below is a PDF of a monograph I've completed on the topic of screening and assessment of SUDs. Other than individual and group counseling, it's hard for me to think of a task more central to the work of addiction counseling than screening and assessment. And in today's world, with the pace of change concerning … Continue reading Screening and Assessment of Substance Use Disorders
