by A. Thomas Horvath, Ph.D., ABPP As part of my celebration of SMART Recovery’s 25th Anniversary, this blog is devoted to considering the recently released SMART Recovery USA Position on Goals: “SMART Recovery is abstinence oriented. Our meetings and tools are designed to help participants stop problematic addictive behavior.” I offer the following interpretation of this position.  Isn’t all addictive behavior problematic? Addictive behaviors are normal human behaviors, including eating, sexuality, and connecting with others. For some individuals these behaviors become problematic. Involvement with pleasurable psychoactive substances or activities is also common, including with alcohol, caffeine, gambling, video games, and many others. For some individuals these involvements becom...

by Thaddeus Camlin, Psy.D. Pretty much anyone who likes to think knows that truth in cannabis propaganda for the past century was about as scarce as a direct answer in politics.  Reefer madness told us that ingesting a single cannabis joint would make us rape and murder.  Nixon and his cronies put cannabis in the harshest category of the arbitrary drug schedule, making it the official stance of the U.S. government that cocaine, morphine, and methamphetamine are all safer and more medicinal than the versatile plant.  However, despite the stringent restrictions on cannabis as a result of its schedule I status, studies slowly trickle in that suggest the various medicinal potentials of cannabis, including the potential to help beat cancer.  Of particular interest is a recent study from Har...

by Thaddeus Camlin, Psy.D. Family is forever, or at least, that’s what the chintzy wall stencils say.  During times of hardship, sickness, death, misfortune, mistakes, and malaise it is helpful to rest assured that our families will stand by us and help us.  My esteemed mentor, Dr. Horvath, often says that 90% of social support is who shows up.  Who shows up in the hospital during chemo?  Who shows up to console after a break-up or job loss?  Often times, family shows up when no one else will.  But who shows up when a so-called ‘addict’ hits the proverbial ‘rock bottom?’  Often times family members desert loved ones when addictive problems are at their most severe.  Why is an exception to the golden rule of family standing by one another made when it comes to addiction?  The hypocriti...

by Tom Horvath, PhD, ABPP In September, 2019, SMART Recovery celebrated its 25th anniversary, at its annual conference in Chicago, IL. I have been involved with SMART since before it began operating under that name in October, 1994. It was previously the Rational Recovery Self-Help Network. I was president of SMART for 20 years, and have continued to serve on the US board after the development of SMART Recovery International in 2018. I offer the following description of what SMART offers.    SMART Recovery® (Self Management And Recovery Training) is an international community focused on helping its participants learn about and practice a self-empowering approach for addressing addictive problems. SMART’s primary activity is discussion meetings, face-to-face or online. The ultimate goa...

by Thaddeus Camlin, Psy.D. The term ‘binge-drinking’ generally conjures up images of frat boys in pastel polos guzzling litres of PBR out of a homemade beer bong, or something along those lines.  The stereotype is that binge-drinking is a college thing, not a mature adult thing. The truth, according to the current dean at USC’s School of Social Work, is that binge-drinking is on the rise amongst adults in their 40’s, 50’s, and 60’s.  A 2017 survey conducted by the Center for Behavioral Health Statistics and Quality found that over 30% percent of men 26 years or older binge drink, and under 40% of men ages 18-25 binge drink – a difference in percentages pretty close to the margin of error in many surveys.  Based on recent findings, the stereotypical binge drinker may be about as l...

by Thaddeus Camlin, Psy.D. Often, a call to reflection upon past achievements might be interpreted as a prelude to a swan song.  When our favorite musicians release greatest hits albums we move from excitement to nostalgia. When filmmakers reboot and update original creations, we hear the silent reverberations of writer's block echoing through the gaping idea void left in the wake of a once bright creative spark.  However, there are exceptions. Sometimes the creative spark becomes a long-burning fire. After decades of hard work on the part of many dedicated pioneers and volunteers, SMART Recovery celebrates its 25th Anniversary with the feeling of excitement for the future far outweighing nostalgia for the past. SMART Recovery: A Note of Gratitude Thanks to SMART Recovery, people w...

by Thaddeus Camlin, Psy.D. They said acid fries your brain and makes you jump off buildings.  They said shrooms make your brain bleed and that’s why they cause hallucinations.  They said pot makes people murder their families.  I don’t know exactly who ‘they’ are, but boy were they wrong.  The prestigious Johns Hopkins University just announced the opening of a nearly $20 million dollar research center to study psychedelic medicines.  The announcement from Johns Hopkins is arguably the single biggest acknowledgment that Western Society has been embarrassingly wrong about psychedelics all along.  Support for Psychedelic Therapy Research trials forthcoming from the new research center include the use of psychedelics to treat addiction, anorexia, Alzheimer’s related distress and cogni...

AA: Who it Helps, Who it Harms, Who it Kills, & Why, by Edward W. Wilson, PhD Kindle edition available on Amazon Print edition, 66 pages, available here. Preface by Tom Horvath, PhD (reprinted here by permission)   The psychological development of children is well studied. We know what children at different developmental levels can accomplish, and just as importantly, what they cannot accomplish.  The psychological development of adults has been studied much less, and the emerging knowledge that psychologists have on this subject has not become widely known. It doesn’t take a psychologist to know, for instance, that a situation that might lead to a temper tantrum in a two year old, should not lead to a tantrum in a teenager. However, because adults all loo...

by Thaddeus Camlin, Psy.D. When it comes to addiction treatment, it is well-known that the United States is embarrassingly and shamefully behind the rest of the industrialized world.  It is no surprise then that evidence for MDMA-assisted psychotherapy reducing alcohol relapse is coming out of the UK. We know MDMA-assisted psychotherapy was designated breakthrough status as a treatment for PTSD, and we know that trauma is at the etiological heart of most addictive behaviors (see Atkins, 2014, p.195). So it would naturally follow that if MDMA-Assisted Psychotherapy helps treat the etiology of addiction, it will probably help treat addiction. Yet, the misinformed notion that all addicts are the same and can never touch mind-altering substances again (except of course for boat-loads...

by Thaddeus Camlin, Psy.D. HBO’s hit television series, Euphoria, pushed the envelope on many important topics, except one – addiction.  The show depicted a biracial romance between two women, one of whom was transgender. The show offered gritty, raw depictions of sexual assault, teenage substance use, physical and emotional abuse, and abortion.  When it comes to addiction, however, the show somehow missed the memo that there are no experimental studies that unequivocally demonstrate the effectiveness of traditional addiction treatment.  Euphoria pushed boundaries on a number of important social issues, but when it comes to addiction, the show succeeded only in being yet another example of mainstream media perpetuating the harmful messages that all addicts are the same and thus, all de...