The devastating effects of addiction on physical/emotional health and social functioning have been meticulously catalogued, but far less attention has been given to its toll on character and the role character reconstruction plays in the recovery process. A recent rereading of David Brook’s The Road to Character has spurred this reflection on character and addiction(……)

One of the obstacles to achieving this vision [of mobilizing rural recovery support resources] is that we have so little scientific research on addiction recovery within rural and frontier communities. Lacking such guidance, we must rely at the moment on a growing body of experiential knowledge drawn from the heart of rural communities facing this(……)

An early criticism of Alcoholics Anonymous (AA) was that its program of recovery was drawn primarily from the collective experiences of white men and thus unsuitable for people of color. Such declarations have since been challenged by surveys within communities of color indicating AA as one of the preferred choices for people seeking help with(……)

Addiction counseling has become an increasingly professional and pristine affair, and service relationships reflect a more detached process than in years gone by. And yet one worries about the loss of something precious in our current fixation on the technical mastery of evidence-based counseling practices. We would suggest that this endangered precious quality is captured(……)

Missing in the media coverage of the unrelenting legions of drug overdose deaths in the United States is an equally important but less heralded story. What subsequently happens to people who experience a drug overdose but are successfully rescued through emergency medical intervention? What is their fate after they leave the hospital or other emergency(……)

Historically, alcohol and tobacco (nicotine) were not considered within the American cultural understanding of “drugs” due to their socially celebrated status and aggressive promotion by the alcohol and tobacco industries. The failure to recognize alcohol and nicotine on par with other psychoactive drugs produced many strange and catastrophic anomalies within addiction treatment and recovery communities.(……)

Many people enter addiction treatment in the United States with abuse, abandonment, and loss as central thematic threads within their lives. Such experiences distort one’s self-perceptions (e.g., “I am not worthy of love and respect”), diminish one’s capacity to trust (e.g., “Everyone I love will either abuse or abandon me”) and impede one’s ability to(……)

Knowledge about the effects of addiction on families and the family recovery process has grown exponentially as a result of scientific studies and cumulative clinical experience. Among the most important conclusions to date that can be drawn from this body of knowledge are the following.  1. Alcohol and other drug (AOD) problems spring from diverse influences; unfold in(……)