Some years ago, a noted research scientist was invited to speak at a local community forum on the subject of addiction. The presentation to more than one hundred interested citizens consisted of a sweeping overview of modern scientific studies on addiction and its clinical treatment. In the question and answer session that followed the presentation,(……)

It has become fashionable by commentators in the addictions arena to point to research studies confirming three linked findings:  1) the course of alcohol and other drug (AOD) problems are highly variable rather than inevitably progressive, 2) the majority of people experiencing substance use disorders and broader patterns of AOD-related problems resolve these challenges without(……)

In 2007, I penned an essay published in the Journal of Substance Abuse Treatment (JSAT) on the definition and conceptual boundaries of addiction recovery.  The essay was prepared for the Betty Ford Institute (BFI) Consensus Conference that produced its highly influential definition of recovery that was also published in JSAT in 2007 and subsequently updated(……)

One commonly hears in addiction treatment and in the rooms of recovery mutual aid circles that recovery is a time-involved, stage-dependent process.  From the iconic Jellinek Curve of the mid-twentieth century to the equally iconic and currently popular transtheoretical stages of change model of Prochaska and colleagues, addiction recovery is often portrayed as a slowly(……)