This reminded me of something from Bill White. At the heart of Perry’s argument — in line with neurologist Oliver Sacks’s recent meditation on memory and how “narrative truth,” rather than “historical truth,” shapes our impression of the world — is the recognition that stories make us human and learning to reframe our interpretations of reality is key to our experience … Continue reading “narrative truth”
Maybe this is a better way to address pediatric addiction? Called The Bridge Way School, the specialized high school in the Roxborough section of Philadelphia focuses on getting teenagers back on track with their education and lives after exiting rehab. It is the only school of its kind in the region – one of only … Continue reading “Recovery High” a Respite for Young Addicts
Drugfree.org has a piece advocating more use of buprenorphine with children. Medication-Assisted Treatment (MAT) for opioid dependence is a science-based and proven-effective option for teens and young adults. It should be administered with age appropriate psychosocial therapy and drug testing. Unfortunately, it has been subject to controversy and stigma. Yet the neuroscience of addiction and … Continue reading Pediatric use of buprenorphine
Jennifer Matesa has a new piece up at the recently reincarnated The Fix. It's a response to the recent NY Times series on Suboxone and goes directly after the underlying assumption and its implications for her. Reckitt can get away with convincing doctors that addicts need to be maintained on Suboxone because—as the Times story … Continue reading we can heal
From the UK Advisory Council on the Misuse of Drugs second report of the recovery committee [emphasis mine]: ...our optimism about recovery should be tempered. Evidence suggests that different groups are more or less likely to achieve recovery outcomes. For some people, with high levels of recovery capital (e.g. good education, secure positive relationships, a job), recovery … Continue reading Recovery capital and capital
I thought I was done, but here are a couple more smart takes. Both support maintenance but appreciate the article raising awareness of important problems. From The Institute Blog: And as the articles (and the comment section) demonstrate, the use of buprenorphine to treat addiction and prevent substance use-related harms is messy. Interlacing text and video, … Continue reading NY Times / Suboxone redux
Howard Wetsman picks apart the spectrum approach of the DSM5 Making a spectrum out of the illnesses that have been put in the substance use category of DSM IV is like making a spectrum out of an apple, an orange, a lemon, a lime, a blue fruit (if there was one) and a plum. You’d … Continue reading a spectrum of apples, oranges, lemons, plums?
Debra Jay addresses the belief that families should let an addicted family member hit bottom: Hitting bottom is an old idea, still imposed upon families as if it were an absolute. Many families sadly believe that they must wait for alcoholics to hit bottom before there is any hope for recovery. They rarely stop to … Continue reading Living on the bottom
Terry Gorski has a nice summary of substance use disorders in the DSM-5. Here's his analysis at the end of the post: The DSM 5 is criticized for combining the the DSM IV categories of substance dependence (addiction marked by a pattern of compulsive use or loss of control) and substance abuse disorders (using in … Continue reading DSM 5 Substance Use Disorders: A Concise Summary
Bill White responds to a recent article that has gotten a lot of attention by Gene Heyman, a disease model critic. Heyman (and a couple of other recent articles) question whether it's accurate to call addiction a chronic illness. If there is anything that the full scope of modern research on the resolution of AOD problems is … Continue reading A chronic illness?