Should Addicts Be Forced Into 12-Step Rehab Programs? No (Part 3)

IMG_0728White House Drug Czar (1973-1977) Robert Dupont, M.D. (ASAM, FSPHP) and co-author Greg Skipper, M.D, (ASAM, FSPHP) describe the necessity for wider application of this new paradigm in an article published in the Journal of Psychoactive Drugs in 2012. In reviewing the “successes” of similar programs monitoring commercial pilots, attorneys, probationers, and those in the criminal justice system, they proclaim the “need to reach more of the 1.5 million Americans who annually enter substance abuse treatment, which now is all too often a revolving door.”1

Dupont and Skipper conclude:

This model of care management for substance use disorders has been pioneered by a small and innovative group of the nation’s physicians in their determination to help other physicians save their careers and families while also protecting their patients from the harmful consequences of continued substance abuse. In fulfilling the professional admonition “physician: first heal thyself,” these physicians have created a model with wide applicability and great promise.1

  1. Dupont RL, Skipper GE. Six lessons from state physician health programs to promote long-term recovery. Journal of psychoactive drugs. Jan-Mar 2012;44(1):72-78.

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Jorge Ramírez's avatarChaos Theory and Pharmacology

      Should Addicts Be Forced Into 12-Step Rehab Programs  No  Part 2    Chaotic Pharmacology (1)     Should Addicts Be Forced Into 12-Step Rehab Programs  No   Chaotic Pharmacology (1)


Part 3

Scream
Contents

I. Evidence regarding the effectiveness of ASAM interventions.
II. Evidence regarding the ASAM patient placement criteria.
III. More about forced interventions (coercion into treatment).



I. Evidence does not support Stuart Gitlow statements

“How To Achieve an 80 Percent Recovery Rate” —Stuart Gitlow, President of the @ASAMorg

How To Achieve an 80 Percent Recovery Rate
Published on October 16, 2012 by Stuart Gitlow, President of the American Society of Addiction Medicine (ASAM). Read the original post via the ASAM President’s Blog

Recovery rates over 80% appear to be rather consistently identified both by PHPs and by studies of pilots conducted by the FAA and by independent airlines. These long term recovery rates appear dramatically superior to the recovery rates obtained within the general population, which, depending on what literature you believe, seems to lie somewhere in the 40-50% area. –Stuart Gitlow

No…

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Free Educational Webinar: How to Position Yourself as an EXPERT!

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The validity and reliability of opinions lie in their underlying methodology and evidence base. Reliance on the personal authority of any expert or group of experts is the fallacy of appeal to authority.

I have asthma but that does not make me a Pulmonologist.  That addiction “specialist” diagnosing and treating you may have 5 years prior been a proctologist; and maybe not even a very good one at that.

Somewhere there may be doctor with no post-graduate training in surgery wielding a scalpel and calling himself an expert surgeon, but it is difficult to imagine that he is a very good one.

http://disruptedphysician.com/2014/11/18/disrupted-physician-101-2-for-what-its-worth-appeal-to-authority-and-the-logical-fallacy-of-special-or-secret-knowledge/

 

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Addiction Medicine: The Birth of a New Discipline

Somehow, I don't think this is quite what they had in mind!

Ms Bella St John's avatarMs Bella St John ~ Notes


“How to Position Yourself as an EXPERT, Make More Money and Help More People, by Becoming a Published Author – Even if You Don’t Know Where to Start!” Think about it – if you need to see a chiropractor, for example, would you rather see a general chiropractor, or one who has positioned …
http://leighstjohn.com/free-educational-webinar-how-to-position-yourself-as-an-expert/

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Hubris

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Three shells and a pea–ASAM, FSPHP, and LMD.

Hubris (/ˈhjuːbrɪs/, also hybris, from ancient Greek ὕβρις) means extreme pride or self-confidence. When it offends the gods of ancient Greece, it is usually punished. The adjectival form of the noun hubris is “hubristic”.

Hubris is usually perceived as a characteristic of an individual rather than a group, although the group the offender belongs to may suffer consequences from the wrongful act. Hubris often indicates a loss of contact with reality and an overestimation of one’s own competence, accomplishments or capabilities, especially when the person exhibiting it is in a position of power.

Physician Health Services, Inc. (PHS): a tale of corruption, crimes and unethical behavior

Jorge Ramírez's avatarChaos Theory and Pharmacology

 We need to stop them: please read, sign and share this petition


“If your doctor had a drug or alcohol problem, wouldn’t you want to know that help was available that your doctor would feel good about accessing? 

Approximately 10-12% of physicians will develop a drug or alcohol problem at some point during their career.  If physicians are impaired, they should be able to seek help from a firm but supportive and fair resource—one that demands sobriety and can determine when physicians are safe to practice. 

