rrmoderator wrote, on another thread:
An interesting book to read about this would be...
Craving for Ecstasy : How Our Passions Become Addictions and What We Can Do About Them by Harvey Milkman, Stanley Sunderwirth
I took this review from the Amazon page:
It is possible to become addicted to what may seem a harmless pleasure such as sex, jogging, watching television, or eating. In this powerful book?written in easy-to-understand language?two scientific researchers, Harvey Milkman and Stanley Sunderwirth, explain the biology, chemistry, and psychology of the universal desire for pleasure and escape. For example, they reveal how the brain produces mind-altering?substances and what the skydiver has in common with the heroin addict.
Doesn't sound like the "[b:ae3789ae0e]disease model[/b:ae3789ae0e]" of addiction is the focus of this book, which could be a good thing.
Sounds like a [b:ae3789ae0e]behavioral[/b:ae3789ae0e] model is used instead.
Below is the syllabus for a university-level course in treatment of addiction:
[b:ae3789ae0e]Could this be indicative of the way recovery is being taught in our institutions of higher learning, state and federally funded, as you will note; not a private college)?[/b:ae3789ae0e]
[b:ae3789ae0e]A course syllabus from the University of Oklahoma:[/b:ae3789ae0e]
[b:ae3789ae0e]Course Description: [/b:ae3789ae0e]
This course provides foundational knowledge for counseling chemically dependent
persons. Students will learn working definitions of substance abuse and will be introduced to intervention,
assessment, and treatment strategies. [b:ae3789ae0e]Several models of substance abuse are presented.[/b:ae3789ae0e]
Upon completion of the course, students should:
1. understand fundamental concepts and models of chemical dependency and substance abuse;
2. identify[b:ae3789ae0e] major theories of alcoholism and other chemical dependency[/b:ae3789ae0e];
3. comprehend initial assessments of an individual experiencing chemical dependency problems;
4. develop general understanding of intervention strategies with chemical dependency;
5. recognize components of treatment of chemical dependency counseling; and
6. [b:ae3789ae0e]understand essential concepts of treatment of special populations of chemically dependent persons[/b:ae3789ae0e]
[b:ae3789ae0e]Textbook(s) and Instructional Materials:[/b:ae3789ae0e]
03 [b:ae3789ae0e]Peele, Stanton[/color:ae3789ae0e][/b:ae3789ae0e] (1999). The diseasing of America: How we allowed recovery zealots and the
treatment industry to convince us we are out of control.
04 Milkman, Harvey & Sunderwirth, Stanley (1998). [b:ae3789ae0e]Craving for ecstasy[/color:ae3789ae0e]: How our passions become addictions and what we can do about them[/b:ae3789ae0e].
05 Milam, James R. & Ketcham, Katherine (1984) Under the influence: A guide to the myths and realities of alcoholism (forward by Mel Schulstad).
The objectives of this Companion Directed Reading Course are to:
1. enhance student knowledge of addictive disorders and introduce [b:ae3789ae0e]controversies[/color:ae3789ae0e] in theories of addictions;[/b:ae3789ae0e]
2. assist students in clarifying their own views on addictions; and
3. enhance critical thinking, writing abilities, and written expression of ideas.
A directed readings paper with two sections is required, based on the readings
The second section allows students to explore and articulate their own “philosophy” or theory of addiction
1.[b:ae3789ae0e] Do you accept the disease concept of addiction:[/b:ae3789ae0e] why, why not, or to what extent? On what sources and information do you base your opinion or viewpoint?
2. What are the relative merits and limitations of the disease concept[/color:ae3789ae0e] of chemical dependency? [b:ae3789ae0e]Is the disease model effective in encouraging persons to seek treatment[/b:ae3789ae0e]?
3. [b:ae3789ae0e]Does the use of a disease model of addiction encourage irresponsibility and lead addicted persons to “blame” their behavior on an addiction[/b:ae3789ae0e]? Does the use of a disease model allow addicted persons to present themselves as helpless, weak, or as victims?
4. What are the ethical issues[/color:ae3789ae0e] involved in addiction and are these issues skirted by use of the disease model? Should addicted persons be “excused” for engaging in unethical, immoral, or illegal behavior on the basis of the fact that they were addicted? [b:ae3789ae0e]How should personal responsibility be maintained, if the disease concept is accepted[/b:ae3789ae0e]?
5. [b:ae3789ae0e]Is the reliance on the disease concept somewhat of a “slippery slope” [/color:ae3789ae0e]so far as personal responsibility, self-determination, and personal morality are concerned[/b:ae3789ae0e]? How can issues of [b:ae3789ae0e]personal responsibility, personal self-determination, and morality[/color:ae3789ae0e] be addressed if the disease concept[/color:ae3789ae0e] is used[/b:ae3789ae0e]?
The questions asked in the course are identical to the questions presented by members of this forum[/color:ae3789ae0e], with the one obvious difference being that, in the course syllabus, the question of whether or not AA is a cult does not arise.[/b:ae3789ae0e]
At first reading, this course seems to address the potential problems inherent in the "disease model" of addiction. [b:ae3789ae0e]A good thing.[/b:ae3789ae0e]
But, as the astute reader will note, [b:ae3789ae0e]despite the fact that the course addresses these problems, it would appear to center entirely around analysis of programs adhering to the disease model[/b:ae3789ae0e], which would mean faith-based programs like AA and NA, to [b:ae3789ae0e]the exclusion of other methods of treatment[/b:ae3789ae0e].
I do note, and appreciate the irony of, the fact that [b:ae3789ae0e]the course uses as a primary textbook the writings of Stanton Peele[/b:ae3789ae0e], whom rrmoderator, from his responses here, does not consider to make a [b:ae3789ae0e]compelling argument for revision of present day rehabilitation models[/b:ae3789ae0e].
If this course is representative of how universities are addressing the developement of new and innovative methods of addiction rehabilitation, it is probably only [b:ae3789ae0e]a matter of time before the 12 step stranglehold on the recovery industry is loosened[/b:ae3789ae0e]
From what I have seen, historically, the public usually takes a little while to catch up with academia.
[b:ae3789ae0e]One can only hope, for the sake of the addicted masses, that this will be the case.[/b:ae3789ae0e]
One can also attempt to "aid the cause", if so inclined.