ThinkingAcross the Spectrum of Policy, Practice, Research & Reality

A blog about anything related to addiction, treatment, or recovery, all the way from prevention to building recovery-friendly communities. We also welcome guest bloggers here!

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The Quick Change Artists

March 20, 2014 by C. Scott McMillin

Maybe it’s just one of those things that alcoholics and addicts feel they have to try before they settle down to face the challenges of actual recovery– which turns out not to be all that frickin’ easy.

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Modern Medicine(s)

March 13, 2014 by C. Scott McMillin

Many treatment programs moved away from medication precisely because it wasn’t helping.

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Ideology Wars

February 17, 2014 by C. Scott McMillin

If Project MATCH had it right, and all three work but none works significantly better than the others– then what’s all the argument about?

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Science vs. Science

February 13, 2014 by C. Scott McMillin

Pundits are always telling us that science proves this or that, but when we look closer, we find it proves neither.

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Fear of the Disease Model

February 10, 2014 by C. Scott McMillin

Many clinicians don’t view addiction as a disease, which they believe relieves them of the need to learn much about its pathophysiology.

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Anonymity versus Celebrity

February 6, 2014 by C. Scott McMillin

Look what’s happened to the public image of rehab as a result of those awful high-profile celeb incidents.

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An Addiction Switch?

February 3, 2014 by C. Scott McMillin

One characteristic of Delta FosB is its unusual stability. It’s capable of persisting in the brain for a very long time.

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The More Things Change…

December 23, 2013 by C. Scott McMillin

Few clinicians believed that street crack addicts could succeed as outpatients, but the demand for residential care was never fully met because of, you know, budget considerations.

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The March of Pseudoscience

December 2, 2013 by C. Scott McMillin

The treatment population is jam-packed with vulnerable people and families desperately looking for magic solutions to a genuinely challenging problem like recovery.

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Aaieee!! Krokodil!

November 25, 2013 by C. Scott McMillin

The evidence suggests we do not yet have a Krokodil epidemic. Although the media seems to do its best to help create one.

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