Addiction & Recovery articles from January 1993

Addiction & Recovery archives from January 1993

'Harm reduction' advocates may hold key to new era in drug policy.
January 1, 1993... Weeks before Bill Clinton took office as the 42nd President of the United States, he already had brought a new wave of expertise into play in the debates on national drug issues. From early December, a small group of academic specialists...

Upgrading counselor professionalism through psychoanalysis. (Editorial)
January 1, 1993... It's a professional requirement for psychoanalysts; it should be for substance abuse counselors, too Gone are the days when the chief basis of eligibility for certification as an alcoholism and drug abuse counselor was one's own experience...

Chemical dependency treatment and HIV disease: a challenge for the addictions field.
January 1, 1993... Issues that addictions counselors must address -- and the sooner, the better You are a counselor in an outpatient drug-free clinic in which a substantial number of gay male amphetamine users are in treatment. One HIV-positive patient has...

Who will work with patient X: a guide to self-examination for facilities confronted by AIDS.
January 1, 1993... In the past three years the Albert E. Trieschman Center has received increasing numbers of phone calls from practitioners seeking the assistance of our resource center to identify appropriate placements for youngsters with this profile. The...

The therapist and the dying client: counselors must use their skills differently.
January 1, 1993... Psychotherapy with the dying is especially challenging when clients are young adults, as are many people with HIV disease. Despite its difficulties, however, such counseling frequently offers both patients and providers opportunities for...

In-house testing: how to get started. (Advice from the Vendors)
January 1, 1993... Follow-up testing for clients' drug or alcohol use is, of course, standard operating procedure for any treatment facility that wants to track its success -- and failure -- rates. And there are many excellent reference laboratories throughout...

Heroin abuse progression chart. (how to diagnose heroin usage)
January 1, 1993... Since its introduction in 1898 as a cough suppressant, heroin now accounts for nearly 90 percent of all opioid abuse in the United States. Originally derived from the German word meaning long and powerful, heroin (or junk, smack, scag, H, hard...

Working with physicians. (Professional Collaboration)
January 1, 1993... It is easy to say that communication is the basis for any good working relationship between different professions. It is not so easy to implement it, but physicians and counselors have to keep working at it. There have obviously been...

Working with case managers. (Professional Collaboration)
January 1, 1993... When working with an addictions counselor, there needs to be an openmindedness on the part of the counselor and the case manager to be prepared to support psychological testing and treatment in clinical cases where there is indication of...

Working with EAPs. (employee assistance programs) (Professional Collaboration)
January 1, 1993... What are the qualities EAPs look for in an effective chemical dependence professional? Chemically dependent clients present unique biopsychosocial impairments that effect their ability to benefit from traditional forms of therapy. These...

Why medications should be the last resort. (in conjunction with drug abuse treatment) (Clashing Opinions)
January 1, 1993... Antidepressants and anti-anxiety agents should be used very carefully with recovering patients, especially beyond the detoxification period (when symptoms can be life-threatening). In fact, in 20 years of practice, I can't recall one case in...

Why and when psychotropics should be used. (in conjunction with drug abuse treatment) (Clashing Opinions)
January 1, 1993... There is little controversy that psychotropics should be used during detoxification. The question of their use arises for the client in recovery. Are there clear-cut indications for this? There are, indeed. If the client has an...

Opium: the gift and its shadow.
January 1, 1993... It is hard to imagine a botanical gift with more beneficent properties than the opium poppy. It is capable of relieving physical pain, of turning misery into contentment and of creating deep euphoria. It flourishes easily and its active...

The future? of managed care. (Perspectives in Managed Care)(includes commentary)
January 1, 1993... Nearly every article about health financing admonishes us that managed care is here to stay. Actually, there are some very bright people in health planning who disagree. They believe managed care as we know it may not survive the next decade...

AIDS and relapse: why stay sober if I'm dying? The ultimate test of a counselor's belief in recovery.
January 1, 1993... I had just completed a workshop on relapse prevention. As I was leaving the conference room, a thin and frail-looking man from the audience approached me. In a voice tinged with quiet desperation, he asked if he could talk with me privately....

AIDS: a major new information source. (Business Responds to AIDS)
January 1, 1993... Readers on both sides of the ledger -- payors and providers -- in ADDICTION & RECOVERY's mixed readership stand to benefit from a new government/ private partnership: Business Responds to AIDS. Combining the Centers for Disease Control, the...