Changes Coming Soon
After a several month hiatus, I’m happy to be posting again!
This means good-bye NYC and hello Washington DC! It also means that the scope, style, and range of topics I’ll write about will greatly expand beyond just drug addiction. I’m still figuring out those details….
But in the mean time:
About two years ago I wrote a review article for a new academic book about addiction. Finally, the book and the article have been published!
The book is Neuropathology of Drug Addictions and Substance Misuse. My article appears in Volume 2.
Feel free to download a pdf of my article for free!
I first present an overview of the pathology and neurobiology of cocaine addiction and then discuss some of the research findings about changes that occur in the brain because of cocaine addiction.
A summary of key points discussed in the article:
Once again an American citizen (not an immigrant or refugee of any kind) has mass murdered other American citizens using a legally purchased weapon, a weapon that exists for no other reason than to be used to kill as many people as possible. The attack in Orlando is a confluence of so many problems in the US and world today: gun violence, homophobia, racism, religious extremism and Islamist terrorism. Sadly, there will be a portion of this country that won’t really care about these attacks because 1) they specifically targeted gay people and 2) minority men were primarily killed in the attacks. Narcissistic demagogues like Donald Trump will use the attacks to expand his racist rhetoric and hate speech in order to galvanize the furor of his supporters—he’ll profiteer from the loss of human life to boost his poll numbers (by the way, Trump was endorsed by the NRA so don’t expect any comments on gun control).
I could spend my time talking about how attacks like these are only possible because of the ease in which guns can be purchased in the United States but why? Supporters of stricter gun control already know these arguments while the people that need to hear them never will. But there’s another issue here.
The massacre in Orlando brought to national attention something that is common but unknown by many. Gay people are the victims of violence, hate and terror all over the world. Terrorist groups such as ISIS specifically target gay people and murder them in horrific ways. But it’s not just the Islamist philosophy that promotes homophobia. The silent victimization of gay people is promoted by religious extremism in all its forms. I’ll even go one step further and make the claim that homophobia’s ONLY proponent is archaic religious beliefs. All adult humans beings have a capacity for love and all adult human beings should be allowed to express their love however way they want without fear of reprisal or intimidation from bigots.
In this Pride month is important to remember the progress that has been made but the shadows of the past follow us no matter how far forward we march. The Nazi’s used the pink triangle to mark gay men in the same way the Star of David was used to mark Jews. That symbol has been reclaimed as reminder of how the horror of the past can motivate strength in the present.
Stay united in support for the victims of the Orlando attacks. Mourn their loss and celebrate their lives. But be angry too. Use that anger to fight for an end to gun violence, an end to Islamist and religious extremism, an end to homophobia and persecution of LGBT people around the world.
A well-written criticism of Johann Hari’s popular yet woefully inaccurate book “Chasing the Scream”. The piece is written by fellow addiction blogger Katie Mac Bride for addiction.com. Thanks to Katie for quoting me in the piece!
Interesting article in the Atlantic dealing with another example of how addiction treatment does not use an evidence-based approach.
Nowhere in the field of medicine is treatment less grounded in modern science. A 2012 report by the National Center on Addiction and Substance Abuse at Columbia University compared the current state of addiction medicine to general medicine in the early 1900s, when quacks worked alongside graduates of leading medical schools. The American Medical Association estimates that out of nearly 1 million doctors in the United States, only 582 identify themselves as addiction specialists. (The Columbia report notes that there may be additional doctors who have a subspecialty in addiction.) Most treatment providers carry the credential of addiction counselor or substance-abuse counselor, for which many states require little more than a high-school diploma or a GED. Many counselors are in recovery themselves. The report stated: “The vast majority of people in need of addiction treatment do not receive anything that approximates evidence-based care.”
This begs the question: Dr. Kolodny, are…
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