ThinkingAcross the Spectrum of Policy, Practice, Research & Reality

A blog about anything related to addiction, treatment, or recovery, all the way from prevention to building recovery-friendly communities. We also welcome guest bloggers here!


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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Anonymity versus Celebrity

February 6, 2014 by C. Scott McMillin

Look what’s happened to the public image of rehab as a result of those awful high-profile celeb incidents.

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An Addiction Switch?

February 3, 2014 by C. Scott McMillin

One characteristic of Delta FosB is its unusual stability. It’s capable of persisting in the brain for a very long time.


The More Things Change…

December 23, 2013 by C. Scott McMillin

Few clinicians believed that street crack addicts could succeed as outpatients, but the demand for residential care was never fully met because of, you know, budget considerations.

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The March of Pseudoscience

December 2, 2013 by C. Scott McMillin

The treatment population is jam-packed with vulnerable people and families desperately looking for magic solutions to a genuinely challenging problem like recovery.

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Aaieee!! Krokodil!

November 25, 2013 by C. Scott McMillin

The evidence suggests we do not yet have a Krokodil epidemic. Although the media seems to do its best to help create one.

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Yes, I’m Annoyed, and You Should Be, Too

November 18, 2013 by C. Scott McMillin

We’re in a drug epidemic with no South American cartels or Afghan drug lords to vilify.

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The Malibu Mindset

September 17, 2013 by C. Scott McMillin

What does a place like that have in common with a big-city program filled with homeless addicts who have multiple social problems and co-occurring disorders and perhaps haven’t held a job in decades?

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Easier, Softer Way

September 3, 2013 by C. Scott McMillin

One thing’s for sure: it’ll be popular, because your typical alcoholic would rather not quit if he could think of an alternative.

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The Rumor Mill: “Killer Rehab”?

July 18, 2013 by C. Scott McMillin

Either way, it’s the drugs and alcohol that wind up killing the addict — not abstinence.

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