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anonymous

A Different Path to Fighting Addiction - NYTimes.com - 0 views

  • The psychologists also support the use of anti-craving medications like naltrexone, which block the brain’s ability to release endorphins and the high of using the substance.
  • A 2002 study conducted by researchers at the University of New Mexico and published in the journal Addiction showed that motivational interviewing, cognitive behavioral therapy and naltrexone, which are often used together, are far more effective in stopping or reducing drug and alcohol use than the faith-and-abstinence-based model of A.A. and other “TSF” — for 12-step facilitation — programs.
  • Researchers elsewhere have come up with similar findings. In 2006, the Cochrane Library, a health care research group, reviewed four decades of global alcohol treatment studies and concluded, “No experimental studies unequivocally demonstrated the effectiveness of AA or TSF approaches for reducing alcohol dependence or problems.” Despite that research, A.A.’s 12-step model is by far the dominant approach to addiction in America.
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  • lifelong abstinence and adherence to the 12 steps mapped out in the Big Book, published four years after the organization was founded in 1935.
  • relies heavily on faith; God is mentioned in five of the 12 steps.
  • Instead of addict or alcoholic, she prefers the terms favored by the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, or the DSM-V, which says that patients suffer from “alcohol use disorder” or “substance abuse disorder,” terms that convey a spectrum of severity.
  • “Substance use takes on a lot of different shapes and sizes,” Dr. Kosanke said. “There are real downsides to labeling a child with a lifetime identity, when that truly may or may not turn out to be the case.”
  • “We don’t have a judgment on how you address your substance use problem. Maybe A.A. is helpful to you and you find everything you need there. If it’s not, we genuinely believe there are many strategies for helping to resolve them.”
  • Stanton Peele, a Brooklyn psychologist who has studied substance use for decades and is a longtime critic of the A.A. model.
  • That approach runs through the book she wrote with Dr. Foote and Dr. Kosanke, “Beyond Addiction: How Science and Kindness Can Help People Change.”
  • “She’s not a problem to be solved, but a child to be loved and guided toward a better life.”
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    Gabrielle Glaser's NYT article, July 3, 2014
anonymous

Should Addicts Be Forced Into 12-Step Rehab Programs? No (Part 2) | Disrupted Physician - 0 views

  • The argument is often advanced that without coercion there is insufficient incentive to enter treatment and, within a medical paradigm, not wanting to enter treatment is considered a symptom of the disease.
  • 12-step recovery model is being used to coerce treatment on those who do not need it
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    Dr. Michael L. Langan on "Should Addicts Be Forced Into 12-Step Rehab Programs."
anonymous

WEYHRAUCH LAW GROUP Provides legal support to the aviation community & pilots in the HI... - 0 views

    • anonymous
       
      Pilot voluntarily disclosed w/out incident and successfully completed HIMS process/returned to work/received FAA Special Issuance Medical. Shortly thereafter, the airline terminated said pilot for reasons that remain undisclosed.
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    The Regret of Honesty: A Policy of Truth?
anonymous

An Evening with Dr. Steven Kassels - YouTube - 0 views

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    Steven Kassels addiction expert and ER physician - takes an innovative narrative to telling the story of how... http://t.co/MJ0JE8dg3v
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    Steven Kassels addiction expert and ER physician - takes an innovative narrative to telling the story of how... http://t.co/MJ0JE8dg3v
anonymous

MuckRock * Human Intervention Motivation Study (HIMS) Related Discrimination - 0 views

  • Awaiting Response Past due by 1 month, 3 weeks
  • Brent Weyhrauch is making this request to Department of Transportation of the United States of America.
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    Human Intervention Motivation Study (HIMS) Related Discrimination: FOIA Request to the USDOT PAST DUE/DELINQUENT BY CLOSE TO 2 MONTHS...
anonymous

What if We Really Treated Addiction Like the Disease It Is? | The Fix - 0 views

  • Dr. Howard Wetsman argues that most addiction treatment has been misguided and ineffective but that we are finally able to "throw away the cookie cutter" and "treat addiction like the disease it is."...Richard Juman, PsyD
  • We don’t really believe that addiction is a disease!
  • in spite of the language that we use in describing addiction as a disease, we don’t actually treat it like it is a disease
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  • That’s because with every other chronic disease we look at data. With addiction, we believe.
  • As long as we think of addiction as something a “normal person” has done to himself by using a drug, we will only see it as a temporary abnormality brought on by bad behavior.
  • The mindset behind this advice is that addiction is really just a long-lasting intoxication that will eventually go away, leaving the person normal again; this is not a true understanding of addiction as a disease.
  • I found that she had a polymorphism of Methylenetetrahydrofolate Reductase (MTHFR), an enzyme that turns folic acid from our diet into L-methylfolate, the only form that our brains can use. One use for L-methylfolate is as a co-enzyme in two stages of the production of dopamine.
  • based in biology and developed from essential principles.
  • “Addiction is a primary, chronic disease of brain reward, motivation, memory and related circuitry. Dysfunction in these circuits leads to characteristic biological, psychological, social and spiritual manifestations. This is reflected in an individual pathologically pursuing reward and/or relief by substance use and other behaviors.”
  • We can finally treat addiction like the disease it is in nature.
  • Howard C. Wetsman, MD, is the Chief Medical Officer of the Townsend Addiction Treatment Centers in Louisiana and the author of Questions and Answers on Addiction.
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    Howard C. Wetsman, MD, is the Chief Medical Officer of the Townsend Addiction Treatment Centers in Louisiana and the author of Questions and Answers on Addiction.
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