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If you’ve made friends among people who share your experience and are willing to listen, you’re miles ahead of most family members, who still have no place where they can safely vent their own problems.

Family programs like Al-anon and Alateen can help us learn ways to recover from the effects of someone else’s addiction, and help us contribute to their recovery

If estimates are correct that a typical offender has driven under the influence between 60 and 100 times prior to first arrest, it’s clear the actual problem is far, far greater than arrests alone can document.

It seems to me that a successful approach to DWI must be based on the assumption that drunk drivers are a diverse population.

One state estimates around a fifth of offenders are rearrested within three years of the prior conviction. Expand that window to five or ten years and the rate is likely substantially higher.

One or two (risk factors) is not as suggestive of repeat offending as four or five. But it does allow a clinician to apply a rough risk profile to a particular offender.

It’s difficult to squeeze a lot of motivational work into the course of outpatient counseling. Clinicians are anxious to get to the behavior change part.

Public perceptions of how we should and shouldn’t treat offenders often result in less than optimal solutions both for the addict/alcoholic and for the victims and the larger society that must pay.

The trick is to find another reward to replace the one that’s no longer available. For instance, if we’re no longer going to have a cigarette with coffee after dinner, what other reward could we substitute in its place?

With ‘coerced’ clients, it’s easy to fall into a little game with the client striving to appear in compliance while covertly doing whatever he wants.