Throwback Sunday – Pessimistic Paternalism

I'm doubling up this week with two posts on harm reduction from December 2006. I've written often about the subtle bigotry of low expectations, these two posts illustrate that concern. (I like my reference to "pessimistic paternalism disguised as compassionate pragmatism.") ======================== Debate on abstinence A horrifying excerpt from a debate in a British treatment provider magazine. … Continue reading Throwback Sunday – Pessimistic Paternalism

The evidence-base for 12 step recovery

There's a fresh round of attacks on AA as pseudo-science in need of sober debunking. All based on one book that is getting impressive publicity. The book may contain references to support its attacks, but the interviews and articles do not. The absolute language ("everyone" and "never") hint that this may not be the objective analysis it's reported … Continue reading The evidence-base for 12 step recovery

Tribes of the Recovering Community

This week's tribe is LifeRing Secular Recovery: LifeRing Secular Recovery is an abstinence-based, worldwide network of people who are choosing to live in recovery from alcohol and other drugs. We encourage individuals to build their own personal recovery programs based on three principles: sobriety, secularity, and self-direction. We believe our personal recoveries require communication and … Continue reading Tribes of the Recovering Community

Thanks for the evidence

Anna David points us toward some positive press for AA. One of the articles focuses on a lecture by Marc Galanter Galanter said that AA uses many of the psychosocial features that operate in any charismatic membership group: social cohesion through attendance at regular meetings; a belief system embodied in the book Alcoholics Anonymous; a behavioral program … Continue reading Thanks for the evidence

24 month outcomes

  Another study supports the effects of twelve step participation over 24 months. (I know the abstract says "self help", but the pay-walled article makes it clear that they were looking at twelve step participation.) Abstract The goal was to identify factors that predicted sustained cocaine abstinence and transitions from cocaine use to abstinence over … Continue reading 24 month outcomes

2012′s most popular posts #3 – Hazelden to start opioid maintenance

This has gotten a lot of attention [emphasis mine]: ...for the first time, Hazelden will begin providing medication-assisted treatment for people hooked on heroin or opioid painkillers, starting at its Center City, Minnesota facility and expanding across its treatment network in five states in 2013.  This so-called maintenance therapy differs from simply detoxifying addicts until … Continue reading 2012′s most popular posts #3 – Hazelden to start opioid maintenance