Opioid substitutes: Take as needed

Last post I shared a conundrum with you. I’d written a chapter for a book for addiction doctors. But when I learned the title of the book I decided (after all that work!) to withdraw it. Was that the right thing to do? Your comments convinced me it wasn’t. My chapter urged practitioners to view […] (Read the rest.)

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Do I have to think like a doctor to help heroin addicts?

Hi again. I know I haven’t been posting much lately, but it’s time to get back on that horse. One thing I did in the interim was write a chapter for a volume on addiction. Which led to a strange conundrum…and some soul searching. But before getting to that, I’ll tell you what inspired me […] (Read the rest.)

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Addicted to symbols

We usually talk about addictions to substances (opiates, alcohol, whatever) or behaviours (gambling, porn, etc). But that misses the point. Addiction is entirely psychological, and I think it describes an attachment to a symbol that goes with the feeling provided by the substance or behaviour. The feeling and the symbol are coupled, bonded, and that’s […] (Read the rest.)

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Addiction and the return to childhood

I continue to be obsessed with this problem of incompatible self-narratives. So, permit me one more rant on the subject. In this post I want to tell you about the dissociation I experienced myself, during my days of addiction, and the child-like freedom it brought me. I also want to compare what I experienced then […] (Read the rest.)

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Reaching for our selves

Hi all. I’ve been trying to write a post to follow up on the self-narrative post I put up last. I’ve found that a certain paradox stands in my way. The pull toward a coherent self-narrative is so strong. Partly because, from the outside, we look like a single person. And where do we learn […] (Read the rest.)

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