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How the shift to Medication-Assisted Treatment (MAT) influences (or doesn’t) conventional views of addiction and treatment

…by Nick Jaworski… After nearly 80 years, addiction treatment in America is slowly warming to the idea of multiple pathways to recovery, after viewing the 12 steps as the only “real” way to recover. MAT (medication-assisted treatment) is among the most promising. This is a guest-post by Nick Jaworski, owner of Circle Social Inc., a […] (Read the rest.)

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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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