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Sexual relations between therapist and patient can seriously damage the public’s trust in the safety of their loved ones.

Clients who struggle to stay drug-free can resent the presence in group of others who openly use substances.

Some schedule periodic onsite visits that one wag compared to a pterodactyl circling overhead screaming at the ground before flying off again.

For instance, a business that isn’t meeting investor expectations might decide to launch an aggressive marketing campaign without a corresponding increase in staff.

True religious fanaticism is, in my experience, quite different from the sort of spiritual practice we find in most 12 Step groups.

Many years ago, when I was a young Executive Director, one of the hospital VPs wandered down to my office to inquire about the census. It (continued…)

Most people who enact laws aren’t healthcare experts or even for that matter particularly interested in the subject of addiction and treatment.

In recovery, shame can be a motivator for change.

Most people in stable recovery got there the hard way, through major alterations in the way they live.

My longstanding rule is to design your program to treat your population, not some idealized group of subjects who did well in a research setting with a significantly different structure.