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“Supervised injection facilities in the included studies (n=number of studies per outcome category) were mostly associated with significant reductions in opioid overdose morbidity and mortality (n=5), significant improvements in injection behaviors and harm reduction (n=7), significant improvements in access to addiction treatment programs (n=7), and no increase or reductions in crime and public…
https://pmc.ncbi.nlm.nih.gov/articles/PMC11986277/
https://pubmed.ncbi.nlm.nih.gov/25456324/ “Results: Seventy-five relevant articles were found. All studies converged to find that SISs were efficacious in attracting the most marginalized PWID, promoting safer injection conditions, enhancing access to primary health care, and reducing the overdose frequency. SISs were not found to increase drug injecting, drug trafficking or crime in the…
“Consistent evidence demonstrates that SCFs mitigate overdose-related harms and unsafe drug use behaviours, as well as facilitate uptake of addiction treatment and other health services among people who use drugs (PWUD). Further, SCFs have been associated with improvements in public order without increasing drug-related crime. SCFs have also been shown to be cost-effective. This systematic review…
“Particularly concerning was the finding that mental professionals held significantly higher stigmatizing beliefs, highlighting that outreach to health clinics, mental health centers, pharmacies, and related agencies is needed in community-based anti-stigma campaigns” In other words, the mental health workers responsible for helping those struggling with addiction had more stigma than the general…
“A new survey of U.S. primary care physicians from researchers at Johns Hopkins Bloomberg School of Public Health found that nearly one-third, 32.9 percent, do not think treating opioid use disorder with medication is any more effective than treatment without medication.” “The study also found that only one-fifth, 20.2 percent, of U.S. primary care physicians have interest in treating a patient…
“The Alcoholics Anonymous twelve-step model was developed to help a specific population of white, middle-class, heterosexual men with a specific problem: alcoholism. As the program is applied to a wider variety of issues, with diverse populations, the model’s generalizability has been called into question. Its applicability to outgroups is, at best, uncertain. At worst, the addiction model and…
“We conclude that there is little empirical evidence for the variance decomposition suggested by the “happiness pie,” and that even if it were valid, it is not necessarily informative with respect to the question of whether individuals can truly exert substantial influence over their own chronic happiness level.” “Lyubomirsky et al. (2005) based their pie chart on the idea that, if 50% of…
https://pubmed.ncbi.nlm.nih.gov/11120394/ https://www.nature.com/articles/1395603
https://pubmed.ncbi.nlm.nih.gov/26253543/
“Addiction is a state of compulsive drug use; despite treatment and other attempts to control drug taking, addiction tends to persist.” Credit where credit is due, the authors are certainly right about that. https://www.psychiatry.wisc.edu/courses/Nitschke/seminar/Hyman%20SE,%20Annu%20Rev%20Neurosci%2029,%202006.pdf
https://www.sciencedirect.com/science/article/pii/S0896627319300431
https://pubmed.ncbi.nlm.nih.gov/16055761/
https://www.jstor.org/stable/4331376
https://www.frontiersin.org/journals/psychiatry/articles/10.3389/fpsyt.2013.00031/full
“Anyone concerned with treating drinking problems must find that his patients often tell him more than is in the textbooks. Each tells a different story, but there are also repeated patterns. Much of the varied experience that is recounted can be interpreted as the patient’s astute observation of the alcohol dependence syndrome - a condition certainly far better described by the average alcoholic…
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https://www.frontiersin.org/journals/psychiatry/articles/10.3389/fpsyt.2013.00031/full
https://pubmed.ncbi.nlm.nih.gov/9311924/
“Anyone concerned with treating drinking problems must find that his patients often tell him more than is in the textbooks. Each tells a different story, but there are also repeated patterns. Much of the varied experience that is recounted can be interpreted as the patient’s astute observation of the alcohol dependence syndrome - a condition certainly far better described by the average alcoholic…
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https://pubmed.ncbi.nlm.nih.gov/11120394/ https://www.nature.com/articles/1395603
https://pubmed.ncbi.nlm.nih.gov/26253543/
https://pubmed.ncbi.nlm.nih.gov/11015800/
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“We conclude that there is little empirical evidence for the variance decomposition suggested by the “happiness pie,” and that even if it were valid, it is not necessarily informative with respect to the question of whether individuals can truly exert substantial influence over their own chronic happiness level.” “Lyubomirsky et al. (2005) based their pie chart on the idea that, if 50% of…
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https://www.jstor.org/stable/4331376
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“Particularly concerning was the finding that mental professionals held significantly higher stigmatizing beliefs, highlighting that outreach to health clinics, mental health centers, pharmacies, and related agencies is needed in community-based anti-stigma campaigns” In other words, the mental health workers responsible for helping those struggling with addiction had more stigma than the general…
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“Addiction is a state of compulsive drug use; despite treatment and other attempts to control drug taking, addiction tends to persist.” Credit where credit is due, the authors are certainly right about that. https://www.psychiatry.wisc.edu/courses/Nitschke/seminar/Hyman%20SE,%20Annu%20Rev%20Neurosci%2029,%202006.pdf
https://pubmed.ncbi.nlm.nih.gov/27475769/
https://pmc.ncbi.nlm.nih.gov/articles/PMC2805560/ https://pmc.ncbi.nlm.nih.gov/articles/PMC3055372/
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https://www.brucekalexander.com/articles-speeches/rat-park
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https://onlinelibrary.wiley.com/doi/abs/10.1111/jssr.12024
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https://www.sciencedirect.com/science/article/pii/S0896627319300431
https://pubmed.ncbi.nlm.nih.gov/847460/
https://pubmed.ncbi.nlm.nih.gov/16055761/
“It is common for clinicians, researchers, and public pol- icymakers to describe certain drugs or objects (e.g., games of chance) as “addictive,” tacitly implying that the cause of addiction resides in the properties of drugs or other objects. Conventional wisdom encourages this view by treating dif- ferent excessive behaviors, such as alcohol dependence and pathological gambling, as distinct…