Direct involvement of physicians and other health care professionals in identifying and treating alcohol use disorder is possible, practical, and necessary. The medications described here have been shown to be effective in, and are approved by the Food and Drug Administration (FDA) for, the management of alcohol dependence or the prevention of relapse to alcohol…

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The iconic image that pervades pharmacotherapy of opioid addiction is a shadowed face drinking a pale liquid from a plastic medicine cup. The image of a faceless, voiceless person is apt as the historical stigma attached to the use of medications in the treatment of opioid use disorder is so great that few have braved…

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Considerable research has been done on the birth and early evolution of A.A. since Not-God: A History of Alcoholics Anonymous by Harvard-trained historian Ernie Kurtz was published in 1979. Ernie was subsequently encouraged and enthralled by each new historical discovery about A.A. but remained in the final years of his life disappointed that no one had since…

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In 2006, Ernie Kurtz and I collaborated on our first paper explicating multiple pathways and styles of addiction recovery. The article was later included in the first recovery management monograph and published in the International Journal of Self Help and Self Care. Included within the paper was a discussion of the variations in depth of…

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Once upon a time there existed two organizations pledged to offer hope and help to individuals and families affected by alcohol and other drug problems. The first, which we shall call Hubris, used its massive communications and marketing machinery to assert its claim as the Alpha and Omega of addiction treatment and recovery support. Hubris…

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The most cursory review of the history of addiction treatment reveals a long tradition of inadvertent harm in the name of help (iatrogenic illness). Such treatment insults span bleeding, purging, and toxic, mercury-laden medicines in the 18th century. They include the fraudulent boxed and bottled home cures and the use of cocaine to treat morphine…

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This White Paper was developed to serve as a starting point for a September 2016 national meeting hosted by the U.S. Department of Health and Human Services (HHS) Office on Women’s Health (OWH) to examine prevention, treatment, and recovery issues for women who misuse, have use disorders, and/or overdose on opioids. This effort builds on…

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All across the United States, individuals, families, communities, and health care providers are struggling to cope with the impacts of the opioid crisis. Opioid misuse and opioid use disorders have devastating effects.

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