Disrupted Physician 101.5: The American Society of Addiction Medicine (ASAM) uses (or misuses) Alcoholics Anonymous (AA)

screen-shot-2016-12-01-at-2-28-48-amInherent in the current chronic brain disease model of addiction is the importance of external control over individuals.  Political correctness and the oversimplified medicalization of addiction is allowing it.   Demanding scientific literacy and discriminating good science from bad science would prohibit what is occurring and In order to save American Medicine this problem needs to be clearly recognized. Otherwise we will become a profession that is essentially defined by the false dichotomies and grand illusions defined by the impaired physicians movement.

Source: Disrupted Physician 101.5: The American Society of Addiction Medicine (ASAM) uses (or misuses) Alcoholics Anonymous (AA)

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3 thoughts on “Disrupted Physician 101.5: The American Society of Addiction Medicine (ASAM) uses (or misuses) Alcoholics Anonymous (AA)

  1. It seems like there is a fundamental double-bind occurring at the institutional level. When authorities address a person who is “unable” to comply with social demands, the response is generally labeled as “help.” And when a person is “unwilling” to comply, the response is labeled as a “punishment.” The great Orwellian twist is to apply a punishment AS therapeutic help and to label any iatrogenic responses as personal failure, and to re-frame the whole systemic double-bind as “assistance.”

    Looking at this on the individual level, is there an empirical measurement tool that can assess degrees of therapeutic coercion and define the boundaries between therapeutic and harmful applications? If it doesn’t exist, is there a way to develop such an instrument?

    On the institutional level or at the level of state policy, are there objective measurement tools that can assess degrees of deception, abuses of power, and the potential for harm? Are there widely accepted definitions of these systemic dynamics?

    I’m really interested in the similarities between the “troubled teen industry” and the “troubled physicians industry.” The abuses of power and many of their effects seem so similar. I am new to the world of empiricism and I wonder about the role of the state in recognizing victims of institutional harm – is it possible to research effects on a population when so many definitions are contentious?

    If there is a lack of objective definitions, or widely understood and accepted “labels,” would that lack be something that has to be addressed before research is possible, or would research be a way to establish working definitions?

    There might be several applications for these measurement tools and definitions but I have trouble trying to develop ideas for research. What are some of the ways to develop (or think about) empirical research that could help improve the safety and fairness of these interventions?

    On Thu, Dec 1, 2016 at 1:52 AM, Disrupted Physician wrote:

    > mllangan1 posted: “Inherent in the current chronic brain disease model of > addiction is the importance of external control over individuals and > political correctness and medicalization of addiction is allowing it. > Demanding scientific literacy and discriminating good from ” >

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    • Marcus- will f/u with more detailed response but the “troubled teen” and
      “Impaired physician” industries are made from the same cloth using the same tactics and erects and promoted by some of the very same architects. The majority of those”helped” by these “treatment” programs do not meet the diagnostic criteria for the diagnosis they are being given

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    • Hi Marcus, I am not sure if it would be possible to get meaningful data using standard methods because the majority of individuals referred to and diagnosed with psychiatric and substance use disorders do not meet the diagnostic criteria for the diagnosis they are given. I estimate 70% or more fall into this category. Many have been referred to their state PHPs for anonymous complaints of alcohol on breath and legally prescribed medications are being used to justify assessment and treatment. They are now targeting medical students and I have heard from several who had been taking legitimately prescribed ritalin or an amphetamine since childhood for confirmed ADHD. The PHPs are sending these students to their out of state assessment centers and being diagnosed with “amphetamine use disorder” with recommended treatment of the standard 3 month inpatient to the tune of 60-80K under threat of loss of enrollment in medical school. I have heard from multiple medical students who had to leave medicine because they could not afford the ransom the PHP and “PHP-approved” treatment center used to try to extort them. The PHPs never relent or admit error.

      One possibility is to look at the diagnostic criteria provided by the outside evaluations almost everyone gets to counter the diagnosis given by the PHP. No matter what the quality of the experts or how many their opinions are patently ignored. In Massachusetts comprehensive evaluations by leading experts at Mclean, and MGH who have provided comprehensive reports opining that a person does not have a problem or even meet one single criteria for a given diagnosis. One guy had 5 independent assessments all claiming he had no problems. The PHP simply disregards all of it. Comparing independent outside diagnosis would confirm the rampant misdiagnosis and over-diagnosis they are engaging in.

      The similarities between this and the troubled teen industry in mechanics and mentality are one and the same. That’s understandable as many of the same individuals created both. Many were also involved in drug-courts and the plan to test people on welfare.

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