Drink does not drown care, but waters it, and makes it grow fasterBenjamin Franklin When we consider the things that make us vulnerable to addiction – trauma, poverty, lack of opportunity, stress, stigma, genetics and environment, it’s no surprise that relapse and the development of problems with other substances occur after treatment. These problems don't … Continue reading Drinking when in recovery from other substances
The conclusion of the two-parter. Part one is here. Professor Selman’s last five essentials: 6. Different therapies appear to produce similar treatment outcomes. Project MATCH, a huge psychotherapy trial showed similar outcomes for the techniques of motivational enhancement therapy, twelve step facilitation and cognitive behavioural therapy. Other trials including British ones have shown the same results. … Continue reading The ten most important things about addiction (part 2)
[This post was originally published in 2013.] I spent a little more time with Jim Contopulos' video memorial for his son and an interview he did will Bill White. There's a lot to all of this, but a couple of things stuck with me. In the interview, he discussed being a scared parent and seeking … Continue reading Care that never quits
This article is making the rounds and getting some attention. The post below addresses the issues raised. (originally posted on 10/31/2014) ==================================== This article has been forwarded to me by several people. Its author has been writing a series of articles that seek to redefine addiction and recovery. As Eve Tushnet recently observed, "There’s another narrative, … Continue reading Who’s “we”?
A new leader in the Open Society Institute shares a sensible perspective on reducing overdoses: Looking ahead, reducing drug overdoses will require major shifts in how we approach substance use. First, and possibly most importantly, Maryland needs to connect individuals struggling with addiction to high-quality addiction treatment that is integrated with their primary care. Primary care providers … Continue reading Reducing overdoses
"He'd still be alive" Much has been said this week about the death of Phillip Seymour Hoffman. I've heard two recurring themes. First, that he might still be alive if he had been "treated with an evidence-based" treatment, like buprenorphine. Second, that he might still be alive if he hadn't been inculcated with the disease … Continue reading 2014’s top posts: #2
Abstinence—The Only Way to Beat Addiction? What killed Philip Seymour Hoffman? According to Anne Fletcher, it wasn't the doctor who prescribed him the pain medication that began his relapse, it wasn't the prescribers of the combination of meds found in his body, it wasn't his discontinuing the behaviors that maintained his recovery for 23 years, … Continue reading Top posts of 2014: #12
I've never met Scott Kellogg, but I appreciate his presence in the field. He's struck me as a pragmatist who tries to find third ways and has a conservative temperament. There are too few people who fit that description. His recent piece for Substance and Pacific Standard is on "A Struggle for the Soul of Addiction Treatment." … Continue reading The soul of addiction treatment
This article has been forwarded to me by several people. Its author has been writing a series of articles that seek to redefine addiction and recovery. As Eve Tushnet recently observed, "There’s another narrative, though, which is emerging at sites like The Fix and Substance.com." This sentence is representative of this alternative narative: "The addiction field has struggled … Continue reading Who’s “we”?
DJ Mac directs us to an interview with a English recovering harm reduction advocate, Kevin Jaffray. He shares a little of his own experience of fighting and, eventually, entering recovery. [emphasis mine] Speaking as someone who came into abstinence kicking and screaming – thankfully with my health intact – after a number of chaotic years in … Continue reading you are still valued and respected