From Kevin McCauley: The argument against calling addiction a disease centers on the nature of free will. This argument, which I will refer to as the Choice Argument, considers addiction to be a choice: the addict had the choice to start using drugs. Real diseases, on the other hand, are not choices: the diabetic did … Continue reading More on choice and addiction
Tag: Substance dependence
If it wasn’t rational, cont’d
Yesterday I posted about a recent NY Times column arguing for a rational model of addictive drug use: “When they were given an alternative to crack, they made rational economic decisions.” … When methamphetamine replaced crack as the great drug scourge in the United States, Dr. Hart brought meth addicts into his laboratory for similar … Continue reading If it wasn’t rational, cont’d
Happy Labor Day!
The video's got nothing to do with recovery, but it's a great song and is apropos for Labor Day. While we're on the subject of labor, Bill White had a post a while back on the subject: In 2011, Dieter Henkel of the Institute for Addiction Research at the University of Applied Sciences in Frankfurt, … Continue reading Happy Labor Day!
how do you want your loved one to return?
Anna David has an interview with Earl Hightower that really gets at the informed consent issues I've been talking about here. AD: Should the parents just accept the first recommendation or should they ask for more? EH: I think the first question they should ask should be one they ask themselves, which is how they … Continue reading how do you want your loved one to return?
Sentences to Ponder
...conducting an RCT (randomized controlled trial) comparing two medical treatments (depot naltrexone and methadone.) misses the critical issue—that cure of addiction is not through medical interventions. People need social roles that provide identity other than being an addict and provide alternative rewards to drug use, in order to recover from addiction. Medical treatment cannot provide … Continue reading Sentences to Ponder
“manifestly unsuitable for (psychiatric) treatment”
Will Self reviews a recently published book on psychiatry and has some interesting observations on the relationships between addicts, mutual aid groups and psychiatry: Interestingly there is one large sector of the "mentally ill" that Burns believes are manifestly unsuitable for treatment – drug addicts and alcoholics. He points to the ineffectiveness of almost all … Continue reading “manifestly unsuitable for (psychiatric) treatment”
Buprenorphine + therapy = ?
Ian McLoone directs us to another study (the 4th in a row) finding that buprenorphine patients receive no benefit from added behavioral treatments. Where does this leave us? We've seen criticism of the devolution of methadone maintenance (MMT) into dosing clinics with calls for a new recovery orientation to MMT and a return to methadone being … Continue reading Buprenorphine + therapy = ?
How would we react to a CURE?
Howard Wetsman has been part of a workgroup challenging the dominance of pharmacological treatments and promoting psychosocial treatments. He's had some unsettling feelings and engaged in a thought experiment about what might happen if a real cure was developed. What we’re imagining is a complete cure. This is not a method for, let’s say, alcoholics … Continue reading How would we react to a CURE?
Ten Percent in Recovery – NOT
Here's the headline at Partnership for a Drug-Free America: Survey: Ten Percent of American Adults Report Being in Recovery from Substance Abuse or Addiction Very interesting news, right? How did they arrive at that number? With a poll that asks, "Did you once have a problem with drugs or alcohol, but no longer do?" Does that measure … Continue reading Ten Percent in Recovery – NOT
The Game
Cabinet Magazine has an article on the bizarre history of Synanon from beginning to end: Soon the number of people wanting to join Dederich’s after-hours sessions grew too big for his living quarters. This was largely due to an influx of drug addicts who had heard of Dederich’s ability to keep people straight. For the … Continue reading The Game
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