Reducing Harm vs… Well, Reducing Harm

August 17, 2015 by C. Scott McMillin

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.

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Where Goals and Effectiveness Meet

April 30, 2015 by Cecile

Experience tells us that almost all of the wide variety of treatment strategies and models are around because they work well for someone.

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The Anger Trap

March 16, 2015 by C. Scott McMillin

He can recite the Steps and thump the Big Book with the best of them, but somehow missed out on one of the truly important lessons of most people’s recovery — the need for a degree of personal serenity.

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Requisition for an Alcoholism Cure

February 23, 2015 by Cecile

Please get back to us as soon as you’ve perfected this cure. We can promise you massive profits, guaranteed.

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November 10, 2014 by C. Scott McMillin

For many, because of compulsion, abstinence may turn out to be easier than re-establishing control.

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Compulsion Versus Control

June 19, 2014 by C. Scott McMillin

Few of us are ever as dedicated to a goal as the addict is to seeking an alternative to abstinence.

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Addiction Treatment: The Double Standard

July 22, 2013 by C. Scott McMillin

Addiction has been described as a chronic problem that we’ve attempted to treat as an acute illness –a big reason for the revolving door of relapse.

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Atheology for Recovery

April 9, 2013 by C. Scott McMillin

Faded drawing of man's head in profile, on old-looking, stained paper. The "brain area" is filled with gears.

Changing how we live isn’t easy to accomplish, even with step-by-step instructions.

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What KIND of Disease is Addiction?

February 27, 2013 by C. Scott McMillin

Most communities provide both options for opioid patients, and lacking a methadone for alcohol or cocaine, use a more traditional abstinence-based approach for those addictions.

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Treatment Outcomes: Does it Work?

July 1, 2012 by C. Scott McMillin

Signpost with arms pointing to good, better, best

Our longstanding practice of branding anyone who drank again a ‘failure’ kept us from recognizing very real success right under our noses.

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