Response to the heroin epidemic: 3. OST, the economics of diversion, and the dangers of naltrexone

…by Shaun Shelly… Percy Menzies’ post has stirred up a lot of controversy! Here, Shaun’s extensive rebuttal gathers some of these arguments, plus many of his own, and launches them in torpedo-like fashion. Shaun’s command of the research landscape is awesome, but let’s take care to keep a balanced perspective. ………………………………… In the previous post […] (Read the rest.)

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Response to the heroin epidemic: 2. Addiction, access, and the problem of opioid substitution

…by Percy Menzies… I met Percy, a treatment provider and policy person, in Minnesota about six months ago. We have had some spirited discussions since then. In his view, the culprit in the opiate crisis is access — drug availability — a position that’s put him in direct opposition to Johann Hari and others who […] (Read the rest.)

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Strong support for opiate substitution treatment…and fixing the bigger picture

…by Shaun Shelly… I just pulled into a lodge in Banff, Canada at 2 AM (roughly noon for me) after a flight delay and missed shuttle. I’m way too tired to introduce this intelligently. All I can say is that I have huge respect for Shaun’s understanding of what goes on in opiate addiction, both […] (Read the rest.)

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Response to the heroin epidemic: 1. Methadone and harm reduction

The heroin “epidemic” is a major concern all over the world right now. What are the various philosophies for dealing with it? In today’s post I’ll share some impressions from my recent visit to a harm reduction/methadone clinic in Belgium. Then I’ll post a piece by Percy Menzes who is dedicated to the use of […] (Read the rest.)

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Why do humans like to get drunk?

Here’s an article I wrote for The Guardian a few weeks ago. This link will take you right there. And while you’re there, check out some of its neighbours in The Guardian’s Autocomplete series. These articles try to provide quick, neat answers to the deep questions we often pose to Google. Or, in their words: […] (Read the rest.)

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