Profound Influence

September 8, 2016 by C. Scott McMillin

Willing not only to think outside the box, but to stomp the box flat if need be.

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September 17, 2015 by C. Scott McMillin

We develop habits and routines that seem to have a life of their own– and you’re never more aware of that than when you go to change them.

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Both Chronic, But Different: Addiction and Diabetes

March 9, 2015 by C. Scott McMillin

We haven’t corrected any identified physical deficiency. We’ve simply substituted a medical opioid for an illicit one.

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Spontaneous Remission?

October 27, 2014 by C. Scott McMillin

The experience of addiction routinely includes periods of reduced substance use, or abstinence.

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Disease Arguments: The Sequel, Remake, etc.

June 30, 2014 by C. Scott McMillin

Alcoholism has been around for nine or ten thousand years, but most of what science understands of brain function is less than eighty years old.

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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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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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Evolution of a Disease Concept

December 31, 2012 by C. Scott McMillin

A model generally supersedes other models not because it is perfect in every respect, but because it seems to explain certain aspects better than its predecessors.

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A (Very New) Beginner’s Guide to the Disease Concept

December 6, 2012 by C. Scott McMillin

Image of "Beginner's Guide to Disease Concept" document

We’re brought up to view a pattern of problems with alcohol or drugs as the result of a variety of other factors— psychological issues, or lack of willpower, or moral weakness, or some terrible past experience. That makes it difficult for most of us to switch over to the view of addiction as a chronic illness.

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The Disease Debate

March 9, 2012 by C. Scott McMillin

“We’re still stuck at the problem of definition. Until we agree on that, I don’t know how we can resolve it.” And not surprisingly, we didn’t.

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