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Reply to "PRACTICE STANDARDS FOR TRAUMA WORK"

Friday night spelling mistakes? The original idea for depression and addiction being separable (of course) in many cases was Kim Mueser's (American of later Schiz rehab fame) I think, so NZers only had to read this research, which was published many many moons ago. Still most psychiatrists clung to the notion (as many psychiatrists and GPs still do) for many years -- biological reductionism, as opposed to the "European" idea of social factors being influential in etiology of depression.

I think it was an Australian guy! (at ANU) who did the more recent research I was referring to before.

Which education program are you referring to? If it's NZ-developed, Kiwis would love it. If not, they almost wouldn't acknowledge it. What the objective quality of the program is is another story entirely.

Still, one wouldn't want to get too far into social factors underlying substance use -- have a look at the journal Addiction's focus, of a few years ago, on the "self-medication hypothesis".

Mem Lang posted:

Russell, do you mean the PESI intro? That would be unfortunate if there was a suggestion that there was a divide. May be New Zealand wasn't so backward - as you have suggested a few times! - As an aside,  NZ is very proud of the education program as it currently stands ATM!

When you read that ice addition apparently only occurs in 10% of users, you can bet they're users for a reason.  Such additions are the tip of the iceberg.  Just below is depression and below that I believe lies the core of the problem. The tricker, harder to deal with by both user and therapist: the core underlying issues.  It would be sad to think anyone could now think any differently to this.  And yet... It is such an important and fundamental distinction. And I know relatively little - about the multitude of addictions one can use to numb the pain, and the academic research around this. Yet through lived experience and observations (this sure counts for something, I'm not minimalising this acquired 'wisdom') this is a no brainer!

I do get frustrated when I hear everyone isn't on the same page about such important yet basic knowledge and the same attitudes are churned out from universities and organisations.  

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