Marc Lewis discusses an important role of endogenous opioids. Some very prominent emotion scientists have theorized that opioids (made inside our brains) are at the root of human attachment. Mother’s milk is rich with opioid molecules. In other words, nature found a surefire way to soothe the baby with its mother’s milk, using the same … Continue reading NA gives its members opioids?
Tag: Substance abuse
Response to Why Addiction is NOT a Brain Disease
In a thoughtful post, Marc Lewis questions the disease model of addiction. He doesn't dismiss it out of hand. He seems to look for ways in which it's right and useful. It’s accurate in some ways. It accounts for the neurobiology of addiction better than the “choice” model and other contenders. It explains the helplessness … Continue reading Response to Why Addiction is NOT a Brain Disease
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)
One way?
So much for the frequently asserted but bogus argument that 90%+ of treatment providers in the US are one-true-way 12 steppers: The researchers surveyed 913 members of the National Association of Alcoholism and Drug Addiction Counselors from across the United States. About 50 percent of the respondents said it would be acceptable if some of … Continue reading One way?
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
Sentences to ponder
From the ASAM blog: ...is there any evidence that the general public requires less treatment than do healthcare professionals and pilots? I would further ask, given the excellent outcomes generally obtained by PHPs and pilot recovery programs, why there have been no studies in which members of the lay public go through identical programs to … Continue reading Sentences to ponder
They’ve got hope for something. But, what?
Stimulant maintenance therapy did not work 😦 This study did not find a significant main effect of modafinil on the rate or duration of cocaine use among cocaine-dependent patients. Now they decide to polish the turd: Although these results are disappointing, we did find that modafinil-treated patients had nonsignificantly higher odds of attaining abstinence across … Continue reading They’ve got hope for something. But, what?
Methadone and employment
These findings were characterized as "counterintuitive". Findings from multivariate analyses initially showed no association between treatment enrollment and employment transitions. However, when a distinction was made between MMT and other addiction treatment modalities, it became clear that the relationship between addiction treatment and employment outcomes for IDU in this setting was contingent upon the type … Continue reading Methadone and employment
Non-medical treatments are essential
Love First linked to this article on the role of non-medical interventions in treating addiction. I'm more and more convinced that the key to managing costs and improving outcomes for all chronic diseases are behavioral or lifestyle strategies. We've got a lot to learn about helping people make important changes in their lives that … Continue reading Non-medical treatments are essential
More on methadone
Points is publishing a series on methadone and offers a case for methadone without resorting to describing it as "the most effective treatment for opiate addiction." It's a pretty fair piece. I had only one quibble with the facts of the story. This is unusual and very welcome. However, the author and I disagree starkly … Continue reading More on methadone
Recovery Review 