Originally posted in June 2021 reposted with minor edits and hyperlink updates What color dress do you see? There was this thing going around the internet a few years called “the Dress,” millions of people around the world saw it and chimed in on what color that they perceived the dress to be. It has … Continue reading The Recovery We See
Doing it wrong?
("Wrong Way" by Jack Zalium is licensed under CC BY-NC 2.0.) More and more frequently I'm hearing self-identified and publicly recognized recovery advocates state that providing harm reduction services with the goal of moving people toward recovery or treatment constitutes "doing it wrong." This perspective isn't limited to a few outliers, I heard it voiced at a SAMHSA … Continue reading Doing it wrong?
Three more things worth knowing about recovery from addiction
A few things related to recovery have caught my eye recently, things that I think are worth knowing and that ought to shape our practice.. Abstinence goals more reliable In a study[1] from Swiss researchers involving more than 200 patients going through residential treatment, those who set clear goals for abstinence were much less likely to … Continue reading Three more things worth knowing about recovery from addiction
Embracing Recovery Capital Within Our Care System to Save It
There have been devastating impacts on our entire helping systems workforce over the long siege of the COVID Pandemic. Recently, I read the Ohio PHP Executive Report, the Impact of the Covid-19 Pandemic on the Health and Well-being of Ohio's Healthcare Workers. The report summarizes data collected from 13,532 respondents across 13 of Ohio’s Professional … Continue reading Embracing Recovery Capital Within Our Care System to Save It
Sean Fogler and William Stauffer: How to help people who use drugs stop
SEAN FOGLER AND WILLIAM STAUFFER - AUG 15, 2022 Pittsburgh Post-Gazette Op-ed Today drug overdose deaths will claim almost three hundred American lives — thanks to stigma. The labels and stereotypes so many of us use are stigma in action, and separate us from those we mark as inferior, people to avoid. We judge and discriminate, … Continue reading Sean Fogler and William Stauffer: How to help people who use drugs stop
Addiction, Stigma, and Liberation
I recently stumbled on this educational page about stigma from the National Harm Reduction Coalition. It's well done and illuminates the assumptions and goals for their stigma reduction efforts. They frame responding to drug use as a choice between liberation and stigma, with harm reduction as the path to liberation. While it may work for … Continue reading Addiction, Stigma, and Liberation
Is Medication Assisted Treatment like the Hotel California?
The tragedy of Scotland’s drug-related death figures has been in my mind this last week or so. The media may have largely moved on, but those of us who work in the field of addiction, those of us who know individuals who have died and those of us with lived experience of addiction will not … Continue reading Is Medication Assisted Treatment like the Hotel California?
Preaddiction as a Missing Concept in Articulating the Dynamics of Healing & Recovery
Earlier this month, Dr. Thomas McLellan, Dr George Koob, and Dr Nora Volkow published a viewpoint article at JAMA titled Preaddiction—A Missing Concept for Treating Substance Use Disorders. It is an important piece. The concept of preaddiction could dramatically expand our intervention strategies and better help us address the horrific consequences of harmful substance use … Continue reading Preaddiction as a Missing Concept in Articulating the Dynamics of Healing & Recovery
Let’s talk critique- Part deux
Credit: knowledgeworks I received some interesting questions regarding my post on critique, so I figure it is time, as Paul Harvey says, to tell the rest of the story (while I have the time). Anyone who has studied politics and philosophy knows that for every argument there are counterarguments and alternative theories that come from … Continue reading Let’s talk critique- Part deux
When rehab is not right
I saw an exchange on Twitter the other day that on first reading raised my eyebrows and created empathetic frustration. An individual was apparently being refused rehab because “he continued to use drugs”. Surely that’s the best reason for going to rehab. We don’t refuse treatment to diabetics because their diets are problematic, or because … Continue reading When rehab is not right
