Some people have responded to the information in this weekend's post with reactions approximating, "Okay, Purdue played a role in the crisis. Purdue is bad. But, what good does your attention to them do us? This hasn't been a prescription crisis for years now. We're in a fentanyl crisis now and focusing on pharma does … Continue reading Follow up: Origins of the Opioid Crisis
Addiction and the Stages of Healing, Part 10: IMAGINE THE DAY; WHAT CAN WE DO RIGHT NOW?
IMAGINE THE DAY It would be wonderful – imagine the day – when those clinicians working in addiction treatment or recovery support could clearly identify the patient’s normative position in progress related to measures in: neurological/brain structure and functionspecific aspects of initial cognitive clearing and later cognitive flexibility as they move alongemotional self-regulation and later … Continue reading Addiction and the Stages of Healing, Part 10: IMAGINE THE DAY; WHAT CAN WE DO RIGHT NOW?
Addiction and the Stages of Healing, Part 9: STAGE THEORIES RELATED TO ADDICTION
We do have previous stage theories in the addiction literature. Substance use disorder-specific stage theories have been presented. Abraham Wikler13 and Shepard Siegel are two that have presented stage theories concerning addiction etiology and progression.Many of you might be familiar with the work of Terrence Gorski14 and of Alan Marlatt15. They are coming from separate … Continue reading Addiction and the Stages of Healing, Part 9: STAGE THEORIES RELATED TO ADDICTION
Origins of the Opioid Crisis: A little more
Earlier today Jason Schwartz provided an interesting post about the origins of the opioid crisis. It brought to mind some related thoughts I decided to share. I remember in the early 2000's, in the city where I was working at that time, we began to see 18 year olds presenting for treatment (especially methadone maintenance) … Continue reading Origins of the Opioid Crisis: A little more
Origins of the Opioid Crisis
David Juurlink posted a tweetstorm based on a new report from the National Bureau of Economic Research entitled Origins of the Opioid Crisis and Its Enduring Impacts. It's important because it challenges a few common claims about the opioid crisis: That rx opioids were not an especially important driver of the crisis.That regulatory reform would … Continue reading Origins of the Opioid Crisis
Addiction and the Stages of Healing, Part 8: INVITATION TO A THINK TANK
In the early 2000’s I was invited to a “Think Tank” concerning our field. A few weeks before the gathering, we were told, “Look forward in your career, out 20 or 30 years, and come ready to say what you would wish we would have in our field”. When we met, there were two ideas … Continue reading Addiction and the Stages of Healing, Part 8: INVITATION TO A THINK TANK
Disparate Care Reinforces Low Expectations of Recovery
Earlier this week, the Washington Post published an article on how affordable treatment for mental health and substance use is getting harder to find. The article, published December 1st can be found here. It does not paint a pretty picture of our care system and shows that the main law, intended to protect persons seeking … Continue reading Disparate Care Reinforces Low Expectations of Recovery
Addiction and the Stages of Healing, Part 7: CURRENT PRACTICAL PROBLEMS; PRACTICAL EXAMPLES
CURRENT PRACTICAL PROBLEMS Hopefully it is clear by now that there are current practical problems in our field (including the context within our field); I would like to discuss those a bit. One major problem is that the length of the disorder is long and most care is short. Various key problems are secondary to … Continue reading Addiction and the Stages of Healing, Part 7: CURRENT PRACTICAL PROBLEMS; PRACTICAL EXAMPLES
Sentences to ponder
Tufts University announced Thursday it will strip the Sackler name from a graduate school, buildings, and health programs . . . amid allegations the family and company sought to generate goodwill and gain influence at Tufts — particularly its pain research and education program — through philanthropy . . . No longer will programs and facilities … Continue reading Sentences to ponder
Addiction and the Stages of Healing, Part 6: WHOLE PERSON HEALING: THE PERSON, THE SYSTEM & RESEARCH
In speaking with Bob Lynn6 about this idea, he stated, “A wound might be treated effectively, but the bruise only clears on its own, with time.” What he was getting at is that clinical care might focus on only one aspect of the problem, with a method that can merely control one part of the … Continue reading Addiction and the Stages of Healing, Part 6: WHOLE PERSON HEALING: THE PERSON, THE SYSTEM & RESEARCH
