12-step conditioning: the cure and the cost

…by Eric Nada… This remarkable guest post dives back into the controversy surrounding the rigidity of the 12-step approach. ……………………………….. I left 12-step involvement after 20 years of committed membership. It was surprisingly difficult. Of course, it was difficult to stop shooting heroin too — so difficult that I eventually stopped trying to stop. By […] (Read the rest.)

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Ben is Back — or is he?

Yesterday I watched “Ben is Back” — a recently released feature film about a heroin-addicted young man (Lucas Hedges) and his heroic and tenacious mother (Julia Roberts) who tries her best to keep him “clean.” Ben is around 20 years old (at which age I too was also shooting heroin). He scams a trip home […] (Read the rest.)

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Substance (not just substances) in addiction

The word “substance” may have a double-meaning when it comes to addiction. The basic meaning is obvious: the substance is a chemical that we want badly and pursue relentlessly. But the second meaning of “substance” is suggested by a well-documented phenomenon: the parallel between substance addictions and behavioural addictions. The feelings, actions, and brain changes […] (Read the rest.)

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Addiction: Narrowing brains in narrowing environments

The paper I recently published in the New England Journal of Medicine (linked here, summary linked here) detailed my best arguments against the disease model of addiction. But it also explored new territory, and that’s the topic of today’s post. I emphasized (as I have for years) that addiction is learned. It is not a […] (Read the rest.)

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Getting SMART in Boston

It’s been 2 1/2 weeks since I put up that summary of Maia Szalavitz’s excellent article. Busy time since then. But now I’m in Boston, visiting my friend Matt Robert and a few others, and sitting in on SMART recovery meetings. Matt has been a SMART facilitator for over six years. I came here to […] (Read the rest.)

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