Partial Recovery

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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Parable of Two Programs

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 Irrationality of Addiction Treatment

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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White Paper: Opioid Use, Misuse, and Overdose in Women

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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Opioid Use in Rural Communities

Opioids are prescribed for pain relief; most recognizable are morphine, hydrocodone, oxycodone, and fentanyl. Opioids also include the illegal drug, heroin. Opioid use disorder (OUD) (to include prescription drugs and heroin) is the fastest growing substance use problem in the nation. During 2008-13, 4.7% of U.S. residents ages 12 and older reported using non-medical opioids…

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