Both high social status and high social stigma can lead to isolation within “closed incestuous systems” isolated from mainstream community life. Such closed systems are prone to charismatic leadership, ideological extremism, internal scapegoating, internal plots and schisms, breaches in ethical and legal conduct, fall of the “high priest,” and, in the extreme, the complete implosion(……)

“…a disease needs to be transformed politically before it can be transformed scientifically.” –Siddhartha Mukherjee, The Emperor of All Maladies (A Biography of Cancer) Ladies and Gentlemen,        As you are quickly discovering, the effects of opioid addiction on individuals, families, and communities will be a recurring issue in the 2016 Presidential campaign.(……)

In 1997, Michael Boyle, the CEO of Fayette Companies, the primary behavioral health provider in Peoria, Illinois had a visionary idea:  redesign addiction treatment based on models of chronic disease management that are emerging within primary health care.  In collaboration with Russ Hagen, the CEO of Chestnut Health Systems in Bloomington, Illinois, Mike procured funding(……)

I have spent more than four decades providing, studying, promoting, and defending addiction treatment, but remain acutely aware of its limitations.  As currently conceived and delivered, most addiction treatment programs facilitate detoxification, recovery initiation, and early recovery stabilization more effectively and more safely than ever achieved in history, but most fall woefully short in supporting(……)

The concept of “wounded healer”–the idea that people who have survived illness or trauma may have special abilities to help others facing similar challenges–has deep roots within the history of addiction treatment and recovery.  During the 1980s and 1990s, the perceived value of the wounded healer was eclipsed by the growth and professionalization of the(……)