a fan wrote: ↑Wed Sep 22, 2021 5:29 pm
tech37 wrote: ↑Wed Sep 22, 2021 4:57 pm
Everyone? When an addict is struggling with DTs or on their death bed? I think you're missing context again...she's a healthcare worker, not a social worker, therapist, or parole officer.
Respectfully, she has forgotten the context. We judge the firetruck out of drug addicts in America. Fat people too, for that matter.
She's more than entitled to be frustrated. I don't blame her one single bit on that count.
But that doesn't mean that her logic strings together well.
I file this stuff in the same drawer that I do folks claiming election fraud, but ONLY for the part of the ballot that Trump is on: these people are stirring up forces that they do not understand....in other words, what happens when legislatures start buying what she is selling, and remove all vaccine mandates for K-12?
What do we do as a nation if Polio makes a comeback? Or measles? Or lacrosse players start dropping dead at Homewood because meningitis vaccines are no longer mandatory?
Be careful what you ask for, Ms. Nurse.......
May as well lean into this.
There’s four models of addiction. One is actually called the moral model. Right now basically the only one utilized and taught is the disease model and that is due to the fact that we don’t cover mental health issues within healthcare and in general and not at all via insurance. Not right but understandable that they can’t models actuarial tables under any, really even the disease model, in order to price premiums and survive/thrive as a industry but shameful as a country we haven’t evolved enough to have something more comprehensive that allows our primary source of healthcare payment to facilities and professionals to deploy a broader treatment regime. I’ve had to learn a lot and do it myself, even at a upper middle end place they resist and fight you asking or attempting to understand your own treatment and give you crap about defining people as clients or customers vs patients. Learned this through outside effort and keep looking for more because AA/NA is a joke and has no competing paradigm for a system that’s 80yrs old (big book was written in 1938) and has a 65-70% failure (relapse) rate. There’s something called smart that’s maybe 25yrs old, but it’s amazing in a word where we get organically evolving solutions to human issues (everything is a marketplace, Socrates spoke of a marketplace of ideas, simply an exchange of perceived value to humans interacting - I urge anyone who bothers to read this to not assume I only think about business because I use a term like marketplace). And the contradiction of slamming people with personal responsibility, claiming it’s out of your control and that addiction is a perpetual state while (quite ponzi like) insisting every relapse is not their fault ever and their failure rate is zero because it’s only when people don’t follow each and every step that a relapse occurs thus a individual failure while never iterating or making any revisions/improvements over 8 decades is absurd and offensive to anyone with a brain. I had to find the one therapist out of 25 who’d tell me off hours about the others and probably leaving that joint soon as she’d make comments like “I can treat people better the way I see fit in private practice” to begin to learn about the different models and paradigms despite spending tens of thousand of dollars and learning a week of detox is billed $88k and if you don’t stay 30 days they release you “AMA”, against medical advice, no matter what you discuss about timing walking through the door and even use that threat with those who need the insurance to pay it all to keep you around. Yet in a month you’ll see a MD initially for 30-45min and then 30-45min a week w a RN who pushes Vivitrol and another supplicant shot (never the daily pill) on everyone and frames not taking the shot as a sure thing relapse so that must be juicy to bill as well.
Anyway, for anyone with a family member or friend who has a problem, shut the f up if you parrot something you read on an AA site or through a channel that derives it from there and learn a little more about this below. And also listen, don’t tell the people you care about is dilutive to their cause I promise. That’s never helpful. Somehow I have ten guys coming to me for help thy I met like I have a clue and or much value and I try but it’s partly because I listen and don’t tell. Use language you’re supposed to use with kids “we”, “I’ve found that this …”, etc.
I present the models of addiction.
What are Some of the Behavioral Models of Addiction?
When it comes to the basic idea of what drives addiction, you have a theory. For instance, some theorize that the primary driving factor behind addiction is avoiding the severe discomfort of withdrawals. Others hypothesize that addiction is a purely medical phenomenon and that the reason some become addicted to a substance while others don’t is a matter of genetics and exposure.
Once a theory has more work behind it and can offer fuller, richer explanations for addictive behavior, it grows into a behavioral models of addiction.
Moral Model
While the moral model of addiction is outdated, many still uphold it and it features in many rehab clinics around America and the world. The basic foundation of this model is that addiction is a matter of moral weakness and that the cure to addiction is responsibility. Of course, no rigorous studies back up this idea and it’s essentially a relic.
Disease Model
Addiction is inarguably a disease, and the disease behavioral model of addiction elevates the elements of addiction that make it such. However, viewing addiction as nothing more than a disease is often problematic for understanding what drives people to addiction and how they can get better.
The only antidote to addiction that the disease model has to offer is abstinence, which doesn’t incorporate many of the effective, therapeutic treatments that are increasingly popular today.
Socio-Cultural Model
The sociocultural model of addiction takes a big-picture approach to the problem of addiction and identifies underlying, systemic causes of addiction. Discrimination, lack of opportunity, poor quality of life, and similar problems that are common in marginalized communities consistently explain the occurrence of drug addiction. Under this model, the idea is to treat addiction by tackling housing and economic inequality.
While further research may indicate that this theory is fundamentally correct, it’s not so applicable to individual rehabilitation.
Psycho-Dynamic Model
The Psycho-dynamic model of addiction looks into our traumas and mental illnesses as a cause of addiction. As such, it looks to therapy to understand and address the root of why addiction happens. Statistics on addiction bear this out, as childhood trauma and mental illness put someone at a much greater risk of drug addiction.
