A friend, Matt, wondered if the premise of this Frank Rich column will have implications for drug policy: What has happened between 2001 and 2009 to so radically change the cultural climate? Here, at last, is one piece of good news in our global economic meltdown: Americans have less and less patience for the intrusive … Continue reading Drug War = Culture War?
So . . . we’ve dusted off and reviewed my history with recovery-oriented harm reduction. We’ve also explored why I believe recovery and harm reduction should remain distinct constructs. This sets the stage to revisit and update the concept. What is recovery-oriented harm reduction? Recovery-oriented harm reduction (ROHR) seeks to address the historical failings of … Continue reading Revisiting recovery-oriented harm reduction (part 3)
Recently proposed definitions of recovery could be characterized as defining it downward (or expanding the boundaries outward). I’ve expressed concern that these proposed boundaries are so broad that most people who currently self-identify as in recovery will not feel a shared identity with the people that advocates are trying to expand the boundaries to include. … Continue reading “full recovery or amplified recovery” — toward typologies of recovery?
Something is amiss in recovery advocacy. Earlier this week, the Surgeon General’s office tweeted the following paraphrase of a speech given by the Surgeon General. (Later clarified to be incorrectly transcribed.) Addiction is not a moral failing and that it affects “good” families. Nice message, right? We need more influencers to say the same kind … Continue reading “shaming,” “stigmatizing,” and call-outs
If you spend much time following news about addiction treatment, you’ll start to notice a pattern. There’s a lot of skepticism about addiction as a disease and abstinence-based treatment. Somehow, addiction treatment has become a front in the culture wars and articles that attack 12 step recovery (this particular article earned he writer an award) or promote maintenance … Continue reading I really hope they are willing to listen to the evidence
Gabrielle Glaser has gotten another AA bashing article published and it’s getting a lot of attention. Of course she doesn’t really offer a tangible alternative. I’m not going to write another piece rebutting it, but I’ll point you to a few relevant posts. First, in New York magazine, Jesse Singal dismantles Glaser’s arguments. As with any … Continue reading Most popular posts of 2015 – #1 – Why so irrational about AA?
Gabrielle Glaser has gotten another AA bashing article published and it’s getting a lot of attention. Of course she doesn’t really offer a tangible alternative. I’m not going to write another piece rebutting it, but I’ll point you to a few relevant posts. First, in New York magazine, Jesse Singal dismantles Glaser’s arguments. As with any … Continue reading Why so irrational about AA?
…most men have bound their eyes with one or another handkerchief, and attached themselves to some one of these communities of opinion. This conformity makes them not false in a few particulars, authors of a few lies, but false in all particulars. Their every truth is not quite true. Their two is not the real … Continue reading Their every truth . . .
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
We’ve been seeing a lot of claims about the comparative effectiveness of AA or 12 step facilitation (TSF) versus motivational interviewing (MI) or motivational enhancement therapy (MET), most recently here. That AA/TSF is superstitious voodoo and MI/MET is rational, evidence-based and effective. (Interestingly, the author of the piece used an appeal to authority argument by … Continue reading Strange conclusions – updated w/ link