This article demonstrates a big problem in understanding addiction and the a big problem in the current diagnostic categories. ...when we think about alcohol abuse or alcoholism, our thoughts often go to situations like this where someone is at a stage where they are doing immediate damage to themselves or others, but what about the stage … Continue reading 2012’s most popular posts #10 – Almost Alcoholic
Tag: Alcoholism
a protective wall of human community
Sentences to ponder: In a 1961 letter to AA’s co-founder, BillW., the renowned psychoanalyst, Carl Jung, described two main ways in which individuals with severe alcohol addiction might recover. One was through ‘real religious insight’; the other was through ‘the protective wall of human community’ characterized by a ‘personal and honest contact with friends’ (AA, 1963) [62]. Although AA … Continue reading a protective wall of human community
Shame and Addiction
Analysis of a recent study on shame and addiction suggests that shame may play a helpful role in getting alcoholics to initiate recovery but, once they're sober, it's associated with relapse. Two psychological scientists at the University of British Columbia -- Jessica Tracy and Daniel Randles -- decided to see if alcoholics' feelings of shame … Continue reading Shame and Addiction
Motivational Interviewing works, but no better than other treatments
Cochrane conducts a meta-analysis of motivational interviewing (MI) and concludes that it's no more effective than other treatments. More than 76 million people worldwide have alcohol problems, and another 15 million have drug problems. Motivational interviewing (MI) is a psychological treatment that aims to help people cut down or stop using drugs and alcohol. The … Continue reading Motivational Interviewing works, but no better than other treatments
WTH?!?!? (What the heck)
I'm not, in any way, against efforts to develop pharmaceutical treatments for addiction. However, I'm of the opinion that there is a culture problem among researchers and some members of their universe. Does any serious, knowledgeable person with an eye toward practice believe that a stimulant drug is going to be an effective treatment for alcoholism? Yet, … Continue reading WTH?!?!? (What the heck)
Treatment is big money
From Alcoholism and Drug Abuse Weekly: In September, when Tennessee-based Acadia Healthcare Company paid $90 million for Timberline Knolls, a 122-bed inpatient treatment program in Chicago, treatment providers wondered if their programs were worth that kind of money, bed for bed. Other deals in recent months, including Foundations Recovery Network’s acquisition in early October by … Continue reading Treatment is big money
Acomprosate – A Randomized, Double-Blind, Placebo-Controlled Study
Recently published and found no "evidence of efficacy for acamprosate compared to placebo". However, "A goal of abstinence was significantly associated with improved drinking outcomes". Efficacy of Acamprosate for Alcohol Dependence in a Family Medicine Setting in the United States: A Randomized, Double-Blind, Placebo-Controlled Study Background Acamprosate has been found to enhance rates of complete … Continue reading Acomprosate – A Randomized, Double-Blind, Placebo-Controlled Study
Following alcoholics for decades
McLeans has an interesting interview with George Vaillant about, "the surprising things you find out about people if you follow them for long enough." What's so different and interesting about this study is that it followed the subjects for decades from a pretty young age. Their subjects were college sophomores when the study began and … Continue reading Following alcoholics for decades
Addiction diagnoses to rise
I've posted before about problems with the proposed approach to addiction in the DSM-5. These changes were intended to clear up language problems, specifically the conflation of dependence and addiction leading to "false positives" for addiction. Looks like the DSM-5 is causing its own language problems before it's even adopted. [emphasis mine] Many scholars believe … Continue reading Addiction diagnoses to rise
Youth Recovery Contexts
Another study brings good news about adolescents and 12 step recovery: Results The proportion attending 12-step meetings was relatively low across follow-up (24 to 29%), but more frequent attendance was independently associated with greater abstinence in concurrent and, to a lesser extent, lagged models. An 8-item composite measure of 12-step involvement did not enhance outcomes … Continue reading Youth Recovery Contexts
Recovery Review 