Physicians with substance use disorders often seek the assistance of a state physician health program (PHP). Some physicians engage willingly with PHPs, but most are compelled to do so either by their hospital or their board of medicine.  PHPs meet with, assess, and monitor physicians who have been referred to them for substance use or other mental and behavioral health problems.  In most states…

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Committed: Stories About Stays in Psychiatric Facilities

Em Perper's avatarLongreads

In this week’s list, I wanted to share the experiences of those committed—voluntarily or not—to a psychiatric facility. From One Flew Over the Cuckoo’s Nest to Nellie Bly’s 19th century expose to American Horror Story: Asylum, the “madhouse” occupies a weird space in America’s psyche, equal parts fascinating and feared. But the experiences of the patients and their caretakers are, obviously, very different than sensationalized cinematic accounts.

1. “Something More Wrong.” (Katherine B. Olson, The Big Roundtable, July 2013)

In this well-wrought essay, Katherine B. Olson profiles Alice Trovato, a woman and patient who mothers her unofficial charges and strives to make the most of her stay at Creedmoor Psychiatric Center in the greens of Queens.

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Psychopathy and the Medical Profession

IMG_4651In his book Without Conscience, Dr. Robert Hare notes “If we can’t spot them, we are doomed to be their victims, both as individuals and as a society. ” Dr. Clive Boddy in Corporate Psychopaths observes that unethical leaders create unethical followers, which in turn create unethical companies and society suffers as a result.” And if you look at the FSPHP branch of the ASAM that is exactly what you will find.  It is the perfect funnel for such personalities in our profession–relicensed by claiming the salvation card and an externalization of all blame.   “I didn’t do it it was my disease.”   In this manner felons, double felons, swindlers and pedophiles have not only gotten their medical licenses back but PUT IN CHARGE of evaluating other doctors in a rigged system with no regulation, transparency or oversight.  Bad idea.  It is a facade.  Less than 1/% of the general population are psychopaths but they represent more that 10% of those in prisons. What is the natural history of the physician psychopath? You do the math.

http://psychopathyinfo.wordpress.com/2012/03/22/characteristics-of-corporate-psychopaths-and-their-corporations/

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Psychopathy Everywhere?

A SPECIAL ME-P REPORT

By Michael Lawrence Langan MD

Psychopathy is present in all professions.

In The Wisdom of Psychopaths: What Saints, Spies, and Serial Killers Can Teach Us About Success, Kevin Dutton provides a side-by-side list of professions with the highest (CEO tops the list) and lowest (care-aid) percentage of psychopaths.

Interestingly surgeons come in at #5 among the professions with the highest percentage of psychopathy while doctors  (in general) are listed among the lowest [more ……>]

Psychopathy and the Medical Profession

 holloween

More:

Channel Surfing the ME-P

Have you visited our other topic channels? Established to facilitate idea exchange and link our community together, the value of these topics is dependent upon your input. Please take a minute to visit. And, to prevent that annoying…

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Should Addicts Be Forced Into 12-Step Rehab Programs? No

Jorge Ramírez's avatarChaos Theory and Pharmacology

As a response to the original post “Should Addicts Be Forced Into 12-Step Rehab Programs?”
Author: Trevor Butterworth – URL: http://thestatsblog.wordpress.com/2007/11/28/should-addicts-be-forced-into-12-step-rehab-programs/


For some persons the remedy should be merely prescribed; in the case of others, it should be forced down their throats.” — Seneca: Letter 27 – On the Good which Abides


NO REMEDIES have to be forced down the throat of HUMANS unless the case involves an emergency situation (e.g., activated charcoal administered through a nasogastric tube in a patient seriously intoxicated with organophosphates).

Treatments have to be sought by a patient willing to receive medical treatment for their condition (e.g., drug addiction).

Prescriptions (pharmacological or non-pharmacological) must be discussed with the patient.

Forced interventions such as forced psychiatric therapy (used sometimes to addict patients) is considered as torture by governmental (e.g, United Nations) and non-profit organizations (e.g., Mad in America). I also name It as torture: red or blue…

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Should Addicts Be Forced Into 12-Step Rehab Programs? No (Part 2)

Jorge Ramírez's avatarChaos Theory and Pharmacology

I would like to start this post by sharing Dr. Langan response to the first part of this post: “Should Addicts Be Forced Into 12-Step Rehab Programs? No

“The argument is often advanced that without coercion there is insufficient incentive to enter treatment and, within a medical paradigm, not wanting to enter treatment is considered a symptom of the disease. Moreover, the greater the denial of the disease is considered directly proportional to the severity of the disease. Although both of these may be true in the throes of an acute addiction, the chronic relapsing brain disease with lifelong abstinence and 12-step recovery model is being used to coerce treatment on those who do not need it as “denial” can be present. according to these folks, long after the drugs and alcohol are gone.” –-Michael L. Langan.

Comments – Jorge R. –
– I agree with Dr…

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