Peer reviewed literature
Interesting study in many ways. I like the part where participants had to be off the booze for three days before they got the drugs. The "high risk" alcoholics would have been in serious trouble by then.
And fer da luv uh god, if you're giving a way free drugs it should be easy to find a larger sample size.
// No reflection on you, OP. //
And fer da luv uh god, if you're giving a way free drugs it should be easy to find a larger sample size.
// No reflection on you, OP. //
I removed some posts under rule 4...I removed other posts under rule 2 as they had nothing to do with the initial topic...
anyone who wishes to repost their posts - as they pertain to the OP and topic - may of course do so
any more programme bashing will see this thread closed permanently.
and ...go..
D
anyone who wishes to repost their posts - as they pertain to the OP and topic - may of course do so
any more programme bashing will see this thread closed permanently.
and ...go..
D
Last edited by Dee74; 07-09-2012 at 02:15 PM.
Forward we go...side by side-Rest In Peace
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Tyl3r, I can't tell you how much I relate to your post and how glad I am you posted it. I'm a newbie struggling with AA (which I shall bore everybody about in another thread) in part because I like a bit of medical rigour with my diagnoses too. It's not that I don't accept I'm an alcoholic – I totally am – but when people in meetings start sharing about their "allergy to alcohol", I have to struggle not to ask them to define their terms.
(Having said that, I do think the disease model is a useful way to talk about addiction.)
(Having said that, I do think the disease model is a useful way to talk about addiction.)
At the risk of oversimplifying, it looked like type A as defined were roughly equivalent to "problem/hard drinkers" and the treatment was effective with them. Type B's semmed to be more like "the real alcoholic" and the treatment did not work with them. In fact, over the 6 months period, they got worse. If they were like my kind of alcoholic, they would have got worse regardless of the treatment.
The outcome seems familiar, a bit like the scenario in "There is a Solution". Many can be helped through treatment and medication.
The outcome seems familiar, a bit like the scenario in "There is a Solution". Many can be helped through treatment and medication.
Here's a fascinating (very long!) report that was recently released, from the National Center on Addiction and Substance Abuse at Columbia University. It's called: “Addiction Medicine: Closing the Gap Between Science and Practice.” It's kind of a depressing report, because it concludes that the addiction treatment system is basically broken:
http://www.casacolumbia.org/upload/2...dictionmed.pdf
http://www.casacolumbia.org/upload/2...dictionmed.pdf
Well it's pretty busted here. Our largest treatment centre boasts, a success rate of 2%, that's what it tells its patients anyway. Maybe it's trying to scare them sober, but it doesn't seem to work. Politics has quite a bit to do with how treatment is offered these days, it all has to be politically correct and fit in with our "harm minimisation" dogma.
Go back 10 years and we had a govenrment run national treatment centre, Queen Mary Hospital which had a 50% succes rate. That is 50% were still sober after two years. It had two aspects which distinguish it from the modern equivalent.
Firstly, no medication of any kind was permitted except for serious mental illness like manic depression. All patients were searched on arrival and meds confiscated. Secondly and typically, most patients had about 14 weeks sober when discharged after the eight week program. By this stage they had completed the first 5 steps of the AA program.
Go back 10 years and we had a govenrment run national treatment centre, Queen Mary Hospital which had a 50% succes rate. That is 50% were still sober after two years. It had two aspects which distinguish it from the modern equivalent.
Firstly, no medication of any kind was permitted except for serious mental illness like manic depression. All patients were searched on arrival and meds confiscated. Secondly and typically, most patients had about 14 weeks sober when discharged after the eight week program. By this stage they had completed the first 5 steps of the AA program.
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