The Nausea Solution
Of the patients I met, all decided on aversion therapy for essentially the same reason: they’d tried other things, experienced relapse, and lost patience.
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Weird Science
A new study may be exciting to read, but its credibility will ultimately depend on the accumulation of a body of evidence that confirms it.
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Two Perspectives on Pain
We may be stuck relying on the soft stuff– therapy, support, behavior change, even spiritual growth– all those icky-squicky things that neuroscientists struggle to quantify.
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Naltrexone versus Opioids
Not surprisingly, the vast majority of patients who drop out or otherwise leave maintenance programs return to heroin at rates of 80% or higher.
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Compliance via Incentives
An important step that programs often skip: the collection of baseline data. Improvements are often incremental, and if you don’t know exactly where you started, it’s easy to miss them.
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Cannabis as an Opioid Addiction Treatment
It usually comes back to the assumption that another problem ‘underlies’ addiction, and therefore will respond to treatment with the “right” drug, if we can figure out what it is.
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A Place for Placebo?
Might be that clinicians can teach patients to activate their own body’s placebo response, in order to feel better.
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Miracle Max
Clinicians… feel as if they’re always missing at least one extremely important tool that would make all the difference.
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Practice or Practitioner?
The therapist’s faith in the approach appears to be more important than the approach itself.
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Alternatives
I’m told that less than half of contemporary medical practice is actually rooted in evidence.
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Confirmation Bias and Counseling
Project Match has long been held up as demonstrating the efficacy of three very different approaches.
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Confrontation Without Conflict
If we inadvertently activate the ‘fight-flight’ response, communication will come to a halt.
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The Quick Change Artists
Maybe it’s just one of those things that alcoholics and addicts feel they have to try before they settle down to face the challenges of actual recovery– which turns out not to be all that frickin’ easy.
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